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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1973 Apr;26(4):261–267. doi: 10.1136/jcp.26.4.261

The reproducibility and use of the tritiated folic acid urinary excretion test as a measure of folate absorption in clinical practice: Effect of methotrexate on absorption of folic acid

D S Freedman 1,2,3, J P Brown 1,2,3, D G Weir 1,2,3,1, J M Scott 1,2,3
PMCID: PMC477702  PMID: 4701796

Abstract

Investigations into the standardization and reproducibility of the urinary excretion method for determining the absorption of tritiated folic acid were carried out. By proper timing of tissue-loading doses of folic acid a clear difference between the percentage excretion ranges of normal and coeliac subjects was obtained. In addition conditions were found whereby the procedure could be repeated on an individual up to four times with reproducible results. Methotrexate in pharmacological amounts was found to have no inhibitory effect on the human intestinal absorption of a small oral dose (300 μg) of folic acid as determined by this method. This indicates that reduction of folic acid is not necessary for its absorption in man.

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Selected References

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  1. ANDERSON B., BELCHER E. H., CHANARIN I., MOLLIN D. L. The urinary and faecal excretion of radioactivity after oral doses of H3-folic acid. Br J Haematol. 1960 Oct;6:439–455. doi: 10.1111/j.1365-2141.1960.tb06262.x. [DOI] [PubMed] [Google Scholar]
  2. BAKER H., FRANK O., FEINGOLD S., ZIFFER H., GELLENE R. A., LEEVY C. M., SOBOTKA H. THE FATE OF ORALLY AND PARENTERALLY ADMINISTERED FOLATES. Am J Clin Nutr. 1965 Aug;17:88–95. doi: 10.1093/ajcn/17.2.88. [DOI] [PubMed] [Google Scholar]
  3. BAKERMAN H. A. A method for measuring the microbiological activity of tetrahydrofolic acid and other labile reduced folic acid derivatives. Anal Biochem. 1961 Dec;2:558–567. doi: 10.1016/0003-2697(61)90023-9. [DOI] [PubMed] [Google Scholar]
  4. BURGEN A. S., GOLDBERG N. J. Absorption of folic acid from the small intestine of the rat. Br J Pharmacol Chemother. 1962 Oct;19:313–320. doi: 10.1111/j.1476-5381.1962.tb01194.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. BUTTERWORTH C. E., Jr, SANTINI R., Jr, FROMMEYER W. B., Jr THE PTEROYLGLUTAMATE COMPONENTS OF AMERICAN DIETS AS DETERMINED BY CHROMATOGRAPHIC FRACTIONATION. J Clin Invest. 1963 Dec;42:1929–1939. doi: 10.1172/JCI104879. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Butterworth C. E., Jr, Baugh C. M., Krumdieck C. A study of folate absorption and metabolism in man utilizing carbon-14--labeled polyglutamates synthesized by the solid phase method. J Clin Invest. 1969 Jun;48(6):1131–1142. doi: 10.1172/JCI106070. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. CHANARIN I., ANDERSON B. B., MOLLIN D. L. The absorption of folic acid. Br J Haematol. 1958 Apr;4(2):156–166. doi: 10.1111/j.1365-2141.1958.tb03846.x. [DOI] [PubMed] [Google Scholar]
  8. CHANARIN I., BENNETT M. C. The plasma clearance of daily doses of folic acid in megaloblastic anaemia. Br J Haematol. 1962 Apr;8:95–109. doi: 10.1111/j.1365-2141.1962.tb06501.x. [DOI] [PubMed] [Google Scholar]
  9. Chanarin I., Perry J. Evidence for reduction and methylation of folate in the intestine during normal absorption. Lancet. 1969 Oct 11;2(7624):776–778. doi: 10.1016/s0140-6736(69)90483-8. [DOI] [PubMed] [Google Scholar]
