<i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis

<b>Background/Objectives:</b> <i>MTHFR</i> gene polymorphisms (677C>T and 1298A>C) correlate with various types of cancer across all age groups; however, a small number of studies have included solely children and adolescents. The aim of this systematic review and meta-...

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Main Authors: Savvas Kolanis, Eleni P. Kotanidou, Vasiliki Rengina Tsinopoulou, Elisavet Georgiou, Emmanuel Hatzipantelis, Liana Fidani, Assimina Galli-Tsinopoulou
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/1/108
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author Savvas Kolanis
Eleni P. Kotanidou
Vasiliki Rengina Tsinopoulou
Elisavet Georgiou
Emmanuel Hatzipantelis
Liana Fidani
Assimina Galli-Tsinopoulou
author_facet Savvas Kolanis
Eleni P. Kotanidou
Vasiliki Rengina Tsinopoulou
Elisavet Georgiou
Emmanuel Hatzipantelis
Liana Fidani
Assimina Galli-Tsinopoulou
author_sort Savvas Kolanis
collection DOAJ
description <b>Background/Objectives:</b> <i>MTHFR</i> gene polymorphisms (677C>T and 1298A>C) correlate with various types of cancer across all age groups; however, a small number of studies have included solely children and adolescents. The aim of this systematic review and meta-analysis was to present and synthesize all the available evidence on the association between <i>MTHFR</i> gene polymorphisms and the incidence of all types of cancer in children and adolescences. <b>Methods:</b> After a systematic search of all of the available data, original case–control studies involving children or adolescents with a confirmed diagnosis of any type of cancer and a molecular genetic test of <i>MTHFR</i> gene polymorphisms were included. <b>Results:</b> A total of 53 original studies in children and adolescents with cancer were included in the systematic review. Among these, 40 studies reviewed children and adolescents with Acute Lymphoblastic Leukemia (ALL), 4 those with Acute Myeloblastic Leukemia (AML), 8 those with central nervous system (CNS) tumors and 3 those with other types of cancer. Children and adolescents with ALL had less frequent T allele sequences (CT and TT variations) of the 677C>T polymorphism compared to a healthy population (OR: 0.85; CI: 0.80–0.91; <i>p</i> < 0.00001). Concerning the 1298A>C polymorphism, the C allele sequences (AC and CC) did not present a statistically significant difference in frequency compared to a healthy population (OR: 1.01; CI: 0.95–1.08; <i>p</i> = 0.69). <b>Conclusions:</b> Children and adolescents with ALL appeared to have the T allele sequences of the 677C>T polymorphism of the <i>MTHFR</i> gene less frequently compared to a healthy population.
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spelling doaj-art-a8ef78fd651043b3b27fedb4578588822025-01-24T13:27:20ZengMDPI AGChildren2227-90672025-01-0112110810.3390/children12010108<i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-AnalysisSavvas Kolanis0Eleni P. Kotanidou1Vasiliki Rengina Tsinopoulou2Elisavet Georgiou3Emmanuel Hatzipantelis4Liana Fidani5Assimina Galli-Tsinopoulou62nd Department of Paediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece2nd Department of Paediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece2nd Department of Paediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, GreeceLaboratory of Biological Chemistry, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece2nd Department of Paediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece2nd Department of Paediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece2nd Department of Paediatrics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece<b>Background/Objectives:</b> <i>MTHFR</i> gene polymorphisms (677C>T and 1298A>C) correlate with various types of cancer across all age groups; however, a small number of studies have included solely children and adolescents. The aim of this systematic review and meta-analysis was to present and synthesize all the available evidence on the association between <i>MTHFR</i> gene polymorphisms and the incidence of all types of cancer in children and adolescences. <b>Methods:</b> After a systematic search of all of the available data, original case–control studies involving children or adolescents with a confirmed diagnosis of any type of cancer and a molecular genetic test of <i>MTHFR</i> gene polymorphisms were included. <b>Results:</b> A total of 53 original studies in children and adolescents with cancer were included in the systematic review. Among these, 40 studies reviewed children and adolescents with Acute Lymphoblastic Leukemia (ALL), 4 those with Acute Myeloblastic Leukemia (AML), 8 those with central nervous system (CNS) tumors and 3 those with other types of cancer. Children and adolescents with ALL had less frequent T allele sequences (CT and TT variations) of the 677C>T polymorphism compared to a healthy population (OR: 0.85; CI: 0.80–0.91; <i>p</i> < 0.00001). Concerning the 1298A>C polymorphism, the C allele sequences (AC and CC) did not present a statistically significant difference in frequency compared to a healthy population (OR: 1.01; CI: 0.95–1.08; <i>p</i> = 0.69). <b>Conclusions:</b> Children and adolescents with ALL appeared to have the T allele sequences of the 677C>T polymorphism of the <i>MTHFR</i> gene less frequently compared to a healthy population.https://www.mdpi.com/2227-9067/12/1/108<i>MTHFR</i> genemethylenetetrahydrofolate reductasesingle-nucleotide polymorphismcancerneoplasmsleukemia
spellingShingle Savvas Kolanis
Eleni P. Kotanidou
Vasiliki Rengina Tsinopoulou
Elisavet Georgiou
Emmanuel Hatzipantelis
Liana Fidani
Assimina Galli-Tsinopoulou
<i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis
Children
<i>MTHFR</i> gene
methylenetetrahydrofolate reductase
single-nucleotide polymorphism
cancer
neoplasms
leukemia
title <i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis
title_full <i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis
title_fullStr <i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis
title_full_unstemmed <i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis
title_short <i>MTHFR</i> Gene Polymorphisms and Cancer Risk in Children and Adolescents: A Systematic Review and Meta-Analysis
title_sort i mthfr i gene polymorphisms and cancer risk in children and adolescents a systematic review and meta analysis
topic <i>MTHFR</i> gene
methylenetetrahydrofolate reductase
single-nucleotide polymorphism
cancer
neoplasms
leukemia
url https://www.mdpi.com/2227-9067/12/1/108
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