
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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RESULTS
Genotype distribution of the MTHFR 677C>T polymorphism of the 655 subjects analyzed: 472
(72.06%) subjects were homozygous for the C allele (CC), 166 (25.34%) subjects were heterozygous (CT), and 17 (2.60%) subjects were homozygous for the T allele (TT). The minor allele (T) frequency of the MTHFR 677C>T polymorphism was 0.153, and the genotype distributions did not deviate from the Hardy-Weinberg equilibrium (p >0.05) (Tables 1 and 2).
Prevalence and Odds Ratios of Male Infertility According to Carriers of the Minor Allele of the MTHFR C677T Polymorphism. a) Allele frequencies. The relative MTHFR 677 allele and genotype frequencies of the individual risk factors of the male infertility in the total populations are summarized in Tables 1 and 2. Results show that the MTHFR C>T polymorphism increases the odds ratio (OR) [2.12, 95% confidence interval (95% CI):
1.38-3.92] of male infertility significantly (p <0.05).
In addition, after classifying the men into different infertility groups, allelic frequencies were significantly different between infertile and fertile men. The minor allele (T) frequency was highest in teratospermic men
(0.293%), followed by oligospermic (0.280%), oligoasthenoteratospermic (OAT) (0.275%), asthenospermic (0.273%), azoospermia (0.210%), normospermic infertile (0.124%) and fertile men (0.073%) (Table 1).
Genotype Frequencies. According to Table 2, men with MTHFR 677 CT and TT genotypes are at a greater risk (OR: 1.81, 95 %CI: 1.17-2.80, p =
0.008 and OR: 9.24, 95% CI: 1.20-70.92, p = 0.032, respectively) of male infertility. All the subgroups of male infertility (azoospermic, oligospermic, asthenospermic, OAT and normospermic infertile) had significantly (p <0.05) higher frequencies of CT and TT genotype as compared to fertile men. The combined genotypes (CT + TT) were also found to be significantly associated with male infertility (OR:
2.01, 95 %CI: 1.31-3.08, p <0.001) (Table 2).
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