Folic acid, also known as Vitamin B9 has its various chemical names such as Folacin, Pteroylglutamic Acid, Folate, and Folinic Acid. Its old name was vitamin M. It is a yellow crystalline substance and is only slightly soluble in water. Folic acid is heat stable in neutral or alkaline media but not in acidic medium. Its structure has three components which are derivatives of pteridine, para-aminobenzoic acid, and glutamic acid.
This vitamin is widely distributed in nature. It is named folic acid because it occurs especially in the foliage of plants. It occurs in food in two forms either as free folate or bound folate. Its chief dietary sources are
- Animal Sources: Liver. Kidney, beef, meat, dairy products, eggs, and milk.
- Plant Sources: These include wheat, cauliflower, cereals, and leafy vegetables.
It is also synthesized by the bacteria present in the intestine but this solely is not very significant. The total body folic acid which is 6-10mg, up to 60% is present in the liver.
Absorption of Folic Acid: Most absorption occurs in the proximal part of the small intestine, and the disease of this part of the gut is the most common cause of the folic acid deficiency. Folic acid taken as such is readily absorbed.
Excretion of Folic Acid: It is excreted in bile but is reabsorbed.
Folic acid is not active and for its activation, it has to be converted into tetrahydrofolate. Ascorbic acid appears to be essential for the reduction of folic acid to tetrahydrofolate. This tetrahydrofolate gives rise to several folic acid coenzymes because it can act as a carrier of various one carbon atom. These folic acid coenzymes are concerned with a large number of reactions in tissue cells; their participation in the synthesis of purines and thymine makes folic acid important in the growth and reproduction of the cells. So it plays role in the synthesis of nucleic acid which constitutes the chromosome and it is also needed for the normal development of the blood cells in the bone marrow. It is no wonder then that folic acid deficiency is manifested by abnormalities of tissues cells with a high mitosis rate such as the cells of the hematopoietic system and those lining the digestive tract.
Deficiency and Its Effects
Folic acid deficiency may occur from a poor diet. It is commonly found in pregnancy and lactation where requirements are increased.
- It results in megaloblastic anemia, and blood shows macrocytic anemia, resembling pernicious anemia but without the nervous involvement of this disease. The mechanism of production of this type of anemia due to folic acid deficiency is that one carbon unites bound to tetrahydrofolate and contribute to the biosynthesis of purines and pyrimidine that are required for the synthesis of a large amount of DNA which is then essential for the normal cell division. Because DNA is not available in sufficient amount, but RNA and protein synthesis continue therefore whatever RBCs are produced they have an abnormal morphology.
- It also causes glossitis, problems in our digestive system which include diarrhea, flatulence, distention, and pain. There occur cheilosis and in case of its severe deficiency, it may lead to infertility and even sterility.
- There is also evidence that the administration of folic acid antagonists in early pregnancy may produce abortions or congenital malformations. Blood shows macrocytic anemia resembling pernicious anemia but without the nervous involvement of this disease.
Its daily requirement in an adult is 100 mcg per day.
There has been shown no evidence of folic acid excess use toxicity so far.
Amna Sheikh is a medical doctor with a Bachelor of Medicine, Bachelor of Surgery (MBBS), Bachelors in Economics and Statistics. She is also a medical writer working as a freelancer for 10+ years and she is specialized in medical, health, and pharmaceutical writing, regulatory writing & clinical research. All her work is supported by a strong academic and professional experience.