Cystathionine β synthase (CBS) is a key enzyme in homocysteine metabolism. We have examined
four apparently non-functional polymorphisms in the CBS gene and have determined their
frequency, degree of linkage disequilibrium and association with plasma homocysteine levels. The
polymorphisms are a 68 bp insertion in exon 8, C699T in exon 8, C1080T in exon 11 and C1985T in
the 3′ untranslated region. 785 individuals participating in the European Atherosclerosis Research
Study II (EARSII), from 11 countries across Europe were genotyped for these polymorphisms. The
68bp insertion had the highest frequency in the UK and in the Middle region, with a lower frequency
in the Baltic and the South (p=0.01), and the exon 11 polymorphism had the highest frequencies
of the rare allele in the Baltic (p<0.05). There was a high degree of linkage disequilibrium between
the polymorphisms (p<0.001 overall), except between C699T and the C1985T, with three common
haplotypes accounting for nearly 80% of chromosomes. Examination of the association between
these polymorphisms and plasma homocysteine levels revealed that the carriers of the rare alleles of
the C699T, C1080T and C1985T polymorphisms had lower plasma homocysteine concentrations than
those homozygous for the common alleles, although these differences were not statistically
significant. The thermolabile valine variant caused by a substitution of a C for a T at nucleotide 677
in the methylenetetrahydrofolate reductase (MTHFR) has previously been shown to have profound
effects on plasma levels of homocysteine in this sample, but the homocysteine-raising effect
associated with this thermolabile variant was not seen in carriers of the 68 bp insertion, with this
interaction being statistically significant (p<0.001). These data demonstrate that variation in the
CBS gene as detected with these four polymorphisms, had no statistically significant effect on plasma
homocysteine levels in these healthy young men. However, the presence of the 68 bp insertion, which
is found in approximately 7.5% of individuals in the populations of Europe sampled, abolishes the
raising effect of thermolabile MTHFR Val/Val genotype, and may be of importance in the situation
of high homocysteine.