Folic Acid is the synthesised (lab-made) version of Folate, which is a type of B Vitamin. Folate is naturally occurring in many plants and food types, however not in high concentrations.
Folate is important to humans as it as compound used in the creation of new cells and in reproduction (1, 2). It is important for the synthesis of DNA and to repair DNA damage, and during Meiosis and Mitosis it is required for the cells to divide (3). It is also important for producing healthy red blood cells, and limiting homocysteine in the blood- high levels linked to disease (4,5).
Many diseases can be linked to folate dependent enzymes (enzymes which need folate to work), eg. some cancers, vascular (heart) diseases, birth defects and pregnancy complications.
An enzyme catalyses a reaction, which means these reactions won't happen as much if there is not enough Folate. These reactions are for many processes in the body. One of these is making the nucleotides (A,T,G,C) needed to make DNA, which can lead to issues with DNA replication, leading to mutations or weak, breakable DNA (6). Another is for a process called methylation, which is where methyl is added to the DNA to control when to turn genes on and off (gene expression) (7). If there is low levels of folate, this process may not work correctly and abnormal cell growth (like cancer) may occur. Folate is also in a reaction to change homocysteine into methionine, reducing homocysteine in the blood, lowering vascular disease risk (7).
Having enough folate is important for pregnant women, as the folate is passes on to the foetus, where it supports the cell development for the spine, brain and central nervous system, and can be linked to preventing many other developmental deformities (9).
For your science of folic acid in the body, I would expect to see an overview of:
What DNA is
What Enzymes are
That folic acid is converted to folate
Helps foetal development: Reduces neural tube defects like Spina bifida and Anencephaly, and lowers miscarriage rates.
Help with: Nerve pain, diabetes, heart disease and Hypertension, dementia, folate deficiencies, and megaloblastic anaemia.
Some discussion into the help with: kidney disease, lowering homocysteine in blood, eye diseases, memory decline, cancer prevention, depression, autism, arsenic poisoning and rheumatoid arthritis
Can mask a B12 deficiency for slower diagnosis
Most risks are associated with high dosage of Folic Acid (800mcg or more), these are usually taken on medical advice, not through folic acid fortification.
These risks include: heart attack and disease risk in those with heart issues, cancer, risk to people with seizure disorders.
Side effects of high amounts: nausea diarrhea and upset stomach, skin irritation and rashes, behaviour changes, irritability and sleep disorders.
The right of choice
Benefits to pregnant women and the foetus
Economic Implications- health system, individual income
Risks of consumption of folic acid
Inequity/Equity
Impacts on commercial Bread Makers