Folic acid-modified ginger-derived extracellular vesicles for targeted treatment of rheumatoid arthritis by remodeling immune microenvironment via the PI3K-AKT pathway.
We explored the use of ginger-derived extracellular vesicles modified with folic acid to treat rheumatoid arthritis, a painful autoimmune condition. By enhancing these vesicles to target the inflammatory cells in affected joints, we found that they help shift the immune response towards healing. Our in vitro and in vivo studies showed promising results: these folic acid-infused vesicles not only concentrated in the inflamed areas but also significantly reduced RA symptoms. This suggests that folic acid-modified vesicles could be a safe and effective alternative treatment option for RA.
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8
Methotrexate withdrawal and folic acid
Risk Factors Associated with Adverse Events Leading to Methotrexate Withdrawal in Elderly Rheumatoid Arthritis Patients: A Retrospective Cohort Study.
We examined a long-term study focusing on elderly patients with rheumatoid arthritis (RA) using methotrexate (MTX).
While higher MTX doses increased the risk of needing to stop treatment due to adverse effects, adding folic acid seemed to lower that risk significantly.
In fact, around 51.7% of patients had to discontinue MTX within 15 years, but those on folic acid had a much better outcome.
This suggests that doctors should consider lower MTX doses combined with folic acid for better results in elderly RA management.
Read More
7
PANS/PANDAS and folate treatment
Folate Receptor Alpha Autoantibodies in the Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) and Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) Population.
We aimed to understand how folate receptor alpha autoantibodies (FRAAs) relate to symptoms in children diagnosed with Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS). We analyzed serum samples from 47 children, aged 6 to 18, who carried these diagnoses.
Our results showed that a significant number of these children—about 63.8%—had binding or blocking FRAAs. Additionally, certain symptoms, like severe tics, linked with higher FRAA binding titers. Notably, we observed that kids with autism spectrum disorder (ASD) had lower binding titers of FRAAs.
A remarkable case highlighted how treatment with leucovorin, a form of folate, resulted in symptom improvements in a child with PANS/PANDAS who tested positive for FRAAs. These findings suggest that abnormalities in folate metabolism could play a role in the symptomatology of PANS/PANDAS, presenting the potential for folate-based therapies to be a viable treatment option.
Overall, this study sheds light on the connection between folate-related factors and pediatric neuropsychiatric disorders, calling for further research into leucovorin as a targeted treatment.
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Most Useful Reviews
9
Hormonal balance restored
115 people found this helpful
My wife, who has an autoimmune disorder related to hormonal imbalance, was prescribed folic acid and vitamin E. After trying a "pharmacy course", we sought a better quality supplement from iHerb, which proved beneficial, resulting in her improved health.
Read More
9
Affordable efficiency
68 people found this helpful
If you have an autoimmune disorder and an MTFR gene mutation, this has been one of the few effective methylfolate supplements I've tried. It's economical and small in size, fulfilling the necessary levels for conception and healthy development.
Read More
9
Pregnancy prepared
36 people found this helpful
After two purchases, I can confidently say that this methylfolate is excellent for those with an autoimmune disorder. I began taking it while planning to get pregnant, and I've noticed significant improvements in my hair health.
Folic acid-modified ginger-derived extracellular vesicles for targeted treatment of rheumatoid arthritis by remodeling immune microenvironment via the PI3K-AKT pathway.
We explored the use of ginger-derived extracellular vesicles modified with folic acid to treat rheumatoid arthritis, a painful autoimmune condition. By enhancing these vesicles to target the inflammatory cells in affected joints, we found that they help shift the immune response towards healing. Our in vitro and in vivo studies showed promising results: these folic acid-infused vesicles not only concentrated in the inflamed areas but also significantly reduced RA symptoms. This suggests that folic acid-modified vesicles could be a safe and effective alternative treatment option for RA.
Read More
8
Prodrug shows promise for arthritis
Prodrug Nanomedicine for Synovium Targeted Therapy of Inflammatory Arthritis: Insights from Animal Model and Human Synovial Joint Fluid.
We explored a promising new approach to treating inflammatory arthritis, focusing on a modified form of methotrexate (MTX) that uses folic acid to target inflamed joints. The study found that this prodrug could release the medication in a controlled way while reducing side effects common with traditional treatments.
In tests involving mouse models and human joint fluid samples, we observed that the prodrug not only accumulated in areas of inflammation but also matched the effectiveness of standard weekly MTX with much less dosage. While this treatment is still in the early stages, it shows exciting potential for improving care in those suffering from arthritis.
Read More
8
Methotrexate withdrawal and folic acid
Risk Factors Associated with Adverse Events Leading to Methotrexate Withdrawal in Elderly Rheumatoid Arthritis Patients: A Retrospective Cohort Study.
We examined a long-term study focusing on elderly patients with rheumatoid arthritis (RA) using methotrexate (MTX).
While higher MTX doses increased the risk of needing to stop treatment due to adverse effects, adding folic acid seemed to lower that risk significantly.
In fact, around 51.7% of patients had to discontinue MTX within 15 years, but those on folic acid had a much better outcome.
This suggests that doctors should consider lower MTX doses combined with folic acid for better results in elderly RA management.
Read More
8
Ginsenoside delivery method effective
Oral liposomes encapsulating ginsenoside compound K for rheumatoid arthritis therapy.
We explored the effectiveness of a folic acid-targeted liposomal drug delivery system, known as FA-LP-GCK, for treating rheumatoid arthritis (RA). Ginsenoside compound K, while promising due to its immune-boosting and anti-inflammatory properties, faces challenges like poor solubility and absorption.
Our study found that FA-LP-GCK showed significant improvements, such as reduced joint swelling and lower levels of inflammatory markers in rat models of RA. This suggests FA-LP-GCK could be a promising new treatment option for patients struggling with this debilitating condition.
Read More
8
Innovative RA treatment method explored
Targeted Macrophage Re-Programming: Synergistic Therapy With Methotrexate and RELA siRNA Folate-Liposome in RAW264.7 Cells and Arthritic Rats.
We investigated the effects of a new treatment approach for rheumatoid arthritis (RA) that combines Methotrexate (MTX) with folate-liposomal delivery of RELA siRNA. This innovative method aims to target macrophages in the body, which play a critical role in inflammation, especially in autoimmune disorders.
In our study, we observed that using folate-liposomes to deliver both MTX and RELA siRNA leads to a notable reduction in synovial inflammation and improved mobility in a rat model of collagen-induced arthritis (CIA). This dual approach not only helps lower inflammatory markers in the body, like cytokines and C-reactive protein, but also appears to shift the behavior of macrophages from a pro-inflammatory state towards a more healing one.
Additionally, extensive tests showed that this therapy is stable and compatible with biological systems. It highlights the potential of using folate as a targeting agent in the treatment of RA, albeit we did not focus solely on folate’s effect on autoimmune disorders in isolation.
Overall, this research suggests a promising pathway for more effective RA treatments by tackling the root causes of inflammation and preventing further joint damage.
My wife, who has an autoimmune disorder related to hormonal imbalance, was prescribed folic acid and vitamin E. After trying a "pharmacy course", we sought a better quality supplement from iHerb, which proved beneficial, resulting in her improved health.
Read More
9
Affordable efficiency
68 people found this helpful
If you have an autoimmune disorder and an MTFR gene mutation, this has been one of the few effective methylfolate supplements I've tried. It's economical and small in size, fulfilling the necessary levels for conception and healthy development.
Read More
9
Pregnancy prepared
36 people found this helpful
After two purchases, I can confidently say that this methylfolate is excellent for those with an autoimmune disorder. I began taking it while planning to get pregnant, and I've noticed significant improvements in my hair health.
Read More
9
Heightened energy noted
14 people found this helpful
I've been using this for a few years after discovering my MTHFR gene mutation related to my autoimmune disorder. It's revitalised me, providing energy and mental clarity. I started with a lower dose and gradually increased it, noticing remarkable improvements in my health.
Read More
7.5
Improved mental clarity
13 people found this helpful
This has helped me feel much better mentally and detox at a faster rate than normal. Caffeine no longer bothers me, and I can sleep and wake up early. I will definitely order again when it runs out. Thank you.
An autoimmune disorder occurs when the body's immune system mistakenly attacks its own healthy cells and tissues, believing them to be foreign invaders, such as bacteria or viruses. This reaction can lead to inflammation, tissue damage, and impaired function of the affected organs. There are over 80 known autoimmune diseases, including rheumatoid arthritis, lupus, multiple sclerosis, and type 1 diabetes, each with its own specific symptoms and treatment options. The exact cause of these disorders is still unclear, but a combination of genetic, environmental, and hormonal factors is believed to play a role in their development.
Diagnosis of autoimmune disorders often involves a combination of physical examinations, assessment of symptoms, blood tests, and imaging studies to evaluate organ involvement. Treatment typically focuses on managing symptoms and controlling the immune response using medications such as corticosteroids, immunosuppressants, and biologics. In addition to medication, lifestyle modifications, such as stress management and a balanced diet, can be beneficial in managing symptoms. If you suspect you have an autoimmune condition, it's important to consult a healthcare professional for proper evaluation and tailored treatment options.
Folic acid, also known as vitamin B9, is a water-soluble vitamin that plays a crucial role in many bodily functions, particularly in the synthesis of DNA and RNA. It is essential for cell division and is especially important during periods of rapid growth, such as during pregnancy and infancy. The body cannot produce folic acid on its own, which is why it must be obtained from dietary sources or supplements. Commonly found in leafy green vegetables, legumes, seeds, and fortified foods, folic acid is vital for preventing neural tube defects in developing fetuses and is often recommended for women of childbearing age.
In addition to its key role in pregnancy, folic acid contributes to the production of red blood cells and can help reduce the risk of certain types of anemia. Research has also suggested that adequate folic acid levels may be associated with lowered risk of heart disease and other health issues. Most health organizations recommend a daily intake of 400 micrograms for adults, with higher amounts suggested for pregnant women. Incorporating folate-rich foods into your diet, or considering supplementation, can help ensure you meet your folic acid needs.
Folic acid, a B-vitamin crucial for cell division and synthesis of DNA, has garnered attention in research about its potential role in managing autoimmune disorders. While folic acid is essential for overall health and particularly beneficial in preventing neural tube defects during pregnancy, its specific effects on autoimmune diseases are still being investigated. Some studies suggest that adequate levels of folate may help reduce inflammation, a common issue in autoimmune conditions. Furthermore, individuals with certain autoimmune diseases, such as rheumatoid arthritis, often exhibit low levels of folate, which can exacerbate their condition.
However, it's essential to note that supplementation with folic acid should not be viewed as a standalone treatment for autoimmune disorders. Maintaining a balanced diet, managing disease symptoms with prescribed medications, and working closely with healthcare professionals are crucial components of effective autoimmune disorder management. If you consider adding folic acid to your health regimen, consult your doctor for personalized advice that takes into account your individual health needs and circumstances.
Based on user reviews, the time it takes to see results from taking methylfolate for autoimmune disorders can vary significantly. Some users report noticing improvements within just a couple of weeks. For instance, one reviewer mentioned that after they began taking methylfolate, their homocysteine levels decreased remarkably within two weeks, indicating positive changes in their health connected to their autoimmune condition Read Review. Other users, however, have stated a longer time frame. A reviewer expressing satisfaction after years of using the supplement indicates that consistent use may lead to gradual improvements rather than immediate results Read Review.
Overall, it's evident that while some individuals may experience faster benefits, others might take months or longer for noticeable improvements. Users also emphasize the importance of dosage and proper absorption of methylfolate, which can play a critical role in the effectiveness and perceived speed of results Read Review. The diversity of experiences suggests that individual responses can vary, so it's wise to manage expectations and consult with a healthcare professional.
