Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-23T08:18:22.605Z Has data issue: false hasContentIssue false

Effect of folic acid supplementation on mood and serotonin response in healthy males

Published online by Cambridge University Press:  08 March 2007

Emma Williams
Affiliation:
Northern Ireland Centre for Food and Health (NICHE), University of Ulster, Coleraine BT52 1SA, Northern Ireland
Barbara Stewart-Knox*
Affiliation:
Northern Ireland Centre for Food and Health (NICHE), University of Ulster, Coleraine BT52 1SA, Northern Ireland
Ian Bradbury
Affiliation:
School of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland
Ian Rowland
Affiliation:
Northern Ireland Centre for Food and Health (NICHE), University of Ulster, Coleraine BT52 1SA, Northern Ireland
Kristina Pentieva
Affiliation:
Northern Ireland Centre for Food and Health (NICHE), University of Ulster, Coleraine BT52 1SA, Northern Ireland
Anders Helander
Affiliation:
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
Helene McNulty
Affiliation:
Northern Ireland Centre for Food and Health (NICHE), University of Ulster, Coleraine BT52 1SA, Northern Ireland
*
*Corresponding author: Dr Barbara Stewart-Knox, fax +44 28 70324965, email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Evidence suggests that low folate status may be detrimental to mood and associated with depleted cerebrospinal fluid levels of the neurotransmitter serotonin (5-hydroxytryptamine; 5-HT). A placebo-controlled trial was carried out to determine the effect of folic acid supplementation (100 μg for 6 weeks followed by 200 μg for a further 6 weeks) upon subjective mood (Positive and Negative Affect Schedule) and biochemical markers of mood (5-HT) in healthy males (n 23). Blood samples were obtained at baseline (week 0) and during the intervention at week 6 and week 12. Subjective mood assessments were obtained at week 0 and week 12. The results showed an increase in serum and erythrocyte folate concentrations (P=0·02 and P=0·003, respectively) and a corresponding decrease in plasma homocysteine (P=0·015) in response to the folic acid intervention. Neither subjective mood nor 5-HT levels, however, were significantly altered in response to the change in folate status. Folic acid given at physiological doses did not appear to improve the mood of healthy folate-replete individuals over a 12-week period. Further research is needed to address the effect of folic acid supplementation or of longer duration or increased dose, particularly in the face of sub-optimal folate status.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

