Methylenetetrahydrofolate Reductase Deficiencies

Bios364--Molecular Genetics
Dr. Chet Fornari, Professor
DePauw University
May 10, 2001

Human
        methylenetetrahydrofolate reductase (MTHFR) is a key cytoplasmic enzyme
        in the folate metabolism pathway  (Figure
        1). 
        It utilizes the cofactor flavin adenine dinucleotide (FAD) and
        substrate NADPH to catalyze the conversion of
        5,10-methylenetetrahydrofolate (CH2-H4folate) to
        5-methyltetrahydrofolate (CH3-H4folate): 
CH2-H4folate 
        +  NADPH 
        à 
        CH3-H4folate 
        +  NADP +
The CH3-H4folate product is then used by methionine synthase as a methyl donor in the reaction converting homocysteine to methionine. Any failure of MTHFR to adequately perform its reaction causes a low supply of this necessary methyl donor and leads to a build-up of homocysteine.
Several conditions have been linked to a deficiency in MTHFR. The purpose of this web page is to describe the genetic, molecular, and biochemical basis of these conditions. Please select a topic from the links below to learn all about it!!