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Folate metabolism in myelofibrosis: a missing key?
Giacomo Maria Cerreto1, Giulia Pozzi1, Samuele Cortellazzi1
1Department of Medicine and Surgery, Anatomy Unit, University of Parma, Via Gramsci 14, Parma, 43126, Italy.
Annals of Hematology
|January 23, 2025
Summary
Unmetabolized folic acid (UMFA) accumulation may worsen inflammation and cancer. This review explores folate metabolism
Area of Science:
- Biochemistry
- Oncology
- Hematology
Background:
- Folates are essential enzyme cofactors in biological processes.
- Folic acid supplementation, while common, can lead to unmetabolized folic acid (UMFA) accumulation.
- UMFA is linked to chronic inflammation and cancer, potentially by stimulating cancer cells and altering cytokine expression.
Purpose of the Study:
- To review folate metabolism in normal and malignant hematopoietic cells.
- To discuss the implications of folate metabolism and UMFA in myelofibrosis (MF).
Main Methods:
- Literature review of folate metabolism, UMFA, and myelofibrosis.
- Analysis of folate receptor interactions and cytokine modulation.
Main Results:
- Folates can stimulate cancer cells and modulate inflammatory gene expression.
- Myelofibrosis is characterized by inflammation and bone marrow fibrosis.
- Folate supplementation is often used in MF treatment for anemia.
Conclusions:
- Understanding folate metabolism is crucial for comprehending MF biology.
- The role of UMFA in MF warrants further investigation.
- Potential therapeutic strategies targeting folate pathways in MF may be explored.
Keywords:
Chronic inflammationFolate receptorFolic acidMyelofibrosisMyeloproliferative neoplasmsOne-carbon metabolismMore Related Videos
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