Evidence map›Paper›PMID 41876728›Full record

ArticleLeukemia2026

The impact of periconceptional folate on the DNA methylome of acute lymphoblastic leukemia.

Eric M Nickels, Libby M Morimoto, Alice Y Kang, Catherine Metayer, Joseph L Wiemels

Abstract read
In one paragraph

Article in Leukemia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Eric M NickelsCancer and Blood Disease Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA. enickels@chla.usc.edu.ORCID http://orcid.org/0000-0001-5536-263X
Libby M MorimotoDivision of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.ORCID http://orcid.org/0000-0002-1509-739X
Alice Y KangDivision of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.ORCID http://orcid.org/0009-0009-8455-3481
Catherine MetayerDivision of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.ORCID http://orcid.org/0000-0003-3467-4145
Joseph L WiemelsCenter for Genetic Epidemiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-4838-9951

Funding

Training CoreP42ES004705 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI SMITH, MARTYN T · 1987 to 2025
$74.6M
Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
Environmental and Molecular Epidemiology of Childhood LeukemiaR01ES009137 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 1999 to 2013
$21.1M
VANADIUM AND HUMAN HEALTHP42ES005947 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KELSEY, KARL TIMOTHY · 1992 to 2006
$19.6M
Project 3 - Prenatal Exposures, Constitutive Genetics, DNA Methylation & Childhood LeukemiaP50ES018172 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2015 to 2019
$3.8M
Project 3: Prenatal Exposure, DNA Methylation & Childhood LeukemiaP01ES018172 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2009 to 2013
$3.7M
Perinatal immune development and risk of childhood acute lymphoblastic leukemiaR01CA175737 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MA, XIAOMEI, WIEMELS, JOSEPH LEO · 2014 to 2018
$3.0M
Support For Infrastructure of Childhood Leukemia Environmental ResearchR24ES028524 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI Catherine Metayer · 2017 to 2026
$2.3M
Support For Infrastructure of Childhood Leukemia Environmental ResearchU24ES028524 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2023 to 2025
$1.1M
CHILDREN with CANCER UK 19-308NCI NIH HHS R01 CA175737NIEHS NIH HHS P01 ES018172NIEHS NIH HHS P30 ES007048NIEHS NIH HHS P42 ES004705NIEHS NIH HHS P42 ES005947NIEHS NIH HHS P50 ES018172NIEHS NIH HHS R01 ES009137NIEHS NIH HHS R24 ES028524NIEHS NIH HHS U24 ES028524U.S. Department of Health & Human Services | National Institutes of Health (NIH) P01ES018172U.S. Department of Health & Human Services | National Institutes of Health (NIH) P42ES004705U.S. Department of Health & Human Services | National Institutes of Health (NIH) P50ES018172U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01ES009137U.S. Department of Health & Human Services | National Institutes of Health (NIH) R24ES028524U.S. Department of Health & Human Services | National Institutes of Health (NIH) U24ES028524U.S. Environmental Protection Agency (US Environmental Protection Agency) RD83451101U.S. Environmental Protection Agency (US Environmental Protection Agency) RD83615901
6 · The paper itself

Abstract

Periconceptional folate intake decreases the risk of pediatric acute lymphoblastic leukemia (ALL); however, the mechanism is not fully understood. We sought to identify sites of DNA methylation measured at birth both responsive to periconceptional folate and associated with lymphoblasts at the time of ALL diagnosis in a "meet in the middle" analysis. Folate-associated differentially methylated regions (DMRs) were identified from retrospectively collected periconceptional maternal folate intake (by dietary source) and epigenome-wide DNA methylation status from archived dried neonatal blood spots for 189 ALL cases and 205 healthy matched controls from the California Childhood Leukemia Study (1995-2008). Folate and lymphoblast-associated DMRs overlapped at 17 sites related to total folate intake, 13 for folate from food, 10 for natural foods, 13 for fortified foods and 18 for folate-containing supplements. The majority of overlapping DMRs were in a concordant direction of effect for supplemental folate (16/18, P = 0.001). Opposite direction of effect was identified among lower income participants for food (3/19, P = 0.004) and natural folate (5/37, P < 0.001), the latter of which was specific to Hispanic participants of low-income (9/31, P = 0.029). These results indicate that dietary folate, in particular from natural food sources, may reduce risk of ALL through modulation of early DNA methylation patterns.

Indexed as

DNA MethylationEpigenomeFolic AcidPrecursor Cell Lymphoblastic Leukemia-LymphomaCase-Control StudiesChildChild, PreschoolDietary SupplementsFemaleHumansInfant, NewbornMalePregnancyRetrospective StudiesFolic Acid

Identifiers

PMID41876728
PMCPMC13233301

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.