## Abstract ## BACKGROUND Hyperthermia produces neural tube defects (NTDs) in a variety of animal species. Elevated maternal body temperatures may also place the developing human embryo at risk. We examined the relation between maternal hyperthermia and the development of NTDs in a high‐risk Mexic
Maternal serum homocysteine and risk for neural tube defects in a Texas-Mexico border population
✍ Scribed by Marilyn Felkner; Lucina Suarez; Mark A. Canfield; Jean D. Brender; Qin Sun
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 100 KB
- Volume
- 85
- Category
- Article
- ISSN
- 1542-0752
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
BACKGROUND:
To better understand the neural tube defect (NTD) causal pathway, the authors measured homocysteine, an indicator of tissue micronutrient deficiencies. The authors examined independent and joint associations of serum homocysteine, B~12,~ and folate and red blood cell (RBC) folate with NTD‐affected pregnancies.
METHODS:
Case women in this population‐based study had NTD‐affected pregnancies and resided and delivered in one of the 14 Texas‐Mexico border counties from 1995 through 2000. Control women were study area residents delivering normal live births during the same period. The authors measured homocysteine levels using tandem mass spectroscopy; competitive binding was used for other biomarkers.
RESULTS:
Homocysteine testing was done on 103 cases and 139 controls. Odds ratios (ORs) were increased in all upper homocysteine quintiles compared to the lowest quintile (1.7, 1.3, 2.8, 2.4). Women with high homocysteine values had increased ORs regardless of high versus low levels for B~12~ (OR = 3.5, 4.8, respectively) or RBC folate (OR = 2.9, 3.5, respectively).
CONCLUSIONS:
High serum homocysteine levels are associated with NTD‐affected pregnancies. Moreover, high homocysteine levels have a detrimental effect on NTD‐risk even when serum B~12~ or RBC folate levels are high. Excess homocysteine might play an independent role in the development of NTDs. Birth Defects Research (Part A), 2009. © 2009 Wiley‐Liss, Inc.
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