Departamento de Anatomía y Embriología, Facultad de Medicina, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Grupo UCM de Investigación nº 920202 "Investigación en Desarrollo del Paladar y Fisura Palatina, Desarrollo Craneofacial", Facultad de Odontología, Plaza de Ramón y Cajal, 3, 28040 Madrid, Spain.
Nutrients. 2021 Jan 16;13(1):251. doi: 10.3390/nu13010251.
Craniofacial development requires extremely fine-tuned developmental coordination of multiple specialized tissues. It has been evidenced that a folate deficiency (vitamin B), or its synthetic form, folic acid (FA), in maternal diet could trigger multiple craniofacial malformations as oral clefts, tongue, or mandible abnormalities. In this study, a folic acid-deficient (FAD) diet was administered to eight-week-old C57/BL/6J female mouse for 2-16 weeks. The head symmetry, palate and nasal region were studied in 24 control and 260 experimental fetuses. Our results showed a significant reduction in the mean number of fetuses per litter according to maternal weeks on FAD diet ( < 0.01). Fetuses were affected by cleft palate (3.8%) as well as other severe congenital abnormalities, for the first time related to maternal FAD diet, as head asymmetries (4.6%), high arched palate (3.5%), nasal septum malformed (7.3%), nasopharynx duct shape (15%), and cilia and epithelium abnormalities (11.2% and 5.8%). Dysmorphologies of the nasal region were the most frequent, appearing at just four weeks following a maternal FAD diet. This is the first time that nasal region development is experimentally related to this vitamin deficiency. In conclusion, our report offers novel discoveries about the importance of maternal folate intake on midface craniofacial development of the embryos. Moreover, the longer the deficit lasts, the more serious the consequent effects appear to be.
颅面发育需要多种专门组织的高度精细发育协调。已经有证据表明,母体饮食中叶酸缺乏(维生素 B)或其合成形式叶酸(FA)可引发多种颅面畸形,如口腔裂、舌或下颌异常。在这项研究中,给 8 周大的 C57/BL/6J 雌性小鼠喂食叶酸缺乏(FAD)饮食 2-16 周。对头对称性、 palate 和鼻区进行了研究,共有 24 只对照和 260 只实验胎鼠。我们的结果表明,母体喂食 FAD 饮食的周数与每窝胎鼠的平均数量呈显著减少(<0.01)。胎儿受到腭裂(3.8%)和其他严重先天性异常的影响,这是首次与母体 FAD 饮食相关,包括头不对称(4.6%)、高拱形 palate(3.5%)、鼻中隔畸形(7.3%)、鼻咽管形状异常(15%)以及纤毛和上皮异常(11.2%和 5.8%)。鼻区的畸形最为常见,在母体喂食 FAD 饮食仅四周后就出现了。这是首次将鼻腔区域的发育与这种维生素缺乏症联系起来进行实验研究。总之,我们的报告提供了关于母体叶酸摄入对胚胎中面颅面发育重要性的新发现。此外,缺乏持续的时间越长,后果似乎越严重。