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Ch. 19 - Epigenetics
Chapter 18, Problem 19

A developmental disorder in humans called spina bifida is a neural tube defect linked to a maternal diet low in folate during pregnancy.

What does this suggest about the cause of spina bifida?

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Understand that spina bifida is a neural tube defect, which means it affects the development of the spinal cord and surrounding structures during early pregnancy.
Recognize that folate, also known as vitamin B9, is crucial for DNA synthesis, repair, and methylation, which are essential processes during rapid cell division and growth in early embryonic development.
Consider that a maternal diet low in folate can lead to insufficient availability of this vitamin during critical periods of neural tube formation, potentially resulting in incomplete closure of the neural tube.
Acknowledge that the link between low maternal folate levels and spina bifida suggests a nutritional cause, where inadequate folate intake during pregnancy increases the risk of this developmental disorder.
Conclude that ensuring adequate folate intake before conception and during early pregnancy is a preventive measure to reduce the risk of spina bifida, highlighting the importance of maternal nutrition in fetal development.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Neural Tube Defects

Neural tube defects (NTDs) are serious birth defects that occur when the neural tube, which forms the brain and spinal cord, does not close completely during early fetal development. Spina bifida is one of the most common NTDs, characterized by the incomplete closure of the spinal column, leading to various physical and neurological challenges. Understanding NTDs is crucial for recognizing the importance of early prenatal care and nutrition.
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Folate and Its Role in Development

Folate, also known as vitamin B9, is essential for DNA synthesis, repair, and methylation, making it critical for cell division and growth during pregnancy. A deficiency in folate can disrupt normal neural tube development, increasing the risk of defects like spina bifida. This highlights the importance of adequate maternal nutrition before and during pregnancy to support fetal health.
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Maternal Nutrition and Birth Outcomes

Maternal nutrition significantly influences fetal development and can affect birth outcomes. A diet lacking in essential nutrients, such as folate, can lead to developmental disorders, including spina bifida. This concept underscores the need for healthcare providers to educate expectant mothers about the importance of a balanced diet rich in vitamins and minerals to promote healthy pregnancies.
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