Evidence map›Paper›PMID 40336960›Full record

ArticleFrontiers in nutrition2025

Effects of folic acid supplementation before conception on innate immunity and anti-HBs levels of offspring born to HBsAg-positive mothers.

Jia Lian, Zhaoyue Men, Xiuyang Xu, Yandi Li, Jinbo Li, Weigang Wang, Tian Yao, Yuping Li, Yiqun Qu, Yongliang Feng and 1 more

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Jia LianDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Zhaoyue MenDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Xiuyang XuDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Yandi LiDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Jinbo LiDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Weigang WangDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Tian YaoCenter of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China.
Yuping LiDepartment of Obstetrics and Gynaecology, The Third People's Hospital of Taiyuan, Taiyuan, China.
Yiqun QuDepartment of Obstetrics and Gynaecology, The Third People's Hospital of Taiyuan, Taiyuan, China.
Yongliang FengDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.
Suping WangDepartment of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Folic acid has been associated with fetal development, especially in fetal immunity. Therefore, limited evidence regarding the effects of different folic acid supplementation of hepatitis B surface antigen (HBsAg) positive mothers in innate immunity in offspring. Herein, this study aimed to explore the association between folic acid supplementation and the innate immunity of neonates and the immunological efficacy of hepatitis B vaccine (HepB), which may provide insights that could inform pre-pregnancy health management in HBsAg-positive mothers. Materials and methods: It is an ambispective cohort study with 293 pairs of HBsAg-positive mothers-offspring in Taiyuan, Shanxi Province, China. Mothers were classified into three groups according to the time of starting folic acid supplementation, non-supplementation group, pre-pregnancy group and post-pregnancy supplementation group. Immunological indexes such as immune cells proportion and innate immune mediators in cord blood and anti-HBs in infants were measured. Differences in immunological indexes were analyzed by One-Way ANOVA test. Univariate and multivariate analyses were performed for factors associated with abnormal immunological indexes and potential confounders were adjusted. Results: The preconception folic acid group showed a significantly higher expression levels of STING ( Discussion: In conclusion, our findings demonstrate that preconception folic acid supplementation may enhance HepB vaccine responsiveness in infants of HBsAg-positive mothers. Meanwhile, high pNF-κB expression in cord blood can increase seropositive rates in infants. This discovery has significant public health implications, as it may provide a simple and accessible intervention to improve vaccination outcomes and reduce HBV transmission in endemic regions.

Indexed as

anti-HBscohort studyfolic acidHBsAg-positive mothersinnate immunity

Identifiers

PMID40336960
PMCPMC12055552

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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.