TY - JOUR
TI - MTHFR C677T polymorphism modifies the effect of HRT on metabolic parameters in postmenopausal women
AU - Lambrinoudaki, I.
AU - Papadimitriou, D.
AU - Kaparos, G.
AU - Rizos, D.
AU - Panoulis, C.
AU - Deligeoroglou, E.
AU - Alexandrou, A.
AU - Auguolea, A.
AU - Apostolakis, M.
AU - Creatsa, M.
AU - Kouskouni, E.
JO - Climacteric
PY - 2013
VL - 16
TODO - 5
SP - 568-575
PB - 
SN - 1369-7137, 1473-0804
TODO - 10.3109/13697137.2012.738722
TODO - 5,10 methylenetetrahydrofolate reductase (FADH2);  apolipoprotein A1;  apolipoprotein A2;  apolipoprotein B;  cholesterol;  drospirenone plus estradiol;  glucose;  high density lipoprotein cholesterol;  homocysteine;  insulin;  lipid;  low density lipoprotein cholesterol;  triacylglycerol, adult;  amino acid blood level;  article;  cholesterol blood level;  controlled study;  female;  genotype;  glucose blood level;  glucose metabolism;  heterozygote;  homozygote;  hormone substitution;  human;  insulin blood level;  intervention study;  lipid metabolism;  major clinical study;  metabolic parameters;  open study;  postmenopause;  priority journal;  prospective study;  single nucleotide polymorphism;  triacylglycerol blood level;  wild type, Adult;  Blood Glucose;  Body Mass Index;  Cholesterol;  Cholesterol, LDL;  Estrogen Replacement Therapy;  Female;  Genotype;  Glucose;  Homocysteine;  Humans;  Lipid Metabolism;  Methylenetetrahydrofolate Reductase (NADPH2);  Middle Aged;  Polymorphism, Genetic;  Postmenopause;  Prospective Studies;  Treatment Outcome;  Triglycerides
TODO - Objective To assess the interaction of the MTHFR C677T polymorphism with changes in lipid and glucose metabolism effected by oral hormone replacement therapy (HRT) in postmenopausal women. Methods In this open-label, prospective, interventional study, parameters of lipid and glucose metabolism, as well as homocysteine, were assessed in 97 postmenopausal women at baseline and 1 year after the initiation of HRT. Participants were stratified into three subgroups, according to the MTHFR C677T polymorphism (wild-type: CC genotype; heterozygous: CT genotype; homozygous for the mutant variable: TT genotype). Results The TT genotype was associated with an elevation of total and low density lipoprotein (LDL) cholesterol, while CT and CC genotypes were associated with a reduction of total cholesterol and LDL cholesterol after 1 year of HRT (p = 0.032 for total cholesterol and p = 0.002 for LDL cholesterol). Women with the TT genotype had higher glucose levels in contrast to women with the CC genotype who had lower glucose levels after 1 year of HRT (p = 0.011). Additionally, CC carriers under HRT had a significant elevation of apolipoprotein A1 levels (p = 0.018), contrarily to CT and TT genotypes. Conclusion While HRT was associated with favorable changes in lipid and metabolic parameters in carriers of the CC genotype, this effect was not evident in carriers of the T allele. The MTHFR C677T polymorphism may modify the effect of HRT on lipid and metabolic parameters in postmenopausal women. © 2013 International Menopause Society.
ER -