Abstract
Altered maternal folate status and homozygous mutation in the methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR) genes can promote chromosomal instability and non-dysjunction resulting in fetal trisomy 21. Folate supplementation around conception therefore has the potential to reduce the frequency of Down syndrome. This finding, in addition to the prevention of neural tube defects, strengthens the recommendation to use folic acid around conception.
MeSH terms
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5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase / genetics
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DNA / genetics
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DNA / metabolism
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Down Syndrome / genetics*
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Down Syndrome / metabolism
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Down Syndrome / prevention & control
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Female
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Ferredoxin-NADP Reductase / genetics*
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Ferredoxin-NADP Reductase / metabolism
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Folic Acid / administration & dosage
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Folic Acid / metabolism*
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Homocysteine / metabolism
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Homocystinuria / genetics
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Humans
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Male
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Methionine / metabolism
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Methylenetetrahydrofolate Reductase (NADPH2) / genetics*
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Methylenetetrahydrofolate Reductase (NADPH2) / metabolism
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Mothers*
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Mutation*
Substances
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Homocysteine
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DNA
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Folic Acid
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Methionine
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methionine synthase reductase
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Ferredoxin-NADP Reductase
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Methylenetetrahydrofolate Reductase (NADPH2)
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5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase