PMID- 6355408 OWN - NLM STAT- MEDLINE DCOM- 19831217 LR - 20180330 IS - 0022-3166 (Print) IS - 0022-3166 (Linking) VI - 113 IP - 11 DP - 1983 Nov TI - The effect of chronic phenytoin treatment on tissue folate concentrations and on the activities of the methyl synthetic enzymes in the rat. PG - 2368-74 AB - The folacin-depleting effect of phenytoin has been known clinically for many years, but a systematic investigation of this effect in animals has never been undertaken. In this study we found that chronic oral phenytoin treatment (100 mg/kg every 12 hours for 8 weeks) in rats significantly affected concentrations of folates in both liver and brain. Concentration of liver folates dropped to one-third the normal level even though concentration of plasma folates was not affected. Concentration of brain folates increased over the first 2 weeks of treatment and then declined to a level approximately three-fourths the normal concentration. The apparent activity of 5,10-methylenetetrahydrofolate reductase (MTR) increased as a function of the length of treatment in both brain and liver, but when phenytoin was added to the MTR assay in vitro, the activity was inhibited. No significant effects of phenytoin on the activities of serine hydroxymethyltransferase (SHMT), 5-methyltetrahydrofolate:homocysteine methyltransferase (MHMT) or methionine adenosyltransferase (MAT) were observed either in vivo or in vitro. These data are consistent with the hypothesis that phenytoin interacts with the metabolism of folates at the enzymatic level. FAU - Carl, G F AU - Carl GF FAU - Smith, D B AU - Smith DB LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Nutr JT - The Journal of nutrition JID - 0404243 RN - 6158TKW0C5 (Phenytoin) RN - 935E97BOY8 (Folic Acid) RN - EC 1.1.- (Alcohol Oxidoreductases) RN - EC 1.5.1.20 (5,10-Methylenetetrahydrofolate Reductase (FADH2)) RN - EC 2.- (Transferases) RN - EC 2.1.1.- (Methyltransferases) RN - EC 2.1.1.13 (5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase) RN - EC 2.1.2.1 (Glycine Hydroxymethyltransferase) RN - EC 2.5.1.6 (Methionine Adenosyltransferase) SB - IM MH - 5,10-Methylenetetrahydrofolate Reductase (FADH2) MH - 5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase/*metabolism MH - Alcohol Oxidoreductases/*metabolism MH - Animals MH - Brain/metabolism MH - Folic Acid/*metabolism MH - Glycine Hydroxymethyltransferase/*metabolism MH - Liver/metabolism MH - Male MH - Methionine Adenosyltransferase/*metabolism MH - Methyltransferases/*metabolism MH - Phenytoin/*pharmacology MH - Rats MH - Rats, Inbred Strains MH - Time Factors MH - Transferases/*metabolism EDAT- 1983/11/01 00:00 MHDA- 1983/11/01 00:01 CRDT- 1983/11/01 00:00 PHST- 1983/11/01 00:00 [pubmed] PHST- 1983/11/01 00:01 [medline] PHST- 1983/11/01 00:00 [entrez] AID - 10.1093/jn/113.11.2368 [doi] PST - ppublish SO - J Nutr. 1983 Nov;113(11):2368-74. doi: 10.1093/jn/113.11.2368.