While there are intriguing studies that investigate the potential of folic acid and related compounds in treating various autoimmune disorders, the overall evidence remains mixed. For instance, research into the use of folic acid-infused ginger-derived extracellular vesicles for rheumatoid arthritis (RA) shows promise in targeting inflammatory cells and reducing symptoms effectively [1]. Additionally, another study highlights a modified methotrexate utilizing folic acid that demonstrated a similar capacity to manage symptoms with fewer side effects [2]. These findings indicate a beneficial role for folic acid in the treatment and management of rheumatoid arthritis, a common autoimmune condition.
However, when it comes to other autoimmune diseases, particularly systemic lupus erythematosus (SLE), the results were less promising. One study did not find significant improvements from direct folate treatment, even though some genetic variants related to folate metabolism indicated potential connections to disease risk [7]. Moreover, while folate appears to help manage some side effects of treatments like methotrexate for RA, its standalone effect across various autoimmune disorders is not strongly established. Therefore, while folic acid shows some effectiveness in specific scenarios, particularly in RA, its overall support across all autoimmune conditions is not robustly backed by scientific research.
Users have reported notable improvements in symptoms related to autoimmune disorders after taking methylfolate supplements. One reviewer mentioned that their wife experienced a significant boost in health after switching to a higher-quality methylfolate supplement, specifically noting improvements in her overall condition and hair strength Read Review. Others shared similar experiences, like another user who observed enhanced energy levels and mental clarity after starting the supplement, indicating a potential for revitalization Read Review. Furthermore, families have noted improved communication abilities in children diagnosed with autoimmune disorders after incorporating methylfolate, showcasing its potential benefits beyond just physical health Read Review.
While many users have experienced positive effects like improved hair growth, energy levels, or even cognitive enhancements, it's important to note that individual results can vary widely. For instance, one review mentioned that despite the supplement's benefits for many, a different user did not see expected results, highlighting that each individual's response to methylfolate can differ significantly Read Review. As with any supplement, it is wise for individuals to consult with a healthcare provider to tailor treatment options to personal health needs.
Users have reported positively combining methylfolate with other supplements to manage their autoimmune disorders. For instance, one reviewer mentioned that their wife, prescribed both folic acid and vitamin E, experienced significant health improvements after switching to a high-quality methylfolate supplement from iHerb Read Review. Another user noted the benefits of methylfolate for pregnant women as part of a comprehensive regimen to support a healthy cycle before pregnancy, emphasizing the importance of absorption over synthetic forms of folic acid Read Review.
Additionally, several users highlighted the role of methylfolate in managing associated deficiencies when used alongside prescribed medications, such as immunosuppressants, particularly for children with autoimmune disorders. One review focused on a son with rheumatoid arthritis who struggled on standard folic acid but found success with methylfolate, benefiting from improved absorption Read Review. Encouragingly, users reported various enhancements in mental clarity, energy levels, and overall well-being after integrating methylfolate into their supplement routines, demonstrating its potential efficacy when combined effectively with other treatments Read Review.
Based on user reviews, the right dose of Folic Acid, specifically in its active form methylfolate, for treating autoimmune disorders often ranges from daily intake of one to multiple tablets. For instance, one user reported starting with a lower dose and gradually increasing it, noting significant health improvements along the way Read Review. Another highlighted their successful experience with a daily dose of 800 micrograms Read Review.
Several users also emphasized that the absorption of methylfolate is much superior compared to synthetic folic acid, making it essential, especially for those with genetic mutations like MTHFR Read ReviewRead Review. Overall, users suggest that it's critical to consult with a healthcare provider to determine the ideal dosage tailored to individual needs and specific autoimmune conditions.
9
Reduced homocysteine levels
221 people found this helpful
I found that my homocysteine levels were elevated, indicating that I have an autoimmune disorder. After being prescribed Methylfolate, my levels dropped from 14 to 5.8 within two weeks. I then reduced my intake to 800 micrograms daily. I feel it's essential for my health.
