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1.
Placenta ; 112: 141-152, 2021 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-34352490

RESUMEN

INTRODUCTION: Valproic acid (VPA) is an effective anti-epileptic drug clinically used to treat seizures, bipolar disorders and neuropathic pain in women of reproductive age. Current approval of VPA for psychiatric conditions and migraine has increased the number of VPA exposed pregnancies. VPA crosses the placental barrier and induces birth defects in about 10% of exposed pregnancies. In addition, VPA exposure results in neurodevelopmental disorders in children without any overt birth defects. The current study was designed to investigate the effects of in utero VPA exposure on fetoplacental growth in a mouse model. METHODS: Pregnant CD-1 dams were exposed to a single teratogenic dose of 400 mg/kg VPA or saline via subcutaneous injection on gestational day (GD) 9 and fetuses were harvested on GD 13, 15, 17 and 19, respectively. Resorptions, gross malformations, fetal weight, fetal head weight, fetal crown-rump length, fetal head transverse and anteroposterior diameters, placental weight and placental diameter were noted. RESULTS: VPA exposure led to multiple external deformities including exencephaly, open eye defect, subcutaneous hemorrhage and underdevelopment of tail. All fetoplacental growth parameters fetal weight, fetal head weight, fetal crown-rump length, placental weight and placental diameter were significantly reduced in VPA-exposed fetuses with and without congenital malformations such as exencephaly, compared to control fetuses. DISCUSSION: In conclusion, the effects of in utero VPA exposure on fetal and placental growth persisted throughout pregnancy and our results suggest that the effects of VPA on placental growth may play a role in VPA-induced toxicity.


Asunto(s)
Anomalías Inducidas por Medicamentos/patología , Anticonvulsivantes/efectos adversos , Desarrollo Fetal/efectos de los fármacos , Feto/patología , Ácido Valproico/efectos adversos , Anomalías Inducidas por Medicamentos/etiología , Animales , Femenino , Feto/efectos de los fármacos , Masculino , Exposición Materna , Ratones , Embarazo
2.
Pediatr Dev Pathol ; 24(5): 438-444, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34082612

RESUMEN

INTRODUCTION: Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers (AAs) are used for several indications, with cessation recommended in pregnancy due to toxic effects. AA fetopathy phenotype is similar to renal tubular dysgenesis including reduced proximal convoluted tubules (PCTs). Our study aimed to quantify the reduction of PCTs in fetuses and infants with prenatal exposure to AAs. MATERIALS AND METHODS: We identified 5 fetal AA exposure cases that underwent autopsy at our institution between 2011 and 2018 and compared with 5 gestational age-matched controls. Immunohistochemistry with CD10 and epithelial membrane antigen (EMA) was utilized. RESULTS: CD10 and EMA identified a median PCT density of 19.0% ± 12.3% in AA fetopathy patients, significantly less than controls (52.8% ± 4.4%; p < 0.0001). One case with in utero cessation had a PCT density of 34.2% ± 0.2%. Among other AA fetopathy findings, 1 case demonstrated unilateral renal vein thrombosis and 4 had hypocalvaria. CONCLUSIONS: We have quantified the reduction in AA fetopathy PCT density, and demonstrated in utero cessation may recover PCT differentiation. Future studies may benefit from calculating PCT percentage as a potential biomarker to correlate with post-natal renal function and maternal factors including medication type, dosage, duration, and time from medication cessation.


Asunto(s)
Anomalías Inducidas por Medicamentos/etiología , Antagonistas de Receptores de Angiotensina/efectos adversos , Inhibidores de la Enzima Convertidora de Angiotensina/efectos adversos , Enfermedades Fetales/inducido químicamente , Enfermedades Renales/inducido químicamente , Túbulos Renales Proximales/anomalías , Anomalías Inducidas por Medicamentos/diagnóstico , Anomalías Inducidas por Medicamentos/metabolismo , Anomalías Inducidas por Medicamentos/patología , Biomarcadores/metabolismo , Estudios de Casos y Controles , Femenino , Muerte Fetal/etiología , Enfermedades Fetales/diagnóstico , Enfermedades Fetales/metabolismo , Enfermedades Fetales/patología , Humanos , Inmunohistoquímica , Recién Nacido , Enfermedades Renales/congénito , Enfermedades Renales/diagnóstico , Enfermedades Renales/metabolismo , Túbulos Renales Proximales/efectos de los fármacos , Túbulos Renales Proximales/patología , Masculino , Mucina-1/metabolismo , Neprilisina/metabolismo , Estudios Retrospectivos
3.
Neurotoxicol Teratol ; 84: 106948, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33418068

