Skip to main content

Alterations in Folate Metabolism as a Possible Mechanism of Embryotoxicity

  • Chapter
  • 207 Accesses

Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 124 / 1))

Abstract

Interest in folic acid has increased recently as a result of reports of a protective effect of dietary supplementation on the incidence of neural tube defects (NTD) in humans. This chapter will describe folic acid, assays for this vitamin, and characteristics of the deficient state. Biochemical reactions involving folic acid will be reviewed, as will studies which report a protective effect with respect to NTD. A number of compounds which adversely affect folic acid concentrations will be reviewed along with any evidence of a role for folic acid in the developmental toxicity of these compounds.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bailey LB (1992) Evaluation of a new recommended dietary allowance for folate. J AmDiet Assoc 92: 463–71

    CAS  Google Scholar 

  • Bailey LB (1995) Folate requirements and dietary recommendations. In: Bailey LB (ed) Folate in health and disease. Dekker, New York, pp 123–151

    Google Scholar 

  • Banks RGS, Henderson RJ, Pratt JM (1968) Reactions of gases in solution. III. Some reactions of nitrous oxide with transition-metal complexes. J Chem Soc A: 2886–2889

    Google Scholar 

  • Benn A, Swan CHJ, Cooke WT, Blair JA, Matty AJ, Smith ME (1971) Effect of intraluminal pH on the absorption of pteroylmonoglutamic acid. Br Med J 1: 148–150

    PubMed  CAS  Google Scholar 

  • Bird OD, McGlohon VM, Vaitkus JW (1969) A microbiological assay system for naturally occurring folates. Can J Microbiol 15: 465–72

    PubMed  CAS  Google Scholar 

  • Bjerkedal T, Czeizel A, Goujard J, Kallen B, Mastroiacova P, Nevin N, Oakley G Jr, Robert E (1982) Valproic acid and spina bifida. Lancet ii: 1096

    Google Scholar 

  • Block G, Abrams B (1993) Vitamin and mineral status of women of childbearingpotential. Ann NY Acad Sci 678: 244–254

    PubMed  CAS  Google Scholar 

  • Bower C, Stanley FJ (1989) Dietary folate as a risk factor for neural tube defects: evidence from a case-control study in Western Australia. Med J Aust 150: 613–619

    PubMed  CAS  Google Scholar 

  • Bower C, Stanley FJ, Nicol DJ (1993) Maternal folate status and the risk for neural tube defects. The role of dietary folate. Ann NY Acad Sci 678: 146–155

    PubMed  CAS  Google Scholar 

  • Brown NA, Goulding EH, Fabro S (1979) Ethanol embryo toxicity: direct effects on mammalian embryos in vitro. Science 206: 573–575

    PubMed  CAS  Google Scholar 

  • Brown NA, Holt D, Webb M (1984) The teratogenicity of methoxyacetic acid in therat. Toxicol Lett 22: 93–100

    PubMed  CAS  Google Scholar 

  • Chan MK, Beale D, Moorhead JF (1980) Acute megaloblastosis due to cotrimoxazole. Br J Clin Pract 34: 187–188

    PubMed  CAS  Google Scholar 

  • Chanarin I (1986) Folate deficiency. In: Blakley RL, Whitehead VM (eds) Folates and pterins, vol 3. Nutritional, pharmacological, and physiological aspects. Wiley, New York, pp 75–146

    Google Scholar 

  • Chatot CL, Klein NW, Clapper ML, Resor SR, Singer WD, Russman BS, Holmes GL, Mattson RH, Cramer JA (1984) Human serum teratogenicity studied by rat embryo culture: epilepsy, anticonvulsant drugs, and nutrition. Epilepsia 25: 205–216

    PubMed  CAS  Google Scholar 

  • Chung M-K, Han S-S, Roh J-K (1993) Synergistic embryotoxicity of combination of pyrimethamine and folic acid in rats. Reprod Toxicol 7: 463–468

    PubMed  CAS  Google Scholar 

  • Clarke DO, Mebus CA, Miller FJ, Welsch F (1991) Protection against 2-methoxy-ethanol-induced teratogenesis by serine enantiomers: studies of potential alteration of 2-methoxyethanol pharmacokinetics. Toxicol Appl Pharmacol 110: 514–526

    PubMed  CAS  Google Scholar 

  • Clarren SK, Smith DW (1978) The fetal alcohol syndrome. N Engl J Med 298: 1063–1067

    PubMed  CAS  Google Scholar 

  • Clinical Nutrition Cases (1988) Sulfasalazine inhibits folate absorption. Nutr Rev 46: 320–323

    Google Scholar 

  • Coelho CND, Klein NW (1990) Methionine and neural tube closure in cultured rat embryos: morphological and biochemical analyses. Teratology 42: 437–451

    PubMed  CAS  Google Scholar 

  • Coelho CN, Weber JA, Klein NW, Daniels WG, Hoagland TA (1989) Whole rat embryos require methionine for neural tube closure when cultured on cow serum. J Nutr 119: 1716–1725

    PubMed  CAS  Google Scholar 

  • Copp AJ (1994) Genetic models of mammalian neural tube defects. Ciba Found Symp 181: 118–134

    PubMed  CAS  Google Scholar 

  • Corcino J, Waxman S, Herbert V (1970) Mechanism of triamterene-induced megaloblastosis. Ann Intern Med 73: 419–24

    PubMed  CAS  Google Scholar 

  • Cossins EA (1984) Folates in biological materials. In: Blakley RL, Benkovic SJ (eds) Folates and pterins, vol 1. Chemistry and biochemistry of folates. Wiley, New York, pp 1–59

    Google Scholar 

  • Craxi A, Pagliarello F (1980) Possible embryotoxicity of sulfasalazine. Arch Intern Med 140: 1674

    PubMed  CAS  Google Scholar 

  • Czeizel AE (1995) Folic acid in the prevention of neural tube defects. J Pediatr Gastroenterol Nutr 20: 4–16

    PubMed  CAS  Google Scholar 

  • Czeizel AE, Dudas I (1992) Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. Lancet 327: 1832–1835

    CAS  Google Scholar 

  • DeSesso JM, Goeringer GC (1991) Amelioration by leucovorin of methotrexate developmental toxicity in rabbits. Teratology 43: 201–215

    Google Scholar 

  • DeSesso JM, Goeringer GC (1992) Methotrexate-induced developmental toxicity in rabbits is ameliorated by l-(p-tosyl)-3,4,4-trimethylimidazolidine, a functional analog for tetrahydrofolate-mediated one-carbon transfer. Teratology 45: 271–283

    Google Scholar 

  • Duch DS, Bowers SW, Nichol CA (1983) Analysis of folate cofactor levels in tissues using high-performance liquid chromatography. Anal Biochem 130: 385–392

    PubMed  CAS  Google Scholar 

  • Eichner ER, Buchanan B, Smith JW, Hillman RS (1972) Variations in the hematologic and medical status of alcoholics. Am J Med Sci 263: 35–2

    PubMed  CAS  Google Scholar 

  • Eisenga BH, Collins TD, McMartin KE (1989) Differential effects of acute ethanol on urinary excretion of folate derivatives in the rat. J Pharmacol Exp Ther 248: 916–922

    PubMed  CAS  Google Scholar 

  • Elmazar MM A, Nau H (1992) Methotrexate increases valproic acid-induced developmental toxicity, in particular neural tube defects in mice. Teratogen Carcinog Mutagen 12:203–210

    CAS  Google Scholar 

  • Elmazar MM A, Nau H (1993) Trimethoprim potentiates valproic acid-induced neural tube defects (NTDs) in mice. Reprod Toxicol 7: 249–254

    PubMed  CAS  Google Scholar 

  • Elmazar MM A, Thiel T, Nau H (1992) Effect of supplementation with folinic acid, vitamin B6, and vitamin Bi2 on valproic acid-induced teratogenesis in mice. Fundam Appl Toxicol 18: 389–394

    PubMed  CAS  Google Scholar 

  • Essian FB (1992) Maternal methionine supplementation promotes the remediation of axial defects in Axd mouse neural tube mutants. Teratology 45: 205–212

    Google Scholar 

  • Essian FB, Wannberg SL (1993) Methionine but not folinic acid or vitamin B-12 alters the frequency of neural tube defects in Axd mutant mice. J Nutr 123: 27–34

    Google Scholar 

  • Fink BR, Shepard TH, Blandau RJ (1967) Teratogenic activity of nitrous oxide. Nature 214: 146–148

    PubMed  CAS  Google Scholar 

  • Finkelstein JD (1990) Methionine metabolism in mammals. J Nutr Biochem 1: 228–237

    PubMed  CAS  Google Scholar 

  • Flynn TJ, Friedman L, Black TN, Klein NW (1987) Methionine and iron as growth factors for rat embryos cultured in canine serum. J Exp Zool 244: 319–324

    PubMed  CAS  Google Scholar 

  • Food and Nutrition Board (1980) Recommended dietary allowances. 9th edn. National Academy of Sciences, Washington

    Google Scholar 

  • Food and Nutrition Board (1989) Recommended dietary allowances. 10th edn. National Academy of Sciences, Washington

    Google Scholar 

  • Franklin JL, Rosenberg IH (1973) Impaired folic acid absorption in inflammatory bowel disease: effects of salicylazosulfapyridine (Azulfidine). Gastroenterology 64: 517–525

    PubMed  CAS  Google Scholar 

  • Frisch JM (1973) Clinical experience with adverse reactions to trimethoprim-sulfamethoxazole. J Infect Dis 128: 607–612

    PubMed  Google Scholar 

  • Fujinaga M, Baden JM, Shepard TH, Mazze RI (1990) Nitrous oxide alters body laterality in rats. Teratology 41: 131–135

    PubMed  CAS  Google Scholar 

  • Garro A J, McBeth DL, Lima V, Lieber CS (1991) Ethanol consumption inhibits fetal DNA methylation in mice: implications for the fetal alcohol syndrome. Alcohol Clin Exp Res 15: 395–398

    PubMed  CAS  Google Scholar 

  • Goeringer GC, Scialli AR, DeSesso JM (1994) Developmental toxicity in rabbits induced by aminopterin is decreased by 1-(p-tosyl)-3,4,4-trimethyl imidazolidine (TTI), a functional analog for tetrahydrofolate-mediated one-carbon transfer. Teratology 49: 368 (abstr)

    Google Scholar 

  • Halsted CH, Heise C (1987) Ethanol and vitamin metabolism. Pharmacol Ther 34: 453–464

