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Table 3 In vitro studies evaluating the effect of FA on bone tissue formation

From: Effect of folic acid on animal models, cell cultures, and human oral clefts: a literature review

Author

Cell type

FA dose

Administration method

Conclusion

Authors’ judgement

Xiao et al. 2006 [34]

Mouse embryonic palate MSC

1–100 μg/mL

Directly applied to the cell-culture medium

Cell proliferation is FA dose-dependent.

FA promotes cell differentiation and could help prevent CLP.

Herrmann et al. 2007 [35]

Human osteoblasts

0–1000 μg/L

Directly applied to the cell-culture medium

Accumulation of HCY by decreasing concentrations of folate, vitamin B12, and B6 does not impact the activity of human osteoblasts.

Could not explain the effect of FA on the formation of CLP.

Herrmann et al. 2007 [36]

Osteoclasts obtained from peripheral blood-MSC

0–15 μg/L

Directly applied to the cell-culture medium

Cell cultures with low concentrations of FA, B12, and B6 demonstrate a significant increase in osteoclastic activity. Simultaneous deficiency of the three vitamins stimulates dentinal resorption and osteoclastic activity.

FA could help prevent the formation of CLP.

Kobus et al. 2009 [38]

Fertile eggs of Gallus domesticus

0.5 μg/0.25 μL

Injection into the yolk sac

High concentrations of FA alter neural cell differentiation in vitro.

Does not help in explaining the effect of FA on the formation of CLP.

Ahmed et al. 2016 [37]

HTR-8/SVneo cells

BeWo cells

Human placenta tissue explants

2–2000 ng/mL

Directly applied to the cell-culture medium

Treatment with excess FA (2000 ng/mL) resulted in reduced cellular viability in the villous trophoblast BeWo cell line and increased rates of proliferation in the HT8-8/SVneo extravillous trophoblast cell line.

Deficient concentrations of FA (2 ng/mL) resulted in decreased cell viability and invasive capabilities of the HTR-8/ SVneo extravillous trophoblast cell line.

Supports the benefits of FA, which are not linked to CLP.

Melo et al. 2016 [33]

Neural crest cells of mouse embryos

0.45–90 μM

Directly on cell cultures.

High HCY concentration alters the morphogenesis of neural cells in mammals. The protective effect of folate is due to its ability to prevent HCY-induced teratogenesis.

FA could prevent HCY-induced CLP.

Santos et al. 2017 [9]

Bone marrow MSC

1–500 μg/mL

Hydroxyapatite particles loaded with FA.

Hydroxyapatite with FA particles can enhance the effect of hydroxyapatite on osteoblast differentiation.

FA promotes cell differentiation and could help prevent CLP.

  1. MSC mesenchymal stem cells, FA folic acid, CLP cleft lip palate, HCY homocysteine