Plant Foods Hum Nutr DOI 10.1007/s11130-013-0402-9 ORIGINAL PAPER Natural Folates from Biofortified Tomato and Synthetic 5-methyl-tetrahydrofolate Display Equivalent Bioavailability in a Murine Model Fabiola Castorena-Torres & Perla A. Ramos-Parra & Rogelio V. Hernández-Méndez & Andrés Vargas-García & Gerardo García-Rivas & Rocío I. Díaz de la Garza # Springer Science+Business Media New York 2014 Abstract Folate deficiency is a global health problem related to neural tube defects, cardiovascular disease, dementia, and cancer. Considering that folic acid (FA) supply through industrialized foods is the most successful intervention, limitations exist for its complete implementation worldwide. Biofortification of plant foods, on the other hand, could be implemented in poor areas as a complementary alternative. A biofortified tomato fruit that accumulates high levels of folates was previously developed. In this study, we evaluated shortterm folate bioavailability in rats infused with this folatebiofortified fruit. Fruit from tomato segregants hyperaccumulated folates during an extended ripening period, ultimately containing 3.7-fold the recommended dietary allowance in a 100-g portion. Folate-depleted Wistar rats separated in three groups received a single dose of 1 nmol of folate/ F. Castorena-Torres : P. A. Ramos-Parra : R. V. Hernández-Méndez : A. Vargas-García : R. I. Díaz de la Garza (*) Escuela de Biotecnología y Alimentos, Centro de Biotecnología-FEMSA, Tecnológico de Monterrey, Campus-Monterrey, Eugenio Garza Sada 2501, Monterrey, NL 64849, México e-mail: [email protected] F. Castorena-Torres : R. V. Hernández-Méndez : A. Vargas-García : G. García-Rivas Cátedra de Cardiología y Medicina Vascular, Escuela de Medicina, Tecnológico de Monterrey, Monterrey, Nuevo León, México G. García-Rivas Centro de Investigación Básica y Transferencia, Instituto de Cardiología y Medicina Vascular, Tec Salud, San Pedro Garza García, Nuevo León, México g body weight in the form of lyophilized biofortified tomato fruit, FA, or synthetic 5-CH3-THF. Folate bioavailability from the biofortified tomato was comparable to that of synthetic 5CH3-THF, with areas under the curve (AUC0–∞) of 2,080± 420 and 2,700± 220 pmol ·h/mL, respectively (P=0.12). Whereas, FA was less bioavailable with an AUC0–∞of 750± 10 pmol·h/mL. Fruit-supplemented animals reached maximum levels of circulating folate in plasma at 2 h after administration with a subsequent steady decline, while animals treated with FA and synthetic 5-CH3-THF reached maximum levels at 1 h. Pharmacokinetic parameters revealed that biofortified tomato had slower intestinal absorption than synthetic folate forms. This is the first study that demonstrates the bioavailability of folates from a biofortified plant food, showing its potential to improve folate deficiency. Keywords Biofortified tomato . Folate bioavailability . Rat model . Biofortification . Vitamin Abbreviations ADCS AUC Cmax DHFR FA GGH GCHI MTHFR MG Aminodeoxychorismate synthase Area under the curve Maximum concentration Dihydrofolate reductase Folic acid γ-glutamyl hydrolase GTPcyclohydrolase I Methylenetetrahydrofolate reductase Monoglutamylated Plant Foods Hum Nutr NTD PG RDA THF Tmax t1/2 5-CHO-THF 5-CH3-THF 5,10-CH = THF 5,10-CH2-THF Neural tube defects Polyglutamylated Recommended dietary allowance Tetrahydrofolate Maximum concentration time Half-time 5-formyl-THF 5-methyl-THF 5,10-methenyl-THF 5,10-methylene-THF Introduction Folates are water-soluble compounds that are essential for humans and other vertebrates; they belong to the group B of vitamins (B9) and participate as one-carbon donors in several anabolic reactions, such as methionine and nucleic acid biosynthesis. In public health it is well-recognized the role of folate in reducing the risk of neural tube birth defects (NTD) [1], and its deficiency is a cause of megaloblastic anemia, which is highly prevalent among pregnant women and young children [2]. Folate malnutrition has also been found to be a risk factor for cardiovascular disease [3], and there is growing evidence that suggests a role in dementia and some types of cancer [4, 5]. Plants are the primary source of folates for humans. Certain