    PubMed  CAS  Google Scholar 

  • Halsted CH, Robles EA, Mezey E (1973) Intestinal malabsorption in folate-deficientalcoholics. Gastroenterology 64: 526–532

    PubMed  CAS  Google Scholar 

  • Halsted CH, Gandhi G, Tamura T (1981) Sulfasalazine inhibits the absorption of folates in ulcerative colitis. N Engl J Med 305: 1513–1517

    PubMed  CAS  Google Scholar 

  • Hansen DK (1991) The embryotoxicity of phenytoin: an update on possible mechanisms. Proc Soc Exp Biol Med 197: 361–368

    PubMed  CAS  Google Scholar 

  • Hansen DK (1993) In vitro effects of folate derivatives on valproate-induced neural tube defects in mouse and rat embryos. Toxicol In Vitro 7: 735–742

    PubMed  CAS  Google Scholar 

  • Hansen DK, Billings RE (1985a) Effects of nitrous oxide on maternal and embryonic folate metabolism in rats. Dev Pharmacol Ther 8:43–54

    PubMed  CAS  Google Scholar 

  • Hansen DK, Billings RE (1985b) Phenytoin teratogenicity and effects on embryonic and maternal folate metabolism. Teratology 31: 363–371 [erratum published in 1986 in Teratology 34: 487]

    PubMed  CAS  Google Scholar 

  • Hansen DK, Grafton TF (1991) Lack of attenuation of valproic acid-induced effects by folinic acid in rat embryos in vitro. Teratology 43: 575–582

    PubMed  CAS  Google Scholar 

  • Hansen DK, Dial SL, Grafton TF (1992) Effect of folinic acid on valproate-induced neural tube defects in mice treated in vivo or in vitro. Teratology 45: 493 (abstr)

    Google Scholar 

  • Hansen DK, Dial SL, Grafton TF (1995) Lack of attenuation of valproic acid-induced embryotoxicity by compounds involved in one-carbon transfer reactions. Toxicol In Vitro 9: 615–621

    PubMed  CAS  Google Scholar 

  • Hansen DK, Grafton TF, Dial SL, Gehring TA, Siitonen PH Effect of supplemental folic acid on valproate-induced embryotoxicity and tissue zinc levels in vivo. Teratology (in press)

    Google Scholar 

  • Harpey J-P, Darbois Y, Lefebvre G (1983) Teratogenicity of pyrimethamine. Lancet ii: 399

    Google Scholar 

  • Heid MK, Bill ND, Hinrichs SH, Clifford AJ (1992) Folate deficiency alone does not produce neural tube defects in mice. J Nutr 122: 888–894

    PubMed  CAS  Google Scholar 

  • Helm VF, Kretzschmar R, Leuschner F, Neumann W (1976) Untersuchungen über den Einfluß der Kombination Sulfamoxao/Trimethoprim (CN3123) auf Fertilität und Embryonalentwicklung an Ratten und Kaninchen. Arzneimittelforschung 26: 643–651

    PubMed  CAS  Google Scholar 

  • Hendel J, Dam M, Gram L, Winkel P, Jorgensen I (1984) The effects of carbamazepine and valproate on folate metabolism in man. Acta Neurol Scand 69: 226–231

    PubMed  CAS  Google Scholar 

  • Herbert V, Zalusky R, Davidson CS (1963) Correlation of folate deficiency with alcoholism and associated macrocytosis, anemia, and liver disease. Arch Intern Med 58: 977–988

    CAS  Google Scholar 

  • Hibbard BM, Hibbard ED, Jeffcoate TNA (1965) Folic acid and reproduction. Acta Obstet Gynecol Scand 44: 375–400

    PubMed  CAS  Google Scholar 

  • Hibbard ED, Smithells RW (1965) Folic acid metabolism and human embryopathy. Lancet i: 1254

    Google Scholar 

  • Hill AV, Kerr DN (1973) Toxicity of co-trimoxazole in nutritional haematinic deficiency. Postgrad Med J 49: 596–598

    PubMed  CAS  Google Scholar 

  • Hoffbrand AV, Necheles TF (1968) Mechanism of folate deficiency in patients receiving phenytoin. Lancet ii: 528–530

    CAS  Google Scholar 

  • Hoo JJ, Hadro TA, vonBehren P (1988) Possible teratogenicity of sulfasalazine. N Engl J Med 318:1128

    PubMed  CAS  Google Scholar 

  • Horne DW, Patterson D (1988) Lactobacillus casei microbiological assay of folic acid derivatives in 96-well microtiter plates. Clin Chem 34: 2357–2359

    PubMed  CAS  Google Scholar 

  • Horton VL, Sleet RB, John-Greene JA, Welsch F (1985) Developmental phase-specific and dose-related teratogenic effects of ethylene glycol monomethyl ether in CD-I mice. Toxicol Appl Pharmacol 80: 108–118

    PubMed  CAS  Google Scholar 

  • Horvath C, Tangapregassom AM, Tangapregassom MJ, Trecul M, Boucher-Ehren-sperger M, Compagnon A, Petter C (1989) Pathogenesis of limb and facial malformations induced by pyrimethamine in the rat. Acta Morph Hung 36: 53–61

    Google Scholar 

  • Hunter III ES, Tugman JA, Sulik KK, Sadler TW (1994) Effects of short-term exposure to ethanol on mouse embryos in vitro. Toxicol In Vitro 3: 413–421

