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Clinical Chemistry 53: 971-979, 2007. First published April 5, 2007; 10.1373/clinchem.2006.082149
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(Clinical Chemistry. 2007;53:971-979.)
© 2007 American Association for Clinical Chemistry, Inc.


Other Areas of Clinical Chemistry

Genetic and Environmental Influences on Plasma Homocysteine: Results from a Danish Twin Study

Lise Bathum1,2,a, Inge Petersen2, Lene Christiansen1,2, Agnieszka Konieczna1, Thorkild I.A. Sørensen3 and Kirsten O. Kyvik2

1 Department of Biochemistry, Pharmacology and Genetics, Odense University Hospital, Odense, Denmark.
2 Department of Epidemiology, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
3 Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society, Copenhagen, Denmark.

aAddress correspondence to this author at: Department of Biochemistry, Pharmacology and Genetics, Odense University Hospital, Soendre Boulevard 29, DK-5.000 Odense C, Denmark. Fax 45-6541-1911. e-mail: lisebathum{at}dadlnet.dk.

Background: Increased plasma homocysteine has been linked to many clinical conditions including atherosclerosis and ischemic stroke. We assessed the genetic and environmental influences on homocysteine in adult twins and tested the influence of 3 candidate polymorphisms.

Methods: Homocysteine was analyzed in 1206 healthy twins, who were genotyped for 3 polymorphisms: MTHFR 677C>T, MTR 2756A>G, and NNMT (dbSNP: rs694539). To perform quantitative trait linkage analysis of the MTHFR locus, the genotyping was supplemented with 2 genetic markers localized on each site of the MTHFR locus. The twin data were analyzed using biometric structural equation models as well as a combined association and linkage analysis in 2 age cohorts.

Results: Age, sex, and MTHFR genotype have a significant impact on homocysteine concentrations, whereas the other genotypes were not associated with homocysteine concentrations. The variance in homocysteine could be solely ascribed to additive genetic and nonshared environmental factors, with an estimated additive genetic proportion of total variation at age 18–39 years of 0.63 (95% CI, 0.53–0.71) and at age 40–65 years of 0.27 (95% CI, 0.10–0.41). The impact of the MTHFR locus is estimated to explain 53% (95% CI, 0.07–0.67) of the total phenotypic variation in persons 18–39 years old and 24% (95% CI, 0.00–0.39) in persons 40–65 years old, i.e., almost all additive genetic variance.

Conclusions: Homocysteine concentrations have a high heritability that decreases with age. The MTHFR gene locus is responsible for almost all the variation attributable to genetic factors, leaving very little influence of other genetic variations.




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