plants foods have a higher content of folates, such as green leafy vegetables, legumes, and a few fruits. However, the main source of calories in developing countries have low folate levels (e.g., roots and cereals) [6]. Furthermore, folates are labile compounds that can partially degrade during food processing [7–9]. Thus, it is difficult to consume the recommended dietary allowance (RDA). To provide a continuous source of folates, folic acid (FA), a synthetic fully-oxidized folate form (Fig. 1a), has been successfully used in dietary supplements and in food fortification programs for the last 15 years [1]. However, to implement fortification through processed foods in poor and rural areas represents a challenge [10]. In addition, some developed countries do not mandate that foods be fortified with FA due to concerns about the risk of masking the symptoms of vitamin B12 deficiency and the potential adverse effects of chronic intake of synthetic folate [11]. An appealing alternative to increase folate availability for the global population is through biofortified staple crops. Biofortification is the process of increasing micronutrient levels through plant breeding or genetic engineering [10]. Folate-biofortified foods produce and accumulate natural folates, and their production has the potential to be sustainable. Naturally occurring folates exist in food as tetrahydrofolate (THF) derivatives, with the one-carbon group attached to the nitrogen 5- and/or 10positions in the molecule at different reduction levels. In addition, contrary to synthetic forms that are exclusively monoglutamylated (MG), natural folates accumulate in tissues as a mixture of MG and polyglutamylated (PG) forms (Fig. 1c). The polyglutamyl tail is needed for intracellular retention and possibly has an impact on folate bioavailability [12, 13]. Folate biofortification of a plant food was first accomplished in tomato via the overexpression of the GTP cyclohydrolase I (GCHI) and aminodeoxychorismate synthase (ADCS), which catalyze the first steps in folate biosynthesis. This strategy increased the folate level in ripe tomato fruits by 25-fold. The predominant folate class produced was 5-methyl-THF (5-CH3-THF), and the amount of folates accumulated in the fruit tissue was enough to meet the RDA in less than one portion [14]. Moreover, a synthetic 5-CH3-THF (Fig. 1b) has recently become available as a dietary supplement; it has comparable absorption, bioavailability, and physiological activity to FA at equimolar doses [15]. Thus, the objective of this study was to evaluate the absorption and disposition of folates from a biofortified tomato in a murine model. We found that the relative bioavailability of folates from the engineered tomato fruit was comparable to that of the synthetic 5-CH3-THF in rats. Fig. 1 Chemical structure of synthetic and natural folates. a Folic acid, b synthetic 5-CH3-THF, and c natural folates. Tomato biofortified folates have γ-linked polyglutamyl tails of up to seven residues attached to the first glutamate. C1 units at various levels of oxidation can be linked to nitrogen 5 and/or 10, as indicated by R and R′ Plant Foods Hum Nutr Materials and Methods Plant Material T3 progenies from a transgenic tomato (Lycopersicon esculentum. Mill., cv MicroTom) overexpressing GCHI [E.C. 3.5.4.16] and ADCS [E.C. 2.6.1.85] were kindly shared by Dr. Andrew Hanson (University of Florida). Tomato plants segregants were screened using PCR for both GCHI and ADCS, as previously described [14]. Plants containing both transgenes were allowed to set fruit in a greenhouse. Tomato fruit that ripened on the vine were harvested at 7, 15, 30, and 45 days after the breaker stage. All samples were frozen in liquid N2 and stored at −80 °C until they were analyzed. Animals Experimental procedures were performed in accordance with the Guide for the Care and Use of Laboratory Animals published by the U.S. National Institutes of Health (NIH Publication No. 85-23, revised 1996). All procedures were approved by the Animal Use and Care Committee of the School of Medicine at the Tecnológico de Monterrey (Project 2011-010). After weaning, 36 male Wistar rats (300±30 g) were fed a control