Gene:
MTHFR
methylenetetrahydrofolate reductase (NAD(P)H)

PharmGKB contains no dosing guidelines for this gene. To report known dosing guidelines, or if you are interested in developing guidelines, click here.

PharmGKB contains no drug labels with pharmacogenomic information for this gene. To report a drug label with PGx, click here.

PharmGKB contains no Clinical Variants that meet the highest level of criteria.

To see more Clinical Variants with lower levels of criteria, click the button at the bottom of the table.

Position ? Drug ? Relevance ? Strength of
Evidence ?
rs1801131 more likely to cause Higher homocysteine 2
rs1801131 more likely to cause Mucositis 2
rs1801131 more likely to cause null 2
rs1801133 more likely to cause hepatotoxicity 2
rs1801133 more likely to cause Mucositis 2
rs1801133 more likely to cause Higher homocysteine 2
rs1801133 more likely to cause mucositis, thrombocytopenia & hepatotoxicity 2
rs1801133 more likely to cause toxicity (mostly myelosuppression & hepatotoxicity). 2
rs4846051 more likely to cause toxicity (multiple systems) 3
rs1801131 3
rs1801133 more likely to cause alopecia 3
rs1801133 more likely to cause metabolic syndrome 3

Download a summary of all Clinical Annotations available.

Disclaimer: The PharmGKB's clinical annotations reflect expert consensus based on clinical evidence and peer-reviewed literature available at the time they are written and are intended only to assist clinicians in decision-making and to identify questions for further research. New evidence may have emerged since the time an annotation was submitted to the PharmGKB. The annotations are limited in scope and are not applicable to interventions or diseases that are not specifically identified.

The annotations do not account for individual variations among patients, and cannot be considered inclusive of all proper methods of care or exclusive of other treatments. It remains the responsibility of the health-care provider to determine the best course of treatment for a patient. Adherence to any guideline is voluntary, with the ultimate determination regarding its application to be made solely by the clinician and the patient. PharmGKB assumes no responsibility for any injury or damage to persons or property arising out of or related to any use of the PharmGKB clinical annotations, or for any errors or omissions.

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PharmGKB contains no genetic tests for this gene. To report genetic tests, click here.

The table below contains information about pharmacogenomic variants on PharmGKB. Please follow the link in the "Variant" column for more information about a particular variant. Each link in the "Variant" column leads to the corresponding PharmGKB Variant Page. The Variant Page contains summary data, including PharmGKB manually curated information about variant-drug pairs based on individual PubMed publications. The PMIDs for these PubMed publications can be found on the Variant Page.

The tags in the first column of the table indicate what type of information can be found on the corresponding Variant Page.

Links in the "Drugs" column lead to PharmGKB Drug Pages.

Variant?
(build 132)
Alternate Names ? Drugs ? Alleles ? Function ? Amino Acid?
Translation
rs1801131 A1298C, MTHFR:1298A>C, c.1286A>C, g.11777063T>G, g.16685A>C, g.7859208T>G, p.Glu429Ala T > G Missense Glu429Ala
rs1801133 677C>T, A222V, Ala222Val, C677T, MTHFR: c.677C>T, MTHFR:667C>T, c.665C>T, g.11778965G>A, g.14783C>T, g.7861110G>A, p.A222V, p.Ala222Val G > A Missense Ala222Val
No VIP available CA VA
rs4846051 MTHFR:1317T>C, MTHFR:Phe435PHE, c.1305C>T, g.16704C>T, g.7859189G>A C > T Not Available Phe435Phe
Alleles, Functions, and Amino Acid Translations are all sourced from dbSNP build 132

Overview

Alternate Names:  5,10-METHYLENETETRAHYDROFOLATE REDUCTASE (NADPH) - ALTERNATIVELY SPLICED; MTHFR; 5,10-methylenetetrahydrofolate reductase (NADPH); METHYLENETETRAHYDROFOLATE REDUCTASE LONG ISOFORM, ALTERNATIVELY SPLICED; Methylenetetrahydrofolate reductase; OTTHUMP00000002367; OTTHUMP00000002368; OTTHUMP00000002373; methylenetetrahydrofolate reductase; methylenetetrahydrofolate reductase intermediate form
Alternate Symbols:  AY046562.1
PharmGKB Accession Id: PA245

Details

Cytogenetic Location: chr1 : p36.22 - p36.22
GP mRNA Boundary: chr1 : 11845787 - 11866115
GP Gene Boundary: chr1 : 11842787 - 11876115
Strand: minus
Product Name: 5,10-methylenetetrahydrofolate reductase (NADPH), Methylenetetrahydrofolate reductase, methylenetetrahydrofolate reductase intermediate form
The mRNA boundaries are calculated using the gene's default feature set from NCBI, mapped onto the UCSC Golden Path. PharmGKB sets gene boundaries by expanding the mRNA boundaries by no less than 10,000 bases upstream (5') and 3,000 bases downstream (3') to allow for potential regulatory regions.

