Evidence map›Paper›PMID 26144049›Full record

ArticleDevelopmental biology2015

The role of folate metabolism in orofacial development and clefting.

Stacey E Wahl, Allyson E Kennedy, Brent H Wyatt, Alexander D Moore, Deborah E Pridgen, Amanda M Cherry, Catherine B Mavila, Amanda J G Dickinson

Open access · greenAbstract read
In one paragraph

Article in Developmental biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 55 citations in OpenAlex.

  1. A Combination of Variants in SEPTIN9 and MSX1 Genes Leads to the Formation of Orofacial Clefts.Genes to cells : devoted to molecular & cellular mechanisms · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. TheFrontiers in medicine · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Article
  13. Review
  14. Article
  15. Epigenetic Regulation of Cardiac Neural Crest Cells.Frontiers in cell and developmental biology · 2021
    Review
  16. Environmental mechanisms of orofacial clefts.Birth defects research · 2020
    Review
  17. Review
  18. Article
  19. 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 1 institution in 1 country.

Stacey E WahlDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Allyson E KennedyDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Brent H WyattDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Alexander D MooreDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Deborah E PridgenDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Amanda M CherryDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Catherine B MavilaDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States.
Amanda J G DickinsonDepartment of Biology, Virginia Commonwealth University, 1000 West Cary St., Richmond, VA 23284, United States. Electronic address: ajdickinson@vcu.edu.
Virginia Commonwealth University · US

Funding

Virus Vector Shared ResourceP30CA016059 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Keri R Maher · 1985 to 2026
$51.0M
Virginia Commonwealth University IRADCAK12GM093857 · NIGMS · VIRGINIA COMMONWEALTH UNIVERSITY · PI DANIEL C BULLARD, John J Ryan · 2010 to 2026
$7.0M
Using Frog Faces to Better Understand Clefts in the Primary PalateR01DE023553 · NIDCR · VIRGINIA COMMONWEALTH UNIVERSITY · PI DICKINSON, AMANDA JANE · 2014 to 2017
$892k
NCI NIH HHS P30 CA016059NCI NIH HHS P30CA16059NIDCR NIH HHS R01 DE023553NIGMS NIH HHS K12 GM093857PHS HHS RDE023553A
6 · The paper itself

Abstract

Folate deficiency has been associated with numerous diseases and birth defects including orofacial defects. However, whether folate has a role in the face during early orofacial development has been unclear. The present study reveals that pharmacological and antisense oligonucleotide mediated inhibition of DHFR, an integral enzyme in the folate pathway, results in specific changes in the size and shape of the midface and embryonic mouth. Such defects are accompanied by a severe reduction in the muscle and cartilage jaw elements without significant change in neural crest pattern or global levels of methylation. We propose that the orofacial defects associated with DHFR deficient function are the result of decreased cell proliferation and increased cell death via DNA damage. In particular, localized apoptosis may also be depleting the cells of the face that express crucial genes for the differentiation of the jaw structures. Folate supplementation is widely known to reduce human risk for orofacial clefts. In the present study, we show that activating folate metabolism can reduce median oral clefts in the primary palate by increasing cell survival. Moreover, we demonstrate that a minor decrease in DHFR function exacerbates median facial clefts caused by RAR inhibition. This work suggests that folate deficiencies could be a major contributing factor to multifactorial orofacial defects.

Indexed as

AnimalsApoptosisBiomarkersCartilageCell CycleCell ProliferationCell SurvivalCleft PalateDNA DamageDNA MethylationEmbryo, NonmammalianFaceFolic AcidGene Expression Regulation, DevelopmentalLeucovorinMethotrexateBiomarkersFolic AcidLeucovorinMethotrexateMorpholinosOligonucleotides, AntisenseReceptors, Retinoic AcidTetrahydrofolate DehydrogenaseTretinoinDHFRFolateOrofacial developmentRetinoic acid and primary palateXenopus

Identifiers

PMID26144049
PMCPMC4546841
OpenAlexW808864424

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.