  10. Chanarin I., Rothman D., Perry J., Stratfull D. Normal dietary folate, iron, and protein intake, with particular reference to pregnancy. Br Med J. 1968 May 18;2(5602):394–397. doi: 10.1136/bmj.2.5602.394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. HERBERT V., BAKER H., FRANK O., PASHER I., SOBOTKA H., WASSERMAN L. R. The measurement of folic acid activity in serum: a diagnostic aid in the differentiation of the megaloblastic anemias. Blood. 1960 Feb;15:228–235. [PubMed] [Google Scholar]
  12. Halsted C. H., Griggs R. C., Harris J. W. The effect of alcoholism on the absorption of folic acid (H3-PGA) evaluated by plasma levels and urine excretion. J Lab Clin Med. 1967 Jan;69(1):116–131. [PubMed] [Google Scholar]
  13. Hepner G. W., Booth C. C., Cowan J., Hoffbrand A. V., Mollin D. L. Absorption of crystalline folic acid in man. Lancet. 1968 Aug 10;2(7563):302–306. doi: 10.1016/s0140-6736(68)90523-0. [DOI] [PubMed] [Google Scholar]
  14. Hepner G. W. The absorption of pteroylglutamic (folic) acid in rats. Br J Haematol. 1969 Mar;16(3):241–249. doi: 10.1111/j.1365-2141.1969.tb00399.x. [DOI] [PubMed] [Google Scholar]
  15. Hoffbrand A. V., Fry L. Effect of methotrexate on absorption of folates. Lancet. 1972 Nov 11;2(7785):1025–1025. doi: 10.1016/s0140-6736(72)92434-8. [DOI] [PubMed] [Google Scholar]
  16. JOHNS D. G., SPERTI S., BURGEN A. S. The metabolism of tritiated folic acid in man. J Clin Invest. 1961 Sep;40:1684–1695. doi: 10.1172/JCI104391. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Jeejeebhoy K. N., Ramanath P., Mehan K. P., Pathare S. M., Parekh D. V., Nadkarni G. D., Ganatra R. D. A simple method of estimating folic acid absorption. (A modified faecal excretion method). J Nucl Med. 1967 Jan;8(1):40–49. [PubMed] [Google Scholar]
  18. KINNEAR D. G., MACINTOSH P. C., CAMERON D. G., JOHNS D. G., BURGEN A. S. INTESTINAL ABSORPTION OF TRITUM-LABELLED FOLIC ACID IN IDIOPATHIC STEATORRHEA: EFFECT OF A GLUTENFREE DIET. Can Med Assoc J. 1963 Nov 9;89:975–979. [PMC free article] [PubMed] [Google Scholar]
  19. KLIPSTEIN F. A. The urinary excretion of orally administered tritium-labeled folic acid as a test of folic acid absorption. Blood. 1963 May;21:626–639. [PubMed] [Google Scholar]
  20. Kremenchuzky S., Musso A. M., Hoffbrand V., Rochna Viola E. M. Tritiated folic acid (H F.A.). Excretion tests for the study of folic acid absorption. J Nucl Biol Med. 1967 Jul-Sep;11(3):89–95. [PubMed] [Google Scholar]
  21. Leeming R. J., Portman-Graham H., Blair J. A. The occurrence of folic acid (pteroyl-L-monoglutamic acid) in human blood serum after small oral doses. J Clin Pathol. 1972 Jun;25(6):491–493. doi: 10.1136/jcp.25.6.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Millbank L., Davis R. E., Rawlins M., Waters A. H. Automation of the assay of folate in serum and whole blood. J Clin Pathol. 1970 Feb;23(1):54–59. doi: 10.1136/jcp.23.1.54. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Rosenberg I. H., Godwin H. A. The digestion and absorption of dietary folate. Gastroenterology. 1971 Mar;60(3):445–463. [PubMed] [Google Scholar]
  24. Spray G. H., Temperley I. J. Estimation of serum folic acid activity. J Clin Pathol. 1966 Jul;19(4):410–410. doi: 10.1136/jcp.19.4.410. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Whitehead V. M., Cooper B. A. Absorption of unaltered folic acid from the gastro-intestinal tract in man. Br J Haematol. 1967 Sep;13(5):679–686. doi: 10.1111/j.1365-2141.1967.tb08833.x. [DOI] [PubMed] [Google Scholar]

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