References

Agnoli, A, Ruggieri, S & Cerrone, GG (1977) The dopamine hypotheses of depression: results of treatment with dopaminergic drugs. In Depressive Disorders, pp. 447458 [Grattini, S, editors]. Stuttgart: FK Schatauer Verlag.Google Scholar
Alpert, JE & Fava, M (1997) Nutrition and depression: the role of folate. Nutr Rev 55, 145149.CrossRefGoogle ScholarPubMed
Benton, D, Haller, J & Fordy, J (1995) Vitamin supplementation for 1 year improves mood. Neuropsychobiology 32, 98105.CrossRefGoogle ScholarPubMed
Botez, MI, Botez, T, Levielle, J, Bielmann, T & Cadotte, M (1979 a) Neuropsychological correlates of folic acid deficiency: facts and hypotheses. In Folic Acid in Neurology, Psychiatry, and Internal Medicine. pp. 425461 [Botez, MI, Reynolds, EH, editors]. New York: Raven Press.Google Scholar
Botez, MI, Young, SN, Bachevalier, J & Gauthier, S (1979 b) Folate deficiency and decreased brain 5-hydroxytryptamine synthesis in man and rat. Nature 278, 182183.CrossRefGoogle Scholar
Botez, MI, Young, SN, Bachevalier, J & Gauthier, S (1982) Effect of folic acid and vitamin B12 deficiencies on 5-hydroxyindoleacetic acid in human cerebrospinal fluid. Am Neurol Assoc 12, 479484.CrossRefGoogle ScholarPubMed
Bottiglieri, T, Hyland, K & Reynolds, EH (1994) The clinical potential of ademethionine ( S -adenosylmethionine) in neurological disorders. Drugs 48, 137152.CrossRefGoogle Scholar
Bottiglieri, T, Laundy, M, Crellin, R & Toone, BK (2000) Homocysteine, folate, methylation, and monoamine metabolism in depression. J Neurol Neurosurg Psychiatry 69, 228234.CrossRefGoogle ScholarPubMed
Brattstrom, L, Israellson, B, Jeppson, J & Hultberg, B (1998) Folic acid – an innocuous means to reduce plasma homocysteine. Scand J Clin Lab Invest 48, 215221.CrossRefGoogle Scholar
Brewerton, TD, Flament, MF, Rapoport, JL & Murphy, DL (1993) Seasonal effects on platelet 5HT content in patients with OCD and controls. Arch Gen Psychiatry 50, 409.Google ScholarPubMed
Bryan, J, Calvaresi, E & Hughes, D (2002) Short-term folate, vitamin B-12 or vitamin B-6 supplementation slightly affects memory performance but not mood in women of various ages. J Nutr 132, 13451356.CrossRefGoogle Scholar
Cantoni, GL (1953) S -Adenosylmethionine: a new intermediate formed enzymatically from l -methionine and adenosine triphosphate. J Biol Chem 204, 403416.CrossRefGoogle Scholar
Carney, MWP (1967) Serum folate values in 423 psychiatric patients. Br Med J 4, 512.CrossRefGoogle ScholarPubMed
Carney, MWP, Martin, R, Bottiglieri, T, Reynolds, EH, Nissenbaum, H, Toone, BK & Sheffield, BN (1983) The switch mechanism in affective illness and S -adenosylmethionine. Lancet 1, 820821.CrossRefGoogle ScholarPubMed
Coppen, A & Bailey, J (2000) Enhancement of the antidepressant action of fluoxetine by folic acid: a randomised, placebo controlled trial. J Affect Disord 60, 121130.CrossRefGoogle ScholarPubMed
Coppen, A, Turner, P, Rowsell, AR & Padgham, C (1976) 5-Hydroxytryptamine (5-HT) in the whole-blood of patients with depressive illness. Postgrad Med J 52, 156158.CrossRefGoogle ScholarPubMed
Coppen, A, Chaudhry, S & Swade, C (1986) Folic acid enhances lithium prophylaxis. J Affect Disord 10, 913.CrossRefGoogle ScholarPubMed
Costello, J, Benjamin, R, Angold, A & Silver, D (1991) Mood variability in adolescents. A study of depressed, nondepressed and comorbid patients. J Affect Disord 23, 199212.CrossRefGoogle ScholarPubMed
Crawley, H (1988) Food Portion Sizes 3rd ed. London: HMSO.Google Scholar
Fava, M, Borus, JS, Alpert, JE, Nierenberg, AA, Rosenbaum, JF & Bottiglieri, T (1997) Folate, vitamin B12, and homocysteine in major depressive disorder. Am J Psychiatry 154, 426428.Google ScholarPubMed
Ghadirian, AM, Anath, J & Engelsmann, F (1980) Folic acid deficiency in depression. Psychosomatics 21, 926929.CrossRefGoogle ScholarPubMed
Godfrey, PSA, Toone, BK, Carney, MWP, Flynn, TG, Bottiglieri, T, Laundy, M, Chanarin, I & Reynolds, EH (1990) Enhancement of recovery from psychiatric illness by methylfolate. Lancet 336, 392395.CrossRefGoogle ScholarPubMed
Guaraldi, G, Fava, M, Mazzi, F & LaGreca, P (1993) An open trial of methyltetrahydrofolate (MTHF) in elderly depressed patients. Ann Clin Psychiatry 5, 101106.CrossRefGoogle ScholarPubMed
Harris, S & Dawson-Hughes, B (1993) Seasonal mood changes in 250 normal women. Psychiatry Res 49, 7787.CrossRefGoogle ScholarPubMed
Herbert, V (1962) Experimental nutritional folate deficiency in man. Trans Assoc Am Physicians 75, 307320.Google ScholarPubMed
