Publication Date

9-1-2023

Journal

Trends in Endocrinology & Metabolism

DOI

10.1016/j.tem.2023.06.005

PMID

37468429

PMCID

PMC10529122

PubMedCentral® Posted Date

9-1-2024

PubMedCentral® Full Text Version

Author MSS

Published Open-Access

yes

Keywords

Humans, Female, Pregnancy, Folic Acid, Neural Tube, Neurulation, Placenta, Neural Tube Defects, Yolk sac, neural tube, glucose, folate, maternal-fetal communication

Abstract

Changes in maternal nutrient availability due to diet or disease significantly increase the risk of neural tube defects (NTDs). Because the incidence of metabolic disease continues to rise, it is urgent that we better understand how altered maternal nutrient levels can influence embryonic neural tube development. Furthermore, primary neurulation occurs before placental function during a period of histiotrophic nutrient exchange. In this review we detail how maternal metabolites are transported by the yolk sac to the developing embryo. We discuss recent advances in understanding how altered maternal levels of essential nutrients disrupt development of the neuroepithelium, and identify points of intersection between metabolic pathways that are crucial for NTD prevention.

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