folate Flashcards

1
Q

What is folate also known as?

A

Vitamin B9

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2
Q

What are sources of folate? what is the RDI based off?

A

Plant sources: Dark green leafy vegetables (spinach, kale), legumes (lentils, beans), fruits (oranges, avocados).
Animal sources: Liver, eggs, dairy products.
Fortified foods: Cereals, grains, and synthetic folic acid supplements.

-the RDI is based off the amount of folate that can maintain folate levels in RBC

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3
Q

How does the bioavailability of food folate compare to synthetic folic acid?

A

Food folate: Less than 50% bioavailable due to polyglutamate form and losses during digestion.

Synthetic folic acid: 1.7 times more bioavailable because it is already in monoglutamate form.

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4
Q

How is folate stored in the body? how is it transported?

A

In polyglutamate form, which enhances retention within cells but must be converted to monoglutamate for absorption/transportation

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5
Q

What are the 3 metabolic functions of folate?

A

1) methylation rxns
2) Nucleic acid synthesis
3) Amino acid metabolism

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6
Q

what is the primary active form of folate? how is it created? what enzyme is involved?

A

Tetrahydrofolate (THF)

1) Conversion of Folic acid into Dihydrofolate (DHF) using dihydrofolate reductase (DHFR)
2) Conversion into tetrahydrofolate using DHFR

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7
Q

What is the general pathway of folate metabolism?

A

1) Folate is ingested as polyglutamate and converted to monoglutamate for absorption.
2) Transported in the blood as 5-methyltetrahydrofolate (5-MTHF).
3) Converted inside cells into various active folate derivatives.
4) Used in DNA synthesis, amino acid metabolism, and methylation reactions.

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8
Q

what is THF converted into in the folate cycle? what enzyme is involed?

A

converted into 5,10-methylene tetrahydrofalate
-serine hydroxymethyltransferase (SHMT) is used

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9
Q

why is the generation of 5-methyl tetrahydrofolate important? how is this done? what is the impact of 5-MTHF deficiency?

A

The creation of 5-methyltetrahydrofolate is needed because 5-MTHF is needed to remove methionine from homocysteine
-generation of methionine causes methylation rxn’s
-without 5-MTHF homocysteine accumlation would occur, increasing CVD and neurodegenerative disorder risks

Methylenetetrahydrofolate reductase (MTHFR) is used to convert 5,10-methylene tetrahydrofolate to 5-methyl tetrahydrofolate

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10
Q

what are the structural properties of folate?

A

Folate has a polyglutamate structure (storage form) and can also be found as a monoglutamate structure
-easier to transport monoglutamate

N-5 and N-10 positions allow for 1-C substituents to bind

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11
Q

What are the three major folate derivatives and their functions?

A

1) Tetrahydrofolate (THF) – Accepts one-carbon units for metabolism

2) 5,10-Methylene-THF – Used in DNA synthesis (thymidine formation)

3) 5-Methyl-THF (5-MTHF) – Required for homocysteine → methionine conversion

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12
Q

How is folate involved in histidine metabolism? what occurs with a folate deficiency?

A

1) Histidine is converted to formiminoglutamate (FIGLU)

2) FIGLU donates a formimino group to THF, forming 5,10-methenyl-THF

Folate deficiency leads to FIGLU accumulation, which is used as a diagnostic marker for folate status

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13
Q

What role does folate play in pyrimidine synthesis? what else is generated? what enzyme is involved?

A

N5,N10-methylene-THF donates a methyl group required to convert dUMP to dTMP, generating DHF + dTMP (pyrimidine used in DNA synthesis)
-thymidylate synthetase

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14
Q

How is the DHF from the generation of dTMP converted back to N5,N10-Methylene-THF?

A

1) conversion to THF by dihydrofolate reductase (DHFR)
2) conversion to N5,N10-Methylene-THF by serine hydroxymethyl transferase

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15
Q

How does methotrexate affect pyrimidine synthesis?

