2013
DOI: 10.1002/dvdy.23922
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Folate, Homocysteine and the Cardiac Neural Crest

Abstract: Congenital heart defects (CHD) are the most common congenital defects worldwide, and perigestational folate supplementation (PFS) is the most effective large-scale intervention to date for reducing CHD. This review is based upon the following premises: that the majority of CHD result from disruption of development of the cardiac neural crest (CNC); and that the CNC is highly responsive to folate and homocysteine. The following roles of folate are discussed in relation to CNC development: one-carbon metabolism … Show more

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Cited by 41 publications
(31 citation statements)
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References 254 publications
(344 reference statements)
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“…Many teratogens have significant effects on the early development of the cardiovascular system. These include environmental toxins and medications, many which affect neural crest cells (Grimes et al, and reviewed in van Gelder et al, ; Rosenquist, ). Two important classes of teratogenic mechanisms discussed by van Gelder et al (), “folate antagonism” and “neural crest disruption” may be at work in inducing CHDs.…”
Section: Teratogens Disturb Neural Crest Cellsmentioning
confidence: 99%
See 1 more Smart Citation
“…Many teratogens have significant effects on the early development of the cardiovascular system. These include environmental toxins and medications, many which affect neural crest cells (Grimes et al, and reviewed in van Gelder et al, ; Rosenquist, ). Two important classes of teratogenic mechanisms discussed by van Gelder et al (), “folate antagonism” and “neural crest disruption” may be at work in inducing CHDs.…”
Section: Teratogens Disturb Neural Crest Cellsmentioning
confidence: 99%
“…Too low or too high levels of retinoic acid (RA) signaling are known to cause cardiac and other effects very similar to those observed after neural crest ablation (Sinning, ; Zile, ; Pan and Baker, ). Lithium, elevated homocysteine, and ethanol may work through a common pathway, the one carbon cycle, that is rescued by folate and other compounds (Linask and Laties, ; Han et al, ; Linask and Huhta, and reviewed in van Gelder et al, ; Rosenquist, ). This link to a common pathway suggests that an understanding of how one teratogen causes defects may elucidate a general mechanism that might be activated by other teratogens.…”
Section: Teratogens Disturb Neural Crest Cellsmentioning
confidence: 99%
“…Folate provides methyl groups for DNA methylation (Fox, & Stover, 2008) and is shown to be critical for the formation of craniofacial structures (Jiang, Bush, & Lidral, 2006;Rosenquist, 2013). The folate level and provided methyl group are influenced by the key enzyme encoded by methyltetrahydrofolate reductase (MTHFR) gene (van der Put et al, 1995).…”
Section: Introductionmentioning
confidence: 99%
“…Methylation from folates also occurs in a cycle that generates methionine. Within this cycle, methyl groups can also be removed from methionine leading to homocysteine, a nonprotein amino acid that, if accumulating at high serum levels, can lead to vascular inflammation and ischemic injury, and can also be teratogenic during embryonic development [reviewed by Rosenquist, 2013]. This cycle requires folate to provide methyl groups.…”
Section: Introductionmentioning
confidence: 99%