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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: 5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase, Adult, Aged, Boston, Cross-Sectional Studies, Depression, Female, Folate Receptor 1, Folic Acid, Folic Acid Deficiency, Gene Frequency, Genotype, Glutamate Carboxypeptidase II, Homocysteine, Humans, Linear Models, Logistic Models, Male, Methylenetetrahydrofolate Reductase (NADPH2), Middle Aged, Polymorphism, Single Nucleotide, Proton-Coupled Folate Transporter, Psychiatric Status Rating Scales, Pteroylpolyglutamic Acids, Puerto Rico, Pyridoxal Phosphate, Reduced Folate Carrier Protein, Vitamin B 12, gamma-Glutamyl Hydrolase.
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Is the folate hydrolase 1561C > T polymorphism associated with depressive symptoms in Puerto Rican adults? Context: To examine the associations between variants of genes involved in the uptake, retention, and metabolism of folate and depressive symptoms and to analyze whether such associations are direct or through mediation by folate or homocysteine. We performed a cross-sectional analysis of data from 976 Puerto Rican adults, aged 45 to 75 years, residing in the greater Boston area, Massachusetts. Twelve single nucleotide polymorphisms (SNPs) in genes involved in folate uptake, retention, and metabolism were investigated. These include FOLH1 (folate hydrolase), FPGS (folate polyglutamate synthase), GGH (γ-glutamyl hydrolase), MTHFR (methylenetetrahydrofolate reductase), MTR (methionine synthase), PCFT (proton-coupled folate transporter), and RFC1 (reduced folate carrier 1). The Center for Epidemiologic Studies Depression Scale (CES-D) was used to measure depressive symptoms. The FOLH1 rs61886492 C>T (or 1561C>T) polymorphism was significantly associated with lower CES-D score (p = .0025) after adjusting for age, sex, population admixture, smoking, and educational attainment. Individuals with the TT and TC genotypes were 49% less likely (odds ratio = 0.51, 95% confidence interval = 0.29-0.89) to report mild depressive symptoms (CES-D score ≥16 and ≤26) and 64% less likely (odds ratio = 0.36, 95% confidence interval = 0.18-0.69) to report moderate to severe depressive symptoms (CES-D score >26), compared with those with the CC genotype. No significant mediation effects by plasma folate or homocysteine on the associations between this single nucleotide polymorphism and CES-D score were observed.
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The FOLH1 1561C>T polymorphism may be associated with the risk of depressive symptoms. Final Decision: yes