Folate derivatives are essential for DNA synthesis and methylation. A large
proportion of the Caucasian population is heterozygous for a common substi
tution, 677C --> T (alanine --> valine), in methylenetetrahydrofolate reduc
tase (MTHFR), an enzyme of folate interconversion. Homozygous mutant indivi
duals, approximately 10-15% of North Americans, have been reported to have
a reduced risk of colorectal cancer. We examined lymphocyte and tumor tissu
e DNA from colorectal carcinoma patients from two different populations to
assess loss of heterozygosity (LOH) of MTHFR. We observed LOH in approximat
ely 16% of colorectal tumors; in 8 of the 11 tumors with LOH, the mutant va
line allele was lost. Additional studies are required to determine if prefe
rential loss of the mutant allele is a common finding that could contribute
to colorectal tumorigenesis.