High-dose folic acid and cancer risk; unjustified concerns by von Wrede and colleagues regarding our paper.


Journal

Epilepsia
ISSN: 1528-1167
Titre abrégé: Epilepsia
Pays: United States
ID NLM: 2983306R

Informations de publication

Date de publication:
09 2023
Historique:
received: 06 07 2023
accepted: 12 07 2023
medline: 20 9 2023
pubmed: 15 7 2023
entrez: 15 7 2023
Statut: ppublish

Résumé

Women using antiseizure medication in pregnancy are often advised to use high doses of folic acid supplements (1mg to 5 mg) to reduce the risk of teratogenicity. Recently, we published a report showing an association between maternal prescription fill of high dose folic acid in relation to pregnancy and childhood cancer in the offspring. The report has sparked a debate about which dose of folic acid that should be recommended in pregnancy in women in need of antiseizure medication. In this Commentary, we explain our findings and the method used in our report, and answer recent questions that have emerged.

Identifiants

pubmed: 37452793
doi: 10.1111/epi.17717
doi:

Substances chimiques

Folic Acid 935E97BOY8

Types de publication

Journal Article Research Support, Non-U.S. Gov't Comment

Langues

eng

Sous-ensembles de citation

IM

Pagination

2244-2248

Commentaires et corrections

Type : CommentOn

Informations de copyright

© 2023 The Authors. Epilepsia published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.

Références

Vegrim HM, Dreier JW, Alvestad S, Gilhus NE, Gissler M, Igland J, et al. Cancer risk in children of mothers with epilepsy and high-dose folic acid use during pregnancy. JAMA Neurol. 2022;79:1130-1138.
von Wrede R, Witt JA, Auvin S, Devlin A, Lagae L, Marson A, et al. Unjustified allegation on cancer risks in children of mothers with epilepsy taking high-dose folic acid during pregnancy-No proof of a causal relationship. Epilepsia. 2023.
Vegrim HM, Tomson T, Bjørk MH. Benefits and risks of periconceptional folic acid supplementation-reply. JAMA Neurol. 2023;80:421-422.
Marcotte EL, Spector LG, Mendes-de-Almeida DP, Nelson HH. The prenatal origin of childhood leukemia: potential applications for epidemiology and newborn screening. Front Pediatr. 2021;9:639479.
Bjork MH, Zoega H, Leinonen MK, Cohen JM, Dreier JW, Furu K, et al. Association of prenatal exposure to antiseizure medication with risk of autism and intellectual disability. JAMA Neurol. 2022;79:672-681.
Dreier JW, Bjork MH, Alvestad S, Gissler M, Igland J, Leinonen MK, et al. Prenatal exposure to antiseizure medication and incidence of childhood- and adolescence-onset psychiatric disorders. JAMA Neurol. 2023;80:568-577.
Syvertsen M, Nakken KO, Edland A, Hansen G, Hellum MK, Koht J. Prevalence and etiology of epilepsy in a Norwegian county-a population based study. Epilepsia. 2015;56:699-706.
Christensen J, Vestergaard M, Pedersen MG, Pedersen CB, Olsen J, Sidenius P. Incidence and prevalence of epilepsy in Denmark. Epilepsy Res. 2007;76:60-65.
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Cohen JM, Cesta CE, Furu K, Einarsdóttir K, Gissler M, Havard A, et al. Prevalence trends and individual patterns of antiepileptic drug use in pregnancy 2006-2016: A study in the five Nordic countries, United States, and Australia. Pharmacoepidemiol Drug Saf. 2020;29(8):913-922.
Laugesen K, Ludvigsson JF, Schmidt M, Gissler M, Valdimarsdottir UA, Lunde A, et al. Nordic health registry-based research: a review of health care systems and key registries. Clin Epidemiol. 2021;13:533-554.
Pottegård A, Schmidt SAJ, Wallach-Kildemoes H, Sørensen HT, Hallas J, Schmidt M. Data resource profile: The Danish National Prescription Registry. Int J Epidemiol. 2017;46:798-798f.
Olesen C, Søndergaard C, Thrane N, Lauge Nielsen G, de Jong-van den Berg L, Olsen J, et al. Do pregnant women report use of dispensed medications? Epidemiology. 2001;12:497-501.
Christensen J, Gronborg TK, Sorensen MJ, Schendel D, Parner ET, Pedersen LH, et al. Prenatal valproate exposure and risk of autism Spectrum disorders and childhood autism. JAMA. 2013;309:1696-1703.
Bech BH, Kjaersgaard MI, Pedersen HS, Howards PP, Sørensen MJ, Olsen J, et al. Use of antiepileptic drugs during pregnancy and risk of spontaneous abortion and stillbirth: population based cohort study. BMJ. 2014;349:g5159.
Shane B. Folate and vitamin B12 metabolism: overview and interaction with riboflavin, vitamin B6, and polymorphisms. Food Nutr Bull. 2008;29:S5-S16. discussion S17-19.

Auteurs

Marte-Helene Bjørk (MH)

Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Department of Neurology, Haukeland University Hospital, Bergen, Norway.

Torbjörn Tomson (T)

Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.

Julie Werenberg Dreier (JW)

National Centre for Register-Based Research, School of Business and Social Sciences, Aarhus University, Aarhus, Denmark.

Silje Alvestad (S)

Department of Clinical Medicine, University of Bergen, Bergen, Norway.
National Centre for Epilepsy, Oslo University Hospital, Oslo, Norway.

Nils Erik Gilhus (NE)

Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Department of Neurology, Haukeland University Hospital, Bergen, Norway.

Mika Gissler (M)

Knowledge Brokers, Finnish Institute for Health and Welfare, Helsinki, Finland.
Institute of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.

Jannicke Igland (J)

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Maarit K Leinonen (MK)

Knowledge Brokers, Finnish Institute for Health and Welfare, Helsinki, Finland.

Yuelian Sun (Y)

Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Håkon Magne Vegrim (HM)

Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Helga Zoega (H)

School of Population Health, Faculty of Medicine & Health, University of New South Wales, Sydney, Australia.
Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Jakob Christensen (J)

Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

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