diet (CD) for six weeks and then changed to an FA-deficient diet (FADD); both diets were Purina Rodent Chow (Purina Mills, Richmond, IN, USA). The CD contained the recommended amount of FA for rodents (7.1 mg/kg diet), while the FADD contained 0.2 mg/kg diet. A 28-day folate depletion protocol was employed; through this time, the rats were housed in clean wire mesh cages with controlled temperature (23±1 °C) and humidity (45 % to 55 %) and a 12 h dark and light cycle. Before the experiment, the rats were randomized in three groups (n=12). The animals were starved overnight (12 h) and to guarantee consumption of equivalent folate doses, a single intragastric bolus of an equimolar concentration (1 nmol/g body weight) of FA, synthetic 5-CH3THF pulverized tablets, or lyophilized biofortified tomato fruit (all dissolved in a 2 mL saline solution) was infused in the animals. Rats were exposed to 2 to 5 % isoflurane, and blood samples (approximately 400 μL) were collected from the tails of three animals at different time points after folate administration and placed in EDTA tubes. At the end of the experiment, all rats were sacrificed with an intraperitoneal injection of 60 mg/kg of sodium pentobarbital (CDMV, Calgary, AB, Canada). Plasma was obtained by centrifugation at 1,500 g for 10 min and was aliquoted in vials with a folate extraction buffer (50 mM Na-HEPES, 50 mM CHES, 10 mM 2mercaptoethanol, and 2 % Na-ascorbate; pH=7.9). Oxygen was removed from the samples by flushing them with N2 gas. Samples were stored at −80 °C until analysis. Folate Analysis Folates from tomato fruit were extracted and purified according to the method described by Ramos-Parra et al. [16]. Briefly, folates were extracted from the frozen samples by boiling in the extraction buffer, and then folates were deglutamylated to MG forms by a plant conjugase (for PG profiles this step was omitted). Folates were purified by affinity chromatography and analyzed using an HPLCelectrochemical detector, which can separate, detect, and quantify individual folate derivatives. Plasma folates were determined using the same method, starting with 250 μL of homogenized plasma in a 5-mL folate extraction buffer. The FA and 5-CH3-THF supplements were quantified in a solution using spectrophotometry (λmax =282 and 292 nm, respectively). Chemicals Folates were purchased from Schircks Laboratories (Jona, Switzerland) and other chemicals used in the study from Sigma-Aldrich (St. Louis, MO, USA). The FA and 5-CH3-THF tablets were commercial supplements: 400 μg FA (Vitae Laboratorios, Guadalajara, Jalisco, México) and 800 μg Solgar Folate (as Metafolin®; Leonia, NJ, USA). Statistical Analysis Values were expressed as the mean ± standard error of the mean (SEM). The area under the plasma concentration time curve from 0 to 12 (AUC 0–12) was calculated using the trapezoidal method for 5-CH3-THF. Both the maximum concentration (Cmax) and maximum concentration time (Tmax) values were obtained directly from the plasma concentration data. The area under the plasma concentration time curve was extrapolated from 12 h to infinity (AUC0–∞) using log-linear regression analysis, and half-time (t1/2) was calculated using the pkexamine function in Stata software (Stata version 10.0, College Station, TX, USA). Differences among treatments were evaluated using ANOVA and, when significant (P <0.05), individual post hoc tests were performed using Tukey’s range statistic for pair-wise comparisons. Results and Discussion Characterization of Natural Folates in Fully Ripe Biofortified Tomato Fruit The synthetic and natural folate derivatives that were used in this study are shown in Fig. 1. In a previous work, folates were characterized in the fruit of parental plants (T1) at 12 days after the onset of ripening (the breaker stage) [14]. To confirm phenotype maintenance, in this study folates were analyzed in fruit from T3 progenies containing both GCHI and ADC transgenes. At days 7 and 15 after the breaker stage, the fruit hyperaccumulated folates similar to what was previous reports, meeting the RDA in less than one 100-g portion (Fig. 2a) [14]. However, since higher folate concentrations were needed for this single-dose