Epigenetic effects of folate and related B vitamins on brain health throughout life: Scientific substantiation and translation of the evidence for health improvement strategies.

Suboptimal status of folate and/or interrelated B vitamins (B12 , B6 and riboflavin) can perturb one-carbon metabolism and adversely affect brain development in early life and brain function in later life. Human studies show that maternal folate status during pregnancy is associated with cognitive development in the child, whilst optimal B vitamin status may help to prevent cognitive dysfunction in later life. The biological mechanisms explaining these relationships are not clear but may involve folate-related DNA methylation of epigenetically controlled genes related to brain development and function. A better understanding of the mechanisms linking these B vitamins and the epigenome with brain health at critical stages of the lifecycle is necessary to support evidence-based health improvement strategies. The EpiBrain project, a transnational collaboration involving partners in the United Kingdom, Canada and Spain, is investigating the nutrition-epigenome-brain relationship, particularly focussing on folate-related epigenetic effects in relation to brain health outcomes. We are conducting new epigenetics analysis on bio-banked samples from existing well-characterised cohorts and randomised trials conducted in pregnancy and later life. Dietary, nutrient biomarker and epigenetic data will be linked with brain outcomes in children and older adults. In addition, we will investigate the nutrition-epigenome-brain relationship in B vitamin intervention trial participants using magnetoencephalography, a state-of-the-art neuroimaging modality to assess neuronal functioning. The project outcomes will provide an improved understanding of the role of folate and related B vitamins in brain health, and the epigenetic mechanisms involved. The results are expected to provide scientific substantiation to support nutritional strategies for better brain health across the lifecycle.

[1]  H. McNulty,et al.  Folic acid intervention during pregnancy alters DNA methylation, affecting neural target genes through two distinct mechanisms , 2022, Clinical epigenetics.

[2]  N. Letourneau,et al.  The Alberta Pregnancy Outcomes and Nutrition (APrON) longitudinal study: cohort profile and key findings from the first three years , 2022, BMJ Open.

[3]  H. McNulty,et al.  Effects of maternal folic acid supplementation during the second and third trimesters of pregnancy on neurocognitive development in the child: an 11-year follow-up from a randomised controlled trial , 2021, BMC Medicine.

[4]  L. Cimmino,et al.  B Vitamins and One-Carbon Metabolism: Implications in Human Health and Disease , 2020, Nutrients.

[5]  H. McNulty,et al.  Effect of continued folic acid supplementation beyond the first trimester of pregnancy on cognitive performance in the child: a follow-up study from a randomized controlled trial (FASSTT Offspring Trial) , 2019, BMC medicine.

[6]  H. McNulty,et al.  Addressing optimal folate and related B-vitamin status through the lifecycle: health impacts and challenges , 2019, Proceedings of the Nutrition Society.

[7]  H. McNulty,et al.  B-vitamins in Relation to Depression in Older Adults Over 60 Years of Age: The Trinity Ulster Department of Agriculture (TUDA) Cohort Study. , 2019, Journal of the American Medical Directors Association.

[8]  H. McNulty,et al.  A randomized controlled trial of folic acid intervention in pregnancy highlights a putative methylation-regulated control element at ZFP57 , 2019, Clinical Epigenetics.

[9]  H. McNulty,et al.  Gene-specific DNA methylation in newborns in response to folic acid supplementation during the second and third trimesters of pregnancy: epigenetic analysis from a randomized controlled trial. , 2018, The American journal of clinical nutrition.

[10]  P. Ueland,et al.  Early pregnancy folate-cobalamin interactions and their effects on cobalamin status and hematologic variables throughout pregnancy. , 2018, The American journal of clinical nutrition.

[11]  H. McNulty,et al.  Diet, nutrition and the ageing brain: current evidence and new directions , 2018, Proceedings of the Nutrition Society.

[12]  A. Molloy,et al.  Moderately elevated maternal homocysteine at preconception is inversely associated with cognitive performance in children 4 months and 6 years after birth. , 2017, Maternal & child nutrition.

[13]  I. Csizmadi,et al.  Using national dietary intake data to evaluate and adapt the US Diet History Questionnaire: the stepwise tailoring of an FFQ for Canadian use , 2016, Public Health Nutrition.

