ISEE-0828 Background and Objective: Previous studies have indicated that genetic variations in methylenetetrahydrofolate reductase (MTHFR), a key regulatory enzyme of the one-carbon metabolic pathway, influence genomic DNA methylation levels. However, little is know about the transgenerational influence of the major variant of MTHFR, C677T, on genomic DNA methylation levels. Our objective was to evaluate the impact of maternal MTHFR C677T genotype on cord blood genomic DNA methylation levels and to determine if this association was influenced by maternal lead exposures. Methods: Our subject population consisted of 97 maternal-infant pairs for which DNA methylation and MTHFR genotype data were available from the Early Life Exposures in Mexico to Environmental Toxicants (ELEMENT) study. Genomic DNA methylation, prenatal lead exposure and MTHFR genotyping were assessed by LINE-1 Pyrosequencing, maternal patella bone lead levels using a spot source 109Cd K-XRF instrument and TaqMan technology, respectively. Results: Maternal MTHFR C677T genotype influenced infant LINE-1 DNA methylation levels (CC = 79.86% ± 0.5; CT = 79.83% ± 0.3; and TT = 78.90% ± 0.36; P for trend = 0.07). Furthermore, once stratified by median maternal patella lead exposure, the association between maternal MTHFR C677T genotype and infant LINE-1 DNA methylation was only apparent among mothers with high lead exposure (CC = 80.0% ± 0.93; CT = 79.32% ± 0.48; and TT = 78.35% ± 0.54; P for trend = 0.09); vs. mothers with low lead exposure (CC = 79.79 ± 0.60; CT = 80.39 ± 0.4; and TT = 79.45 ± 0.47; P for trend = 0.51). No significant associations were found among infants MTHFR C677T genotype and DNA methylation. Conclusion: Data from this study suggest that genetic variants of MTHFR C677T among pregnant women are associated with a decrease in genomic DNA methylation in their offspring. Maternal genotype along with environmental exposures may play a large role in epigenetic programming.