Genetic modifiers of folate, vitamin B-12, and homocysteine status in a cross-sectional study of the Canadian population

Am J Clin Nutr. 2015 Jun;101(6):1295-304. doi: 10.3945/ajcn.115.107219. Epub 2015 May 6.

Abstract

Background: Genetic variation can cause variable responses to environmental stimuli. A number of single-nucleotide polymorphisms (SNPs) have been associated with B vitamin status or chronic diseases related to vitamin B-12 and folate metabolism.

Objective: Our objective was to identify associations between common SNPs in genes related to folate and vitamin B-12 metabolism or associated with B vitamin-related chronic diseases and biomarkers of nutrient status in a population exposed to folic acid fortification.

Design: A panel of 116 SNPs was sequenced by using the Sequenom iPLEX Gold platform in a sample of 3114 adults aged 20-79 y from the Canadian Health Measures Survey, cycle 1. Associations between these SNPs and red blood cell (RBC) folate, serum vitamin B-12, and plasma total homocysteine were determined.

Results: Twenty-one SNPs and 6 haplotype blocks were associated with RBC folate, serum vitamin B-12, and/or plasma homocysteine concentrations. Vitamin status was associated mainly with SNPs in genes directly involved in vitamin absorption/uptake (CUBN, CD320), transport (TCN1, TCN2), or metabolism (BHMT2, CBS, MTHFR, MUT, SHMT1). Other SNPs included those in the DNMT2, DPEP1, FUT2, NOX4, and PON1 genes.

Conclusions: We identified novel associations between SNPs in CD320 and DNMT2, which had been previously associated with neural tube defects, and vitamin B-12 status, as well as between SNPs in SHMT1, which had been previously associated with colorectal cancer and cardiovascular disease risk, and RBC folate status. These novel associations provide a plausible metabolic rationale for the association of these SNPs with B vitamin-related diseases. We also observed a novel association between an SNP in CUBN with RBC folate and confirmed the association of a number of SNPs with B vitamin status in this large cross-sectional study.

Keywords: Canadian Health Measures Survey; folate; homocysteine; single-nucleotide polymorphisms; vitamin B-12.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomarkers / blood
  • Canada
  • Case-Control Studies
  • Cross-Sectional Studies
  • Erythrocytes
  • Female
  • Folic Acid / blood*
  • Folic Acid Deficiency / blood
  • Genotype
  • Genotyping Techniques
  • Health Surveys
  • Homocysteine / blood*
  • Humans
  • Male
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics*
  • Methylenetetrahydrofolate Reductase (NADPH2) / metabolism
  • Middle Aged
  • Neural Tube Defects / genetics
  • Nutritional Status
  • Polymorphism, Single Nucleotide
  • Vitamin B 12 / blood*
  • Vitamin B 12 Deficiency / blood
  • Young Adult

Substances

  • Biomarkers
  • Homocysteine
  • Folic Acid
  • MTHFR protein, human
  • Methylenetetrahydrofolate Reductase (NADPH2)
  • Vitamin B 12