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 BloodContainers
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
-
Methylenetetrahydrofolate Reductase (MTHFR) DNAInterpretation 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