experiment and considering that both transgenes are under the control of the E8 promoter (fruit specific and ethylene responsive), the fruits were allowed to ripen for a longer period of time assuming Plant Foods Hum Nutr a Folate content (nmol g -1 fresh weight) 50 5-CHO-THF 5,10-CH=THF + 10-CHO-THF 5-CH3-THF THF + 5,10-CH 2-THF 40 30 20 10 0 7 14 30 45 b 5-CH3-THF Polyglutamylation (nmol g -1 fresh weight) 30 Glu1 20 10 3 Glu5 Glu6 2 1 Glu4 Glu2 Glu7 Glu3 0 7 14 30 45 Ripening time (days after breaker stage) Fig. 2 Folate derivatives and 5-CH3-THF polyglutamyl tail length in biofortified tomato fruit during ripening. a Accumulation of folate derivatives in biofortified ripening fruit. b Polyglutamyl tail lengths of 5-CH3THF. GLU1-7 corresponds to the polyglutamyl tail lengths. Data are mean ± SEM (n=3) further folate accumulation. The biofortified tomato fruits were harvested at days 30 and 45 after the breaker stage, and their folate levels showed a progressive increase of up to 39.7 ±1.8 nmol/g of fresh weight at day 45 after the breaker (Fig. 2b); this represents an almost 40-fold increase from wild-type tomato levels. These results confirm that under longer periods of ripening, higher folate concentrations are achieved, which demonstrates the capacity of aged fruit tissues to accumulate folates. Fruit allowed to ripen for this unusual longer period usually starts to senesce; these observations also suggest that the endogenous enzymes that participate in folate biosynthesis remain expressed and active during this extended ripening period, although only two biosynthetic genes were overexpressed. This is consistent with the feedforward control in folate biosynthesis gene expression shown previously in engineered fruit [17]. The majority of the increase in the folate pools was due to higher levels of 5-CH3THF; this derivate was the main folate class in the tomato fruit (76 to 85 % of total folate content) during the evaluated periods of time (Fig. 2a). Moreover, since PG folate forms might be less bioavailable than MG [13], we characterized the 5-CH3-THF PG levels in ripe tomato fruit harvested at day 30 after the breaker stage (which was the stage chosen for animal treatment). Similar to the fruit in the previous study, 5-CH3THF MG was the predominant folate form, reaching levels of 26.6 nmol/g of fresh weight at day 30 after the breaker stage, representing 80 % of the total 5-CH3-THF pool (Fig. 2b). Moreover, the 5-CH3-THF PG forms had tails of up to 7 glutamates (Glu7), but the Glu5 and Glu6 were the most prevalent (12 % of the 5-CH3-THF pool), these increased steadily as the fruit ripened (Fig. 2b). The rest of the 5-CH3THF PG forms accumulated at relatively lower levels, and did not change significantly with time. Regarding the other folate species, 54 % of the THF pool was in the MG form, while 67 % of 5-CHO-THF was MG at day 30 after the breaker stage (not shown); however, the 5,10-CH = THF MG contribution could not be assessed. Based on these proportions, we estimated that at least 71 % of the folates in the tomato fruit were in the MG form. Overall, these results show that this engineered tomato fruit (even at early ripening stages) could be an excellent folate source with expected high absorption, since PG folates only accumulated in minor proportions. Bioavailability of Natural Folates in Biofortified Tomato versus Synthetic Folates This single-dose study was designed to assess relative bioavailability under standardized conditions; lyophilized ripe fruit at day 30 after the breaker stage was resuspended in saline solution and administered to folatedepleted rats in puree form. To properly compare the pharmacokinetic parameters of folates from the biofortified tomato fruit, FA and synthetic 5-CH3-THF pulverized tablets were also administered in a solution in equimolar doses in parallel experiments. Bioavailability was evaluated by analyzing folates in plasma because they show an immediate response to a single oral dose. Folates are absorbed in the jejenum cell and are metabolized into 5-CH3-THF MG, which is the folate derivative that is transported into the blood stream [18]. Except for the FA group (see below), 5-CH3-THF was the only folate