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Updated: Jul 18, 2026

Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
Published on: June 28, 2024
CHKA and PCYT1A gene polymorphisms, choline intake and spina bifida risk in a California population
James O Ebot Enaw1, Huiping Zhu, Wei Yang
1Center for Environmental and Genetic Medicine, Institute of Biosciences and Technology, Texas A&M University System Health Science Center, Houston, Texas 77030, USA. oenaw@yahoo.co.uk
Insights
Genetic variations in CHKA and PCYT1A genes influence spina bifida risk. Specific CHKA genotypes may reduce risk, while PCYT1A variations increase it, independent of maternal choline intake.
Area of Science:
- Genetics
- Nutritional Science
- Developmental Biology
Background:
- Neural tube defects (NTDs) are common congenital conditions.
- Periconceptional folic acid intake reduces NTD risk.
- Choline is an essential methyl donor, and its metabolism is critical for development.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in the choline kinase A (CHKA) and CTP:phosphocholine cytidylytransferase (PCYT1A) genes and the risk of spina bifida.
- To explore potential gene-nutrient interactions with maternal choline intake.
Main Methods:
- Genotyping of CHKA SNPs (hCV1562388, hCV1562393) and PCYT1A SNPs (rs939883, rs3772109) using fluorescence-based allelic discrimination.
- Case-control study involving 103 infants with spina bifida and 338 controls.
- Analysis of genotype effects and potential modification by maternal periconceptional choline intake.
Main Results:
- CHKA SNP hCV1562388 genotypes with at least one C allele were associated with a reduced risk of spina bifida (OR=0.60).
- PCYT1A SNP rs939883 genotype AA was associated with an increased risk of spina bifida (OR=1.89).
- These gene effects were not significantly modified by maternal choline intake.
Conclusions:
- Specific genotypes of CHKA and PCYT1A genes are associated with altered spina bifida risk.
- No evidence of gene-nutrient interaction between these SNPs and maternal choline intake was found.
- The biological mechanisms underlying these genetic associations require further investigation.
Background:
Neural tube defects (NTDs) are among the most common of all human congenital defects. Over the last two decades, accumulating evidence has made it clear that periconceptional intake of folic acid can significantly reduce the risk of NTD affected pregnancies. This beneficial effect may be related to the ability of folates to donate methyl groups for critical physiological reactions. Choline is an essential nutrient and it is also a methyl donor critical for the maintenance of cell membrane integrity and methyl metabolism. Perturbations in choline metabolism in vitro have been shown to induce NTDs in mouse embryos.
Methods:
This study investigated whether single nucleotide polymorphisms (SNPs) in human choline kinase A (CHKA) gene and CTP:phosphocholine cytidylytransferase (PCYT1A) gene were risk factors for spina bifida. Fluorescence-based allelic discrimination analysis was performed for the two CHKA intronic SNPs hCV1562388 (rs7928739) and hCV1562393, and PCYT1A SNP rs939883 and rs3772109. The study population consisted of 103 infants with spina bifida and 338 non-malformed control infants who were born in selected California counties in the period 1989-1991.
Results:
The CHKA SNP hCV1562388 genotypes with at least one C allele were associated with a reduced risk of spina bifida (odds ratio = 0.60, 95%CI = 0.38-0.94). The PCYT1A SNP rs939883 genotype AA was associated with a twofold increased risk of spina bifida (odds ratio = 1.89, 95% CI = 0.97-3.67). These gene-only effects were not substantially modified by analytic consideration to maternal periconceptional choline intake.
Conclusion:
Our analyses showed genotype effects of CHKA and PCYT1A genes on spina bifida risk, but did not show evidence of gene-nutrient interactions. The underlying mechanisms are yet to be resolved.
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