Vitamin B9 (folate or folic acid) is a water-soluble vitamin that is vital for the synthesis of several amino acids, the purines adenosine and guanine and the pyrimidine thymine (three of the four nucleotide bases and hence critical for the synthesis of nucleic acids.)
The antimicrobial drug class, the sulphonamides, inhibit dihydropteroate synthetase, the enzyme which forms folic acid from para-aminobenzoic acid (PABA). This reaction that does not occur in mammalian cells hence does not affect human DNA synthesis and is specific for microbes.
The chemotherapeutic methotrexate inhibits dihydrofolate reductase which converts folate into its active form tetrohydrofolic acid (THF).
Interestingly, it was formerly known as vitamin M.
Folate deficiency is the most common vitamin deficiency in the western world. It is especially important in pregnant women and common amongst alcoholics.
Deficiency leads to megaloblastic anaemia due to the reduced synthesis of DNA in the highly THF-dependent stem cells of erythropoiesis.
Deficiency arises in two distinct populations:
- increased demand (pregnancy and lactation)
- decreased absorption (alcoholism and chronic small bowel pathology)
Earlier in embryogenesis, formation of the neural tube is dependent on adequate levels of folate. Deficiency in this critical time is a well-known cause of neural tube defects and as such there may be a need for pregnant women (and women planning to fall pregnant) to take folate supplementation.
- 1. Pamela C. Champe, Richard A. Harvey (Ph. D.), Denise R. Ferrier. Biochemistry. ISBN: 0781769604
- tumour markers