Literature DB >> 17618758

Transfer of folic acid inside the first-trimester gestational sac and the effect of maternal smoking.

Eric Jauniaux1, Jemma Johns, Beatrice Gulbis, Olivera Spasic-Boskovic, Graham J Burton.   

Abstract

OBJECTIVE: The objective of the study was to investigate the transfer pathways of folic acid inside the first-trimester gestational sac and to evaluate the impact of maternal smoking. STUDY
DESIGN: Folate and cotinine levels were evaluated in maternal serum (n = 125) and coelomic fluid (n = 42), and immunostaining was used to identify folate receptors in placental villi, decidual tissue, and secondary yolk sacs from normal pregnancies at 6-12 weeks' gestation.
RESULTS: Folate receptors-alpha were found on the apical surface of syncytiotrophoblast, uterine glandular epithelial cells, and mesothelial layer of the yolk sac. Significantly higher (P < .05) median folate levels were found in maternal serum than in coelomic fluid. The median folate maternal serum and coelomic levels were significantly (P < .0001 and P < .005) lower in smokers, compared with nonsmokers.
CONCLUSION: Uterine glands and the secondary yolk sac play key roles in supplying folic acid to the developing fetus before the placental circulations are established, and maternal smoking does not seem to impair directly its transfer mechanism in early pregnancy.

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Year:  2007        PMID: 17618758     DOI: 10.1016/j.ajog.2007.02.009

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  10 in total

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9.  Expression and immunolocalisation of the endocytic receptors megalin and cubilin in the human yolk sac and placenta across gestation.

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10.  Folate, vitamin B12, and homocysteine in smoking-exposed pregnant women: A systematic review.

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  10 in total

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