Blood · 1992 · 64 citations · 15 references
Public HealthHematologyNutritional SciencesMicronutrient DeficiencyAnemiaFolate DeficiencyFolate PhysiologyHematologic DisordersHematopoietic DifferentiationIron DeficiencyFolate HomeostasisFolate ReceptorsFolate StorageIneffective HematopoiesisSerum Folate Status
A folate-free amino acid-based diet provided an opportunity to characterize the effects of folate depletion on growth, tissue folate levels, and hematopoiesis of mice under well-standardized conditions. Weanling mice were fed a folate-free, amino acid-based diet supplemented with either 0 or 2 mg folic acid/kg diet for 35 to 48 days. Folate concentrations were decreased in liver, kidney, serum, and erythrocytes in mice fed the folate-free diet. The folate-deficient mice had anemia, reticulocytopenia, thrombocytopenia, and leukopenia, all of which reverted to normal after folic acid was reintroduced to the diet. Hematopoietic organs of folate-deficient mice had alterations that were similar to those seen in folate-deficient humans except that in mice, the hyperplasia of hematopoietic tissue occurred in the spleen rather than in the marrow. Ferrokinetic studies showed a normal 59Fe-transferrin half-life, but the percentage of 59Fe-incorporation into red blood cells at 48 hours was markedly subnormal. The number of committed hematopoietic progenitors at the stages of erythroid colony-forming units (CFUs), megakaryocyte CFUs, and granulocyte-macrophage CFUs were all increased in folate-deficient mice. However, the progeny of these progenitors was markedly decreased in folate-deficient mice. Thus, the folate-deficient mice had "ineffective hematopoiesis" leading to pancytopenia, and they therefore provide a murine model of megaloblastic anemia.
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Hematology: Basic Principles and Practice
Annals of Internal Medicine · 1991 · 1.9K citations
Colin A. Sieff · Journal of Clinical Investigation · 1987 · 605 citations · Full text
Medicine, Hematology, Oncology +11