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Folic acid excess: effects on vitamins B2 and B6 concentrations, tryptophan and immune system

Folic acid excess: effects on vitamins B2 and B6 metabolism, tryptophan catabolism and immune response

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-85fsrb
Enrollment
Unknown
Registered
2019-10-03
Start date
2015-01-01
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy volunteers

Interventions

Experimental group: 80 health individuals, both sex was submitted to an intervention with 1 tablet of 5 mg of folic acid / day was performed during 90 days
Drug

Sponsors

Faculdade de Ciências Farmacêuticas da Universidade de São Paulo
Lead Sponsor
Faculdade de Ciências Farmacêuticas da Universidade de São Paulo
Collaborator

Eligibility

Age
18 Years to 45 Years

Inclusion criteria

Inclusion criteria: Healthy subjects; both sexes; aged between 18 and 45 years

Exclusion criteria

Exclusion criteria: Individuals under 18 years, chronic alcoholics; patients with acute or chronic diseases; pregnant women; users of immunossupressive medications, vitamins or vitamin supplements; blood donors in the last six months

Design outcomes

Primary

MeasureTime frame
EXPECTED OUTCOME 1. It is expected to find serum vitamin B6 concentrations decrease after use of 5 mg / day of folic acid, determined by liquid chromatography-tandem mass spectrometry (LC-MS/MS);OBSERVED OUTICOME 1. Serum concentrations of vitamin B6 forms, pyridoxal 5'-phosphate, pyridoxal and 4-pyridoxic acid were assessed by LC-MS/MS in individuals after and before 45 and 90 days of 5 mg folic acid use. A 12.8% increase in serum pyridoxal concentrations was observed after 45 days and 16.0% after 90 days of daily intervention with 5 mg of folic acid;EXPECTED OUTCOME 2. It is expected to find serum vitamin B2 concentrations decrease after use of 5 mg / day of folic acid, determined by liquid chromatography-tandem mass spectrometry (LC-MS/MS);OBSERVED OUTCOME 2. Serum concentrations of vitamin B2, riboflavin and flavon mononucleotide forms were evaluated by the LC-MS / MS method of individuals before and after 45 and 90 days of use of 5 mg of folic acid. Serum riboflavin and flavin mononucleotide concentrations increased by 11.6% and 12.6%, respectively, after 45 days, and 10.9% and 14.3%, respectively, after 90 days of daily intervention with 5 mg. of folic acid

Secondary

MeasureTime frame
EXPECTED OUTCOME 3: A change in the profile of tryptophan serum metabolite concentrations is expected in subjects following the use of 5 mg / day of folic acid as determined by LC-MS / MS.;OBSERVED OUTCOME 3: A 15.2% and 24.1% increase was observed only in serum anthranilic acid (tryptophan metabolite) concentrations after 45 and 90 days of daily folic acid intervention, respectively, as assessed by LC-MS / MS.;EXPECTED OUTCOME 4: It is expected a change in the number of T, B and NK cells in individuals after use of 5 mg / day of folic acid, determined by flow cytometry after labeling with antibodies specific for each cell line;OBSERVED OUTCOME 4: We observed increased number of CD4 + T lymphocytes and decrease of CD8 + T lymphocytes of individuals after 90 days of use of 5 mg / day of folic acid, evaluated by flow cytometry after labeling with specific antibodies for each cell line;EXPECTED OUTCOME 5: A reduction in the number of regulatory T cells (activated by PMA and ionomycin and without stimulation) is expected from individuals following the use of 5 mg/day of folic acid, determined by flow cytometry;OBSERVED OUTCOME 5: A decrease on number of regulatory T cells stimulated by PMA and ionomycin was observed after 90 days of daily intervention with 5 mg of folic acid, determined by flow cytometry;EXPECTED OUTCOME 6: It is expected a change in mRNA expression of genes of inflammatory cytokine in mononuclear leukocytes of individuals after use of 5 mg/day of folic acid, determined by the real-time polymerase chain reaction (RT- PCR);OBSERVED OUTCOME 6: A 78% and 64% increase in tumor necrosis factor mRNA gene expression was observed in mononuclear cells of individuals submitted to 45 and 90 days, respectively, of daily intervention with 5 mg of folic acid, evaluated by RT-PCR

Countries

Brazil

Contacts

Public ContactElvira Guerra Shinohara

Faculdade de Ciências Farmacêuticas da Universidade de São Paulo

emguerra@usp.br55 11 30913785

Outcome results

None listed

Source: REBEC (via WHO ICTRP)