
ASSOCIATION OF THE MTHFR C677T (rs1801133) POLYMORPHISM WITH IDIOPATHIC MALE INFERTILITY IN A LOCAL PAKISTANI POPULATION Irfan M, Ismail M, Azhar Beg M, Shabbir A, Rashid Kayani A, Kaukab Raja G *Corresponding Author: Muhammad Irfan, M.Phil., Department of Zoology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Pakistan. Tel: +92-344-551-8382. Email: muhammadirfan11@gmail.com page: 51
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INTRODUCTION
Infertility is a state of failure to conceive in a year of unprotected intercourse with the same partner [1]. The male factors are responsible of infertility in 20.0 to 25.0% of couples [2]. In men, the main causes of infertility are oligospermia, asthenospermia, teratozoospermia and azoospermia [3,4]. Like other nutritional factors, availability of bioactive folate has recently been found to be related to male fertility [5].
Folates are an inter-convertible group of enzymes that metabolize amino acid, synthesize and methylate deoxy-ribonuleotides (dNTPs) [6,7]. Methyltetrahydrofolate (MethylTHF) is the biologically active form of folate in plasma. An important enzyme, methylenetetrahydrofolate reductase (MTHFR), reduces 5,10 methylenetetrahydrofolate into 5, MethylTHF and during this reduction, a homocysteine is converted into methionine by attaining a methyl group from methylenetetrahydrofolate [8].
Methionine is converted to S-adenosyl methionine that acts as a ‘methyl’ donor for DNA methylation. The 5,10 methylenetetrahydrofolate converts uracil into thymine for DNA synthesis [9]. Therefore, deficiency in folate intake or polymorphism(s) in the enzymes of the folate pathway may result in aberrant DNA synthesis and methylation, especially in rapidly dividing cells such as bone marrow and spermatogonia [10].
The MTHFR gene is composed of 11 exons and is located on the short arm of chromosome 1 at 1p36.22 [8,11]. Being an important enzyme of folate metabolism, the MTHFR gene product has been studied and found in a total of 65 polymorphisms. The C677T (rs1801133) polymorphism in the MTHFR gene reduces the enzyme activity by 35.0% [11] resulting in impairment of nucleic acid metabolic pathways. However, the condition can be managed by folic acid supplementation for determining the frequency of the MTHFR C677T mutation is a prerequisite.
The results of many of the molecular epidemiological studies on the association of the MTHFR C677T polymorphism and male infertility remain controversial due to small sample size, ambiguously defining infertility and confounding factors including ethnicity. In the present study, we determined an association between idiopathic sperm disorders and the MTHFR 677 CT polymorphism.
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