Achón M, Alonso-Aperte E, Reyes L, Ubeda N, Varela-Moreiras G
Departamento de Ciencias Biomédicas, Facultad de Ciencias Experimentales y Técnicas, Universidad San Pablo-CEU, Madrid, Spain.
Br J Nutr. 2000 Feb;83(2):177-83.
There is new evidence that a good folate status may play a critical role in the prevention of neural-tube defects and in lowering elevated homocysteine concentrations. This adequate folate status may be achieved through folic acid dietary supplementation. Folate is a water-soluble vitamin with a low potential toxicity. However, the possible consequences of long-term high-dose folic acid supplementation are unknown, especially those related to the methionine cycle, where folate participates as a substrate. With the aim of evaluating such possible effects, four groups of Wistar rats were classified on the basis of physiological status (virgin v. pregnant) and the experimental diet administered (folic-acid-supplemented, 40 mg/kg diet v. control, 2 mg folic acid/kg diet). Animals were fed on the diets for 3 weeks. Results showed that gestation outcome was adequate in both groups regardless of the dietary supplementation. However, there were reductions (P < 0.001) in body weight and vertex-coccyx length in fetuses from supplemented dams v. control animals. Folic acid administration also induced a higher (P < 0.01) S-adenosylmethionine: S-adenosylhomocysteine value due to increased S-adenosylmethionine synthesis (P < 0.01). However, hepatic DNA methylation and serum methionine concentrations remained unchanged. Serum homocysteine levels were reduced in supplemented dams (P < 0.05). Finally, pregnancy caused lower serum folate, vitamin B6 and vitamin B12 levels (P < 0.05). Folic acid administration prevented the effect of pregnancy and raised folate levels in dams, but did not change levels of vitamins B12 and B6. These new findings are discussed on the basis of potential benefits and risks of dietary folic acid supplementation.
有新证据表明,良好的叶酸状态可能在预防神经管缺陷和降低高半胱氨酸浓度方面发挥关键作用。通过膳食补充叶酸可以实现这种充足的叶酸状态。叶酸是一种水溶性维生素,潜在毒性较低。然而,长期高剂量补充叶酸的可能后果尚不清楚,尤其是那些与甲硫氨酸循环相关的后果,在甲硫氨酸循环中叶酸作为底物参与其中。为了评估这些可能的影响,根据生理状态(未孕与怀孕)和给予的实验饮食(补充叶酸,40毫克/千克饮食与对照,2毫克叶酸/千克饮食)将四组Wistar大鼠进行分类。动物喂食这些饮食3周。结果表明,无论饮食补充情况如何,两组的妊娠结局都是良好的。然而,与对照动物相比,补充叶酸的母鼠所产胎儿的体重和顶-尾长度有所降低(P<0.001)。给予叶酸还因S-腺苷甲硫氨酸合成增加(P<0.01)而导致更高的(P<0.01)S-腺苷甲硫氨酸:S-腺苷高半胱氨酸值。然而,肝脏DNA甲基化和血清甲硫氨酸浓度保持不变。补充叶酸的母鼠血清高半胱氨酸水平降低(P<0.05)。最后,怀孕导致血清叶酸、维生素B6和维生素B12水平降低(P<0.05)。给予叶酸可预防怀孕的影响并提高母鼠的叶酸水平,但未改变维生素B12和B6的水平。基于膳食补充叶酸的潜在益处和风险对这些新发现进行了讨论。