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Multiple genetic and epigenetic factors involved in central nervous system (CNS) development influence the incidence of neural tube defects (NTDs). The beneficial effect of periconceptional folic acid on NTD prevention denotes a vital role for the single-carbon biochemical pathway in NTD genesis. Indeed, NTDs are associated with polymorphisms in a diversity of genes that encode folate pathway enzymes. Recent evidence suggests that CNS development and function, and consequently NTDs, are also associated with epigenetic mechanisms, many of which participate in the folate cycle and its input and output pathways. We provide an overview with select examples drawn from the authors' research.

Citation

Sivan Vadakkadath Meethal, Kirk J Hogan, Chandra S Mayanil, Bermans J Iskandar. Folate and epigenetic mechanisms in neural tube development and defects. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2013 Sep;29(9):1427-33

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PMID: 24013316

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