Jensen, E, Dehlin, O, Erfurth, EM, Hagberg, B, Samuelsson, B, Svensson, T & Hultberg, B (1998) Plasma homocysteine in 80-year-olds: relationships to medical, psychological and social variables. Arch Gerontol Geriatr 26, 215226.CrossRefGoogle ScholarPubMed
Jung, RE, Yeo, RA, Love, TM, Petropoulos, H, Sibbitt, TL & Brooks, WM (2002) Biochemical markers of mood: a proton magnetic resonance spectroscopy study of normal human brain. Biol Psychiatry 51, 224229.CrossRefGoogle Scholar
Kang, SSWong, PWK & Malinow, MR (1992) Hyperhomocyst(e)inemia as a risk factor for occlusive vascular disease. Annu Rev Nutr 12, 279298.CrossRefGoogle ScholarPubMed
Kema, IP, Schellings, AMJ, Melmorg, G, Hoppenbrouwers, CJM & Muskiet, FAJ (1992) Influence of a serotonin- and dopamine-rich diet on platelet serotonin content and urinary excretion of biogenic amines and their metabolites. Clin Chem 38, 17301736.CrossRefGoogle ScholarPubMed
Lapin, IP & Oxenkrug, GF (1969) Intensification of the central serotonergic processes as a possible determinant of the thymoleptic effect. Lancet 1, 132136.CrossRefGoogle Scholar
Leino, A (1999) Fully automated measurement of total homocysteine in plasma and serum on the Abbott IMx Analyzer. Clin Chem 45, 569571.CrossRefGoogle ScholarPubMed
Le Quan-Bui, KH, Plaisant, O, Leboyer, M, Gay, C, Kamal, L, Devynck, M & Meyer, P (1984) Reduced platelet serotonin in depression. Psychiatry Res 13, 129139.CrossRefGoogle ScholarPubMed
McConville, C & Cooper, C (1992) Mood variability and personality. Pers Individ Dif 13, 12131221.CrossRefGoogle Scholar
McConville, C & Cooper, C (1996) Mood variability and the intensity of depressive states. Curr Psychol 14, 329338.CrossRefGoogle Scholar
McConville, C & Cooper, C (1999) Personality correlates of variable moods. Pers Individ Dif 26, 6578.CrossRefGoogle Scholar
McNair, DM, Lorr, M & Dropplemann, F (1971) Profile of Mood States. San Diego, CA: Educational and Industrial Testing Service.Google Scholar
Molloy, AM & Scott, JM (1997) Microbiological assay for serum, plasma, and red cell folate using cryopreserved, microtiter plate method. Methods Enzymol 281, 4353.CrossRefGoogle ScholarPubMed
Morris, MS, Fava, M, Jacques, PF & Selhub, J (2003) Depression and folate status in the US population. Psychother Psychosom 72, 8087.CrossRefGoogle ScholarPubMed
National Statistics Socio-Economic Classification (2002) National Statistics Socio-Economic Classification User Manual London: HMSO, Office for National Statistics.Google Scholar
Ordonez, LA & Wurtman, RJ (1974) Folic acid deficiency and methyl group metabolism in rat brain: effects of l -Dopa. Arch Biochem Biophys 160, 372376.CrossRefGoogle ScholarPubMed
Quintana, J (1992) Platelet serotonin and plasma tryptophan in endogenous depression. Clinical, therapeutic, and biological correlations. Affect Disord 24, 5562.CrossRefGoogle ScholarPubMed
Reynolds, EH & Carney, MWP (1984) Methylation and mood. Lancet 28, 196198.CrossRefGoogle Scholar
Reynolds, EH & Stramentinoli, G (1983) S -Adenosylmethionine and affective disorder. Psychol Med 13, 705710.CrossRefGoogle ScholarPubMed
Reynolds, EH, Preece, JM, Bailey, J & Coppen, A (1970) Folate deficiency in depressive illness. Br J Psychiatry 117, 287292.CrossRefGoogle ScholarPubMed
Sarrias, MJ, Artigas, M, Martinez, A & Gelpi, E (1989) Seasonal changes of plasma serotonin and related parameters: correlations with environmental measures. Biol Psychiatry 26, 695706.CrossRefGoogle ScholarPubMed
Ward, M, McNulty, H, McPartlin, J, Strain, JJ, Weir, DG & Scott, JM (1997) Plasma homocysteine, a risk factor for cardiovascular disease, is lowered by physiological doses of folic acid. Q J Med 90, 519524.CrossRefGoogle ScholarPubMed
Watson, D (2000) Mood and Temperament New York: The Guilford Press.Google Scholar
Watson, D & Clark, LA (1997) Measurement and mismeasurement of mood; recurrent and emergent issues. J Pers Assess 66, 267296.CrossRefGoogle Scholar
Watson, D & Clark, LA (1994) The PANAS-X Manual for the Positive and Negative Affect Schedule – Expanded Form Ames, IA: University of Iowa.CrossRefGoogle Scholar
Watson, D, Clark, LA & Tellegen, A (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 54, 10631070.CrossRefGoogle ScholarPubMed
Wesson, VA, Levitt, AJ & Joffe, RT (1994) Change in folate status with antidepressant treatment. Psychiatry Res 53 313322.CrossRefGoogle ScholarPubMed
Xiao, R, Beck, O & Hjemdahl, P (1998) On the accurate measurement of serotonin in whole blood. Scand J Clin Lab Invest 58, 505510.CrossRefGoogle ScholarPubMed
Zald, DH & Depue, RA (2001) Serotonergic functioning correlates with positive and negative affect in psychiatrically healthy males. Pers Individ Dif 30, 7186.CrossRefGoogle Scholar