detected in the plasma. To assure that rats depleted their folate reserves, rats were fed a FADD for four weeks. The mean baseline folate level of the CD group was 209±36 pmol/mL, while that from FADD rats was less than 28 pmol/mL. This level of folate depletion was comparable to other studies, in which the plasma folate concentration from depleted rats ranged from 37 to 60 pmol/mL [19, 20]. Next, we evaluated plasma folate levels in FADD rats at different time points during the first 12 h after treatment (Fig. 3). At time zero, 5-CH3-THF MG levels were not different among the three groups. After ingestion of both the FA and synthetic 5-CH3-THF, plasma folate peaked at 1 h and remained higher than baseline for up to 12 h after bolus infusion. Conversely, in Plant Foods Hum Nutr a 500 5-CH3-THF (pmol mL -1) Folic acid 400 a Synthetic 5-CH3-THF 300 b a a 200 a b b 100 c 0 a a a ab a 0 b b Biofortified tomato a b a b a b c b b b c 2 4 6 8 10 12 6 8 10 12 35 Folic acid (pmol mL -1 ) 30 25 20 15 10 5 0 0 2 4 Time (h ) Fig. 3 Time-course response to synthetic and natural folates from biofortified tomato fruit. a Mean plasma levels of 5-CH3-THF response in rats after treatment with equimolar folate doses. b Unmetabolized folic acid in plasma after treatment. Data are mean ± SEM (n=3). Means with different letters at a given time point are significantly different (P≤0.05, Tukey’s post hoc test) animals treated with biofortified tomato, maximum 5-CH3THF levels were reached at 2 h with a subsequent steady decline. A delay can be expected as folates accumulate within plant tissues and need to be extracted during digestion prior to absorption. In addition, folate bioavailability is known to be affected by the food matrix [21]. These results thus suggest that natural folates present in biofortified tomato have a slower intestinal absorption than synthetic preparations. In addition, when folates were analyzed from the FAtreated rats, we detected unmetabolized FA along with 5CH3-THF in plasma (Fig 3b). The FA concentration also peaked at 1 h (23±6 pmol FA/mL of plasma) as 5-CH3-THF did (Fig 3a). This finding suggests an enzymatic system overload. After ingestion, FA is mainly absorbed via carriermediated transport involving the reduced folate carrier and proton-coupled folate transporter [22]. At high doses, FA is also absorbed through passive diffusion, increasing the unmetabolized FA concentration. Additionally, FA undergoes a two-step reduction by dihydrofolate reductase (DHFR) [E.C. 1.5.1.3] mainly in intestinal epithelial cells to become the metabolically active THF (Fig. 4). At high FA doses, DHFR activity may become a limiting step in the bioconversion of FA to 5-CH3-THF [22], maintaining a non-reduced FA pool that can pass throughout the circulation system. The pharmacokinetics parameters following the treatments are presented in Table 1. Surprisingly, all parameters showed that, under the conditions tested, the bioavailability of synthetic 5-CH3-THF was higher than the FA. The Cmax of synthetic 5-CH3-THF was 6-fold higher than the FA Cmax. These data are consistent with a previous study that evaluated the effect of high doses of synthetic folates in humans [23]. However, at lower doses, results from other studies have shown that the bioavailability of synthetic 5-CH3-THF is at least as high as that of FA after a single dose of both compounds in humans [15, 24]. This dissimilarity among previous reports could be due to the different doses used and the preceding folate saturation regimen of the subjects. In our study, as well as in reports performed in murine models [19, 25], a folate-depleted rat model was used to minimize interindividual differences in baseline plasma folate content before treatment. Consequently, all rats started the treatment with a similar folate regimen, and recovery of folate plasma concentration was readily observed and comparable among groups. Under these conditions, the AUC and Cmax levels of the natural folates from the biofortified tomato fruit were slightly lower than the levels of the synthetic 5-CH3-THF (Table 1). This difference could be due to a food matrix effect (folate interactions with tomato fruit components that can