    Google Scholar 

  • Jones KL, Smith DW, Ulleland CJ (1973) Pattern of malformation in offspring of chronic alcoholic mothers. Lancet i: 1267–1271

    Google Scholar 

  • Jones KL, Smith DW (1975) The fetal alcohol syndrome. Teratology 12: 1–10

    PubMed  CAS  Google Scholar 

  • Joosten E, Pelemans W (1991) Megaloblastic anaemia in an elderly patient treated with triamtrene. Neth J Med 38: 209–211

    PubMed  CAS  Google Scholar 

  • Jordan RL, Wilson JG, Schumacher HJ (1977) Embryotoxicity of the folate antagonist methotrexate in rats and rabbits. Teratology 15: 73–80

    PubMed  CAS  Google Scholar 

  • Kelly D, Weir D, Reed B, Scott J (1979) Effect of anticonvulsant drugs on the rate of folate catabolism in mice. J Clin Invest 64: 1089–1096

    PubMed  CAS  Google Scholar 

  • King K (1985) Trimethoprim. Med J Aust 142: 350–352

    Google Scholar 

  • Kirke PN, Molloy AM, Daly LE, Burke H, Weir DG, Scott JM (1993) Maternal plasma folate and vitamin Bi2 are independent risk factors for neural tube defects. Q Rev Med 86: 703–708

    CAS  Google Scholar 

  • Klipstein FA (1964) Subnormal serum folate and macrocytosis associated with anticonvulsant drug therapy. Blood 23: 68–86

    PubMed  CAS  Google Scholar 

  • Koblin DD, Tomerson BW (1989) Methionine synthase activities in mice following acute exposures to ethanol and nitrous oxide. Biochem Pharmacol 38: 1353–1358

    PubMed  CAS  Google Scholar 

  • Koblin DD, Everman BW (1991) Vitamin B12 and folate status in rats after chronic administration of ethanol and acute exposure to nitrous oxide. Alcohol Clin Exp Res 15: 543–548

    PubMed  CAS  Google Scholar 

  • Krumdieck CL, Fukushima K, Fukushima T, Shiota T, Butterworth CE Jr (1978) A long-term study of the excretion of folate and pterins in a human subject after ingestion of 14C-folic acid, with observations on the effect of diphenylhydantoin administration. Am J Clin Nutr 31: 88–93

    PubMed  CAS  Google Scholar 

  • Kudo G, Tsunematsu K, Shimoda M, Kokue E (1993) Effects of folic acid on pyrimethamine teratogenesis in rats. Adv Exp Med Biol 338: 469–472

    PubMed  CAS  Google Scholar 

  • Labadarios D, Dickerson JWT, Parke DV, Lucas EG, Obuwa GH (1978) The effects of chronic drug administration on hepatic enzyme induction and folate metabolism. Br J Clin Pharmacol 5: 167–173

    PubMed  CAS  Google Scholar 

  • Lammer EJ, Sever LE, Oakley GP Jr (1987) Teratogen update: valproic acid. Teratology 35: 465–493

    PubMed  CAS  Google Scholar 

  • Lane GA, Nahrwold ML, Tait AR, Taylor-Busch M, Cohen PJ, Beaudoin AR (1980) Anesthetics as teratogens: nitrous oxide is fetotoxic, xenon is not. Science 210: 899–901

    PubMed  CAS  Google Scholar 

  • Laurence KM, James N, Miller MH, Tennant GB, Campbell H (1981) Double-blind randomised controlled trial of folate treatment before conception to prevent recurrence of neural tube defects. Br Med J 282: 1509–1511

    CAS  Google Scholar 

  • Lin GW-J (1988) Folate deficiency and acute ethanol treatment on pregnancy outcome in the rat. Nutr Res 8: 1151–1160

    CAS  Google Scholar 

  • Lin GW-J (1991a) Effect of dietary folic acid levels and gestational ethanol consumption on tissue folate contents and rat fetal development. Nutr Res 11: 223–230

    CAS  Google Scholar 

  • Lin GW-J (1991b) Maternal-fetal folate transfer: effect of ethanol and dietary folate deficiency. Alcohol 8: 169–172

    PubMed  CAS  Google Scholar 

  • Lin GW-J, McMartin KE, Collins TD (1992) Effect of ethanol consumption during pregnancy on folate coenzyme distribution in fetal, maternal, and placental tissues. J Nutr Biochem 3: 182–187

    CAS  Google Scholar 

  • Lindenbaum J, Allen RH (1995) Clinical spectrum and diagnosis of folate deficiency. In: Bailey LB (ed) Folate in health and disease. Dekker, New York, pp 43–73

    Google Scholar 

  • Lindhout D, Schmidt D (1986) In-utero exposure to valproate and neural tube defects. Lancet i: 1392–1393

    Google Scholar 

  • Lucock MD, Wild J, Schorah CJ, Levene MI, Hartley R (1994) The methylfolate axis in neural tube defects: in vitro characterisation and clinical investigation. Biochem Med Metab Biol 52: 101–114

    PubMed  CAS  Google Scholar 

  • Maass AR, Wiebelhaus VD, Sosnowski G, Jenkins B, Gessner G (1967) Effect of triamterene on folic reductase activity and reproduction in the rat. Toxicol Appl Pharmacol 10: 413–423

