“…In further support of this theory, mothers of cases reported lower absolute intakes in vitamins B6, B12, and choline, but not folate, as well as vitamins C and D, and overall, met a lower proportion of their estimated nutrient requirements. Further, nearly half of DEGs in cases were putatively co-regulated by TFs dependent on nutrients with known links to NTDs, including and zinc 3,4 and inositol 79 , and four of the five nutrient-dependent TFs ( CAT, CTBPR2, TROVE2 , and EP300 ) predicted to regulate DEGs in cases were also identified as top TFs targeting DEGs in fetuses with NTDs in our previous study 35 . Nutrient cofactors for these TFs included zinc, vitamins B3 and B5, inositol hexaphosphate, and heme.…”