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Aberrant neural tube morphology in Mthfd1l z/z embryos. ( A and J ) Mthfd1l z/ + embryos at approximately E10.5 and E11.5, respectively, exhibit re- gionalized β -galactosidase staining that is highest in the eyes, heart, limb, and dorsal midline region (black arrowheads). ( A ) Dashed line indicates the level of all sections below, at 10 × and 40 × magni fi cation. ( B and K ) Mthfd1l z/z littermates of embryos in ( A ) and ( J ), respectively, exhibit β -galactosidase staining that appears super fi cially ubiquitous. ( D, G, L, and N ) Sections through Mthfd1l z/ + embryos have β -galactosidase activity in the basal area of the dorsal neuro- 

Aberrant neural tube morphology in Mthfd1l z/z embryos. ( A and J ) Mthfd1l z/ + embryos at approximately E10.5 and E11.5, respectively, exhibit re- gionalized β -galactosidase staining that is highest in the eyes, heart, limb, and dorsal midline region (black arrowheads). ( A ) Dashed line indicates the level of all sections below, at 10 × and 40 × magni fi cation. ( B and K ) Mthfd1l z/z littermates of embryos in ( A ) and ( J ), respectively, exhibit β -galactosidase staining that appears super fi cially ubiquitous. ( D, G, L, and N ) Sections through Mthfd1l z/ + embryos have β -galactosidase activity in the basal area of the dorsal neuro- 

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Maternal supplementation with folic acid is known to reduce the incidence of neural tube defects (NTDs) by as much as 70%. Despite the strong clinical link between folate and NTDs, the biochemical mechanisms through which folic acid acts during neural tube development remain undefined. The Mthfd1l gene encodes a mitochondrial monofunctional 10-form...

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... of resorption. The most common NTD phenotype was exencephaly with a wavy neural tube ( Fig. 3D; n = 11), or exencephaly alone (Fig. 3B, n = 3). The most severe NTD observed was craniorachischisis ( Fig. 3C; n = 1). The nine Mthfd1l z/z embryos whose neural tubes had closed all displayed a wavy neural tube with a small, aberrantly formed head (Fig. 4B). In all, 20/24 Mthfd1l z/z embryos exhibited a wavy neural tube, and the earliest observation of this phenotype was at E9.5. The location of the waviness in the neural tube was variable, but most embryos exhibited a wavy neural tube begin- ning at approximately the same axis as the forelimb and extending caudally past the forelimb, as ...
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... (Fig. 2A). To confirm that the LacZ reporter recapitulated endogenous Mthfd1l gene expression, we compared the patterns detected by β-galactosidase staining in Mthfd1l z/+ sections with endogenous Mthfd1l gene expression. Using in situ hybridization, we observed transcript expression in the ectoderm, underlying mesenchyme, and dorsal neural tube (Fig. 4 C, F, and I). In the neural tube, the highest expression is detected in the basal surface of the dorsal neuroepithelium (Fig. 4F, arrowheads). β-galactosidase activity was more restricted in Mthfd1l z/+ embryos (Fig. 4D), but is still seen within the same region of the neural tube as the gene expression pattern. We conclude that the LacZ ...
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... by β-galactosidase staining in Mthfd1l z/+ sections with endogenous Mthfd1l gene expression. Using in situ hybridization, we observed transcript expression in the ectoderm, underlying mesenchyme, and dorsal neural tube (Fig. 4 C, F, and I). In the neural tube, the highest expression is detected in the basal surface of the dorsal neuroepithelium (Fig. 4F, arrowheads). β-galactosidase activity was more restricted in Mthfd1l z/+ embryos (Fig. 4D), but is still seen within the same region of the neural tube as the gene expression pattern. We conclude that the LacZ reporter partially recapitulates endoge- nous Mthfd1l gene expression with the difference most likely being due to reduced ...
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... Using in situ hybridization, we observed transcript expression in the ectoderm, underlying mesenchyme, and dorsal neural tube (Fig. 4 C, F, and I). In the neural tube, the highest expression is detected in the basal surface of the dorsal neuroepithelium (Fig. 4F, arrowheads). β-galactosidase activity was more restricted in Mthfd1l z/+ embryos (Fig. 4D), but is still seen within the same region of the neural tube as the gene expression pattern. We conclude that the LacZ reporter partially recapitulates endoge- nous Mthfd1l gene expression with the difference most likely being due to reduced ...
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... z/+ whole mount embryos stained for β-galactosidase activity have the highest levels in the eyes, heart, limb, and dorsal midline region (Fig. 4 A and J). In sectioned Mthfd1l z/+ embryos, β-galactosidase activity is predominantly detected at the basal surface of the dorsal neuroepithelium and is rarely detected in cells within and outside of the neural tube (Fig. 4 D, G, L, and N). In sectioned Mthfd1l z/z embryos, β-galactosidase activity is robustly detected both inside and outside ...
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... embryos stained for β-galactosidase activity have the highest levels in the eyes, heart, limb, and dorsal midline region (Fig. 4 A and J). In sectioned Mthfd1l z/+ embryos, β-galactosidase activity is predominantly detected at the basal surface of the dorsal neuroepithelium and is rarely detected in cells within and outside of the neural tube (Fig. 4 D, G, L, and N). In sectioned Mthfd1l z/z embryos, β-galactosidase activity is robustly detected both inside and outside the neural tube (Fig. 4 E, H, M, and O). Similar to Mthfd1l z/+ embryos, β-galactosidase is detected in the neuroepithelium; however, expression is less re- stricted dorsally in the nulls. In Mthfd1l z/z embryos with closed neural ...
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... sectioned Mthfd1l z/+ embryos, β-galactosidase activity is predominantly detected at the basal surface of the dorsal neuroepithelium and is rarely detected in cells within and outside of the neural tube (Fig. 4 D, G, L, and N). In sectioned Mthfd1l z/z embryos, β-galactosidase activity is robustly detected both inside and outside the neural tube (Fig. 4 E, H, M, and O). Similar to Mthfd1l z/+ embryos, β-galactosidase is detected in the neuroepithelium; however, expression is less re- stricted dorsally in the nulls. In Mthfd1l z/z embryos with closed neural tubes, the morphology was abnormal throughout the neural tube in all embryos sectioned (E10.5 and E11.5, n = 6). Neural tubes had ...
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... less re- stricted dorsally in the nulls. In Mthfd1l z/z embryos with closed neural tubes, the morphology was abnormal throughout the neural tube in all embryos sectioned (E10.5 and E11.5, n = 6). Neural tubes had abnormally shaped lumens, including asymmetric dor- sal-lateral bulges as well as a broader dorsal lumen that were not seen in controls (Fig. 4 D, E, G, H, and ...
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... can be rescued with maternal 5-formyl-THF sup- plementation (17). This rescue is "tunable," and depending on the dose of 5-formyl-THF administered to mothers during gestation, Folr1 −/− embryos develop NTDs and orofacial deformities or can be rescued to birth. Homozygous knockout of Shmt1, which encodes a cytoplasmic folate-metabolizing enzyme (Fig. 1, reaction 4), gives rise to a low frequency of NTDs in embryos from Shmt1 −/− dams fed a folate-deficient diet (18,19). Amt encodes an aminomethyltransferase that is a subunit of the mitochondrially localized glycine cleavage system (GCS), which processes glycine to donate 1C units to THF, forming CH 2 -THF (Fig. 1, reaction 5). Homozygous deletion ...
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... would cause a deficiency in cyto- plasmic 1C units, which are needed in stoichiometric amounts for purine and thymidylate production as well as the methyl cycle. The phenotypes of the Shmt1 and Amt knockout mice are consistent with this model of mammalian 1C metabolism. The Shmt1 gene, which encodes cytoplasmic serine hydroxymethyl- transferase (Fig. 1, cytoplasmic reaction 4), is not essential in mice (26), indicating that mitochondrial SHMT (mitochondrial reaction 4m) is fully capable of providing all of the 1C units needed in both the embryo and the adult. The neural tube phenotype in Amt nullizygous embryos lacking GCS activity (mitochondrial reaction 5) (20) is less severe than that in Mthfd1l knockout ...

