1. B vitamin blood concentrations and one-carbon metabolism polymorphisms in a sample of Italian women and men attending a unit of transfusion medicine: a cross-sectional study
- Author
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Patrizia Pattini, Francesca Chiaffarino, Martina Montagnana, Fabio Parazzini, Giuseppe Lippi, Marianna Rinaldi, Silvia Udali, Sabrina Genesini, Oliviero Olivieri, Gelinda De Grandi, Renata Bortolus, Simonetta Friso, Giorgio Gandini, and Francesca Filippini
- Subjects
Male ,medicine.medical_specialty ,Folate ,Homocysteine ,Cross-sectional study ,Medicine (miscellaneous) ,RFC1 ,Gastroenterology ,chemistry.chemical_compound ,Folic Acid ,Internal medicine ,medicine ,Humans ,Vitamin B12 ,Allele frequency ,Nutrition and Dietetics ,biology ,business.industry ,Transfusion Medicine ,Transfusion medicine ,Original Contribution ,one-carbon metabolism ,Carbon ,B vitamins ,Vitamin B 12 ,One-carbon polymorphisms ,Cross-Sectional Studies ,chemistry ,Italy ,Vitamin B6 ,Methylenetetrahydrofolate reductase ,Vitamin B Complex ,biology.protein ,Female ,one carbon polymorphisms ,business - Abstract
Purpose To define blood status of folate, vitamin B12, vitamin B6, homocysteine, and major one-carbon metabolism-related polymorphisms in healthy, males and females blood donors, aged 18–65 years were evaluated. General characteristics and lifestyle factors were also investigated. Methods An explorative cross-sectional study design was used to evaluate a sample of blood donors attending the Unit of Transfusion Medicine of the Verona University Hospital, Italy. From April 2016 to May 2018, 499 subjects were enrolled (255 men, 244 women of whom 155 of childbearing age). Major clinical characteristics including lifestyle and dietary habits, B vitamins and homocysteine were analyzed. The MTHFR 677 C>T, cSHMT 1420 C>T, DHFR 19 bp ins/del, RFC1 80 G>A polymorphisms were also determined. Results Mean plasma concentrations of folate, vitamin B12, vitamin B6 and homocysteine were 14.2 nmol/L (95% CI 13.7–14.8), 271.9 pmol/L (95% CI 262.6–281.5), 51.0 nmol/L (95% CI 48.7–53.4) and 13.5 µmol/L (95% CI 13.1–14.0), respectively. Plasma folate, was adequate (> 15 nmol/L) in 44.7% of all subjects, 39.0% of males and 42.5% of women 350 pmol/L) in 25.1% of all subjects and in 20.3% of men ≥ 45 years. The rare allele frequencies were 0.21 for MTHFR 677TT, 0.11 for cSHMT 1420TT, 0.18 for DHFR 19 bp del/del, 0.20 for RFC1 80AA, and a gene–nutrient interaction was confirmed for folate concentrations according to MTHFR 677C>T and DHFR 19 bp del/del. Conclusion An Italian sample of healthy blood donors shows that an adequate concentration of plasma folate and vitamin B12 is reached only in a limited percentage of subjects, thus encouraging consideration for specific public health strategies.
- Published
- 2020