Homocysteinemia due to MTHFR deficiency
Other Names for this Disease
- 5,10 alpha methylenetetrahydro-folate reductase deficiency
- 5,10-alpha-methylenetetrahydro-folate reductase deficiency
- Homocysteinemia due to methylenetetrahydro-folate reductase deficiency
- Homocysteinuria due to methylenetetrahydro-folate reductase deficiency
- Homocysteinuria due to MTHFR deficiency
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Homocysteinemia due to MTHFR deficiency is a metabolic condition characterized by neurological problems, such as developmental delay, seizures, and microcephaly. Signs and symptoms of vary from no symptoms to severe neurologic and blood vessel disease. It is inherited in an autosomal recessive fashion and is caused by mutations in the MTHFR gene . These mutations may cause a mild to severe loss of activity of the MTHFR enzyme and result in elevated levels of homocysteine in the blood (homocysteinemia) or urine (homocysteinuria). The most common MTHFR gene mutation is the C677T mutation. Health problems tend not to be related to whether someone has a MTHFR gene mutation or even a MTHFR enzyme deficiency, but whether the deficiency is leading to elevated levels of homocysteine in the blood (homocysteinemia) or urine. 
Last updated: 7/20/2011
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- Varga E, Sturm A, Misita C, Moll S. Homocysteine and MTHFR Mutations: Relation to Thrombosis and Coronary Artery Disease. Circulation. 2005;111:e289-e293. [PDF]