Factors metabòlics i genètics en la regulació de l'estat en cobalamina, en la població adulta i durant l'embaràs

The worse cobalamin (Cbl) status during pregnancy is close to functional deficiency (increased plasma methylmalonic acid (MMA) and homocysteine (tHcy)) in pregnant women who start pregnancy with low Cbl status. Regular use of supplements containing 2 µg of cyanocobalamin is associated with higher pl...

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Detalhes bibliográficos
Autor: Salat Batlle, Judith
Tipo de documento: tese
Estado:Versão publicada
Data de publicação:2012
País:España
Recursos:Universitat Rovira i virgili (URV)
Repositório:Repositori Institucional de la Universitat Rovira i Virgili
OAI Identifier:oai:urv.cat:TDX:1057
Acesso em linha:https://hdl.handle.net/20.500.11797/TDX1057
http://hdl.handle.net/10803/80719
Access Level:Acceso aberto
Palavra-chave:612 - Fisiologia
61 - Medicina
577 - Bioquímica. Biologia molecular. Biofísica
57 - Biologia
Descrição
Resumo:The worse cobalamin (Cbl) status during pregnancy is close to functional deficiency (increased plasma methylmalonic acid (MMA) and homocysteine (tHcy)) in pregnant women who start pregnancy with low Cbl status. Regular use of supplements containing 2 µg of cyanocobalamin is associated with higher plasma Cbl, HoloTC and HoloTC/Cbl throughout pregnancy and in cord. The MTRR 524TT, TCII 776CG and 776GG genotypes, in adults are associated with a reduction of holotranscobalamin (HoloTC). In pregnant women with low cobalamin status in early pregnancy, MTRR 524TT and 66GG genotypes are associated with increased MMA and tHcy, respectively. TCII 776GG genotype is associated with triple risk of intrauterine growth retardation. In adults with low cobalamin and high folate status, there is a positive relation between folate and tHcy. Furthermore the beginning of pregnancy with low cobalamin and high folate status is associated with higher plasma MMA.