Folates and the fetus

被引:30
作者
Eskes, TKAB [1 ]
机构
[1] UNIV NIJMEGEN ST RADBOUD HOSP,DEPT OBSTET & GYNAECOL,NL-6500 HB NIJMEGEN,NETHERLANDS
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 1997年 / 71卷 / 02期
关键词
folates; fetus; neural tube defects; homocysteine; methionine; 5,10-methylenetetrahydrofolate-reductase;
D O I
10.1016/S0301-2115(96)02620-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
It is proven that folic acid supplied in the periconceptional period can lower the recurrence and occurrence rate of neural tube defects (NTDs). Our research team on prevention of birth defects could demonstrate that folic acid preventable NTDs are partly based on hyperhomocystinemia and a genetic predisposition (mutation of the methylenetetrahydrofolate-reductase gene (MTHFR)). Reduced activity of the folate methylation cycle seems to be an attractive working hypothesis in the aetiology of NTDs. This genetic metabolic defect can be overcome by treatment with folic acid and/or vitamin B-12. (C) 1997 Elsevier Science Ireland Ltd.
引用
收藏
页码:105 / 111
页数:7
相关论文
共 44 条
[1]  
[Anonymous], 1992, Morbidity and mortality weekly report
[2]  
BOERS GHJ, 1985, THESIS U NIJMEGEN NE
[3]   NEURAL-TUBE DEFECTS IN SPONTANEOUS-ABORTIONS [J].
BYRNE, J ;
WARBURTON, D .
AMERICAN JOURNAL OF MEDICAL GENETICS, 1986, 25 (02) :327-333
[4]  
CANTONI GL, 1978, TRANSMETHYLATION, P155
[5]   WHOLE RAT EMBRYOS REQUIRE METHIONINE FOR NEURAL-TUBE CLOSURE WHEN CULTURED ON COW SERUM [J].
COELHO, CND ;
WEBER, JA ;
KLEIN, NW ;
DANIELS, WG ;
HOAGLAND, TA .
JOURNAL OF NUTRITION, 1989, 119 (11) :1716-1725
[6]   METHIONINE AND NEURAL-TUBE CLOSURE IN CULTURED RAT EMBRYOS - MORPHOLOGICAL AND BIOCHEMICAL ANALYSES [J].
COELHO, CND ;
KLEIN, NW .
TERATOLOGY, 1990, 42 (04) :437-451
[7]   CONGENITAL MALFORMATIONS OF CENTRAL NERVOUS-SYSTEM IN SPONTANEOUS ABORTIONS [J].
CREASY, MR ;
ALBERMAN, ED .
JOURNAL OF MEDICAL GENETICS, 1976, 13 (01) :9-16
[8]   Effect of increasing dietary folate on red-cell folate: Implications for prevention of neural tube defects [J].
Cuskelly, GJ ;
McNulty, H ;
Scott, JM .
LANCET, 1996, 347 (9002) :657-659
[9]   PREVENTION OF CONGENITAL-ABNORMALITIES BY PERICONCEPTIONAL MULTIVITAMIN SUPPLEMENTATION [J].
CZEIZEL, AE .
BRITISH MEDICAL JOURNAL, 1993, 306 (6893) :1645-1648
[10]   PREVENTION OF THE 1ST OCCURRENCE OF NEURAL-TUBE DEFECTS BY PERICONCEPTIONAL VITAMIN SUPPLEMENTATION [J].
CZEIZEL, AE ;
DUDAS, I .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (26) :1832-1835