    PubMed  CAS  Google Scholar 

  • MacKenzie RE (1984) Biogenesis and interconversion of substituted tetrahydrofolates. In: Blakley RL, Benkovic SJ (eds) Folates and pterins, vol 1. Chemistry and biochemistry of folates. Wiley, New York, pp 255–306

    Google Scholar 

  • Marsh L, Fraser FC (1973) Studies on Dilantin-induced cleft palate in mice. Teratology 7: 23A (abstr)

    Google Scholar 

  • Mason JB, Zimmerman J, Otradovec CL, Selhub J, Rosenberg IH (1991) Chronic diuretic therapy with moderate doses of triamterene is not associated with folate deficiency. J Lab Clin Med 117: 365–369

    PubMed  CAS  Google Scholar 

  • Maxwell JD, Hunter J, Stewart DA, Ardeman S, Williams R (1972) Folate deficiency after anticonvulsant drugs: an effect of hepatic enzyme induction? Br Med J 1: 297–299

    PubMed  CAS  Google Scholar 

  • Mazze RI, Wilson AI, Rice SA, Baden JM (1984) Reproduction and fetal development in rats exposed to nitrous oxide. Teratology 30: 259–265

    PubMed  CAS  Google Scholar 

  • McMartin KE (1984) Increased urinary folate excretion and decreased plasma folate levels in the rat after acute ethanol treatment. Alcohol Clin Exp Res 8: 172–178

    PubMed  CAS  Google Scholar 

  • McMartin KE, Virayotha V, Tephly TR (1981) High-pressure liquid chromatography separation and determination of rat liver folates. Arch Biochem Biophys 209: 127–136

    PubMed  CAS  Google Scholar 

  • Mercier-Parot L, Tuchmann-Duplessis H (1974) The dysmorphogenic potential of phenytoin: experimental observations. Drugs 8: 340–353

    PubMed  CAS  Google Scholar 

  • Miller JW, Nadeau MR, Smith J, Smith D, Selhub J (1994) Folate-deficiency-induced homocysteinaemia in rats: disruption of S-adenosylmethionine’s co-ordinate regulation of homocysteine metabolism. Biochem J 298: 415—419

    PubMed  CAS  Google Scholar 

  • Miller PN, Pratten MK, Beck F (1989) Growth of 9.5-day rat embryos in folic-acid-deficient serum. Teratology 39: 375–385

    PubMed  CAS  Google Scholar 

  • Mills JL, Rhoads GG, Simpson JL, Cunningham GC, Conley MR, Lassman MR, Walden ME, Depp OR, Hoffman HJ (1989) The absence of a relation between the periconceptional use of vitamins and neural-tube defects. N Engl J Med 321: 430–435

    PubMed  CAS  Google Scholar 

  • Mills JL, Tuomilehto J, Yu KL, Colman N, Blaner WS, Koskela P, Rundle WE, Forman M, Toivanen L, Rhoads GG (1992) Maternal vitamin levels during pregnancies producing infants with neural tube defects. J Pediatr 120: 863–871

    PubMed  CAS  Google Scholar 

  • Mills JL, McPartlin JM, Kirke PN, Lee YJ, Conley MR, Weir DG, Scott JM (1995) Homocysteine metabolism in pregnancies complicated by neural-tube defects. Lancet 345: 149–151

    PubMed  CAS  Google Scholar 

  • Milunsky A, Graef JW, Gaynor MF (1968) Methotrexate-induced congenital malformations. J Pediatr 72: 790–795

    PubMed  CAS  Google Scholar 

  • Milunsky A, Jick H, Jick SS, Bruell CL, Maclaughlin DS, Rothman KJ, Willett W (1989) Multivitamin/folic acid supplementation in early pregnancy reduces the prevalence of neural tube defects. J Am Med Assoc 262: 2847–2852

    CAS  Google Scholar 

  • Mogadam M, Dobbins WO, Krelitz BI (1980) The safety of corticosteroids and sulfasalazine in pregnancy associated with inflammatory bowel disease. Gastroenterology 78: 1224

    Google Scholar 

  • Molloy AM, Kirke P, Hillary I, Weir DG, Scott JM (1985) Maternal serum folate and vitamin B12 concentrations in pregnancies associated with neural tube defects. Arch Dis Child 60: 660–665

    PubMed  CAS  Google Scholar 

  • Morbidity and Mortality Weekly Report (1992) Recommendations for the use of folic acid to reduce the number of cases of spina bifida and other neural tube defects. Morbidity and Mortality Weekly Report 41: 1–7

    Google Scholar 

  • MRC Vitamin Study Research Group (1991) Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet 338: 131–137

    Google Scholar 

  • Mulinare J, Cordero JF, Erickson JD, Berry RJ (1988) Periconceptional use of multivitamins and the occurrence of neural tube defects. J Am Med Assoc 260: 3141–3145

    CAS  Google Scholar 

  • Natsuhori M, Shimoda M, Kokue E-I, Hayama T, Takahashi Y (1991) Tetra-hydrofolic acid as the principal congener of plasma folates in pigs. Am J Physiol 261: R82–86

    PubMed  CAS  Google Scholar 

  • Nelson MM, Evans HM (1949) Pteroylglutamic acid and reproduction in the rat. J Nutr 38: 11–24

