The Journal of Clinical Investigation, 2010 · DOI: 10.1172/JCI40000 · Published: May 1, 2010
This research investigates how folate (vitamin B9) affects nerve repair in the central nervous system (CNS) of rodents after injury. They found that folate promotes nerve regeneration through a process called DNA methylation. The study revealed that after spinal cord and nerve damage, the body increases production of a specific folate receptor (Folr1). This receptor helps cells absorb more folate, which is then used in DNA methylation, a key process for nerve repair. The researchers also discovered that the amount of folate given affects nerve regeneration in a biphasic manner. Too little or too much folate isn't as effective as the optimal dose, which closely relates to how much DNA methylation occurs.
Folic acid and other nontoxic dietary methyl donors may be useful in clinical interventions to promote brain and spinal cord healing.
The findings suggest possible avenues for new pharmacologic approaches to treating CNS injuries by promoting endogenous axonal regeneration through epigenetic mechanisms.
Understanding the biphasic dose response to folate is crucial for maximizing its therapeutic benefits in CNS repair.