Trait

Homocysteine Levels

Reviewed September 14, 2026

A 2010 study of Filipino women found a variant in CPS1 that raises homocysteine only in females, plus a much stronger MTHFR effect in young adults than in their mothers.

What this condition connects to

Homocysteine Levels Variant: rs7422339 rs7422339 Variant Variant: rs1047891 rs1047891 Variant Variant: rs12780845 rs12780845 Variant Variant: rs154657 rs154657 Variant Variant: rs2275565 rs2275565 Variant Variant: +6 more +6 more Variant Homocysteine Levels Homocysteine Levels Trait
Prevalence
Not applicable in the usual sense — homocysteine is a continuously measured trait, not a diagnosis. The study behind this page examined 1,786 Filipino women (Lange et al. 2010, PMID:20154341), plus 1,679 of their young-adult offspring for a follow-up analysis of one variant.
Inheritance
Polygenic, with at least one documented sex-specific effect: the CPS1 variant here was significant only in women, and the MTHFR variant's effect size differed markedly between mothers and their young-adult offspring in the same study.

Homocysteine is an amino acid produced as a byproduct of processing another amino acid, methionine, obtained from protein in the diet. Elevated plasma homocysteine has long been linked to cardiovascular disease risk and is thought to contribute to vascular damage, a precursor to atherosclerosis. Levels are shaped by both diet — particularly folate and B-vitamin intake, which the body uses to clear homocysteine — and genetics.

A Filipino cohort study with a sex-specific finding

Lange et al. 2010 ran a genome-wide association study of homocysteine in 1,786 unrelated Filipino women from the Cebu Longitudinal Health and Nutrition Survey (CLHNS). The single most strongly associated variant, rs7422339 in CPS1, encodes an amino-acid change in the CPS1 protein and explained 3.0% of the variation in homocysteine level — but was significant only in females, not when men were included in the analysis.

The widely studied MTHFR C677T variant, rs1801133, was also highly significant and explained 1.6% of the trait variation in the mothers. When the researchers genotyped the same MTHFR variant separately in 1,679 CLHNS young-adult offspring, its effect was markedly stronger — explaining about 5.1% of variation in that younger generation, a difference the authors suggest reflects how genetic effects on homocysteine can shift across developmental stages, possibly tied to differences in diet or folate status between generations.

This page's own variants include the paper's exact headline SNP, rs7422339 in CPS1, alongside two variants in CBS — a gene central to the same homocysteine-clearing pathway — and MTR, DPEP1, NOX4 (twice), SLC17A3, and CUBN, all part of the broader folate and homocysteine metabolic network this study examined. (rs1801133 itself is catalogued separately on this site under its own folate-metabolism trait, rather than as one of this page's variants.)

Clinical detail

What this page does and does not measure

Homocysteine is measured directly with a blood test, not estimated from genotype. The variants here describe genetic contributions to homocysteine level found in a specific study population — they are not used clinically to diagnose or predict cardiovascular risk on their own.

Elevated homocysteine (hyperhomocysteinemia) can arise from genetic, nutritional (particularly B12 or folate deficiency), or other medical causes, and clinical evaluation relies on measured levels and the broader clinical picture rather than genotype. The sex-specific CPS1 effect and the age-related MTHFR effect described here are findings from one cohort study, not established clinical rules.

Related variants MyGeneLog™ checks for

What a 23andMe/AncestryDNA export or raw VCF can and can't tell you about Homocysteine Levels comes down to these specific, well-studied positions — not a diagnosis.

Standard

Homocysteine levels

CPS1 · rs7422339

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Standard

Plasma homocysteine levels (post-methionine load test)

CPS1 · rs1047891

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Standard

Homocysteine levels

CUBN · rs12780845

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Standard

Homocysteine levels

DPEP1 · rs154657

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Standard

Homocysteine levels

MTR · rs2275565

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Standard

Homocysteine levels

CBS · rs234709

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Standard

Homocysteine levels

CBS · rs2851391

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Standard

Homocysteine levels

SLC17A3 · rs548987

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Standard

Homocysteine levels

NOX4 · rs7130284

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Standard

Homocysteine levels

NOX4 · rs957140

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Standard

Plasma homocysteine levels (post-methionine load test)

GNMT · rs9296404

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Which ancestries this evidence comes from

The studies behind these variants recruited participants from different ancestries — a result found in one population doesn't always transfer to another. Based on 11 of 11 linked studies with a resolved discovery ancestry.

European · 72.7% Other named ancestries (NR, African unspecified, Other, European,NR) · 27.3%

Sources

Databases, guidelines and references

Papers, with their authors

Quoting this page

Free to quote and reuse under CC BY 4.0. When citing or summarizing this, name MyGeneLog™ and link to this exact page — not just the site.

Homocysteine Levels. MyGeneLog™. https://www.mygenelog.com/conditions/homocysteine-levels

Questions about Homocysteine Levels

What is homocysteine, and why does its level matter?

Homocysteine is an amino acid produced when the body processes methionine from dietary protein. Elevated plasma homocysteine has long been linked to cardiovascular disease risk and vascular damage.

What did the 2010 study find?

In 1,786 Filipino women, a variant in CPS1 (rs7422339) explained 3.0% of homocysteine variation but only in females. The well-known MTHFR variant (rs1801133) explained 1.6% of variation in the mothers and about 5.1% in their young-adult offspring — a notably stronger effect in the younger generation.

Why was the CPS1 effect only seen in women?

The study found this sex-specific pattern but did not establish the underlying biological reason for it.

Does a variant on this page predict my homocysteine level?

No individual variant does. These are population-level statistical associations from one cohort study, and homocysteine is measured directly with a blood test, not estimated from genotype.

Free to reuse. This page's text is original writing from freely-available research, licensed CC BY 4.0 — reuse it, including commercially, with attribution to MyGeneLog™. It's general research-derived information, not medical advice or a diagnosis — see Terms of Use.