“…FA deficiency seems to alter gene expression by disrupting DNA methylation patterns or by inducing base substitution, DNA breaks, gene deletions and/or gene amplification [reviewed in Crott et al, 2008]. Investigations performed in other systems under FA deficiency demonstrated altered expression of genes such as TGF- 1 and IGF-1 [Santoso and Rohman, 2006], EGF-R [Jaszewski et al, 1999], TGF-␣ [Hise et al, 2001] and WNT5a [Katula et al, 2007], all of which are present during palate development and exert an influence on the mechanisms leading to palatal fusion [Fitzpatrick et al, 1990;Pelton et al, 1990;Shiota et al, 1990;Dixon et al, 1991;He et al, 2008]. Folate depletion in cultured normal human cells was seen to greatly decrease the expression of SMAD4, the molecule transmitting TGF- signals to the cell nucleus [Crott et al, 2008].…”