    PubMed  CAS  Google Scholar 

  • Nelson MM, Asling CW, Evans HM (1952) Production of multiple congenital abnormalities in young by maternal pteroylglutamic acid deficiency during gestation. J Nutr 48: 61–79

    PubMed  CAS  Google Scholar 

  • Nelson MM, Wright HV, Asling SW, Evans HM (1955) Multiple congenital abnormalities resulting from transitory deficiency of pteroylglutamic acid during gestation in the rat. J Nutr 56: 349–363

    PubMed  CAS  Google Scholar 

  • Netzloff ML, Streiff RR, Frias JL, Rennert OM (1979) Folate antagonism following teratogenic exposure to diphenylhydantoin. Teratology 19: 45–50

    PubMed  CAS  Google Scholar 

  • Newman EM, Tsai JF (1986) Microbiological analysis of 5-formyltetrahydrofolic acid and other folates using an automatic 96-well plate reader. Anal Biochem 154: 509–515

    PubMed  CAS  Google Scholar 

  • Newman NM, Correy JF (1983) Possible teratogenicity of sulphasalazine. Med J Aust 1: 528–529

    PubMed  CAS  Google Scholar 

  • Nosel PG, Klein NW (1992) Methionine decreases the embryotoxicity of sodium valproate in the rat: in vivo and in vitro observations. Teratology 46: 499–507

    PubMed  CAS  Google Scholar 

  • O’Rahilly R, Muller F (1994) Neurulation in the normal human embryo. Ciba Found Symp 181: 70–82

    PubMed  Google Scholar 

  • Petter C, Bourbon J (1975) Foetal red cell macrocytosis induced by pyrimethamine: its teratogenic role. Experientia 31: 369–370

    PubMed  CAS  Google Scholar 

  • Priest DG, Doig MT (1986) Tissue folate polyglutamate chain length determination by electrophoresis as thymidylate synthase-fluorodeoxyuridylate ternary complexes. Methods Enzymol 122: 313–319

    PubMed  CAS  Google Scholar 

  • Priest DG, Bunni MA, Mulllin RJ, Duch DS, Galivan J, Rhee MS (1992) A comparison of HPLC and ternary complex-based assays of tissue reduced folates. Anal Lett 25: 219–230

    CAS  Google Scholar 

  • Priscott PK (1982) The effects of ethanol on rat embryos developing in vitro. Biochem Pharmacol 31: 3641–3643

    PubMed  CAS  Google Scholar 

  • Ramazzotto LJ, Carlin RD, Warchalowski GA (1979) Effects of nitrous oxide during organogenesis in the rat. J Dent Res 58: 1940–1943

    PubMed  CAS  Google Scholar 

  • Raynaud F, Horvath C (1994) Folate deficiency and congenital malformations induced by pyrimethamine in the rat. Reprod Nutr Dev 34: 461–471

    PubMed  CAS  Google Scholar 

  • Reeves D (1982) Sulphonamides and trimethoprim. Lancet ii: 370–373

    Google Scholar 

  • Rivey MP, Schottelius DD, Berg MJ (1984) Phenytoin-folic acid: a review. Drug Intell Clin Pharmacol 18: 292–301

    CAS  Google Scholar 

  • Robert E, Guibaud P (1982) Maternal valproic acid and congenital neural tube defects. Lancet ii: 937

    CAS  Google Scholar 

  • Romero JJ, Tamura T, Halsted CH (1981) Intestinal absorption of [3H] folic acid in the chronic alcoholic monkey. Gastroenterology 80: 99–102

    PubMed  CAS  Google Scholar 

  • Rosenberg IH, Selhub J (1986) Intestinal absorption of folates. In: Blakley RL, Whitehead VM (eds) Folates and pterins, vol 3. Nutritional, pharmacological, and physiological aspects. Wiley, New York, pp 147–176

    Google Scholar 

  • Rosenberg IH, Streiff RR, Godwin HA, Castle WB (1968) Impairment of intestinal deconjugation of dietary folate -a possible explanation of megaloblastic anemia associated with phenytoin therapy. Lancet ii: 530–532

    CAS  Google Scholar 

  • Sakanashi TM, Rogers JM, Keen CL (1994) Influence of folic acid intake on the developmental toxicity of methanol in the CD-I mouse. Teratology 49: 368 (abstr)

    Google Scholar 

  • Sauberlich HE (1995) Folate status of U.S. population groups. In: Bailey LB (ed) Folate in health and disease. Dekker, New York, pp 171–194

    Google Scholar 

  • Schardein JL (1993) Chemically-induced birth defects. Schardein JL (ed) 2nd edn. Dekker, New York, pp 598–641

    Google Scholar 

  • Schardein JL, Dresner AJ, Hentz DL, Petrere J A, Fitzgerald JE, Kurtz SM (1973) The modifying effect of folinic acid on DPH-induced teratogenicity in mice. Toxicol Appl Pharmacol 24: 150–158

    PubMed  CAS  Google Scholar 

  • Schorah CJ, Babibzadeh N, Wild J, Smithells RW, Seller MJ (1993) Possible abnormalities of folate and vitamin Bi2 metabolism associated with neural tube defects. Ann NY Acad Sci 678: 81–91

    PubMed  CAS  Google Scholar 

  • Scott J, Kirke P, Molloy A, Daly L, Weir D (1994) The role of folate in the prevention of neural-tube defects. Proc Nutr Soc 53: 631–636