RESUMEN

The morphogenesis of the head of vertebrates is a process that involves rapid growth and dynamic movements of various cell populations, including the neural crest cells (NCC). These pluripotent cells generated during neurulation have high proliferative and migratory capacity but xenobiotic agents can affect these migratory periods and cause congenital malformations. Lead (Pb) is the most common toxic metal in the environment and a potent teratogen that can affect growth and induce malformations. Despite the known toxic effects of Pb, there is a gap in knowledge about the impact of realistic concentrations of Pb at critical periods of early development. Here, we evaluated mortality, embryonic morphology, NCC migration, and the amount of Pb deposition in chicken embryos after 3 to 4 days of exposure. One of the most interesting observations in this study is that only about 34% of the injected Pb was present in the embryos after 4 days. We observed that exposure to Pb, even under low concentrations, increased mortality and the occurrence of malformations during embryonic development, especially in the cephalic region (CR). Although Pb was found widely distributed in the CR, no relation between its presence and the migration routes of cephalic NCC was observed. But the number of NCC and their migratory distance were reduced. These changes are consistent and explain the morphological anomalies described in this study, which also correlates with the morphofunctional abnormalities reported in the literature. Therefore, this study highlights the concern of exposure to low concentrations of this metal.


Asunto(s)
Intoxicación del Sistema Nervioso por Plomo/patología , Cresta Neural/patología , Anomalías Inducidas por Medicamentos/patología , Animales , Disponibilidad Biológica , Encéfalo/anomalías , Encéfalo/patología , Movimiento Celular , Embrión de Pollo , Desarrollo Embrionario/efectos de los fármacos , Plomo/metabolismo , Plomo/farmacocinética , Plomo/toxicidad , Intoxicación del Sistema Nervioso por Plomo/mortalidad , Morfogénesis , Nitratos/toxicidad
4.
J Appl Toxicol ; 41(9): 1345-1356, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-33247449

RESUMEN

Organophosphates (OPs) and pyrethroids (PYRs) are extensively used pesticides and often occur in the form of mixture, whereas little was known about their joint toxicities. We aim to investigate the individual and joint effects of OPs and PYRs exposure on zebrafish embryo by employing chlorpyrifos (CPF) and deltamethrin (DM) as representatives. Zebrafish embryos at 2 hours post fertilization (hpf) were exposed to CPF (4.80, 39.06, and 78.13 µg/L), DM exposure (0.06, 1.60, and 3.19 µg/L), and CPF + DM (4.80 + 0.06, 39.06 + 1.60, and 78.13 + 3.19 µg/L) until 144 hpf. Embryonic development, locomotor activity, and metabolomic changes were recorded and examined. Results displayed that individual exposure to CPF and DM significantly increased the mortality and malformation rate of zebrafish embryos, but decreased hatching rate was only found in CPF + DM co-exposure groups (p < .05). Meanwhile, individual CPF exposure had no detrimental effect on locomotor activity, high dose of individual CPF exposure decreased the swimming speed but had adaptability to the conversion from dark to light, whereas high dose of CPF + DM co-exposure exhibited not only significant decline in swimming speed but also no adaptability to the repeated stimulations, suggesting deficit in learning and memory function. In metabolomic analysis, individual CPF exposure mainly influenced the metabolism of glycerophospholipids and amino acids, individual DM exposure mainly influenced glycerophospholipids, and CPF + DM co-exposure mainly influenced glycerophospholipids and amino acids. Taken together, our findings suggested the embryonic toxicities and neurobehavioral changes caused by CPF and/or DM exposure. The disorder metabolomics of glycerophospholipids and amino acids might be involved in the underlying mechanism of those toxicities.