[14]  H. McNulty,et al.  The interplay between DNA methylation, folate and neurocognitive development. , 2016, Epigenomics.

[15]  N. Letourneau,et al.  Perinatal nutrition in maternal mental health and child development: Birth of a pregnancy cohort. , 2016, Early human development.

[16]  M. Fenech,et al.  Biomarkers of Nutrition for Development-Folate Review. , 2015, The Journal of nutrition.

[17]  N. Okun,et al.  Pre-conception Folic Acid and Multivitamin Supplementation for the Primary and Secondary Prevention of Neural Tube Defects and Other Folic Acid-Sensitive Congenital Anomalies. , 2015, Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC.

[18]  R. Bell,et al.  Folate, vitamin B12, and vitamin B6 status of a group of high socioeconomic status women in the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort. , 2014, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[19]  H. McNulty,et al.  Impact of continuing folic acid after the first trimester of pregnancy: findings of a randomized trial of Folic Acid Supplementation in the Second and Third Trimesters. , 2013, The American journal of clinical nutrition.

[20]  P. Ueland,et al.  Low folate status enhances pregnancy changes in plasma betaine and dimethylglycine concentrations and the association between betaine and homocysteine. , 2013, The American journal of clinical nutrition.

[21]  Thomas E. Nichols,et al.  Preventing Alzheimer’s disease-related gray matter atrophy by B-vitamin treatment , 2013, Proceedings of the National Academy of Sciences.

[22]  R. Dyer,et al.  Early Second Trimester Maternal Plasma Choline and Betaine Are Related to Measures of Early Cognitive Development in Term Infants , 2012, PloS one.

[23]  L. Mccargar,et al.  The Alberta Pregnancy Outcomes and Nutrition (APrON) cohort study: rationale and methods. , 2014, Maternal & child nutrition.

[24]  M. Gillman,et al.  Maternal intake of methyl-donor nutrients and child cognition at 3 years of age. , 2012, Paediatric and perinatal epidemiology.

[25]  E. Susser,et al.  Folic acid supplements in pregnancy and severe language delay in children. , 2011, JAMA.

[26]  K. Godfrey,et al.  Lower maternal folate status in early pregnancy is associated with childhood hyperactivity and peer problems in offspring. , 2010, Journal of child psychology and psychiatry, and allied disciplines.

[27]  J. Ayling,et al.  The extremely slow and variable activity of dihydrofolate reductase in human liver and its implications for high folic acid intake , 2009, Proceedings of the National Academy of Sciences.

[28]  M. Mendez,et al.  Maternal use of folic acid supplements during pregnancy and four-year-old neurodevelopment in a population-based birth cohort. , 2009, Paediatric and perinatal epidemiology.

[29]  M. Mehler Epigenetic principles and mechanisms underlying nervous system functions in health and disease , 2008, Progress in Neurobiology.

[30]  H. McNulty,et al.  Effect of a voluntary food fortification policy on folate, related B vitamin status, and homocysteine in healthy adults. , 2007, The American journal of clinical nutrition.

[31]  R. Jain,et al.  Trends in blood folate and vitamin B-12 concentrations in the United States, 1988 2004. , 2007, The American journal of clinical nutrition.

[32]  M. Georgieff Nutrition and the developing brain: nutrient priorities and measurement. , 2007, The American journal of clinical nutrition.

[33]  L. Whalley,et al.  A life-course approach to the aetiology of late-onset dementias , 2006, The Lancet Neurology.

[34]  S. Ramey,et al.  Folate Status of Mothers During Pregnancy and Mental and Psychomotor Development of Their Children at Five Years of Age , 2005, Pediatrics.

[35]  A. Czeizel,et al.  Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. , 1992, The New England journal of medicine.

[36]  M. Gnant,et al.  Prevention of neural tube defects: Results of the Medical Research Council Vitamin Study , 1991, The Lancet.

[37]  H. McNulty,et al.  A randomised controlled trial of B-vitamin supplementation on neuropsychiatric performance: results from the BrainHOP trial , 2018, Proceedings of the Nutrition Society.

[38]  Edinburgh Research Explorer Association between maternal nutritional status in pregnancy and offspring cognitive function in childhood and adolescence; a systematic review , 2022 .