7.5
Sustained compatibility
149 people found this helpful
I've been taking methylfolate for four years due to an autoimmune disorder, as regular forms are not well absorbed. I switched to this brand for cost-effectiveness and am pleased; it perfectly suits my needs and I manage my vitamin intake carefully.
7.5
Reduces homocysteine levels
1 people found this helpful
Methylfolate is an effective bioactive folate form. Due to limited conversion of synthetic folic acid, 5-MTHF should be taken for proper absorption, especially for pregnant women or those with elevated homocysteine levels linked to an autoimmune disorder. This affordable methylfolate may help in addressing those deficiencies.
9
Hormonal balance restored
115 people found this helpful
My wife, who has an autoimmune disorder related to hormonal imbalance, was prescribed folic acid and vitamin E. After trying a "pharmacy course", we sought a better quality supplement from iHerb, which proved beneficial, resulting in her improved health.
9
Heightened energy noted
14 people found this helpful
I've been using this for a few years after discovering my MTHFR gene mutation related to my autoimmune disorder. It's revitalised me, providing energy and mental clarity. I started with a lower dose and gradually increased it, noticing remarkable improvements in my health.
9
Enhanced communication skills
10 people found this helpful
I ordered this for my child with an autoimmune disorder as prescribed by a doctor. He had no allergic reactions. After taking methyl folate, his understanding of speech improved, communication flourished, and protest behaviours decreased.
4
Mixed results
80 people found this helpful
An endocrinologist prescribed this supplement to lower my homocysteine levels related to my autoimmune disorder, but I didn’t see results. It did work for my girlfriend, so I conclude that effects may vary.
7.5
Essential for conception
286 people found this helpful
Methyl folate is vital for anyone over 40 planning to conceive as it is much better absorbed than synthetic folic acid. I use it as part of a comprehensive regimen to support a healthy cycle before pregnancy.
9
Effective for rheumatoid arthritis
1 people found this helpful
My son, diagnosed with rheumatoid arthritis, struggled on folic acid previously. Methyl folate works well; he takes it daily as recommended by his doctor, helping manage the impact of immunosuppressants that deplete vitamin B9.
9
Affordable efficiency
68 people found this helpful
If you have an autoimmune disorder and an MTFR gene mutation, this has been one of the few effective methylfolate supplements I've tried. It's economical and small in size, fulfilling the necessary levels for conception and healthy development.
Folic acid-modified ginger-derived extracellular vesicles for targeted treatment of rheumatoid arthritis by remodeling immune microenvironment via the PI3K-AKT pathway.
We explored the use of ginger-derived extracellular vesicles modified with folic acid to treat rheumatoid arthritis, a painful autoimmune condition. By enhancing these vesicles to target the inflammatory cells in affected joints, we found that they help shift the immune response towards healing. Our in vitro and in vivo studies showed promising results: these folic acid-infused vesicles not only concentrated in the inflamed areas but also significantly reduced RA symptoms. This suggests that folic acid-modified vesicles could be a safe and effective alternative treatment option for RA.
8
Prodrug shows promise for arthritis
Prodrug Nanomedicine for Synovium Targeted Therapy of Inflammatory Arthritis: Insights from Animal Model and Human Synovial Joint Fluid.
We explored a promising new approach to treating inflammatory arthritis, focusing on a modified form of methotrexate (MTX) that uses folic acid to target inflamed joints. The study found that this prodrug could release the medication in a controlled way while reducing side effects common with traditional treatments.
In tests involving mouse models and human joint fluid samples, we observed that the prodrug not only accumulated in areas of inflammation but also matched the effectiveness of standard weekly MTX with much less dosage. While this treatment is still in the early stages, it shows exciting potential for improving care in those suffering from arthritis.
4
Folate's role in SLE risk
Association of c.+677 C>T (rs1801133) and c.+1298 A>C (rs1801131) genetic variants with cardiometabolic and disease risk in systemic lupus erythematosus patients: A cross-sectional study.
