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Publication : Inositol prevents folate-resistant neural tube defects in the mouse.

First Author  Greene ND Year  1997
Journal  Nat Med Volume  3
Issue  1 Pages  60-6
PubMed ID  8986742 Mgi Jnum  J:40168
Mgi Id  MGI:87512 Doi  10.1038/nm0197-60
Citation  Greene ND, et al. (1997) Inositol prevents folate-resistant neural tube defects in the mouse [see comments]. Nat Med 3(1):60-6
abstractText  Clinical trials demonstrate that up to 70% of neural tube defects (NTDs) can be prevented by folic acid supplementation in early pregnancy, whereas the remaining NTDs are resistant to folate. Here, we show that a second vitamin, myo-inositol, is capable of significantly reducing the incidence of spinal NTDs in curly tail mice, a genetic model of folate-resistant NTDs. Inositol increases flux through the inositol/lipid cycle, stimulating protein kinase C activity and upregulating expression of retinoic acid receptor beta, specifically in the caudal portion of the embryonic hindgut. This reduces the delay in closure of the posterior neuropore, the embryonic defect that is known to lead directly to spina bifida in curly tail embryos. Our findings reveal a molecular pathway of NTD prevention and suggest the possible efficacy of combined treatment with folate and inositol in overcoming the majority of human NTDs.
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