homozyous C677T mutation

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This topic has 2 voices, contains 5 replies, and was last updated by  khltxto 54 days ago.

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February 15, 2012 at 10:58 pm #876

Melissa

Hello,
My mother was diagnosed with a blood clotting disorder a few years ago which resulted in myself getting tested. My mothers doctor just gave her the script for me to get blood work done. The dr called me and said I had the gene for the disorder but it was not active and i should take folic acid daily. At the time I was young and didn’t think too much into it. After I had my son, my OB/GYN got the test results and told me I oould not take birth control pills. I have no idea what this is and i am getting concerned because i had a miscarriage a few months ago and read that this can cause it?
please help

February 16, 2012 at 9:27 am #888

Dr Ben

Melissa –

If I understand correctly, you are homozygous C677T.

If this is the case, yes, it may have caused the miscarriage and taking birth control pills is a bad idea.
Using family planning is the best way to do it if your period is regular.

Your C677T mutation is active if you are homozygous for it. A double mutation in the C677T area of the MTHFR gene causes a reduction of activity for that enzyme.

Taking folic acid for this mutation is ineffective.

Read this article on prenatal supplementation for MTHFR.

Please ask your doctor why s/he says your mutation is not active – then post the answer here. I have heard that twice today and it is not making sense to me.

The MTHFR gene is autosomal recessive. You have 1 copy of C677T from each of your parents. This means you have no wildtype MTHFR 677CC available. That said, you are expressing the defect.

If you carried only 1 copy of the C677T MTHFR mutation, then, yes, it would not be ‘as’ defective as it is with 2 copies – but it is still not as active as a wildtype 677CC MTHFR allele.

Read this definition of autosomal recessive.
“Recessive, autosomal: A genetic condition that appears only in individuals who have received two copies of an autosomal gene, one copy from each parent. The gene is on an autosome, a nonsex chromosome. The parents are carriers who have only one copy of the gene and do not exhibit the trait because the gene is recessive to its normal counterpart gene.

If both parents are carriers, there is a 25% chance of a child inheriting both abnormal genes and, consequently, developing the disease. There is a 50% chance of a child inheriting only one abnormal gene and of being a carrier, like the parents, and there is a 25% chance of the child inheriting both normal genes.

Cystic fibrosis (CF) is an example of an autosomal recessive disorder. A CF child has the CF gene on both chromosome 7′s and so is said to be homozygous for CF. The parents each have one CF and one normal paired gene and so are said to be heterozygous for CF”

Source: http://www.medterms.com/script/main/art.asp?articlekey=5240

February 16, 2012 at 1:46 pm #899

Melissa

Dr Ben,
This is where is all gets very confusing. I do not have a dr for this. My mothers blood dr, whom she was told not to see anymore by her PCP, was the one who sent me for the blood work a few years ago. He never meet me, just had my mom give me a script for it. He called me with the results and never told me any specific mutation, just that I had the gene, it wasn’t active and to take folic acid daily. My Ob/GYN was the one who wanted to blood test results after I mentioned to her about my mom’s disorder. She was the one who told me that the name of it. Whne she wrote down the gene information she did not put a C in front of the 677T? Do you have to have the C in front of it? What do you suggest I do? I have been trying to get into to see a specialist about this so I can understand more, but no such luck since I do not know all the specifics of my blood work. What are the next steps you think I should take. I got pregnant with my son after about 8 months of trying and I had no issues with pregnancy. Now that I am trying to get pregnant and am having no luck after my miscarriage in June.

February 17, 2012 at 9:41 pm #924

Catherine

I am also homozygous C677T. I had 3 miscarriages and after that, tried to find out what was wrong. I went to a great high-risk OBGYN practice and they determined the mutation. After that, my homocysteine levels were checked; they were normal. So I was to take 1 baby aspirin daily. I now have a beautiful 5-year-old daughter. It is important to have your homocysteine levels checked before decisions can be made about treatment. What I want to know now is what else should I be aware of with this mutation? I am healthy, normal weight, etc. But just wondering what to be aware of and what to let physicians know in advance?

March 26, 2012 at 3:34 am #1534

Moon

i am the mother of a 33 year old dgheutar who was diagnosed with pvnh filamen one related disease at the age of 22. i knew almost immediately that something was wrong with her. i was labeled an anxious mother but had a great peds dr who believed that while he c ouldnt diagnose what is was that there was enough evidence to send her on to specialists. Beths main issues were siezures and later development she was also mildly delayed educationally. we now have a neurologist by the name of dr michel berg at strong memorial hospital who really is our champion Big concern now is that beth married last year and is now expecting herself i am a wreck and her pb really does not see the urgency of genetic testing just today she finally made the referral for beth after much discussion and finally a call from beths neuro. i also sent all the information i had gathered over the years on beths disease process.

March 26, 2012 at 6:27 am #1547

khltxto

Vznu99 xgvcfnvmonqz

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