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Low dietary folate and methylenetetrahydrofolate reductase deficiency may lead to pregnancy complications through modulation of ApoAI and IFN-γ in spleen and placenta, and through reduction of methylation potential.

AbstractSCOPE:
Genetic or nutritional disturbances in folate metabolism lead to hyperhomocysteinemia and adverse reproductive outcomes. Folate-dependent homocysteine remethylation is required for methylation reactions and may influence choline/betaine metabolism. Hyperhomocysteinemia has been suggested to play a role in inflammation. The goal of this study was to determine whether folate-related pregnancy complications could be due to altered expression of some inflammatory mediators or due to disturbances in methylation intermediates.
METHODS AND RESULTS:
Pregnant mice with or without a deficiency of methylenetetrahydrofolate reductase (MTHFR) were fed control diets or folate-deficient (FD) diets; tissues were collected at embryonic day 14.5. FD decreased plasma phosphocholine and increased plasma glycerophosphocholine and lysophosphatidylcholine. Liver betaine, phosphocholine, and S-adenosylmethionine:S-adenosylhomocysteine ratios were reduced in FD. In liver, spleen, and placenta, the lowest levels of apolipoprotein AI (ApoAI) were observed in Mthfr(+/-) mice fed FD. Increased interferon-gamma (IFN-γ) was observed in spleen and placentae due to FD or Mthfr genotype. Plasma homocysteine correlated negatively with liver and spleen ApoAI, and positively with IFN-γ.
CONCLUSION:
Low dietary folate or Mthfr deficiency during pregnancy may result in adverse pregnancy outcomes by altering expression of the inflammatory mediators ApoAI and IFN-γ in spleen and placenta. Disturbances in choline metabolism or methylation reactions may also play a role.
AuthorsLeonie G Mikael, Jill Pancer, Xinyin Jiang, Qing Wu, Marie Caudill, Rima Rozen
JournalMolecular nutrition & food research (Mol Nutr Food Res) Vol. 57 Issue 4 Pg. 661-70 (Apr 2013) ISSN: 1613-4133 [Electronic] Germany
PMID23112124 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
Chemical References
  • Apolipoprotein A-I
  • Homocysteine
  • Betaine
  • S-Adenosylmethionine
  • Interferon-gamma
  • Folic Acid
  • S-Adenosylhomocysteine
  • Methylenetetrahydrofolate Reductase (NADPH2)
  • Choline
Topics
  • Animals
  • Apolipoprotein A-I (metabolism)
  • Betaine (analysis, metabolism)
  • Choline (analysis, metabolism)
  • Diet
  • Female
  • Folic Acid (administration & dosage)
  • Folic Acid Deficiency (complications, pathology)
  • Homocysteine (blood)
  • Homocystinuria (complications, pathology)
  • Interferon-gamma (metabolism)
  • Liver (metabolism, pathology)
  • Male
  • Methylation
  • Methylenetetrahydrofolate Reductase (NADPH2) (deficiency, genetics, metabolism)
  • Mice
  • Mice, Inbred BALB C
  • Mice, Transgenic
  • Muscle Spasticity (complications, pathology)
  • Placenta (metabolism, pathology)
  • Pregnancy
  • Pregnancy Complications (genetics, metabolism)
  • Psychotic Disorders (complications, pathology)
  • S-Adenosylhomocysteine (analysis, metabolism)
  • S-Adenosylmethionine (analysis, metabolism)
  • Spleen (metabolism, pathology)

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