Skip to main content
Top
Published in: Indian Journal of Pediatrics 11/2020

01-11-2020 | Clinical Brief

Methylene Tetrahydrofolate Reductase Deficiency

Authors: Ravneet Kaur, Alec Reginald Errol Correa, Seema Thakur, Madhulika Kabra, Neerja Gupta

Published in: Indian Journal of Pediatrics | Issue 11/2020

Login to get access

Abstract

5,10-Methylene-tetrahydrofolate reductase (MTHFR) deficiency is a rare, autosomal recessive, metabolic disorder of folate metabolism, which affects homocysteine remethylation. Elevated homocysteine with normal or low methionine level is the key to diagnosis. Early recognition and treatment with betaine, has been shown to improve the survival and neurological outcomes. The authors report five Indian patients from three unrelated families, with MTHFR deficiency to emphasize the importance of early recognition and initiation of specific treatment.
Literature
1.
go back to reference Richards S, Aziz N, Bale S, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015;17:405–24.CrossRef Richards S, Aziz N, Bale S, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015;17:405–24.CrossRef
2.
go back to reference Froese DS, Huemer M, Suormala T, et al. Mutation update and review of severe methylenetetrahydrofolate reductase deficiency. Hum Mutat. 2016;37:427–38.CrossRef Froese DS, Huemer M, Suormala T, et al. Mutation update and review of severe methylenetetrahydrofolate reductase deficiency. Hum Mutat. 2016;37:427–38.CrossRef
3.
go back to reference Watkins D, Rosenblatt DS. Update and new concepts in vitamin responsive disorders of folate transport and metabolism. J Inherit Metab Dis. 2012;35:665–70.CrossRef Watkins D, Rosenblatt DS. Update and new concepts in vitamin responsive disorders of folate transport and metabolism. J Inherit Metab Dis. 2012;35:665–70.CrossRef
4.
go back to reference Prasad AN, Rupar CA, Prasad C. Methylene tetrahydrofolate reductase (MTHFR) deficiency and infantile epilepsy. Brain Dev. 2011;33:758–69.CrossRef Prasad AN, Rupar CA, Prasad C. Methylene tetrahydrofolate reductase (MTHFR) deficiency and infantile epilepsy. Brain Dev. 2011;33:758–69.CrossRef
5.
go back to reference Diekman EF, De Koning TJ, Verhoeven-Duif NM, Rovers MM, Van Hasselt PM. Survival and psychomotor development with early betaine treatment in patients with severe methylene tetrahydrofolate reductase deficiency. JAMA Neurology. 2014;71:188–94.CrossRef Diekman EF, De Koning TJ, Verhoeven-Duif NM, Rovers MM, Van Hasselt PM. Survival and psychomotor development with early betaine treatment in patients with severe methylene tetrahydrofolate reductase deficiency. JAMA Neurology. 2014;71:188–94.CrossRef
Metadata
Title
Methylene Tetrahydrofolate Reductase Deficiency
Authors
Ravneet Kaur
Alec Reginald Errol Correa
Seema Thakur
Madhulika Kabra
Neerja Gupta
Publication date
01-11-2020
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 11/2020
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-020-03290-3

Other articles of this Issue 11/2020

Indian Journal of Pediatrics 11/2020 Go to the issue