A

-Inhibits dihydrofolate reductase (DHFR), preventing the conversion of DHF → THF,
-Traps DHF in the cell
-Prevents use of N5,N10-methylene-THF from being used to methylate
-blocks DNA replication
-effective chemotherapy drug.

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16
Q

What is the role of folate in purine synthesis? what purines does it affect? what type of enzyme is involved?

A

10-formyl-THF, donates formyl groups required for the synthesis of adenine (AMP) and guanine (GMP) nucleotides using a transformylase

17
Q

How does the production of methionine cause methylation reactions to occur?

A

Methionine is used to produce S-adenosylmethionine (SAM)/AdoMet, a primary methyl donor

18
Q

what vitamin is needed for the generation of methionine?

19
Q

How is THF converted into 5,10-methylene-THF? what vitamin is involved? what aa are needed? how is this rxn involved in the methionine cycle?

A

a mehtylene group is donated from serine to generate 5,10-methylene-THF
-uses B6 as a cofactor

this reaction is needed generate 5,10-methylene-THF, which is converted to methyl-THF, which is used to donate a methyl group to homocysteine, generating methionine

20
Q

what is the only way our body can yield free THF?

A

through methionine synthase (MS)
-deamination of methyl-THF

21
Q

how is PLP involced in the folate cycle?

A

PLP is involved in the generation of cysteine from homocysteine

22
Q

how is niacin and riboflavin involved in the folate cycle?

A

niacin: NADPH used in the conversion of 5,10-methylene-THF to methyl-THF

riboflavin: FAD used as a prosthetic group in the same rxn
-methyl-THF reductase is the enzyme

23
Q

How does folate influence epigenetics? provide 4 examples

A

1) DNA methylation
2) Histone methylation
3) Sterol methylation
4) Phospholipid methylation
-regulation of gene expression and cell differentiation

Insufficient folate can lead to abnormal gene activation or suppression

24
Q

What is the RDI of folate for adults? pregnant women? the UL? what is this measured in

A

adults: 400 µg DFE/day
Pregnant: 600 µg DFE/day
UL: 1mg/day (can mask B12 deficiency)
-dietary folate equivalents

25
What form of folate is found in food? where is folic acid found?
Polyglutamate form bound to proteins -folic acid only found in fortified foods
26
What factors can reduce folate absorption?
* Alcohol * Certain drugs (e.g., methotrexate) * Gastrointestinal disorders
27
What is required for the absorption of folate in the small intestine?
Reduced Folate Carrier (RFC) and folate binding proteins (FBP)
28
how do monoglutamates vs polyglutamates differ?
monoglutamates are membrane transportable while polyglutamates are intracellular and important for activity and storage -THF if trapped in the cell in this form
29
What condition is caused by impaired DNA synthesis in red blood cells due to folate deficiency?
Megaloblastic anemia
30
what are causes of folate deficiency?
poor diet, malabsorption, metabolic disorders, demographic factors
31
How do MTHFR gene mutations affect folate metabolism? what is normal? what does this mean? what is abnormal? what does this mean?
Reduces MTHFR enzyme activity, leading to lower levels of folate in RBC CC: normal, highest level of folate in RBC TT: polymorphism, low level of folate in RBC (doubles the risk of neural tube defects)
32
how is folate status determined?
1) serum folate (short term) 2) RBC folate (longer term, reflects tissue depletion)
33
True or False: Folate deficiency can lead to increased risk of cardiovascular disease.
True
34
Fill in the blank: The enzyme that converts 5,10-methylene-THF to 5-MTHF is called _______.
methylenetetrahydrofolate reductase (MTHFR)
35
What is the consequence of high folic acid intake?
It can mask vitamin B12 deficiency
36
What is the relationship between folate and cancer risk?
Adequate folate protects against DNA damage; excess folate may promote cancer cell proliferation
37
How does folate prevent neural tube defects (NTDs)?
Folate is essential for neural tube closure within the first 28 days of pregnancy Folate deficiency or MTHFR mutations increase the risk of NTDs Mandatory folate fortification (1997, Canada & US) reduced NTD rates significantly