We looked into how folate, an essential nutrient in our diet, might influence the health of individuals with systemic lupus erythematosus (SLE), an autoimmune disorder that carries a heightened risk of cardiovascular disease. Our investigation involved a case-control study with 394 Mexican-mestizo women, where we sought to find connections between certain genetic variants related to folate metabolism and heart health in SLE patients.
Surprisingly, our results showed that the overall levels of folate and homocysteine—both important in the context of heart health—didn't differ significantly between those with SLE and healthy controls. However, we did observe that the genetic variant c.+677 C>T (known as the CC genotype) appeared to offer some protective benefit against cardiovascular issues, suggesting that people with this genetic makeup might have a lower risk of heart disease.
On the flip side, two specific haplotypes from the c.+677 and c.+1298 genetic variants were linked to an increased risk for SLE itself. This suggests that while folate's role in the body is vital and its genetic connections intricate, treating SLE patients with folate alone may not yield significant improvements in their condition based on these findings.
Overall, while we documented interesting associations between genetic variants and disease risk in SLE, we didn't find strong evidence supporting direct benefits of folate treatment in mitigating the disorder's impact.
References
Han R, Zhou D, Ji N, Yin Z, Wang J, et al. Folic acid-modified ginger-derived extracellular vesicles for targeted treatment of rheumatoid arthritis by remodeling immune microenvironment via the PI3K-AKT pathway. J Nanobiotechnology. 2025;23:41. 10.1186/s12951-025-03096-5
Nosrati Z, Chen YA, Bergamo M, Rodríguez-Rodríguez C, Chan J, et al. Prodrug Nanomedicine for Synovium Targeted Therapy of Inflammatory Arthritis: Insights from Animal Model and Human Synovial Joint Fluid. Adv Healthc Mater. 2024;13:e2401936. 10.1002/adhm.202401936
Avalos-Salgado FA, Gonzalez-Lopez L, Gonzalez-Vazquez S, Ponce-Guarneros JM, Santiago-Garcia AP, et al. Risk Factors Associated with Adverse Events Leading to Methotrexate Withdrawal in Elderly Rheumatoid Arthritis Patients: A Retrospective Cohort Study. J Clin Med. 2024;13. 10.3390/jcm13071863
Liu K, Li X, Li D. Connective tissue disease as a challenge in heart failure: Three case reports. Medicine (Baltimore). 2024;103:e36885. 10.1097/MD.0000000000036885
Li Z, Han S, Cui G, Xue B, Li J, et al. Oral liposomes encapsulating ginsenoside compound K for rheumatoid arthritis therapy. Int J Pharm. 2023;643:123247. 10.1016/j.ijpharm.2023.123247
Nasra S, Bhatia D, Kumar A. Targeted Macrophage Re-Programming: Synergistic Therapy With Methotrexate and RELA siRNA Folate-Liposome in RAW264.7 Cells and Arthritic Rats. Adv Healthc Mater. 2024;13:e2400679. 10.1002/adhm.202400679
Pesqueda-Cendejas K, Parra-Rojas I, Campos-López B, Mora-García PE, Ruiz-Ballesteros AI, et al. Association of c.+677 C>T (rs1801133) and c.+1298 A>C (rs1801131) genetic variants with cardiometabolic and disease risk in systemic lupus erythematosus patients: A cross-sectional study. Lupus. 2024;33:918. 10.1177/09612033241257158
Patel AV, Morgan SL, Green R, Danila MI, Merriman TR, et al. Vitamin B12 status and hyperhomocysteinemia in patients with Rheumatoid arthritis treated with methotrexate and folic acid. Am J Med Sci. 2024;368:33. 10.1016/j.amjms.2024.03.020
Wells L, O'Hara N, Frye RE, Hullavard N, Smith E. Folate Receptor Alpha Autoantibodies in the Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) and Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) Population. J Pers Med. 2024;14. 10.3390/jpm14020166