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Characterization of folic acid,5-methyltetrahydrofolate and synthetic folinic acid in the high-affinity folate transporters:impact on pregnancy and development

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Reproductive and Developmental Medicine 2023年第2期7卷 102-107页

作者： Ana M.Palacios Rachel A.Feiner Robert M.Cabrera Department of Nutritional Sciences Dell Pediatric Research InstituteUniversity of Texas at AustinAustinTexas Department of Health Policy and Community Health Jiann Ping Hsu College of Public HealthGeorgia Southern UniversitySavannahGeorgia Department of Behavioral Neuroscience College of ScienceNortheastern UniversityBostonMassachusetts Center for Precision Environmental Health Baylor College of MedicineHoustonTexas

Objectives:Folates are B vitamins that are essential for several molecular,cellular,and biological processes,including nucleotide synthesis,methylation,and methionine cycling.The physiological impacts of these processes on health also extend to cell proliferation,folate deficiency anemia,and reduction of the risk of birth defects during pregnancy.The primary objective of this study was to characterize the binding affinities of different folate forms,folic acid(FA),5-methyltetrahydrofolate(5MTHF),and folinic acid,to the folate receptorsαandβ,and to the bovine milk folate binding protein.These three dietary forms of folate are found in enriched grains(FA),various fruits and leafy vegetables(folinic acid),and red blood cells(5MTHF).Methods:The half maximal inhibitory concentration values and binding curves of each of these folates for each receptor were determined.Results:Our results indicated that FA had the highest affinity for all folate receptors,followed by 5MTHF,and lastly,by folinic acid,examined by several orders of magnitudes.Conclusion:These data are expected to provide new insights into the therapeutic applications of the different forms of folate in a variety of diseases.

关键词： 5-methyltetrahydrofolate folic acid folinic acid folate receptorα folate receptorβ affinity

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Efficacy of folinic acid in Comparison to Folic acid for Reducing Side Effects of Methotrexate in Children with Juvenile Idiopathic Arthritis

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Open Journal of Pediatrics 2023年第2期13卷 170-180页

作者： Sazida Islam Mohammad Zahirul Islam Khan Kamrul Laila Mohammed Mahbubul Islam Shahana A. Rahman Ibn Sina D. Lab and Consultation Center Dhaka Bangladesh Department of Paediatrics 250 Beded General Hospital Gopalganj Bangladesh Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

Background: Methotrexate (MTX) is the most effective and commonly used disease-modifying anti-rheumatic drug in the management of juvenile idiopathic arthritis. Several patients develop side effects, which may lead to low quality of life and non-compliance to MTX. To reduce MTX-induced side effects, folic acid supplementation is prescribed by most rheumatologists. Even after that, some patients have symptoms while receiving MTX. Objectives: To assess the efficacy of folinic acid in comparison to folic acid for reducing the side effects of MTX in JIA patients. Material and methods: In this prospective observational study, newly diagnosed cases of JIA who would be getting MTX were included by purposive sampling. Data were collected using a predesigned questionnaire. Among 40 patients, 20 received folinic acid (Group A), and 20 received folic acid (Group B). Disease activity levels were assessed by JADAS-27 (Juvenile Arthritis Disease Activity Score). Contents from the MISS (MTX Intolerance severity score) questionnaire were used to assess the side effects. All patients were evaluated at baseline, 6th, and 12th weeks. Results: There were significant differences in the frequency of MTX-related adverse events between folinic acid (Group A) and folic acid (Group B). Group A patients only had nausea (10% and 15% in the 6th & 12th week respectively) and vomiting (5% at both follow-ups). On the other hand, in addition to nausea (70% and 95% in the 6th & 12th week) and vomiting (20% and 90% in the 6th & 12th week), folic acid group patients had restlessness, crying, and irritability. Self-discontinuation of MTX was present in the folic acid group (5% & 10% in the 6th & 12th week). Improvement of disease activity was more in the folinic acid group. Conclusion: The folinic acid group had significantly fewer side effects. Improvement of disease activity was more and compliance was also better among them. Methotrexate (MTX) is the most effective and commonly used disease-modifying anti-rheumatic drug in the management of juven

关键词： folinic acid Folic acid Adverse Events Disease Activity

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