    PubMed  CAS  Google Scholar 

  • Selhub J (1989) Determination of tissue folate composition by affinity chromatography followed by high-pressure ion pair liquid chromatography. Anal Biochem 182: 84–93

    PubMed  CAS  Google Scholar 

  • Selhub J, Dhar GJ, Rosenberg IH (1978) Inhibition of folate enzymes by sulfasalazine. J Clin Invest 61: 221–224

    PubMed  CAS  Google Scholar 

  • Seller MJ (1994) Vitamins, folic acid and the cause and prevention of neural tube defects. Ciba Found Symp 181: 161–173

    PubMed  CAS  Google Scholar 

  • Shane B, Stokstad ELR (1984) Folates in the synthesis and catabolism of histidine. In: Blakley RL, Benkovic SJ (eds) Folates and pterins, vol 1. Chemistry and biochemistry of folates. Wiley, New York, pp 433–455

    Google Scholar 

  • Skalko RG, Gold MP (1974) Teratogenicity of methotrexate in mice. Teratology 9: 159–164

    PubMed  CAS  Google Scholar 

  • Smith DB, Carl GF (1982) Interactions between folates and carbamazepine or valproate in the rat. Neurology 32: 965–969

    PubMed  CAS  Google Scholar 

  • Smithells RW, Sheppard S, Schorah CJ (1976) Vitamin deficiencies and neural tube defects. Arch Dis Child 51: 944–950

    PubMed  CAS  Google Scholar 

  • Smithells RW, Sheppard S, Schorah CJ, Seller MJ, Nevin NC, Harris R, Read AP, Fielding DW (1980) Possible prevention of neural-tube defects by periconceptional vitamin supplementation. Lancet i: 339–340

    PubMed  CAS  Google Scholar 

  • Smithells RW, Nevin NC, Seller MJ, Sheppard S, Harris R, Read AP, Fielding DW, Walker S, Schorah CJ, Wild J (1983) Further experience of vitamin supplementation for prevention of neural tube defect recurrences. Lancet i: 1027–1031

    Google Scholar 

  • Spector I, Green R, Bowes D, Cohen H, Miller S, Metz J (1973) Trimethoprim-sul-phamethoxazole therapy and folate nutrition. S Afr Med J 47: 1230–1232

    PubMed  CAS  Google Scholar 

  • Stabler SP, Marcell PD, Podell ER, Allen RH, Savage DG, Lindenbaum J (1988) Elevation of total homocysteine in the serum of patients with cobalamin or folate deficiency detected by capillary gas chromatography-mass spectrometry. J Clin Invest 81: 466–474

    PubMed  CAS  Google Scholar 

  • Stabler SP, Lindenbaum J, Savage DG, Allen RH (1993) Elevation of serum cystathionine levels in patients with cobalamin and folate deficiency. Blood 81: 3404–3413

    PubMed  CAS  Google Scholar 

  • Stedman DB, Welsch F (1989) Inhibition of DNA synthesis in mouse whole embryo culture by 2-methoxyacetic acid and attenuation of the effects by simple physiological compounds. Toxicol Lett 45: 111–117

    PubMed  CAS  Google Scholar 

  • Steegers-Theunissen RPM, Boers GHJ, Trijbels FJM, Eskes TKAB (1991) Neural-tube defects and derangement of homocysteine metabolism. N Engl J Med 324: 199

    PubMed  CAS  Google Scholar 

  • Steegers-Theunissen RPM, Boers GHJ, Trijbels FJM, Finkelstein JD, Blom HJ, Thomas CMG, Borm GF, Wouters MGAJ, Eskes TKAB (1994) Maternal hy-perhomocysteinemia: a risk factor for neural-tube defects? Metabolism 43: 1475–1480

    PubMed  CAS  Google Scholar 

  • Stephan-Guldner M (1993) Preclinical toxicology and safety pharmacology of brodi-moprim in comparison to trimethoprim and analogs. J Chemother 5: 400–410

    PubMed  CAS  Google Scholar 

  • Sulik KK, Johnston MC, Webb MA (1981) Fetal alcohol syndrome: embryogenesis in a mouse model. Science 214: 936–938

    PubMed  CAS  Google Scholar 

  • Sullivan FM, MeElhatton PR (1975) Teratogenic activity of the antiepileptic drugs phenobarbital, phenytoin, and primidone in mice. Toxicol Appl Pharmacol 34: 271–282

    PubMed  CAS  Google Scholar 

  • Tangapregassom A-M, Tangapregassom M-J, Horvath C, Trecul M, Boucher-Ehren-sperger M, Petter C (1985) Vascular anomalies and pyrimethamine-induced malformations in the rat. Teratogen Carcinog Mutagen 5: 55–62

    CAS  Google Scholar 

  • Thiersch JB (1952) Therapeutic abortions with a folic acid antagonist, 4-aminopter-oylglutamic acid (4-amino P.G.A.) administered by the oral route. Am J Obstet Gynecol 63: 1298–1304

    PubMed  CAS  Google Scholar 

  • Thiersch JB (1954) Effect of certain 2,4-diaminopyrimidine antagonists of folic acid on pregnancy and rat fetus. Proc Soc Exp Biol Med 87: 571–577

    PubMed  CAS  Google Scholar 

  • Thiersch JB, Philips FS (1950) Effect of 4-aminopteroylglutamic acid (aminopterin) on early pregnancy. Proc Soc Exp Biol Med 74: 204–208