Asunto(s)
Cloropirifos/toxicidad , Embrión no Mamífero/efectos de los fármacos , Desarrollo Embrionario/efectos de los fármacos , Insecticidas/toxicidad , Locomoción/efectos de los fármacos , Metabolómica , Nitrilos/toxicidad , Piretrinas/toxicidad , Pez Cebra , Anomalías Inducidas por Medicamentos/patología , Adaptación Fisiológica/efectos de los fármacos , Aminoácidos/metabolismo , Animales , Femenino , Glicerofosfolípidos/metabolismo , Aprendizaje/efectos de los fármacos , Masculino , Memoria/efectos de los fármacos , Natación
5.
J Ethnopharmacol ; 267: 113538, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33144170

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: Clerodendrum cyrtophyllum Turcz has been used in traditional medicine for the treatment of various diseases. In spite of its therapeutic applications, research on its toxicity and teratogenicity is still limited. AIM OF THE STUDY: The study aimed to investigate the developmental toxicity of the ethanol extract of C. cyrtophyllum (EE) in zebrafish embryo model. MATERIAL AND METHODS: Major compounds from crude ethanol extract of Clerodendron cyrtophyllum Turcz leaves were determined using HPLC-DAD-Orbitrap-MS analysis. The developmental toxicity of EE were investigated using zebrafish embryo model. Zebrafish embryos at 6 h post-fertilization (hpf) were treated with EE at different concentrations. Egg coagulation, mortality, hatching, yolk sac edema, pericardial edema and teratogenicity were recorded each day for during a 5-day exposure. At time point 120 hpf, body length, pericardial area, heartbeat and yolk sac area were assessed. In order to elucidate molecular mechanisms for the developmental toxicity of EE, we further evaluated the effects of the EE on the expression of genes involved on signaling pathways affecting fish embryo's development such as heart development (gata5, myl7, myh6, has2, hand2, nkx 2.5), oxidative stress (cat, sod1, gpx4, gstp2), wnt pathway (ß-catenin, wnt3a, wnt5, wnt8a, wnt11), or cell apoptosis (p53, bax, bcl2, casp3, casp8, casp9, apaf-1, gadd45bb) using qRT-PCR analysis. RESULTS: Our results demonstrated that three major components including acteoside, cirsilineol and cirsilineol-4'-O-ß-D-glucopyranoside were identified from EE. EE exposure during 6-96 h post-fertilization (hpf) at doses ranging from 80 to 200 µg/mL increased embryo mortality and reduced hatching rate. EE exposure at 20 and 40 µg/mL until 72-120 hpf induced a series of malformations, including yolk sac edema, pericardial edema, spine deformation, shorter body length. Based on two prediction models using a teratogenic index (TI), a 25% lethality concentration (LD25) and the no observed-adverse-effect level (NOAEL), EE is considered as teratogenic for zebrafish embryos with TI (LC50/EC50) and LD25/NOAEC values at 96 hpf reaching 3.87 and 15.73 respectively. The mRNA expression levels of p53, casp8, bax/bcl2, gstp2, nkx2.5, wnt3a, wnt11, gadd45bb and gata5 were significantly upregulated by EE exposure at 20 and 40 µg/mL while the expression of wnt5, hand2 and bcl2 were downregulated. CONCLUSIONS: These results provide evidence for toxicity effects of EE to embryo stages and provide an insight into the potential toxicity mechanisms on embryonic development.


Asunto(s)
Anomalías Inducidas por Medicamentos/etiología , Clerodendrum/toxicidad , Embrión no Mamífero/efectos de los fármacos , Extractos Vegetales/toxicidad , Pez Cebra/embriología , Anomalías Inducidas por Medicamentos/genética , Anomalías Inducidas por Medicamentos/metabolismo , Anomalías Inducidas por Medicamentos/patología , Animales , Apoptosis/efectos de los fármacos , Clerodendrum/química , Relación Dosis-Respuesta a Droga , Embrión no Mamífero/metabolismo , Embrión no Mamífero/patología , Etanol/química , Regulación del Desarrollo de la Expresión Génica , Nivel sin Efectos Adversos Observados , Estrés Oxidativo/efectos de los fármacos , Extractos Vegetales/aislamiento & purificación , Solventes/química , Vía de Señalización Wnt/efectos de los fármacos , Proteínas de Pez Cebra/genética , Proteínas de Pez Cebra/metabolismo
6.
Mol Genet Genomic Med ; 8(11): e1464, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32893502

