Evidence map›Paper›PMID 26559255›Full record

Trial reportMedicine2015

Protective Effect of Folic Acid on Oxidative DNA Damage: A Randomized, Double-Blind, and Placebo Controlled Clinical Trial.

Xiaojuan Guo, Huan Cui, Haiyang Zhang, Xiaoju Guan, Zheng Zhang, Chaonan Jia, Jia Wu, Hui Yang, Wenting Qiu, Chuanwu Zhang and 3 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02235948 (Efficacy and Safety of Folic Acid Supplementation Lowering Arsenic in a Chronic, Low-level Exposed Arsenic Population), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% 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.

NCT02235948 phase2unknown statusnot on this map

Efficacy and Safety of Folic Acid Supplementation Lowering Arsenic in a Chronic, Low-level Exposed Arsenic Population: a Randomized, Double-blind, Placebo Controlled Clinical Trial.

TypeinterventionalSponsorWenzhou Medical UniversityRan2014 to 2016Enrolled450ConditionsArsenic Poisoning, Toxic Effect of Arsenic and Its CompoundsArmsfolic acid supplementation
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
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  8. Review
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  11. Observational
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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

13 authors at 1 institution in 2 countries.

Xiaojuan GuoFrom the School of Environmental Science & Public Health, Wenzhou Medical University, Wenzhou (XG, HZ, XG, CJ, HY, WQ, CZ, GM); School of Public Health, Inner Mongolia Medical University, Inner Mongolia (XG, ZZ); University Hospital of Wenzhou Medical University (HC); School of Laboratory Medicine & Life Science, Wenzhou Medical University, Wenzhou (JW); Center for Disease Control and Prevention of Wuyuan County, Inner Mongolia, China (ZY); Center on the Early Life Origins of Disease, the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (ZC, GM); and Center on Clinical & Epidemiological Eye Disease, the Affiliated Eye Hospital of Wenzhou Medical University, Wenzhou, China (GM).
Huan Cui
Haiyang Zhang
Xiaoju Guan
Zheng Zhang
Chaonan Jia
Jia Wu
Hui Yang
Wenting Qiu
Chuanwu Zhang
Zuopeng Yang
Zhu Chen
Guangyun Mao
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although previous reports have linked DNA damage with both transmissions across generations as well as our own survival, it is unknown how to reverse the lesion. Based on the data from a Randomized, Double-blind, Placebo Controlled Clinical Trial, this study aimed to assess the efficacy of folic acid supplementation (FAS) on DNA oxidative damage reversal.In this randomized clinical trial (RCT), a total of 450 participants were enrolled and randomly assigned to 3 groups to receive folic acid (FA) 0.4 mg/day (low-FA), 0.8 mg/day (high-FA), or placebo (control) for 8 weeks. The urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG) and creatinine (Cr) concentration at pre- and post-FAS were measured with modified enzyme-linked immunosorbent assay (ELISA) and high-performance liquid chromatography (HPLC), respectively. A multivariate general linear model was applied to assess the individual effects of FAS and the joint effects between FAS and hypercholesterolemia on oxidative DNA damage improvement. This clinical trial was registered with ClinicalTrials.gov, number NCT02235948.Of the 438 subjects that received FA fortification or placebo, the median (first quartile, third quartile) of urinary 8-OHdG/Cr for placebo, low-FA, and high-FA groups were 58.19 (43.90, 82.26), 53.51 (38.97, 72.74), 54.73 (39.58, 76.63) ng/mg at baseline and 57.77 (44.35, 81.33), 51.73 (38.20, 71.30), and 50.65 (37.64, 76.17) ng/mg at the 56th day, respectively. A significant decrease of urinary 8-OHdG was observed after 56 days FA fortification (P < 0.001). Compared with the placebo, after adjusting for some potential confounding factors, including the baseline urinary 8-OHdG/Cr, the urinary 8-OHdG/Cr concentration significantly decreased after 56 days FAS [β (95% confidence interval) = -0.88 (-1.62, -0.14) and P = 0.020 for low-FA; and β (95% confidence interval) = -2.68 (-3.42, -1.94) and P < 0.001 for high-FA] in a dose-response fashion (Ptrend < 0.001). Test of interaction between hypercholesterolemia and FA supplementation on urinary 8-OHdG reduction was significant (P = 0.001).The present study demonstrates that FA fortification is independently linked to the reduction of urinary 8-OHdG/Cr in a dose-related pattern, which suggests that FA is beneficial to protect against oxidative damage to DNA. This effect is apparently stronger in those with hypercholesterolemia. The authors provide a new insight into the prevention and reversal of oxidative DNA damage.

Indexed as

8-Hydroxy-2'-DeoxyguanosineAdolescentAdultAgedCreatinineDeoxyguanosineDNA DamageDose-Response Relationship, DrugDouble-Blind MethodFemaleFolic AcidHumansHypercholesterolemiaMaleMiddle AgedOxidative Stress8-Hydroxy-2'-DeoxyguanosineCreatinineDeoxyguanosineFolic AcidVitamin B Complex

Identifiers

PMID26559255
PMCPMC4912249
OpenAlexW2317186766

What OpenQuestion holds

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Registered trials

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.