[63] Folic acid supplements have little established role in cancer chemotherapy. Molecular Formula C 19 H 19 N 7 O 6; Average mass 441.397 Da; Monoisotopic mass 441.139679 Da; ChemSpider ID 5815 Unfortunately, none have been approved for clinical use yet. Folic acid has a molecular structure that is nearly identical to folate. As of the 27 May 2016 update, it was kept unchanged at 400 μg. An N-acyl-amino acid that is a form of the water-soluble vitamin B9. [9] It occurs naturally in many foods. [137] The term "folic" is from the Latin word folium (which means leaf) because it was found in dark-green leafy vegetables. [39] Prenatal supplementation with folic acid did not appear to reduce the risk of preterm births. [105][106] Compliance with the updated labeling regulations was required by 1 January 2020 for manufacturers with US$10 million or more in annual food sales, and by 1 January 2021 for manufacturers with lower volume food sales. Some of these large cells, although immature (reticulocytes), are released early from the marrow in an attempt to compensate for the anemia. [70], Some evidence links a shortage of folate with clinical depression. A meta-analysis of global birth prevalence of spina bifida showed that when mandatory fortification was compared to countries with voluntary fortification or no fortification program, there was a 30% reduction in live births with spina bifida,[37] with some countries reporting a greater than 50% reduction. [1], Not consuming enough folate can lead to folate deficiency. Glutamic acid is an amino acid that the body can actually synthesize by itself and is found in proteins. [67] However, several reviews reported that supplementation with folic acid alone or in combination with other B vitamins did not prevent development of cognitive impairment nor slow cognitive decline. Wills demonstrated that anemia could be reversed with brewer's yeast. [13] There are concerns that large amounts of supplemental folic acid can hide vitamin B12 deficiency. [112] For foods that are normally consumed cooked, values in the table are for folate naturally occurring in cooked foods. The structure of folic acid is shown in Figure 7. Sigma-Aldrich offers a number of Folic acid products. März 2007: Quelle: Self-made in BKChem + perl + vim. For folate, 100% RI was set at 200 μg in 2011.[109]. Cats with exocrine pancreatic insufficiency, moreso than dogs, may have low serum folate. The antifolate drug methotrexate is often used to treat cancer because it inhibits the production of the active tetrahydrofolate (THF) from the inactive dihydrofolate (DHF). [75], A complex interaction occurs between folic acid, vitamin B12, and iron. [97] Thus, a deficiency in B12 can cause accumulation of methyl-THF, mimicking folate deficiency. [1] Folate deficiency in children may develop within a month of poor dietary intake. [126] As of December 2018, 62 countries mandated food fortification with folic acid. [12] Two older meta-analyses, which would not have incorporated results from newer clinical trials, reported no changes to the risk of cardiovascular disease. In dog breeds at risk for cleft lip and cleft palate dietary folic acid supplementation significantly decreased incidence. [34] NTDs occur early in pregnancy (first month), therefore women must have abundant folate upon conception and for this reason there is a recommendation that any woman planning to become pregnant consume a folate-containing dietary supplement before and during pregnancy. [86], Alternative carbon sources include formate which by the catalytic action of formate–tetrahydrofolate ligase add a 1C unit to THF to yield 10-formyl-THF. [82] A second enzyme, methylenetetrahydrofolate dehydrogenase (MTHFD2)[85] oxidizes 5,10-methylenetetrahydrofolate to an iminium cation which in turn is hydrolyzed to produce 5-formyl-THF and 10-formyl-THF. Folinic acid is an adjuvant used in cancer chemotherapy involving the drug methotrexate. [38], Folic acid is added to grain products in more than 80 countries, either as required or voluntary fortification,[11][36] and these fortified products make up a significant source of the population's folate intake. RNA transcription and subsequent protein synthesis are less affected by folate deficiency, as the mRNA can be recycled and used again (as opposed to DNA synthesis, where a new genomic copy must be created). [2], Bob Stokstad isolated the pure crystalline form in 1943, and was able to determine its chemical structure while working at the Lederle Laboratories of the American Cyanamid Company. For this reason, bacteria must synthesize folic acid from PABA. [135] In 1931, researcher Lucy Wills made a key observation that led to the identification of folate as the nutrient required to prevent anemia during pregnancy. It is used as it is more stable during processing and storage. The United States Department of Agriculture, Agricultural Research Service maintains a food composition database from which folate content in hundreds of foods can be searched as shown in the table. [135] In the late 1990s, the U.S. and Canadian governments decided that despite public education programs and the availability of folic acid supplements, there was still a challenge for women of child-bearing age to meet the daily folate recommendations, which is when those two countries implemented folate fortification programs. [56] Supplementation with folic acid at 1,000 to 2,500 μg/day – the amounts used in many of the supplement trials[13][56] – would result in higher concentrations of serum folate than what is achieved from diets high in food-derived folate. For U.S. food and dietary supplement labeling purposes the amount in a serving is expressed as a percent of Daily Value (%DV). Bone marrow depression (inducing leukopenia and thrombocytopenia) and acute kidney and liver failure have been reported. These values differ somewhat from the U.S. A pterin (2-amino-4-hydroxy-pteridine) heterocyclic ring is linked by a methylene bridge to a p-aminobenzoyl group that in turn is bonded through an amide linkage to either glutamic acid or poly-glutamate. IPR-MUS LD50 85 mg kg-1, IVN-GPG LD50 120 mg kg-1, IVN-MUS LD50 239 mg kg-1, IVN-RAT LD50 500 mg kg-1, IVN-RBT LD50 410 mg kg-1, Organic Compound; Amine; Amide; Ester; Drug; Hematinic; Vitamin B Complex; Food Toxin; Dietary Supplement; Micronutrient; Metabolite; Nutraceutical; Household Toxin; Fungal Toxin; Natural Compound; Supplement, CAUTION: May irritate eyes, skin, and respiratory tract. An erythrocyte folate level of 140 μg/L or lower indicates inadequate folate status. Incompatible with heavy metal ions, strong oxidizing agents, strong reducing agents.Solutions may be light and heat sensitive. The EFSA reviewed the safety question and agreed with United States that the UL be set at 1,000 μg. [12][47] The beneficial result may be associated with lowering circulating homocysteine concentration, as stratified analysis showed that risk was reduced more when there was a larger decrease in homocysteine. [97] This historical research project, of obtaining folic acid in a pure crystalline form in 1945, was done by the team called the "folic acid boys," under the supervision and guidance of Director of Research Dr. Yellapragada Subbarow, at the Lederle Lab, Pearl River, NY. Some cereals contain 100% of the daily value of folic acid a woman should take per day. [36], Veterinarians may test cats and dogs if a risk of folate deficiency is indicated. 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