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Cited by 445

The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.

Folic acid deficiency and cancer: mechanisms of DNA instability

Duthie, S. J·1999·British Medical Bulletin

Abstract

Folic acid deficiency in humans has been linked with megaloblastic anaemia, neural tube defects in the neonate, and heart disease. Folate has also been implicated in the development of cancer, especially cancer of the colorectum. There appear to be two principal mechanisms through which low folate status may increase the risk of malignancy. Folate deficiency, by reducing intracellular S-adenosylmethionine (SAM), can alter cytosine methylation in DNA, leading to inappropriate activation of proto-oncogenes and induction of malignant transformation. Alternatively, folic acid is crucial for normal DNA synthesis and repair. Folate deficiency may cause an imbalance in DNA precursors, uracil misincorporation into DNA, and chromosome breakage. This chapter briefly describes the epidemiological data supporting the involvement of folic acid in the aetiology of cancer. It also assesses the evidence from cellular, animal and human studies that folic acid can modulate DNA by such mechanisms.

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Metadata

Authors
Duthie, S. J.
Venue
British Medical Bulletin
Published
1999-01-01
Volume
55
Issue
3
Pages
578-592
ISSN
  • 0007-1420 (ISSN-L)
  • 1471-8391
OpenAlex
W2161069925
Cited by
445
References
47
FWCI
5.58
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Folic acid deficiency and cancer: mechanisms of DNA instability. https://app.cochat.ai/papers/10.1258/0007142991902646
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Duthie, S. J. (1999). Folic acid deficiency and cancer: mechanisms of DNA instability. British Medical Bulletin. https://doi.org/10.1258/0007142991902646

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