Terruzzi I, Senesi P, Montesano A, La Torre A, Alberti G, Benedini S, Caumo A, Fermo I, Luzi L. Genetic polymorphisms of the enzymes involved in DNA methylation and synthesis in elite athletes. Physiol Genomics 43: 965-973, 2011. First published June 14, 2011 doi:10.1152/physiolgenomics.00040.2010.-Physical exercise induces adaptive changes leading to a muscle phenotype with enhanced performance. We first investigated whether genetic polymorphisms altering enzymes involved in DNA methylation, probably responsible of DNA methylation deficiency, are present in athletes' DNA. We determined the polymorphic variants C667T/A1298C of 5,10-methylenetetrahydrofolate reductase (MTHFR), A2756G of methionine synthase (MTR), A66G of methionine synthase reductase (MTRR), G742A of betaine:homocysteine methyltransferase (BHMT), and 68-bp ins of cystathionine -synthase (CBS) genes in 77 athletes and 54 control subjects. The frequency of MTHFR (AC), MTR (AG), and MTRR (AG) heterozygous genotypes was found statistically different in the athletes compared with the control group (P ϭ 0.0001, P ϭ 0.018, and P ϭ 0.0001), suggesting a reduced DNA methylating capacity. We therefore assessed whether DNA hypomethylation might increase the expression of myogenic proteins expressed during early (Myf-5 and MyoD), intermediate , and late-phase (MHC) of myogenesis in a cellular model of hypomethylated or unhypomethylated C2C12 myoblasts. Myogenic proteins are largely induced in hypomethylated cells [fold change (FC) ϭ Myf-5: 1.21, 1.35; MyoD: 0.9, 1.47; Myf-6: 1.39, 1.66; MHC: 1.35, 3.10 in GMA, DMA, respectively] compared with the control groups (FC ϭ Myf-5: 1.0, 1.38; MyoD: 1.0, 1.14; Myf-6: 1.0, 1.44; MHC: 1.0, 2.20 in GM, DM, respectively). Diameters and length of hypomethylated myotubes were greater then their respective controls. Our findings suggest that DNA hypomethylation due to lesser efficiency of polymorphic MTHFR, MS, and MSR enzymes induces the activation of factors determining proliferation and differentiation of myoblasts promoting muscle growth and increase of muscle mass. myogenesis; muscle hypertrophy; homocysteine cycle; muscle differentiation; hypertrophy PHYSICAL EXERCISE INDUCES considerable metabolic and morphological adaptive changes leading to an altered muscle phenotype with enhanced performance in trained individuals. The mechanism by which exercise exerts its action in athletes is still unclear. While environmental influences such as training scheme and diet are important, there is increasing evidence for strong genetic influences in athletic subjects. It is suggested that athletes possess some genetic advantage predisposing them to better sport performances than nonathletes. Thus, genotype may predict sport ability and performance (9, 41). Gene expression is controlled by an adequate supply of methyl groups to the DNA. Specific mechanisms (Fig. 1) take part in controlling DNA methylation (35): the methionine synthase enzyme (MS) uses MS-bound cobalamin cofactor as intermediate methyl-carrier and N5-methyltetrahy...