Evidence map›Paper›PMID 23670871›Full record

SynthesisBirth defects research. Part A, Clinical and molecular teratology2013

Folic acid supplementation use and the MTHFR C677T polymorphism in orofacial clefts etiology: An individual participant data pooled-analysis.

Azeez Butali, Julian Little, Cécile Chevrier, Sylvian Cordier, Regine Steegers-Theunissen, Astanand Jugessur, Bola Oladugba, Peter A Mossey

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Birth defects research. Part A, Clinical and molecular teratology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Disruption of DNA methylation-mediated cranial neural crest proliferation and differentiation causes orofacial clefts in mice.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. [Environmental factors of non-syndromic cleft lip and palate].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2019
    Article
  12. Article
  13. Article
  14. Genetics and genomics etiology of nonsyndromic orofacial clefts.Molecular genetics & genomic medicine · 2017
    Article
  15. Article
  16. Review
  17. Article
  18. Nutrition implications for fetal alcohol spectrum disorder.Advances in nutrition (Bethesda, Md.) · 2014
    Review
  19. Anencephaly and its associated malformations.Journal of clinical and diagnostic research : JCDR · 2014
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 8 countries.

Azeez ButaliDepartment of Pediatrics, University of Iowa, Iowa City, IA 52242, USA. Azeez-butali@uiowa.edu
Julian Little
Cécile Chevrier
Sylvian Cordier
Regine Steegers-Theunissen
Astanand Jugessur
Bola Oladugba
Peter A Mossey
Institut de Recherche en Santé, Environnement et Travail · FRMurdoch Children's Research Institute · AURadboud University Nijmegen · NLUniversity of Dundee · GBUniversity of Iowa · USUniversity of Nigeria · NGUniversity of Ottawa · CA

Funding

Genetic studies of nonsyndromic clefts in populations of African Descent.R00DE022378 · NIDCR · UNIVERSITY OF IOWA · PI BUTALI, AZEEZ · 2014 to 2016
$747k
Genetic studies of nonsyndromic clefts in populations of African Descent.K99DE022378 · NIDCR · UNIVERSITY OF IOWA · PI BUTALI, AZEEZ · 2012 to 2013
$252k
NIDCR NIH HHS K99 DE022378NIDCR NIH HHS K99-DE022378-01NIDCR NIH HHS R00 DE022378
6 · The paper itself

Abstract

backgroundThis study examines gene-environment interaction between the MTHFR C667T polymorphism and folic acid in the etiology of orofacial clefts (OFC). We used a pooled-analytical approach on four studies that used similar methods.

methodsWe used logistic regression to analyze the pooled sample of 1149 isolated cases and 1161 controls. Fetal and maternal MTHFR C677T genotypes, and maternal periconceptional exposure to smoking, alcohol, vitamin containing folic acid and folic acid supplements were contrasted between the cleft types [non-syndromic clefts lip or without cleft palate (CL(P)) and non-syndromic cleft palate (CP)] and control groups.

resultsThere was a reduced risk of CL(P) with maternal folic acid use (p = 0.008; OR = 0.70, 95% CI: 0.65-0.94) and with supplements containing folic acid (p = 0.028, OR = 0.80, 95% CI: 0.65-0.94). Maternal smoking increased the risk of both CL(P) (p < 10 e-3; OR = 1.62, 95% CI: 1.35-1.95) and CP (p = 0.028; OR = 1.38, 95% CI: 1.04-1.83). No significant risk was observed with either maternal or fetal MTHFR C677T genotypes.

conclusionThis individual participant data (IPD) meta-analysis affords greater statistical power and can help alleviate the problems associated with aggregate-level data-sharing. The result of this IPD meta-analysis is consistent with previous reports suggesting that folic acid and smoking influence OFC outcomes.

Indexed as

AdultBrainCase-Control StudiesCleft LipCleft PalateDietary SupplementsEthanolFemaleFolic AcidHumansMaleMaternal ExposureMethylenetetrahydrofolate Reductase (NADPH2)Polymorphism, Single NucleotideRisk FactorsSmokingEthanolFolic AcidMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humancleft lip and palatefolic acid, individual patient dataMTHFRpooled-analysis

Identifiers

PMID23670871
PMCPMC3745533
OpenAlexW2102575530

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.