PharmGKB Curated Pathways

Pathways created internally by PharmGKB based primarily on literature evidence.

  1. Fluoropyrimidine Pathway, Pharmacodynamics
    Model non-tissue-specific cancer cell displaying genes which may be involved in the pharmacodynamics of the fluoropyrimidines, 5-fluorouracil (5-FU), capecitabine and tegafur.
  1. Folate Cycle (PD)
    Model non-tissue specific cancer cell displaying candidate genes which may be involved in the pharmacodynamics of antimetabolite drugs acting on the folate cycle
  1. Methotrexate Pathway
    Methotrexate cellular disposition and effects

External Pathways

Links to non-PharmGKB pathways.

  1. Metabolism of folate and pterines - (Reactome via Pathway Interaction Database)

Curated Information ?

Gene Relationship Evidence
TP53
  •   
  •   
Publications

Non-Curated Information ?

A list of non-curated publications that mention this gene along with other genes is available.

Curated Information ?

Drug Class Relationship Evidence
Ace Inhibitors, Plain
  •   
  •   
Publications
Alkylating Agents
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Publications
antidepressants
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Publications
antiepileptics
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Publications
antimetabolites
  •   
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Publications
antineoplastic agents
  • PD
  •   
Publications
antipsychotics
  • PD
  •   
Publications
Pyrimidine analogues
  • PD
  •   
Publications

Non-Curated Information ?

A list of non-curated publications that mention this gene along with other drugs is available.

Curated Information ?

Disease Relationship Evidence
Adenoma
  •   
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Publications
Alopecia
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Variants
Alzheimer Disease
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Publications
Arteriosclerosis
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Publications
Arthritis, Juvenile Rheumatoid
  •   
  •   
Publications
Arthritis, Rheumatoid
  • PD
  • PK
Publications, Variants
Breast Neoplasms
  • PD
  •   
Publications, Variants
cancer or viral infections
  •   
  •   
Publications
Carcinoma, Non-Small-Cell Lung
  •   
  •   
Publications
Cardiovascular Diseases
  • PD
  •   
Publications
Choroidal Neovascularization
  • PD
  •   
Publications
Colonic Neoplasms
  •   
  •   
Publications
Colorectal Neoplasms
  • PD
  • PK
Publications, Variants
Congenital Abnormalities
  •   
  •   
Publications
Coronary Disease
  •   
  •   
Variants
Diarrhea
  • PD
  •   
Publications
Drug Toxicity
  • PD
  • PK
Publications, Variants
Graft vs Host Disease
  •   
  •   
Publications, Variants
Heart Defects, Congenital
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Publications
Heart Diseases
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Publications, Variants
Homocystinuria
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Publications
Hyperhomocysteinemia
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Publications
Hypertension
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Publications
Leukemia
  • PD
  •   
Publications, Variants
Leukemia, Lymphocytic, Chronic, B-Cell
  •   
  •   
Publications
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
  • PD
  •   
Publications, Variants
Leukemia, Promyelocytic, Acute
  • PD
  •   
Publications, Variants
Lung Neoplasms
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Publications
Lymphoma, Non-Hodgkin
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Publications
Macular Degeneration
  • PD
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Publications
Marfan Syndrome
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Publications
Metabolic Diseases
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Publications
metabolic syndrome
  • PD
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Publications
Myelosuppression
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Publications
Neoplasms
  • PD
  • PK
Publications
Neural Tube Defects
  • PD
  •   
Publications, Variants
Neurologic Manifestations
  •   
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Variants
Neurotoxicity Syndromes
  •   
  •   
Publications
Neutropenia
  • PD
  • PK
Publications
Osteosarcoma
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Publications
Ovarian Neoplasms
  •   
  •   
Publications
Pre-Eclampsia
  •   
  •   
Publications
Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • PD
  • PK
Publications, Variants
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma
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Publications, Variants
Psychophysiologic Disorders
  •   
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Publications, Variants
Rectal Neoplasms
  • PD
  •   
Publications
Schizophrenia
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Publications
Spina Bifida Cystica
  •   
  •   
Publications, Variants
Spinal Cord Diseases
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Publications
Stomach Neoplasms
  •   
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Publications, Variants
Stroke
  •   
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Variants
Thrombocytopenia
  •   
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Variants
Toxic liver disease
  • PD
  •   
Publications
Transplantation
  •   
  •   
Publications, Variants

Non-Curated Information ?

A list of non-curated publications that mention this gene along with other diseases is available.

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