Abstract

Vitamins B9 (folate) and B12 are essential water-soluble vitamins that play a crucial role in the maintenance of one-carbon metabolism: a set of interconnected biochemical pathways driven by folate and methionine to generate methyl groups for use in DNA synthesis, amino acid homeostasis, antioxidant generation, and epigenetic regulation. Dietary deficiencies in B9 and B12, or genetic polymorphisms that influence the activity of enzymes involved in the folate or methionine cycles, are known to cause developmental defects, impair cognitive function, or block normal blood production. Nutritional deficiencies have historically been treated with dietary supplementation or high-dose parenteral administration that can reverse symptoms in the majority of cases. Elevated levels of these vitamins have more recently been shown to correlate with immune dysfunction, cancer, and increased mortality. Therapies that specifically target one-carbon metabolism are therefore currently being explored for the treatment of immune disorders and cancer. In this review, we will highlight recent studies aimed at elucidating the role of folate, B12, and methionine in one-carbon metabolism during normal cellular processes and in the context of disease progression.

Highlights

  • B Vitamins and One-Carbon MetabolismPeter Lyon 1,2 , Victoria Strippoli 1,2 , Byron Fang 1,2 and Luisa Cimmino 1,2, *

  • The B vitamins comprise a group of eight water-soluble vitamins (B1, B2, B3, B5, B6, B7, B9, and B12) that act as cofactors, precursors, and substrates for numerous biological processes (Table 1).Dietary intake of these B vitamins is essential for the maintenance of human health and deficiencies can have severe health consequences

  • One-carbon metabolism is essential for cellular function and relies on B vitamins to drive and coordinate the generation of methyl groups for a myriad of biological outcomes

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Summary

B Vitamins and One-Carbon Metabolism

Peter Lyon 1,2 , Victoria Strippoli 1,2 , Byron Fang 1,2 and Luisa Cimmino 1,2, *. Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL 33136, USA. Received: 31 August 2020; Accepted: 17 September 2020; Published: 19 September 2020

Introduction
Key Regulators of One-Carbon Metabolism
Methionine
Folate
Vitamin B12
Co-Dependence of the Folate and Methionine Cycles
Causes of Deficiency
One-Carbon Metabolism Defiencies and Colorectal Cancer
Non-Alcoholic Fatty Liver Diseases and One-Carbon Metabolism
Excess One-Carbon Metabolites in Immunity and Organ Function
Targeting One-Carbon Metabolism for the Treatment of Disease
Folate and Methionine-Cycle Targeted Therapies
Dietary Interventions of One-Carbon Metabolism
Findings
Conclusions and Future Directions
Full Text
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