rs1801131 — MTHFR A1298C (Glu429Ala)
Drug response · ~30% global (C allele)
rs1801131 is the second most studied MTHFR variant. The A1298C substitution reduces enzyme activity by ~35% in homozygotes, less severe than C677T but synergistic when compound heterozygous (677CT/1298AC).
Molecular Mechanism
The Glu429Ala substitution is in the S-adenosylmethionine regulatory domain of MTHFR. It reduces allosteric regulation rather than catalytic activity directly, making the enzyme less responsive to SAM feedback inhibition.
Peptide Therapeutic Relevance
Peptides targeting the SAM regulatory domain could restore normal feedback regulation. PepFold generates candidates exploring this allosteric region alongside the catalytic domain.
Gene: MTHFR (Methylenetetrahydrofolate Reductase)
Catalyzes conversion of 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate, the primary circulating form of folate. Essential for homocysteine remethylation and one-carbon metabolism.
Chromosome 1p36.22
Condition: Hyperhomocysteinemia (MTHFR-related)
Elevated blood homocysteine due to MTHFR variants (C677T, A1298C) affecting folate metabolism. Associated with cardiovascular disease, neural tube defects, and potential cognitive effects. The most common pharmacogenomic condition worldwide.
Prevalence: 10-15% of most populations are TT homozygous for C677T; up to 25% in some Mediterranean populations
Related Variants
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