Gene May Affect Neural Tube Defects
Mutations in VANGL1 Gene May Make Neural Tube Defects More Likely
WebMD News Archive
April 4, 2007 -- Scientists have spotted three gene mutations that may make
neural tube defects such as spina bifida more likely.
All three mutations are in the VANGL1 gene, the researchers report in The
New England Journal of Medicine.
The VANGLI gene is a potential risk factor in human neural tube defects,
note the researchers.
They included Zoha Kibar, PhD, of the biochemistry department at Montreal's
However, the researchers aren't blaming all neural tube defects on VANGL1
The exact cause of neural tube defects isn't known. A complex mix of genetic
and environmental factors is likely involved, Kibar's team notes.
About Neural Tube Defects
"Neural tube defects are major birth defects of a baby's brain or spine.
They happen when the neural tube (which later turns into the brain and spine),
doesn't form right, and the baby's brain or spine is damaged. This often
happens within the first few weeks of pregnancy, often before a woman knows she
is pregnant," states the CDC.
Getting enough folic acid (folate) reduces the risk of having a baby with
neural tube defects.
The CDC recommends that every woman of childbearing age take 400 micrograms
(mcg) of folic acid daily in a vitamin or in foods that have been enriched with
That recommendation includes women who aren't planning to get pregnant,
since many pregnancies are unplanned. Folic acid supplementation should start
before pregnancy, notes the CDC.
Neural tube defects affect one to two infants per 1,000 births, Kibar's team
Based on studies in animals, the researchers studied the VANGL1 in 144
people with neural tube defects and 106 people without neural tube defects.
Participants lived in Italy or France. Most were studied at a hospital in
Genoa, Italy; seven were studied in Paris.
Three Italian patients with neural tube defects had mutations in their
VANGL1 gene. Each of those patients had a different VANGL1 gene mutation.
Kibar and colleagues haven't proved that VANGL1 gene mutations cause neural
tube defects. As the study shows, most patients with neural tube defects didn't
have VANGL1 gene mutations.
However, the findings "implicate VANGL1 as a risk factor in human
neural-tube defects," write the researchers.
They call for further studies on the VANGL1 gene and neural tube defects.
For instance, Kibar's team suggests studying how VANGL1 gene mutations respond
to folic acid supplementation.