affect bioavailability) in addition to the different stability of the other folate species during digestion (15 % of the folates present in the fruit were not 5-CH3-THF; Fig. 2a). In fact, bioavailabilities of folates from foods differ when compared to synthetic folates in rats and humans (usually less than 80 %) [26, 27]. Another consideration is the amount of PG folates in the biofortified tomato; based on our calculation, PG folate probably represented less than 25 % of the total folates infused into the animals. PG folate forms first need to be deglutamylated by intestinal γ-glutamyl hydrolase (conjugase) prior to being absorbed by the small intestine; however, the polyglutamylation effect on the rate of intestinal absorption of folates is still controversial. There are several studies in humans that show different degrees of bioavailability when natural PG folates were compared to MG folates, while others have not found differences [28]. Another pertinent consideration is the limitations of using a rat model for folate bioavailability studies. Folate deconjugation in rats is different than in humans; they have low intestinal conjugase activity, while their pancreatic juice is a rich source of conjugases [29, 30]. Thus, there is a possibility that the relative bioavailability values found in this animal model would change for humans if the natural PG folates were a limiting factor in this study. Plant Foods Hum Nutr BIOFORTIFIED TOMATO SYNTHETIC 5-CH3-THF GGH JEJUNUM CELLS 5-CH3-THF (Glu)n FOLIC ACID 5-CH3-THF MG FOLIC ACID DHFR DHF a b 5-CH3-THF c 5-CH3-THF DHFR THF 5-10-methylene-THF MTHFR 5-CH3-THF BLOOD STREAM 5-CH3-THF FOLIC ACID Fig. 4 Digestion and absorption of synthetic and natural folates. a Polyglutamylated natural folates (mainly 5-CH3-THF) from biofortified tomato are hydrolyzed by γ-glutamyl hydrolase (GGH, conjugase) in the intestinal lumen or at the brush border. Monoglutamyl folates are transported into the intestinal cell, appearing in the circulation as 5- CH3-THF. b Synthetic 5-CH3-THF is transported directly to the bloodstream. c FA is transported into the intestinal cell, where it is reduced and methylated, appearing in the circulation as 5-CH3-THF. Unmetabolized FA was observed in mesenteric circulation Nevertheless, considering that this biofortified fruit accumulated around 1.5 mg of folate in a 100-g portion (3.7-fold the RDA), a slightly reduction in bioavailability would not diminish its potential to improve folate status in individuals. with FA has been shown to be effective, and epidemiological data show that it lowers NTDs among certain populations [31]. However, there are concerns surrounding FA consumption by certain individuals and potential negative effects of unmetabolized FA in the circulation [11]. FA bioavailability depends on the reduction capacity of DHFR (Fig. 4); this capacity could be surpassed by high doses (as shown in our data when unmetabolized FA was detected in the rat plasma) or altered by polymorphisms or pathologies. Folates from biofortified food matrices would not cause these concerns, since all folates are in their reduced forms, and additionally, have to be subjected to a number of enzymatic steps in order to be absorbed, transported, and accumulated within tissue. In this study, 5-CH3-THF levels in plasma were significantly raised after tomato fruit consumption with no detection of FA, as expected. On the other hand, FA-fortified food has been successfully implemented in over 50 countries [1], but implementation in developing countries and rural areas is difficult due to a lack of industrialized food systems. We consider that generation of biofortified staple crops will lead to improved nutrition in these target populations, particularly because it has the potential to be sustainable. There are ongoing efforts to biofortify staple crops with folate, particularly rice, which has been engineered with very similar results to tomato fruit [32], and corn, with a 2-fold increase in folate, along with important increases in pro-vitamin A and vitamin C [33]. However, this is the first study that demonstrates folate bioavailability from a biofortified plant organ similar to that of synthetic 