MTHFR C677T: Not All Bad!

Much has been written about this variant, with websites and facebook groups named after it.  In fact, it was one of the first variants that I had heard about and was one of the reasons that I got the 23andMe testing in the first place.  Many people seem to think it is a ‘doom and gloom’ diagnosis to have this variant, but there are many studies showing just the opposite.

A little background on MTHFR….

MTHFR stands for methylenetetrahydrofolate reductase.  It is a gene that codes for the MTHFR enzyme that converts 5,10 methylenetetrahydrofolate to 5-methyltetrahydrofolate.  It is a rate-limiting step in the methylation cycle, and basically a step in the breakdown of folate into the products that your body needs for quite a few cellular functions.  There are lots of great methylation cycle pathway images and videos available on the internet for a full explanation.

The MTHFR C677T variant is one that has been studied extensively.  C is the wildtype or normal allele, and T is the variant.  Those who are CT or TT have less MTHFR enzyme function than those who have the CC wildtype.

After reading about all of the terrible consequences of this enzyme reduction on different websites, one could assume their fate is doomed by having this variant.  But it seems that there are both pros and cons to this variant and that environmental interaction and other genes play a big role in how important it truly is.  Plus 5-methyltetrahydrofolate is available as a supplement, which some people with the variant find to be very helpful.

Studies finding protective effects of MTHFR C677T variant:

  • A 2015 meta-analysis (study that looked at several previous studies) found that for Asian men, the TT variant was protective against prostate cancer.  It also found that across all populations, when comparing men with prostate cancer to a control group with benign prostate enlargement, the TT genotype was protective against prostate cancer.  [ref]
  • A 2016 Iranian study found that the T allele of MTHFR C677T was protective against susceptibility to retinoblastoma.  [ref]
  • A 2015 Brazilian study found the CT and TT genotypes “acted as a protective factor” in oral squamous cell cancer. [ref]
  • A 2014 longevity study in China found that the T allele was more prevalent among their long-lived group (aged 90 and older), especially in females.  [ref]
  • A 2014 Chinese study found that the TT genotype of MTHFR C677T was protective against gastric cancer. [ref]
  • A small 2013 study found that “possessing T allele of MTHFR C677T mutation indicates a protective association on BMI independently from other risk factors.” [ref]
  • A 2013 Iranian study found that the T allele was protective against gastric cancer. [ref]
  • A 2012 meta-study of Chinese populations found that the T allele may be protective against acute lymphoblastic leukemia in children.  [ref]
  • A 2012 meta-analysis found that in Asian studies on prostate cancer risk, the TT genotype vs CC genotype had a significantly reduced prostate cancer risk (OR=0.47).

Mixed results:

  • A 2013 meta-analysis found that while MTHFR 677TT homozygous was found to have a higher susceptibility to lung cancer in smokers, the TT “homozygote carriers had a better response to platinum-based chemotherapy in advanced NSCLC in the recessive model.”  [ref]
  • A 2013 meta-analysis found that Caucasian women carrying the TT allele had a lower risk of cervical cancer, but Asian women with TT were at a higher risk of cervical cancer.  [ref]
  • A 2013 study of a Tenerife Island population found that while the T allele was more frequent in colorectal cancer patients, those with the T allele had a higher survival rate after chemotherapy.  [ref]
  • A 2014  study showed that while the T allele is associated with a risk of higher homocysteine levels, that higher risk is eliminated through adequate riboflavin (vitamin B2) levels [ref]

Studies showing problems with the variant are also abundant.

  • A 2015 meta-analysis found that type-2 diabetic patients carrying the T allele were more susceptible to diabetic nephropathy. [ref]
  • Many studies have shown that the CT and TT genotypes are associated with higher homocysteine levels.  [ref]
  • A 2014 meta-analysis found that the MTHFR T-allele gives a greater risk of gastric cancer.  That same study found that for MTHFR A1298C, the C allele may be protective against gastric cancer in certain populations. [ref]
  • many, many more studies show the effect of this variant on heart disease and homocysteine levels.

Eat your greens:

Some studies have found that risks associated with the MTHFR C677T variant are negated through higher folate levels.

  • A 2012 Mexican study found that for those with the 677TT genotype, the risk of neural tube defects was 95% lower for those with the highest folate levels vs. the lower folate levels. [ref]
  • A 2014 Chinese study found: “The MTHFR 667 T allele and MTR 2756 G allele were associated with a higher risk of breast cancer in individuals with low folate intake, vitamin B6, and vitamin B12, but the association disappeared among subjects with moderate and high intake of folate, vitamin B6, and vitamin B12.” [ref]
  • A 2014 study found that while carriers of the 677 T allele had an overall increased risk of breast cancer, those with a low folate and B6 intake had an even higher risk of breast cancer [ref]

More information:

If you are not familiar with the MTHFR C677T variant, here is another resource:

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