Folate metabolism alcoholism

Many factors affect folate metabolism, including dietary folate level, nutritional status of vitamins B6, B12, and riboflavin, zinc status, alcoholism, and physical states such as pregnancy and lactation. In many cases, the effects of these factors are seen in altered excretion rates of intact folates and metabolites, but the effects on tissue levels of the various folates and transfer rates between tissues are not well understood. Preliminary human and animal kinetic models are being devek ed in our laboratory based on studies conducted under controlled dietary conditions. These models will provide a base from which to study the effects of altered folate nutriture as well as the influence of other factors such as pregnancy and aging on folate metabolism. 

Folic acid (or folate), which plays a key role in one-carbon metabolism, is essential for the biosynthesis of several compounds. Folic acid deficiency is probably the most common vitamin deficiency in the United States, particularly among pregnant women and alcoholics. 

Folic acid deficiency, unlike vitamin B12 deficiency, is often caused by inadequate dietary intake of folates. Alcoholics and patients with liver disease develop folic acid deficiency because of poor diet and diminished hepatic storage of folates. There is also evidence that alcohol and liver disease interfere with absorption and metabolism of folates. Pregnant women and patients with hemolytic anemia have increased folate requirements and may become folic acid-deficient, especially if their diets are marginal. Evidence implicates maternal folic acid deficiency in the occurrence of fetal neural tube defects, eg, spina bifida. (See Folic Acid Supplementation A Public Health Dilemma.) Patients with malabsorption syndromes also frequently develop folic acid deficiency. Folic acid deficiency is occasionally associated with cancer, leukemia, myeloproliferative disorders, certain chronic skin disorders, and other chronic debilitating diseases. Patients who require renal dialysis also develop folic acid deficiency, because folates are removed from the plasma each time the patient is dialyzed. 

Decreased metabolism with acute combination with alcohol but increased metabolism with chronic alcohol consumption increased risk of folate deficiency Increased gastrointestinal bleeding... 

The predominant causes of folate deficiency in non-alcoholics are impaired absorption or metabolism or an increased demand for the vitamin. 

Chronic alcoholism is the major cause of folate deficiency in the United States. Alcoholics generally have poor diets — for example, one liter of whiskey per day. It is not dear if the alcohol induces metabolic defects that interfere with the metabolism and function of folate. Beer docs contain folate, as this product is brewed with yeast, an organism containing high levels tif the vitamin. Wine and hard liquors, on the other hand, contain little or no folate. The elderly may also be at risk for folate deficiency. It is thought that in the elderly the deficiency is due to poor diets rather than age-related defects in the absorption and utilization of folate. 

The population thought to be nxost at risk for Bf, deficiency comprises chronic alcoholics. The deficiency arises fixim a low intakt of the vitamin as well as from alcoho[-induced impairments in the metabolism of the vitamin. An alcoholic deriving of his or her energy requirement from whiskey might be expected to be consuming only 20% of the KDA for vitamin 8, as well as for other nutrients such as protein, folate, and thiamin. 1 he symptoms of deficiency are not specific for this nutrient- They include depression, confusion, and sometimes convulsions. 

Formic acid can be readily absorbed from the digestive tract and the respiratory system. Systemic absorption produces acidosis, neuropathy, and visual and mental disturbances. Acidosis can also be produced when formic acid is produced by liver aldehyde dehydrogenase from formaldehyde. Formaldehyde in turn can also be produced metabolically by alcohol dehydrogenase from methanol. Formic acid is oxidized to carbon dioxide by the folate-dependent pathway. Some formic acid is excreted unchanged in the urine. 

Vitamins are a well-known group of compounds that are essential for human health. Water-soluble vitamins include folate (vitamin B9) to create DNA. Folate also plays an important role in preventing birth defects during early pregnancy. Thiamine is the first vitamin of the B-complex (vitamin Bl) that researchers discovered. It allows the body to break down alcohol and metabolize carbohydrates and amino acids. Like many other B vitamins, riboflavin (vitamin B2) helps the body to metabolize carbohydrates, proteins, and fat. Niacin (vitamin B3) protects the health of skin cells and keeps the digestive system functioning properly. Pantothenic acid (vitamin B5) and biotin allow the body to obtain energy from macronutrients such as carbohydrates, proteins, and fats. Vitamin B6 (pyridoxine) acts as a coenzyme, which means it helps chemical reactions to take place. It also plays a vital role in the creation of nonessential amino acids. 

It is hypothesised that another condition which predisposes to the development of HOC is malnutrition. Alcohol can affect the blood levels and metabolism of a variety of other spedes important for biochemical synthesis and physiological function. DNA methylation can be affeded by diminished absorption and metabolism of micronutrients such as folate and vitamins B12 and Bg. ritamin A and P-carotene can also be present at below normal levels in alcoholics. 

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