5-CH3THF, when administered in a single high dose. In contrast, FA at this dose probably saturated the rat reduction system. Folates from Biofortified Plant Foods as an Alternative to Improve Human Nutrition Results from this work constitute the first step towards in vivo assessment of biofortified plant foods with folates. Folates accumulated within ripe tomato fruit primarily in the most common form of reduced folate, namely 5-CH3-THF, which has been proven to be as effective as FA when administered as a supplement [15]. Food fortified Table 1 Pharmacokinetic parameters for 5-CH3-THF after administration of either synthetic or natural folates from biofortifed tomato fruit in rats Cmax (pmol/mL) Tmax (h) T½ (h) AUC (0–12) (pmol·h/mL) AUC (0–∞) (pmol·h/mL) Folic acid Synthetic 5-CH3-THF Biofortified tomato 60±10a 1a 6±2a 500±20a 380±70b 1a 4.2±0.4a 2,250±90b 270±20b 2b 6.4±2a 1,590±330b 750±10a 2,700±220b 2,080±420b Cmax maximum concentration, Tmax maximum concentration time, T½ half-life, AUC area under the curve All values are reported as means ± SEM (n=12) Differences among groups were evaluated by using one-way ANOVA. Means with different letters are significantly different. (P≤0.05, Tukey’s post hoc test) Plant Foods Hum Nutr Results from this work demonstrate the potential of folatebiofortified plant foods to improve folate deficiency. Further long-term preclinical studies that focus on physiological doses can provide more evidence of the capability of these foods to improve folate status and will evaluate toxic effects prior to be tested in humans. In response to the global population’s increasing demand for food that can provide necessary nutrients in smaller portions, the biofortification of food plants has been shown to increase accumulation of micronutrients [10]. Future efforts need to focus on advancing these crops toward sustainable human consumption that can help relieve global micronutrient deficiencies. Conclusion The short-term bioavailability of folates from biofortified tomato fruit is comparable to synthetic 5-CH3-THF preparations in a rat model. We suggest additional long-term studies to evaluate its bioequivalence and safety. Acknowledgments The authors thank Dr. Andrew Hanson at the University of Florida, for generously sharing the biofortified tomato lines. We are grateful to Dr. Adriana Pacheco for critically reading the manuscript and for her insightful comments. This research was supported by the FEMSA Nutrigenomics Fund, and by Endowed Chairs of the Tecnológico de Monterrey in Cardiology 0020CAT131 and Micronutrients 0020CAT198. RVHM was supported by CONACyT M.Sc. scholarship 39354. Conflict of Interest All authors declare not having conflict of interest. All animal procedures received prior approval by the Tecnológico de Monterrey Animal Care and Use Committee. References 1. Zimmerman S (2011) Fifteen years of fortifying with folic acid: birth defects are reduced and healthcare expenses are averted. Sight and Life 25(3):54–59, 978-3-906412-66-5 2. Rush D (2000) Nutrition and maternal mortality in the developing world. Am J Clin Nutr 72(1Suppl):212S–240S 3. Qin X, Huo Y, Xie D et al (2013) Homocysteine-lowering therapy with folic acid is effective in cardiovascular disease prevention in patients with kidney disease: a meta-analysis of randomized controlled trials. Clin Nutr 32(5):722–727 4. Kim Y-I (2004) Folate and DNA methylation: a mechanistic link between folate deficiency and colorectal cancer? Cancer Epidemiol Biomarkers Prev 13(4):511–519 5. Wald DS, Kasturiratne A, Simmonds M (2011) Serum homocysteine and dementia: meta-analysis of eight cohort studies including 8669 participants. Alzheimers Dement 7(4):412–417 6. Nestel P, Bouis HE, Meenakshi JV, Pfeiffer W (2006) Biofortification of staple food crops. J Nutr 136(4):1064–1067 7. Czarnowska M, Gujska E (2012) Effect of freezing technology and storage conditions on folate content in selected vegetables. Plant Foods Hum Nutr 67(4):401–406 8. Gujska E, Michalak J, Klepacka J (2009) Folates stability in two types of rye breads during processing and frozen storage. Plant Foods Hum Nutr 64(2):129–134 9. Gujska E, Majewska K (2005) Effect of baking process on added folic