Evidence map›Paper›PMID 30867013›Full record

ArticleItalian journal of pediatrics2019

Association of neural tube defects with maternal alterations and genetic polymorphisms in one-carbon metabolic pathway.

Chun-Quan Cai, Yu-Lian Fang, Jian-Bo Shu, Lin-Sheng Zhao, Rui-Ping Zhang, Li-Rong Cao, Yi-Zheng Wang, Xiu-Fang Zhi, Hua-Lei Cui, Ou-Yan Shi and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Italian journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. MaternalGenes · 2026
    Article
  2. Reassessment ofMaternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
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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

11 authors at 3 institutions in 1 country.

Chun-Quan CaiCollege of Management and Economics, Tianjin University, No.92 Weijin Road, Tianjin, 300072, China.
Yu-Lian FangInstitute of Pediatrics, Tianjin Children's Hospital, No.238 Longyan Road, Beichen District, Tianjin, 300134, China.
Jian-Bo ShuInstitute of Pediatrics, Tianjin Children's Hospital, No.238 Longyan Road, Beichen District, Tianjin, 300134, China.
Lin-Sheng ZhaoDepartment of Pathology, Tianjin Children's Hospital, No.238 Longyan Road, Beichen District, Tianjin, 300134, China.
Rui-Ping ZhangDepartment of Pediatrics, Tianjin Children's Hospital, No.238 Longyan Road, Beichen District, Tianjin, 300134, China.
Li-Rong CaoGraduate School of Tianjin Medical University, No.22 Qixiangtai Road, Heping District, Tianjin, 300070, China.
Yi-Zheng WangGraduate School of Tianjin Medical University, No.22 Qixiangtai Road, Heping District, Tianjin, 300070, China.
Xiu-Fang ZhiGraduate School of Tianjin Medical University, No.22 Qixiangtai Road, Heping District, Tianjin, 300070, China.
Hua-Lei CuiDepartment of Surgery, Tianjin Children's Hospital, No.238 Longyan Road, Beichen District, Tianjin, 300134, China.
Ou-Yan ShiSchool of Basic Medical Sciences, Tianjin Medical University, No.22 Qixiangtai Road, Heping District, Tianjin, 300070, China. shiouy@tijmu.edu.cn.ORCID http://orcid.org/0000-0002-8104-0260
Wei LiuDepartment of Pediatrics, Tianjin Children's Hospital, No.238 Longyan Road, Beichen District, Tianjin, 300134, China. lance1971@163.com.
Tianjin Children's Hospital · CNTianjin Medical University · CNTianjin University · CN

Funding

the National Natural Science Foundation of China 81771589the Program of Tianjin Science and Technology Plan 18ZXDBSY00170the Science and Technology Project of Tianjin 14RCGFSY00150
6 · The paper itself

Abstract

backgroundNeural tube defects (NTDs) are birth defects of the brain, spine, or spinal cord invoked by the insufficient intake of folic acid in the early stages of pregnancy and have a complex etiology involving both genetic and environmental factors. So the study aimed to explore the association between alterations in maternal one-carbon metabolism and NTDs in the offspring.

methodsWe conducted a case-control study to get a deeper insight into this association, as well as into the role of genetic polymorphisms. Plasma concentrations of folate, homocysteine (Hcy), S-adenosylmethionine (SAM), S-adenosylhomocysteine (SAH) and genotypes and alleles distributions of 52 SNPs in 8 genes were compared for 61 women with NTDs-affected offspring and 61 women with healthy ones.

resultsThere were significant differences between groups with regard to plasma folate, SAM, SAH and SAM/SAH levels. Logistic regression results revealed a significant association between maternal plasma folate level and risk of NTDs in the offspring. For MTHFD1 rs2236225 polymorphism, mothers having GA genotype and A allele exhibited an increased risk of NTDs in the offspring (OR = 2.600, 95%CI: 1.227-5.529; OR = 1.847, 95%CI: 1.047-3.259). For MTHFR rs1801133 polymorphism, mothers having TT and CT genotypes were more likely to affect NTDs in the offspring (OR = 4.105, 95%CI: 1.271-13.258; OR = 3.333, 95%CI: 1.068-10.400). Moreover, mothers carrying T allele had a higher risk of NTDs in the offspring (OR = 1.798, 95%CI: 1.070-3.021). For MTRR rs1801394 polymorphism, the frequency of G allele was significantly higher in cases than in controls (OR = 1.763, 95%CI: 1.023-3.036). Mothers with NTDs-affected children had higher AG genotype in RFC1 rs1051226 polymorphism than controls, manifesting an increased risk for NTDs (OR = 3.923, 95%CI: 1.361-11.308).

conclusionFolic acid deficiency, MTHFD1 rs2236225, MTHFR rs1801133, MTRR rs1801349 and RFC1 rs1051226 polymorphisms may be maternal risk factors of NTDs.

Indexed as

AdultCarbonCase-Control StudiesChinaChi-Square DistributionFemaleFerredoxin-NADP ReductaseFolic Acid DeficiencyGenetic MarkersGenetic Predisposition to DiseaseGenotypeHumansInfant, NewbornLogistic ModelsMaleMethylenetetrahydrofolate Dehydrogenase (NADP)CarbonFerredoxin-NADP ReductaseGenetic Markersmethionine synthase reductaseMethylenetetrahydrofolate Dehydrogenase (NADP)Methylenetetrahydrofolate Reductase (NADPH2)Minor Histocompatibility AntigensMTHFD1 protein, humanMTHFR protein, humanGeneNeural tube defectsOne-carbon metabolismPolymorphism

Identifiers

PMID30867013
PMCPMC6416842
OpenAlexW2936137162

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.