Maternal Choline as a Methyl Donor: One-Carbon Metabolism, DNA Methylation, and Risk of Neural Tube Defects
Yasmin Hammami Background: Neural tube defects (NTDs) remain a leading cause of neonatal mortality, occurring in 2 per 1,000 births globally and nearly 300,000 cases annually.1 Despite folic acid fortification, 40–50% of NTDs persist, underscoring the insufficiency of folate monotherapy.1,2 Folate-dependent methylation regulates the genes and cellular processes needed for…