High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults

Mandatory fortification of food with synthetic folic acid (FA) was instituted in 1998 to reduce the incidence of neural tube defects. Adequate folate status is correlated with numerous health benefits. However, elevated consumption of FA is controversially associated with deleterious effects on heal...

Full description

Bibliographic Details
Main Authors: Khadijah I. Alnabbat, Ali M. Fardous, Aiman Shahab, Andrew A. James, Manhel R. Bahry, Ahmad R. Heydari
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/19/3944
_version_ 1797477601844920320
author Khadijah I. Alnabbat
Ali M. Fardous
Aiman Shahab
Andrew A. James
Manhel R. Bahry
Ahmad R. Heydari
author_facet Khadijah I. Alnabbat
Ali M. Fardous
Aiman Shahab
Andrew A. James
Manhel R. Bahry
Ahmad R. Heydari
author_sort Khadijah I. Alnabbat
collection DOAJ
description Mandatory fortification of food with synthetic folic acid (FA) was instituted in 1998 to reduce the incidence of neural tube defects. Adequate folate status is correlated with numerous health benefits. However, elevated consumption of FA is controversially associated with deleterious effects on health. We previously reported that excess FA mimicked folate depletion in a lymphoblastoid cell line. To explore the impact of FA intake from fortified food, we conducted an observational human study on 33 healthy participants aged 18–40 not taking any supplements. Food intake, anthropomorphic measurements, and blood samples were collected and analyzed. Our results show that individuals belonging to the highest tertile of folic acid intake, as well as ones with the highest folic acid to total folate intake ratio (FAR), display a significantly greater incidence of lymphocyte genomic damage. A decrease in global DNA methylation is observed in the highest tertile of FAR compared to the lowest (<i>p</i> = 0.055). A downward trend in the overall gene expression of select DNA repair and one carbon cycle genes (MGMT, MLH1, UNG, MTHFR, MTR) is noted with increased folate status and FA intake. These results provide supporting evidence that high consumption of FA from fortified foods can precipitate genomic instability in peripheral lymphocyte in vivo.
first_indexed 2024-03-09T21:21:02Z
format Article
id doaj.art-a4cfa46ceeb2465da5bcb4e76a745929
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-09T21:21:02Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-a4cfa46ceeb2465da5bcb4e76a7459292023-11-23T21:22:57ZengMDPI AGNutrients2072-66432022-09-011419394410.3390/nu14193944High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy AdultsKhadijah I. Alnabbat0Ali M. Fardous1Aiman Shahab2Andrew A. James3Manhel R. Bahry4Ahmad R. Heydari5Department of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USADepartment of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USADepartment of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USADepartment of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USADepartment of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USADepartment of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USAMandatory fortification of food with synthetic folic acid (FA) was instituted in 1998 to reduce the incidence of neural tube defects. Adequate folate status is correlated with numerous health benefits. However, elevated consumption of FA is controversially associated with deleterious effects on health. We previously reported that excess FA mimicked folate depletion in a lymphoblastoid cell line. To explore the impact of FA intake from fortified food, we conducted an observational human study on 33 healthy participants aged 18–40 not taking any supplements. Food intake, anthropomorphic measurements, and blood samples were collected and analyzed. Our results show that individuals belonging to the highest tertile of folic acid intake, as well as ones with the highest folic acid to total folate intake ratio (FAR), display a significantly greater incidence of lymphocyte genomic damage. A decrease in global DNA methylation is observed in the highest tertile of FAR compared to the lowest (<i>p</i> = 0.055). A downward trend in the overall gene expression of select DNA repair and one carbon cycle genes (MGMT, MLH1, UNG, MTHFR, MTR) is noted with increased folate status and FA intake. These results provide supporting evidence that high consumption of FA from fortified foods can precipitate genomic instability in peripheral lymphocyte in vivo.https://www.mdpi.com/2072-6643/14/19/3944folatefolic acidexcessUMFAlymphocytemicronuclei
spellingShingle Khadijah I. Alnabbat
Ali M. Fardous
Aiman Shahab
Andrew A. James
Manhel R. Bahry
Ahmad R. Heydari
High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults
Nutrients
folate
folic acid
excess
UMFA
lymphocyte
micronuclei
title High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults
title_full High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults
title_fullStr High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults
title_full_unstemmed High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults
title_short High Dietary Folic Acid Intake Is Associated with Genomic Instability in Peripheral Lymphocytes of Healthy Adults
title_sort high dietary folic acid intake is associated with genomic instability in peripheral lymphocytes of healthy adults
topic folate
folic acid
excess
UMFA
lymphocyte
micronuclei
url https://www.mdpi.com/2072-6643/14/19/3944
work_keys_str_mv AT khadijahialnabbat highdietaryfolicacidintakeisassociatedwithgenomicinstabilityinperipherallymphocytesofhealthyadults
AT alimfardous highdietaryfolicacidintakeisassociatedwithgenomicinstabilityinperipherallymphocytesofhealthyadults
AT aimanshahab highdietaryfolicacidintakeisassociatedwithgenomicinstabilityinperipherallymphocytesofhealthyadults
AT andrewajames highdietaryfolicacidintakeisassociatedwithgenomicinstabilityinperipherallymphocytesofhealthyadults
AT manhelrbahry highdietaryfolicacidintakeisassociatedwithgenomicinstabilityinperipherallymphocytesofhealthyadults
AT ahmadrheydari highdietaryfolicacidintakeisassociatedwithgenomicinstabilityinperipherallymphocytesofhealthyadults