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No Association Between the MTHFR Gene Polymorphism and Diabetic Retinopathy in Type 2 Diabetic Patients Without Overt Nephropathy

Response to Maeda et al.

  1. Keiji Yoshioka, MD1,
  2. Toshihide Yoshida, MD2,
  3. Yasuto Takakura, MD2,
  4. Akinori Kogure, MD2,
  5. Tsunekazu Umekawa, MD2,
  6. Hitoshi Toda, MD3 and
  7. Toshikazu Yoshikawa, MD2
  1. 1Department of Diabetes and Endocrinology, Matsushita Memorial Hospital, Moriguchi, Japan
  2. 2Department of Endocrinology, Diabetes and Metabolism, Kyoto Prefectual University of Medicine, Kyoto
  3. 3Sakazaki Clinic, Kyoto, Japan

    Maeda et al. (1) have recently demonstrated that the presence of the C677T mutation in the methylenetetrahydrofolate reductase (MTHFR) gene in diabetic patients can be a predictive for diabetic retinopathy (DR), especially nonproliferative DR (NPDR). We also genotyped the MTHFR polymorphism (C677T) in 366 type 2 diabetic patients without overt nephropathy, and no such association was found. The subjects had a mean age of 60.0 years, duration of diabetes of 11.7 years, HbA1c of 7.3%, and serum creatinine of 0.71 mg/dl. The patients with urinary …

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