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Test ID: MTHFR WB

Methylenetetrahydrofolate Reductase (MTHFR) DNA Mutation Analysis, Whole Blood

Test Overview

Clinical Utility

Reduced methylenetetrahydrofolate reductase (MTHFR) enzyme activity is a genetic risk factor for hyperhomocysteinemia, especially when present with low serum folate levels. Two common variants in the MTHFR gene result in reduced enzyme activity. The “thermolabile” variant C677T [NM 005957.3: c.665C>T (p.A222V)] and A1298C [c. 1286A>C (p.E429A)] occur frequently in the general population. Mild to moderate hyperhomocysteinemia has been identified as a risk factor for coronary artery disease and venous thromboembolism. Hyperhomocysteinemia is multifactorial, involving a combination of genetic, physiologic and environmental factors. Recent studies do not support the previously described association of increased risk for coronary artery disease and venous thromboembolism with mild hyperhomocysteinemia caused by reduced MTHFR activity. Therefore, the utility of MTHFR variant testing is uncertain and is not recommended.

Method

Polymerase chain reaction (PCR)

Result Included

Methylenetetrahydrofolate Reductase (MTHFR) DNA

Specimen

Specimen Type

Whole Blood

Containers

Preferred Containers

Lavender top (EDTA)

Acceptable Containers

Royal blue top (EDTA); Green top (lithium heparin); Yellow top (ACD)

Volume

Sample Volume

5.0 mL

Minimum Volume

3.0 mL

Collection & Handling

Handling Information

Store and send frozen.

Stability

Ambient Refrigerated Frozen
8 days 8 days 30 days

Performance & Interpretation

Turnaround Time

8 days

Results

Name
Units
Reference Range
Conversion
  1. Methylenetetrahydrofolate Reductase (MTHFR) DNA
    Interpretation provided on report

Referral Location

Out-of-Country

Interface & Setup

HL7 Interface Codes

Order Code Result Name Result Codes Units
MTHFR WB METHYLENETETRAHYDROFOLATE REDUCTASE (MTHFR), DNA 63553
INTERPRETATION 63554

Test Version

Last Updated

2023-12-19