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Figure 1.

Simplified overview of folate metabolism pathway, highlighting enzymes with polymorphisms investigated in this study.

MTHFR, methylene tetrahydrofolate reductase; MTR, methionine synthase; SAH, S-adenosylhomocysteine; SAM, S-adenosylmethionine; MTRR, methionine synthase reductase; THF, tetrahydrofolate. RFC, the reduced folate carrier.

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Figure 2.

Flow chart of the literature search.

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Figure 3.

Pooled frequencies of the MTHFR C677T alleles and MTHFR A1298C alleles in controls stratified by ethnicity.

Native A, Native America.

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Figure 4.

The overall forest plot of OR with 95%CI for MTR A2756G, MTRR A66G and RFC-1 A80G polymorphism and Neural tube defects risk in dominant model.

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Table 1.

Summarized odds ratios with 95% confidence intervals for the association between genetic polymorphisms in the folate pathway and Neural Tube Defects risk.

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Table 2.

Stratified analysis of the association between MTHFR C677T polymorphism and Neural Tube Defects in dominant model.

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Table 3.

Summarized odds ratios with confidence intervals of stratified studies for MTHFR A1298C polymorphism.

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Table 4.

Sensitive analysis of pooled OR for Genetic polymorphisms in MTHFR in the folate pathway.

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Figure 5.

The cumulative forest plot of OR with 95%CI for MTHFR C677T polymorphism, MTHFR A1298C and Neural tube defects risk in dominant model.

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Figure 6.

The funnel plot of natural logarithm of OR against inverse standard error in each study.

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