Previous symbols: MTHFC, MTHFD.
MTHFD1 (methylenetetrahydrofolate dehydrogenase, cyclohydrolase and formyltetrahydrofolate synthetase 1) is named by 1 disorder entry, MTHFD1 Deficiency.
ai-gene-review gives MTHFD1's core molecular functions as methylenetetrahydrofolate dehydrogenase (NADP+) activity; methenyltetrahydrofolate cyclohydrolase activity; and formate-tetrahydrofolate ligase activity, acting in tetrahydrofolate interconversion. The trifunctional cytosolic enzyme loads formate onto tetrahydrofolate and interconverts the one-carbon carrier states used for purine, thymidylate and methionine synthesis.
MTHFD1 Deficiency types MTHFD1 as causative, with a germline variant origin, and places it on the node MTHFD1 Trifunctional Enzyme Loss of Function. ClinGen rates the relationship definitive.
The gene's KB node lists the same three activities as the gene review. That node carries molecular functions only, so the two layers share 0 GO process terms by identifier; the entry's downstream nodes use one-carbon metabolic process and tetrahydrofolate metabolic process, which are broader than tetrahydrofolate interconversion.
Underlined values are claims re-computed from the knowledge base each time this page is built. The tables below are the source of truth.
ai-gene-review has this gene at status INITIALIZED; the description is shown only once the review is complete. Read the draft upstream.
Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.
| Disorder | Relationship | Where the gene appears |
|---|---|---|
| MTHFD1 Deficiency |
causative
germline
CLINGEN: definitive
|
mechanism: MTHFD1 Trifunctional Enzyme Loss of Function
|
An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.
| ClinGen disease | MOI | Classification | dismech entry |
|---|---|---|---|
| combined immunodeficiency and megaloblastic anemia with or without hyperhomocysteinemia MONDO:0060611 | AR | Definitive 2026-04-16 |
MTHFD1 Deficiency
causative
|
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.