RESUMEN

BACKGROUND: The aim of this study was to assess psychological/psychiatric problems and quality of life (QOL) in patients with thalidomide embryopathy (TE), with a specific focus on pain, including pain severity and the effects of coping strategies for pain. METHODS: A questionnaire survey was conducted to evaluate the severity of pain experienced by patients with TE, pain management strategies, time perspective, mental health status, and QOL. Of 67 patients with TE who underwent a health checkup, 51 respondents who gave valid responses were included in analysis. RESULTS: GHQ-28 suggested that 41.2% of respondents appeared to potentially have psychiatric disorders. The mean scores of QOL were still within a normal range. There is no significant differences were found between limb disability group and hearing impairment group in QOL or mental health status. About 82.4% of respondents reported that they experience physical pain, and the use of the cognitive coping strategy "catastrophizing" to cope with pain was significantly associated with mental health status and QOL. CONCLUSION: This study demonstrate that although some patients with TE have some form of mental health problem, they still maintain a normal range QOL despite their disabilities. In addition, pain was not as strongly associated with mental health problems and QOL as would be expected, and variables such as "catastrophizing" to cope with pain appear to potentially be associated with reduced mental health and QOL.


Asunto(s)
Anomalías Inducidas por Medicamentos/patología , Dolor/epidemiología , Calidad de Vida , Teratógenos/toxicidad , Talidomida/toxicidad , Anomalías Inducidas por Medicamentos/epidemiología , Anomalías Inducidas por Medicamentos/psicología , Adaptación Psicológica , Adulto , Anciano , Femenino , Humanos , Japón , Masculino , Estado Civil , Salud Mental , Persona de Mediana Edad , Talidomida/efectos adversos
7.
Alcohol Clin Exp Res ; 44(10): 2045-2052, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32772389

RESUMEN

BACKGROUND: In animal models, it is possible to induce different alcohol-related dysmorphic abnormalities based on the timing of prenatal alcohol exposure (PAE). Our objective was to assess whether patterns of PAE differentially predict alcohol-related dysmorphic features in 415 infants. METHODS: We analyzed a prospective pregnancy cohort in western Ukraine enrolled between 2008 and 2014. Five distinct trajectories were previously identified to summarize PAE: (i) minimal/no PAE (n = 253), (ii) low/moderate PAE with reduction early in gestation (n = 78), (iii) low/moderate sustained PAE (n = 20), (iv) moderate/high PAE with reduction early in gestation (n = 45), and (v) high sustained PAE (n = 19). A dysmorphology examination of body size, 3 cardinal, and 15 noncardinal dysmorphic features was performed at approximately 6 to 12 months of age. A modified dysmorphology score was created based on previously published weights. Univariate comparisons were made between each dysmorphic feature and trajectory group. Features that differed by trajectory group were assessed in multivariable analyses. Models were adjusted for maternal age, prenatal vitamin use, socioeconomic status, smoking, and child's age at dysmorphology examination, with censoring weights for losses to follow-up. RESULTS: The 3 highest trajectories predicted total dysmorphology score, with larger effects in sustained exposure groups. Cardinal features: The 3 highest trajectories were each associated with a 2- to 3-fold increased risk of having 2 + cardinal facial features. When assessed individually, there were no consistent associations between the individual trajectories and each cardinal feature. Noncardinal features: The 3 highest trajectories were associated with increased risk of hypotelorism. Only the highest trajectory was associated with heart murmur. The highest trajectory predicted <10th centile for sex and age on height, weight, and head circumference; and moderate/high with reduction trajectory also predicted height. CONCLUSIONS: While we did not observe differential results based on specific trajectories of exposure, findings support the wide range of dysmorphic features associated with PAE, particularly at high and sustained levels.


Asunto(s)
Trastornos del Espectro Alcohólico Fetal/patología , Efectos Tardíos de la Exposición Prenatal/patología , Anomalías Inducidas por Medicamentos/etiología , Anomalías Inducidas por Medicamentos/patología , Consumo de Bebidas Alcohólicas/efectos adversos , Consumo de Bebidas Alcohólicas/epidemiología , Femenino , Humanos , Lactante , Recién Nacido , Embarazo , Complicaciones del Embarazo/psicología , Estudios Prospectivos , Factores de Riesgo , Ucrania/epidemiología
8.
Toxicology ; 442: 152534, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32622971

