“…Numerous mechanisms have been proposed by which VPA may disrupt NT closure. These include epigenetic dysregulation ( Tung and Winn, 2010 ), inhibition of folate metabolism ( Fathe et al, 2014 , Roy et al, 2008 , Semmler et al, 2017 ), suppression of nitric oxide signalling ( Tiboni et al, 2013 , Tiboni and Ponzano, 2015 ) and increased reactive oxygen species production ( Akimova et al, 2017 , Tung and Winn, 2011 ). In addition, VPA's anti-acetylation effects may disrupt post-translational modifications of other effector proteins including those involved in actin regulation.…”