Gene
MTHFR
methylenetetrahydrofolate reductase
- HGNC 7436↗(opens in a new tab)
- Ensembl gene ENSG00000177000↗(opens in a new tab)
- NCBI Gene 4524↗(opens in a new tab)
Summary
- Cytogenetic location
- 1p36.22
- Coordinates
- Chromosome 1: 11,785,723–11,805,964 (GRCh38)
- Exons
- 12 exons across 20.2 kb
- Protein
- 656 amino acids
- Inheritance
- Autosomal recessive
- MANE Select transcript
- ENST00000376590.9NM_005957.5
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Homocystinuria & Cobalamin Disorders
- HomocystinuriaAutosomal recessive
Includes classic homocystinuria due to CBS deficiency, severe MTHFR deficiency and the combined and remethylation cobalamin disorders, which can cause lens dislocation, blood clots, skeletal changes, anaemia and developmental problems.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Knowing allows treatment with vitamin B6, B12, folate, betaine and diet as appropriate, which can prevent lens dislocation, thrombosis and other complications.
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
Trait report that reads MTHFR
Nutrigenetics
- Folate & Homocysteine
How MTHFR is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 7 kb of the gene's 20.2 kb; 1,971 of those bases code for the protein.
How a genome test reads MTHFR
183
positions in MTHFR where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 20.2 kb of MTHFR, introns included, not only the 7 kb of exons.
Genes linked to the same conditions
- ABCD4ATP binding cassette subfamily D member 4Shares 1 condition
- CBScystathionine beta-synthaseShares 1 condition
- HCFC1host cell factor C1Shares 1 condition
- LMBRD1LMBR1 domain containing 1Shares 1 condition
- MMACHCmetabolism of cobalamin associated CShares 1 condition
- MMADHCmetabolism of cobalamin associated DShares 1 condition
- MTR5-methyltetrahydrofolate-homocysteine methyltransferaseShares 1 condition
- MTRR5-methyltetrahydrofolate-homocysteine methyltransferase reductaseShares 1 condition
- PRDX1peroxiredoxin 1Shares 1 condition
Traits linked to MTHFR
The Human Phenotype Ontology lists these as features of the rare conditions MTHFR can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Abnormal gait
- Behavioral abnormality
- Morphological central nervous system abnormality
- Upper motor neuron dysfunction
- Abnormal periventricular white matter morphology
- Abnormal shape of brain
- Absent/small cerebellum
- Agenesis of corpus callosum
Show 35 more traits
- Ataxia
- Brain imaging abnormality
- Epilepsy
- Holoprosencephaly
- Mental deterioration
- Peripheral neuropathy
- Psychotic episodes
- Abnormal cerebral white matter morphology
- Brain degeneration
- Cognitive impairment
- Degeneration of the spinal cord
- Global developmental delay
- Grand mal seizures
- Headache
- Intellectual disability
- Lethargy
- Psychosis
- Psychotic mentation
- Seizure affecting one half of brain
- Specific learning disability
- Weakness of one side of body
- Brief seizures with staring spells
- Encephalopathy
- Generalized myoclonic seizure
- Too much cerebrospinal fluid in the brain
- Ventriculomegaly
- Delusions
- EEG abnormality
- Hallucinations
- Incoordination
- Negativism
- Pins and needles feeling
- Schizophrenia
- Social and occupational deterioration
- Spinal dysraphism
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). MTHFR gene: methylenetetrahydrofolate reductase. Retrieved 16 October 2026, from https://dantelabs.com/genes/mthfr
Dante Labs. MTHFR gene: methylenetetrahydrofolate reductase [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/mthfr
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