Russian Heart Failure Journal 2009year Investigation of C677T metiltetragydrofolatreductase gene polymorphism in CHF patients.

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Investigation of C677T metiltetragydrofolatreductase gene polymorphism in CHF patients.

Pushkareva A. E., Valiev R. R., Husainova R. I., Husnutdinova N. N., Enikeeva G.R., Yusupova E. R., Husnutdinova E. K.



Urgency. Reveal of the genetic factors iducted in heart remodelling process, let us look at the pathogenetic mechanisms of CHF development from enother side. One of the most investigateing genes–candidates on cardio–vascular pathology is gene – metiltetragydrofolatreductase (MTHFR), it’s allel variant exactly containing onenucleatid replacement. C677T. Aim. Investigate role of polymorphism C677T gene MTHFR in development of structure–functional remodelling of myocardium in CHF patients. Materials and methods. Material were collected from DNA of 280 CHF NYHA II–IV patients. Patients were divide in to 3 groups by LV myocardium remodelling type: with excentric hypertrophy and EF<40% (n=83), concentric moderate hypertrophy of LV (LVH) and preserved EF(n=79), and concentric severe hypertrophy of LV walls and preserved EF (n=118), and also DNA of healthy volounteers (n=190). In this trial statistyc, clinco–instrumental, molecular–biology ways of analyze were used. Study designed by case–control princip, includes estimation of the allel rate *T and henotype *T*T locus C677T in investigated and control groups, and also calculating of relative risk in depending of allel T quantity. Results. Allel quantum Assessment and henotype locus C^&&T result in statistically significant differencies between patients with severe LVH and healthy volounteers (p=0,012 and p=0,024) It was shown that henotype *t*T is genetic LVH marker. This fact can be an evidence of the homocistein system influence on the development of the hyperthrophyc process in LV. (OR=3,9;95% CI 1,38–11,25). Combination of henotypes *C*T and *T *T also increased LVH risk by 1,82 in comparison with gomozigots *C*C from control group(OR=1,82; CI 95% 1,14–2,89) . The association of C677T functional polymorphysm with excentric LVH were not found. Such way the possible role of MTHFR gene in severe concentric LVH was shown. By this, we can that further investigation are needed in this area, with inviting a wide specter of molecular–genetic and enviroment factors and possible corellation between them.
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