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10.1002/bdra.23137

http://scihub22266oqcxt.onion/10.1002/bdra.23137
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C5893146!5893146!23716465
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suck abstract from ncbi


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pmid23716465      Birth+Defects+Res+A+Clin+Mol+Teratol 2013 ; 97 (8): 515-31
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  • Prenatal Exposure to Nitrosatable Drugs, Vitamin C, and Risk of Selected Birth Defects #MMPMID23716465
  • Shinde MU; Vuong AM; Brender JD; Werler MM; Kelley KE; Huber JC; Sharkey JR; Zheng Q; Suarez L; Langlois PH; Canfield MA; Romitti PA; Malik S
  • Birth Defects Res A Clin Mol Teratol 2013[Aug]; 97 (8): 515-31 PMID23716465show ga
  • BACKGROUND: Nitrosatable drugs, such as secondary or tertiary amines and amides react with nitrite in an acidic environment to form N-nitroso compounds, teratogens in animal models. Vitamin C is a known nitrosation inhibitor. METHODS: Using data from the National Birth Defects Prevention Study, we assessed nitrosatable drug exposure and vitamin C intake during the first trimester among 11,606 case-mothers of infants with oral clefts, limb deficiencies (LDs), or congenital heart defects and 6807 control-mothers of infants without major birth defects during 1997?2005. Daily intake of vitamin C was estimated from maternal interviews that elicited information about supplement use and dietary intake. RESULTS: With no reported use of nitrosatable drugs as the referent group, a lower odds ratio (OR) was observed for transverse LDs among births to mothers exposed to secondary amine drugs and daily vitamin C supplementation (adjusted odds ratio [aOR] 1.2, 95% confidence interval [CI] 0.83?1.8) compared with women taking these drugs and no supplementation (aOR 2.7, 95% CI 1.5?4.6). The OR for longitudinal LDs associated with secondary amine exposure was lower with daily dietary vitamin C intake ?85 mg (aOR 1.2, 95% CI 0.68?2.0) compared with <85 mg (aOR 1.9, 95% CI 1.2?3.1). Daily vitamin C supplementation in combination with higher dietary vitamin C intake reduced associations between nitrosatable drug exposures and limb deficiencies and atrial septal defects not otherwise specified. CONCLUSION: Prenatal dietary and vitamin C supplement intake may diminish the association between nitrosatable drug exposure during pregnancy and selected birth defects.
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