    PubMed  CAS  Google Scholar 

  • Trotz M, Wegner C, Nau H (1987) Valproic acid-induced neural tube defects: reduction by folinic acid in the mouse. Life Sci 41: 103–110

    PubMed  CAS  Google Scholar 

  • Udall V (1969) Toxicology of sulphonamide-trimethoprim combinations. Postgrad Med J 45 [Suppl]: 42–45

    PubMed  CAS  Google Scholar 

  • VanAerts LAGJM, Klaasboer HH, Postma NS, Pertijs JCLM, Peereboom JHJC, Eskes TKAB, Noordhoek J (1993) Stereospecific in vitro embryotoxicity of L-homocysteine in pre-and post-implantation rodent embryos. Toxicol In Vitro 7: 743–749

    PubMed  Google Scholar 

  • VanAerts LAGJM, Blom HJ, DeAbreu RA, Trijbels FJM, Eskes TKAB, Peereboom-Stegeman JHJC, Noordhoek J (1994) Prevention of neural tube defects by and toxicity of L-homocysteine in cultured post-implantation rat embryos. Teratology 50: 348–360

    Google Scholar 

  • Van der Weide J, Homan HC, Cozijnsen-van Rheenen E, Vivie-Kipp Y, Poortman J, Kraaijenhagen RJ (1992) Nonisotopic binding assay for measuring vitamin Bi2 and folate in serum. Clin Chem 38: 766–768

    PubMed  Google Scholar 

  • Wagner C (1995) Biochemical role of folate in cellular metabolism. In: Bailey LB (ed) Folate in health and disease. Dekker, New York, pp 23–42

    Google Scholar 

  • Wald N (1993) Folic acid and the prevention of neural tube defects. Ann NY Acad Sci 678: 112–129

    PubMed  CAS  Google Scholar 

  • Warkany J (1978) Aminopterin and methotrexate: folic acid deficiency. Teratology 17: 353–357

    PubMed  CAS  Google Scholar 

  • Wegner C, Nau H (1991) Diurnal variation of folate concentrations in mouse embryo and plasma: the protective effect of folinic acid on valproic acid-induced teratogenicity is time dependent. Reprod Toxicol 5: 465–471

    PubMed  CAS  Google Scholar 

  • Wegner C, Nau H (1992) Alteration of embryonic folate metabolism by valproic acid during organogenesis: implications for mechanism of teratogenesis. Neurology 42 [Suppl 5]: 17–24

    PubMed  CAS  Google Scholar 

  • Wegner C, Trotz M, Nau H (1986) Direct determination of folate monoglutamates in plasma by high-performance liquid chromatography using an automatic pre-column-switching system as sample clean-up procedure. J Chromatogr 378: 55–65

    PubMed  CAS  Google Scholar 

  • Wegner C, Trotz M, Nau H (1987) Folate supplementation and deficiency in experimental valproate-induced teratogenesis. In: Nau H, Scott WJ (eds) Pharmacokinetics in teratogenesis: experimental aspects in vivo and in vitro, vol 2. CRC, Boca Raton, pp 4–10

    Google Scholar 

  • Welsch F, Sleet RB, Greene JA (1987) Attenuation of 2-methoxyethanol and me-thoxyacetic acid-induced digit malformations in mice by simple physiological compounds: implications for the role of further metabolism of methoxyacetic acid in developmental toxicity. J Biochem Toxicol 2: 225–240

    PubMed  CAS  Google Scholar 

  • Werler MM, Shapiro S, Mitchell AA (1993) Periconceptional folic acid exposure and risk of occurrent neural tube defects. J Am Med Assoc 269: 1257–1261

    CAS  Google Scholar 

  • Wild J, Seller MJ, Schorah CJ, Smithells RW (1994) Investigation of folate intake and metabolism in women who have had two pregnancies complicated by neural tube defects. Br J Obstet Gynaecol 101: 197–202

    PubMed  CAS  Google Scholar 

  • Wynter JM, Walsh DA, Webster WS, McEwen SE, Lipson AH (1983) Teratogenesis after acute alcohol exposure in cultured rat embryos. Teratogen Carcinog Mutagen 3: 421–428

    CAS  Google Scholar 

  • Yates JRW, Ferguson-Smith MA, Shenkin A, Guzman-Rodriguez R, White M, Clark BJ (1987) Is disordered folate metabolism the basis for the genetic predisposition to neural tube defects? Clin Genet 31: 279–287

    PubMed  CAS  Google Scholar 

  • Zhu M, Zhou S (1989) Reduction of the teratogenic effects of phenytoin by folic acid and a mixture of folic acid, vitamins, and amino acids: a preliminary trial. Epilepsia 30: 246–251

    PubMed  CAS  Google Scholar 

  • Zimmerman J, Selhub J, Rosenberg IH (1986) Competitive inhibition of folic acid absorption in rat jejenum by triamterene. J Lab Clin Med 108: 272–276

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hansen, D.K. (1997). Alterations in Folate Metabolism as a Possible Mechanism of Embryotoxicity. In: Kavlock, R.J., Daston, G.P. (eds) Drug Toxicity in Embryonic Development I. Handbook of Experimental Pharmacology, vol 124 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60445-4_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60445-4_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64408-5

  • Online ISBN: 978-3-642-60445-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics