MTRR Gene: Methionine Synthase Reductase – Function, Mutations, and Associated Diseases

Comprehensive guide to the MTRR gene, including genomic context, protein function, expression, disease associations, and clinical relevance.

Gene Information Card

Symbol MTRR
Full Name Methionine synthase reductase
Gene Type Protein coding
Chromosomal Location 5p15.31
NCBI Gene ID 4552 ncbi.nlm.nih.gov/gene/4552
Ensembl ID ENSG00000124275
UniProt ID Q9UBK8
OMIM ID 602568
HGNC ID 7474
Aliases MSR, cblE, METHFR

Description

The MTRR gene encodes methionine synthase reductase, a flavoprotein that catalyzes the reductive methylation of methionine synthase (MTR) using S-adenosylmethionine as a methyl donor. This reaction is essential for the regeneration of active methionine synthase, which converts homocysteine to methionine. MTRR is critical for folate and cobalamin metabolism, and its dysfunction leads to hyperhomocysteinemia and various clinical disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Methylcobalamin deficiency type cblE Loss-of-function mutations in MTRR impair the reactivation of methionine synthase, leading to decreased methionine synthesis and accumulation of homocysteine. OMIM 602568; ClinVar
Neural tube defects MTRR polymorphisms (e.g., c.66A>G, p.Ile22Met) are associated with increased risk of neural tube defects due to altered homocysteine metabolism. Case-control studies; ClinVar
Hyperhomocysteinemia Reduced MTRR activity leads to elevated plasma homocysteine levels, a risk factor for cardiovascular disease. OMIM; PubMed
Megaloblastic anemia Impaired methionine synthesis affects DNA synthesis, leading to megaloblastic changes in bone marrow. ClinVar; case reports

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 10.2 Medium
Kidney 8.5 Medium
Brain 6.1 Low
Heart 5.4 Low
Skeletal Muscle 4.8 Low
Cell Line Expression
Cell Line nTPM Notes
HepG2 12.3 Liver cancer cell line
A549 9.7 Lung carcinoma
HeLa 7.8 Cervical adenocarcinoma
K562 6.5 Chronic myelogenous leukemia
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.66A>G (p.Ile22Met) Missense Common (allele frequency ~0.3-0.5) Reduced enzyme activity; associated with neural tube defects and hyperhomocysteinemia
c.524C>T (p.Ala175Val) Missense Rare Impaired flavin binding; may cause cblE deficiency
c.903+1G>A Splice site Rare Splicing defect leading to loss of function; associated with cblE deficiency
Mutation functional classification

Loss of Function (LOF)

Mutations that reduce or abolish MTRR enzymatic activity, leading to impaired methionine synthase reactivation and hyperhomocysteinemia.

Gain of Function (GOF)

No known gain-of-function mutations; MTRR activity is essential and typically not enhanced pathologically.

Dominant Negative (DN)

Not reported; MTRR mutations are typically recessive.

Pathways

Folate metabolism
Methionine salvage pathway
Cobalamin metabolism
Homocysteine metabolism
One-carbon metabolism

Protein Summary

Methionine synthase reductase (MTRR) is a 78 kDa flavoprotein that belongs to the family of diflavin oxidoreductases. It contains FAD and FMN binding domains and an NADPH binding domain. MTRR catalyzes the reductive methylation of methionine synthase (MTR) using S-adenosylmethionine as a methyl donor, regenerating the active form of MTR. This reaction is essential for the conversion of homocysteine to methionine, a key step in one-carbon metabolism. MTRR is localized in the cytoplasm and is ubiquitously expressed, with higher levels in liver and kidney. Defects in MTRR cause methylcobalamin deficiency type cblE, characterized by hyperhomocysteinemia, megaloblastic anemia, and neurological symptoms. Common polymorphisms like c.66A>G have been associated with increased risk of neural tube defects and cardiovascular disease.

Related Products

Product name Cat.No. Species Gene ID
MTRR Knockout HEK293 Cell Line EDJ-KQ5269 Human 4552 Details Get a Quote
MTRR Knockout A-549 Cell Line EDJ-KQ28316 Human 4552 Details Get a Quote
MTRR Knockout HCT 116 Cell Line EDJ-KQ28317 Human 4552 Details Get a Quote
MTRR Knockout HeLa Cell Line EDJ-KQ28318 Human 4552 Details Get a Quote
Displaying Records 1 To 4 Of 4 Records
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