Medicines associated with folate-homocysteine-methionine pathway disruption
| Autor: | Jasna Grželj, M. Vidmar, M. Sollner Dolenc, Ksenija Gersak, Irena Mlinarič-Raščan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Homocysteine Health Toxicology and Mutagenesis Physiology 010501 environmental sciences Folic Acid Deficiency Toxicology 01 natural sciences Cobalamin 03 medical and health sciences chemistry.chemical_compound Folic Acid Methionine Pregnancy Genetic predisposition Medicine Humans Vitamin B12 Risk factor Enzyme Inhibitors 0105 earth and related environmental sciences business.industry Folate supplementation Vitamin B 12 Deficiency General Medicine Thymidylate Synthase Tetrahydrofolate Dehydrogenase 030104 developmental biology chemistry Toxicity Folic Acid Antagonists Female business |
| Zdroj: | Archives of toxicology. 93(2) |
| ISSN: | 1432-0738 |
| Popis: | Folate is vital for cell development and growth. It is involved in one-carbon transfer reactions essential for the synthesis of purines and pyrimidines. It also acts in conjunction with cobalamin (vitamin B12) as a fundamental cofactor in the remethylation cycle that converts homocysteine to methionine. A deficiency in folate or vitamin B12 can lead to elevated homocysteine level, which has been identified as an independent risk factor in several health-related conditions. Adequate folate levels are essential in women of childbearing age and in pregnant women, and folate deficiency is associated with several congenital malformations. Low folate levels can be caused by dietary deficiencies, a genetic predisposition or treatment with medicines that affect folate concentration. Women who are pregnant or of child-bearing age commonly use medicines, so it is important to identify the basic biochemical mechanisms by which medicines interfere with the folate–homocysteine–methionine pathway. This review focuses on prescription medicines associated with folate disruption. It also summarizes their undesirable/toxic effects. Recommendations regarding folate supplementation during medical therapy are also reviewed. |
| Databáze: | OpenAIRE |
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