Folic acid
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Folic acid

Folic acid and folate (the anion form) are forms of a water-soluble B vitamin. These occur naturally in food and can also be taken as supplements. Folate gets its name from the Latin word folium, leaf. more...

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History

A key observation of researcher Lucy Wills nearly 70 years ago led to the identification of folate as the nutrient needed to prevent the anemia of pregnancy. Dr. Wills demonstrated that the anemia could be corrected by a yeast extract. Folate was identified as the corrective substance in yeast extract in the late 1930s and was extracted from spinach leaves in 1941.

Biological roles

Folate is necessary for the production and maintenance of new cells. This is especially important during periods of rapid cell division and growth such as infancy and pregnancy. Folate is needed to replicate DNA and synthesize RNA. It also helps prevent changes to DNA that may lead to cancer. Both adults and children need folate to make normal red blood cells and prevent anemia.

Biochemistry

In the form of a series of tetrahydrofolate compounds, folate derivatives are coenzymes in a number of single carbon transfer reactions biochemically, and also is involved in the synthesis of dTMP (2'-deoxythymidine-5'-phosphate) from dUMP (2'-deoxyuridine-5'-phosphate).

The pathway in the formation of tetrahydrofolate (FH4) is the reduction of folate (F) to dihydrofolate (FH2) by folate reductase, and then the subsequent reduction of dihydrofolate to tetrahydrofolate (FH4) by dihydrofolate reductase.

Methylene tetrahydrofolate (CH2FH4) is formed from tetrahydrofolate by the addition of methylene groups from one of three carbon donors: formaldehyde, serine, or glycine. Methyl tetrahydrofolate (CH3–FH4) can be made from methylene tetrahydrofolate by reduction of the methylene group, and formyl tetrahydrofolate (CHO-FH4, folinic acid) is made by oxidation of the methylene tetrahydrofolate.

In other words:

F → FH2 → FH4 → CH2=FH4 → 1-carbon chemistry

A number of drugs interfere with the biosynthesis of folic acid and tetrahydrofolate. Among them are the dihydrofolate reductase inhibitors (such as trimethoprim and pyrimethamine, the sulfonamides (competitive inhibitors of para-aminobenzoic acid in the reactions of dihydropteroate synthetase) and the anticancer drug methotrexate (inhibits both folate reductase and dihydrofolate reductase).

Recommended Dietary Allowance for folate

The Recommended Dietary Allowance (RDA) is the average daily dietary intake level that is sufficient to meet the nutrient requirements of nearly all (97 to 98 percent) healthy individuals in each life-stage and gender group. The 1998 RDAs for folate are expressed in a term called the Dietary Folate Equivalent (DFE). This was developed to help account for the differences in absorption of naturally-occurring dietary folate and the more bioavailable synthetic folic acid. The 1998 RDAs for folate expressed in micrograms (µg) of DFE for adults are:

Read more at Wikipedia.org


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Folic acid mouthwash for gingivitis
From Townsend Letter for Doctors and Patients, 6/1/05 by Alan R. Gaby

Thirty dental students and auxiliary personnel (aged 21-32 years) were randomly assigned, in double-blind fashion, to rinse their mouths for 5 minutes twice a day with 5 ml (1 teaspoon) of either a 0.1% folic acid solution or placebo solution. After 60 days of treatment, gingival inflammation, as assessed by the gingival index and bleeding index, was significantly less in the folic acid group than in the placebo group.

[ILLUSTRATION OMITTED]

Comment: Several studies have shown that folic acid supplementation can improve gingivitis. Topical application of folic acid, as in a mouth rinse, has been found to be more effective than oral ingestion of a similar amount of the vitamin. It has been suggested that a localized deficiency of folic acid plays a role in the development of gingivitis, and that this deficiency can be corrected by bathing the gingival tissues in folic acid.

Folic acid has also been used to treat phenytoin (dilantin)-induced gingival hyperplasia. Although this treatment may improve gum health, it should be used with caution, because large doses of folic acid (more than 1 mg/day) have the potential to interfere with the anticonvulsant effect of phenytoin. On the other hand, treatment with phenytoin frequently causes folic acid deficiency, so people taking this drug should receive at least a modest dose of supplemental folic acid.

Vogel RI, et al. The effect of topical application of folic acid on gingival health. J Oral Med 1978;33:20-22.

by Alan R. Gaby, MD

301 Dorwood Drive * Carlisle, Pennsylvania 17013

COPYRIGHT 2005 The Townsend Letter Group
COPYRIGHT 2005 Gale Group

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