Asam Folat: Peran dalam Metabolisme dan Metode Pemeriksaan
Abstract
Tujuan: Untuk mengetahui peran asam folat dalam metabolisme dan metode pemeriksaan asam folat serum. Metode: Artikel ini dibuat dengan mengumpulkan sumber rujukan dari Sinta, Google Scholar, Pubmed, dan ScienceDirect. Artikel-artikel yang berisi mengenai asam folat (folic acid) atau folat (folate) dan metode pemeriksaan asam folat (folate detection method, folate analysis method) tahun 2005-2020 dikumpulkan kemudian dibahas dan ditarik kesimpulan secara umum. Hasil: Bentuk aktif asam folat, tetrahidrofolat, berperan dalam metabolisme purin, pirimidin (timin), dan metionin dengan cara mendonorkan unit satu karbon (metil, metilen, metenil, formimino atau formil). Kadar asam folat serum normal adalah 6-20 ng/ml. Beberapa metode digunakan untuk memeriksa kadar asam folat serum yakni mikrobiologi, HPLC dan protein binding assay. Metode mikrobiologi merupakan baku emas, tetapi membutuhkan waktu yang lama, mudah terkontaminasi dan perlu tenaga mikrobiologi khusus. Metode HPLC memberikan hasil yang lebih cepat, tetapi mahal dan kurang sensitif. Metode protein binding assay merupakan metode baru yang menggunakan protein ikat folat. Metode ini memiliki sensitivitas dan spesifisitas yang baik. Kekurangan pada metode ini adalah penyimpanan reagen dan kalibrasi. Kesimpulan: Asam folat dibutuhkan dalam metabolisme nukleotida dan asam amino. Metode pemeriksaan asam folat diharapkan dapat dikembangkan untuk pemeriksaan asam folat yang lebih sederhana, murah dan cepat.
Keywords
Full Text:
PDFReferences
Hansen DK, Inselman AL. Folic Acid. In: Encyclopedia of Toxicology [Internet]. Elsevier; 2014. p. 616–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780123864543007314
Liew SC. Folic acid and diseases - Supplement it or not? Revista da Associacao Medica Brasileira. 2016.
Subandrate S, Gunarti DR, Sadikin M. Karakteristik dan Peran Protein Ikat Folat (PIF). J Kedokt dan Kesehat. 2016;
SACN. Update on folic acid [Internet]. Scientific Advisory Committee on Nutrition. 2017. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/637111/SACN_Update_on_folic_acid.pdf
Murray RK, Granner DK, Rodwell VW. Biokimia Harper. 27th ed. Jakarta: EGC; 2013.
Talaulikar V, Arulkumaran S. Folic acid in pregnancy. Obstetrics, Gynaecology and Reproductive Medicine. 2013.
Field MS, Stover PJ. Safety of folic acid. Ann N Y Acad Sci [Internet]. 2018 Feb;1414(1):59–71. Available from: http://doi.wiley.com/10.1111/nyas.13499
Vollset SE, Clarke R, Lewington S, Ebbing M, Halsey J, Lonn E, et al. Effects of folic acid supplementation on overall and site-specific cancer incidence during the randomised trials: meta-analyses of data on 50 000 individuals. Lancet [Internet]. 2013 Mar;381(9871):1029–36. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673612620017
De-Regil LM, Peña-Rosas JP, Fernández-Gaxiola AC, Rayco-Solon P. Effects and safety of periconceptional oral folate supplementation for preventing birth defects. Cochrane Database of Systematic Reviews. 2015.
NTP. NTP Monograph: Identifying Research Needs for Assessing Safe Use of High Intakes of Folic Acid. US Departement of Health and Human Services. 2015.
Christensen KE, Mikael LG, Leung K-Y, Al E. High folic acid consumption leads to pseudo-MTHFR deficiency, altered lipid metabolism, and liver injury in mice. Am J Clin Nutr. 2015;101:646–858.
World Health Organization. Serum and Red Blood Cell Folate Concentrations for Assessing Folate Status in Populations. Vitam Miner Nutr Inf Syst. 2015;1–7.
Arcot J, Shrestha A. Folate: Methods of analysis. Trends Food Sci Technol. 2005;16(253–266).
Iyer R, Tomar SK. Determination of folate/folic acid level in milk by microbiological assay, immuno assay and high performance liquid chromatography. J Dairy Res [Internet]. 2013 May 18;80(2):233–9. Available from: https://www.cambridge.org/core/product/identifier/S0022029913000149/type/journal_article
Arppe R, Mattsson L, Korpi K, Blom S, Wang Q, Riuttamäki T, et al. Homogeneous assay for whole blood folate using photon upconversion. Anal Chem. 2015;87(3):1782–1788.
Diaz K, Na Z, Gupta S, Arya V, Martinez L, Dhaliwal S, et al. Prevalence of Folic Acid Deficiency and Cost Effectiveness of Folic Acid Testing: A Single Center Experience. Blood [Internet]. 2018 Nov 29;132(Supplement 1):4878. Available from: https://doi.org/10.1182/blood-2018-99-111607
Theisen-Toupal J, Horowitz GL, Breu AC. Utility, charge, and cost of inpatient and emergency department serum folate testing. J Hosp Med. 2013;8(2):91–5.
Scaglione F, Panzavolta G. Folate, folic acid and 5-methyltetrahydrofolate are not the same thing. Xenobiotica. 2014;44(5):480–8.
Alpers DH. Absorption and blood/cellular transport of folate and cobalamin: Pharmacokinetic and physiological considerations. Biochimie [Internet]. 2016 Jul;126:52–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0300908415003533
Homayouni Rad A, Yari Khosroushahi A, Khalili M, Jafarzadeh S. Folate bio-fortification of yoghurt and fermented milk: a review. Dairy Sci Technol [Internet]. 2016;96(4):427–41. Available from: http://dx.doi.org/10.1007/s13594-016-0286-1
Kementerian Kesehatan. Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2019 tentang Angka Kecukupan Gizi yang Dianjurkan Untuk Masyarakat Indonesia [Internet]. Jakarta: Kementerian Kesehatan RI; 2019. Available from: https://peraturan.bpk.go.id/Home/Details/138621/permenkes-no-28-tahun-2019
Mahmood L. The metabolic processes of folic acid and Vitamin B12 deficiency. J Heal Res Rev. 2014;
Crider KS, Bailey LB, Berry RJ. Folic Acid Food Fortification—Its History, Effect, Concerns, and Future Directions. Nutrients [Internet]. 2011 Mar 15;3(3):370–84. Available from: http://www.mdpi.com/2072-6643/3/3/370
Hiraoka M, Kagawa Y. Genetic polymorphisms and folate status. Congenit Anom (Kyoto) [Internet]. 2017/07/20. 2017 Sep;57(5):142–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28598562
Budiman M, Sadikin M, Prijanti A. Human Serum Folate can be Measured Using Folate Binding Protein Linked to Enzyme-Labeled Protein Ligand Binding Assay (ELPLBA) as well as ELISA. Acta Biochim Indones. 2018;1(2):59–67.