acid and endogenous folates stability in wheat and rye breads. Plant Foods Hum Nutr 60(2):37–42 10. Mayer JE, Pfeiffer WH, Beyer P (2008) Biofortified crops to alleviate micronutrient malnutrition. Curr Opin Plant Biol 11(2):166–170 11. Lucock M, Yates Z (2009) Folic acid fortification: a double-edged sword. Curr Opin Clin Nutr Metab Care 12(6):555–564 12. Tibbetts AS, Appling DR (2010) Compartmentalization of mammalian folate-mediated one-carbon metabolism. Annu Rev Nutr 30(1): 57–81 13. Wei M, Gregory J (1998) Organic acids in selected foods inhibit intestinal brush border pteroylpolyglutamate hydrolase in vitro: potential mechanism affecting the bioavailability of dietary polyglutamyl folate. J Agric Food Chem 46(1):211–219 14. Diaz de la Garza RI, Gregory JF, Hanson AD (2007) Folate biofortification of tomato fruit. Proc Natl Acad Sci USA 104(10): 4218–4222 15. Pietrzik K, Bailey L, Shane B (2010) Folic acid and L-5-methyltetrahydrofolate: comparison of clinical pharmacokinetics and pharmacodynamics. Clin Pharmacokinet 49(8):535–548 16. Ramos-Parra PA, Urrea-López R, Díaz-De La Garza RI (2013) Folate analysis in complex food matrices: use of a recombinant arabidopsis γ-glutamyl hydrolase for folate deglutamylation. Food Res Int 54(1): 177–185 17. Waller JC, Akhtar TA, Lara-Núñez A et al (2010) Developmental and feedforward control of the expression of folate biosynthesis genes in tomato fruit. Mol Plant 3(1):66–77 18. Clifford AJ, Heid MK, Peerson JM, Bills ND (1991) Bioavailability of food folates and evaluation of food matrix effects with a rat bioassay. J Nutr 121(4):445–453 19. O’Leary K, Sheehy PJA (2001) Effects of preparation and cooking of folic acid-fortified foods on the availability of folic acid in a folate depletion/repletion rat model. J Agric Food Chem 49(9):4508–4512 20. Huang RF, Hsu YC, Lin HL, Yang FL (2001) Folate depletion and elevated plasma homocysteine promote oxidative stress in rat livers. J Nutr 131(1):33–38 21. Castenmiller JJ, van de Poll CJ, West CE et al (2000) Bioavailability of folate from processed spinach in humans. Ann Nutr Metab 44(4): 163–169 22. Dev S, Ahmad Wani N, Kaur J (2011) Regulatory mechanisms of intestinal folate uptake in a rat model of folate oversupplementation. Br J Nutr 105(6):827–835 23. Willems FF, Boers GHJ, Blom HJ et al (2004) Pharmacokinetic study on the utilisation of 5-methyltetrahydrofolate and folic acid in patients with coronary artery disease. Br J Pharmacol 141(5):825–830 24. Pentieva K, McNulty H, Reichert R et al (2004) The short-term bioavailabilities of [6S]-5-methyltetrahydrofolate and folic acid are equivalent in men. J Nutr 134(3):580–585 25. Pérez-Conesa D, Haro-Vicente JF, Braquehais FR, Ros G (2009) [6S]-5-Methyltetrahydrofolate enhances folate status in rats fed growing-up milk. Eur J Nutr 48(6):365–371 26. Abad AR, Gregory JF III (1988) Assessment of folate bioavailability in the rat using extrinsic dietary enrichment with radiolabeled folates. J Agric Food Chem 36(1):97–104 27. Winkels RM, Brouwer IA, Siebelink E et al (2007) Bioavailability of food folates is 80% of that of folic acid. Am J Clin Nutr 85(2):465–473 28. McKillop DJ, McNulty H, Scott JM et al (2006) The rate of intestinal absorption of natural food folates is not related to the extent of folate conjugation. Am J Clin Nutr 84(1):167–173 29. Wang TT, Reisenauer AM, Halsted CH (1985) Comparison of folate conjugase activities in human, pig, rat and monkey intestine. J Nutr 115(6):814–819 Plant Foods Hum Nutr 30. Jägerstad M, Lindstrand K, Westesson AK (1972) Hydrolysis of conjugated folic acid by pancreatic “conjugase”. Scand J Gastroenterol 7(2):593–597 31. Honein MA, Paulozzi LJ, Mathews TJ et al (2001) Impact of folic acid fortification of the US food supply on the occurrence of neural tube defects. JAMA 285(23):2981–2986 32. Storozhenko S, De Brouwer V, Volckaert M et al (2007) Folate fortification of rice by metabolic engineering. Nat Biotechnol 25(11):1277–1279 33. Naqvi S, Zhu C, Farre G et al (2009) Transgenic multivitamin corn through biofortification of endosperm with three vitamins representing three distinct metabolic pathways. Proc Natl Acad Sci USA 106(19):7762–7767
© Copyright 2024 ExpyDoc