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... Some of these genes are evolutionarily highly conserved, and their role in neurulation has been shown in multiple vertebrate animal models [4]. Gene mutations have been identified as risk factors in the mouse model with NTDs, from which genes related to mitochondrial folate metabolism, such as MTHFD1L, AMT, SLC23A32, or the FOLR1 genes, are often incriminated [42][43][44][45][46][47][48][49][50]. Mutations in genes that control epigenetic activity, such as DNMT3B or abnormal epigenetic modification in LINE-1, JARID2, FBXL10, and SIRT1 genes, have been reported to have clinically seen consequences as NTDs [51][52][53]. ...
... Antiepileptic drugs (valproate, carbamazepine, phenobarbital) are associated with risk for NTDs, because their actions act as folate antagonists [35]. An important risk factor for NTDs is the deficiency in folic acid (vitamin B9), and laboratory animals with gene mutations in enzymes encoding mitochondrial folate metabolism express NTDs [45,46,48,49]. Folic acid in an essential nutrient for mammalian cell growth, being involved in the synthesis of essential components for fetal development, such as purine and pyrimidine, and in the conversion of homocysteine to methionine [62]. ...
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... Folate is an essential vitamin for vertebrates which is taken up by cells through the reduced folate carrier (RFC1, also known as SLC19A1) and the folate receptor alpha FOLR1 (Ratnam et al., 1989;Kur et al., 2014). Both folate deficiency and mutations in genes involved in the folate pathway cause several developmental defects including neural tube and neural crest-related defects in the vertebrate models and humans (Burgoon et al., 2002;Tang et al., 2005;Wilcox et al., 2007;Wehby and Murray, 2010;Li et al., 2011;Lee et al., 2012;Kao et al., 2013;Momb et al., 2013). Inside the cell, folate is required for one-carbon metabolism to transmit methyl groups for the production of S-adenosylmethionine (SAM). ...
... Folate deficiency alters neural crest specification, migration, and even differentiation (Burgoon et al., 2002;Tang et al., 2005; Momb et al., 2013;Wahl et al., 2015;Alata Jimenez et al., 2018). However, the role of folate and DNA methylation during NP and NPB segregation is unclear. ...
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