RESUMEN

We showed previously that chlormequat chloride, a widely used plant growth regulator, could affect embryonic growth and growth hormone (GH)-insulin-like growth factor 1 (IGF-1) axis of rats. However, the potential effects of low dose chlormequat chloride exposure during pregnancy on embryonic and postnatal growth and development remain unclear. To further assess the risk of chlormequat chloride to human embryonic growth and postnatal health, we exposed maternal rats orally to the chemical during pregnancy at 5 mg/kg bw, a dose corresponding to the human acceptable daily intake (ADI) level set by World Health Organization (WHO), and determined the effects of chlormequat on embryo growth and postnatal health. We found that chlormequat chloride increased embryonic growth parameters, GH, and GH-releasing hormone (GHRH) levels, but did not affect somatostatin and IGF-1 on gestational day (GD) 11. In the pups of postnatal day (PD) 7, we observed increased head length, decreased body fat percentage, hypoglycemia, hyperlipidemia and hyperproteinemia. In conclusion, maternal exposure to chlormequat chloride during pregnancy disrupts the embryonic growth probably through its effects on growth regulators and even has adverse effects on postnatal health.


Asunto(s)
Anomalías Inducidas por Medicamentos/patología , Clormequat/toxicidad , Desarrollo Embrionario/efectos de los fármacos , Animales , Animales Recién Nacidos , Composición Corporal/efectos de los fármacos , Densidad Ósea/efectos de los fármacos , Femenino , Regulación de la Expresión Génica/efectos de los fármacos , Hormona del Crecimiento/biosíntesis , Hormona Liberadora de Hormona del Crecimiento/biosíntesis , Factor I del Crecimiento Similar a la Insulina/biosíntesis , Masculino , Exposición Materna , Reguladores del Crecimiento de las Plantas/toxicidad , Embarazo , Ratas , Ratas Sprague-Dawley , Somatostatina/biosíntesis
9.
Epilepsia ; 61(6): 1291-1300, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32415786

RESUMEN

OBJECTIVE: Sodium valproate (VPA), the most effective antiepileptic drug for patients with genetic generalized epilepsy (GGE), is a potent human teratogen that increases the risk of a range of congenital malformations, including spina bifida. The mechanisms underlying this teratogenicity are not known, but may involve genetic risk factors. This study aimed to develop an animal model of VPA-induced birth defects. METHODS: We used three different rat strains: inbred Genetic Absence Epilepsy Rats From Strasbourg (GAERS), a model of GGE with absence seizures; inbred Non-Epileptic Controls (NEC); and outbred nonepileptic Wistars. Female rats were fed standard chow or VPA (20 g/kg food) mixed in standard chow for 2 weeks prior to conception, and then mated with same-strain males. Treatment continued throughout pregnancy. Fetuses were extracted via C-section on gestational day 21 and examined for birth defects, including external assessment and spinal measurements. RESULTS: VPA-exposed pups showed significant reductions in weight, length, and whole-body development compared with controls of all three strains (P < .0001). Gestational VPA treatment altered intravertebral distances, and resulted in underdeveloped vertebral arches between thoracic region T11 and caudal region C2 in most pups (GAERS, 100%; NEC, 95%; Wistar, 80%), more frequently than in controls (9%, 13%, 19%). SIGNIFICANCE: Gestational VPA treatment results in similar developmental and morphological abnormalities in three rat strains, including one with GGE, indicating that the genetic underpinnings of epilepsy do not contribute markedly to VPA-induced birth defects. This model may be used in future studies to investigate mechanisms involved in the pathogenesis of antiepileptic drug-induced birth defects.


Asunto(s)
Anticonvulsivantes/toxicidad , Modelos Animales de Enfermedad , Efectos Tardíos de la Exposición Prenatal/inducido químicamente , Efectos Tardíos de la Exposición Prenatal/patología , Teratógenos/toxicidad , Ácido Valproico/toxicidad , Anomalías Inducidas por Medicamentos/patología , Administración Oral , Animales , Femenino , Masculino , Embarazo , Ratas , Ratas Transgénicas , Ratas Wistar
10.
Toxicology ; 439: 152443, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32278789

RESUMEN

Stavudine is an anti-AIDS drug widely used to prevent HIV transmission from pregnant mothers to the fetuses in underdeveloped countries for its low price. However, there is still a controversy on whether stavudine affects embryo development. In the current study, embryotoxicity of stavudine was evaluated using cultured mouse embryos with the concentrations: 5, 10, 15 µM and vehicle control. The data indicated that the effect of stavudine was dose-dependent at early neurogenesis. Stavudine exposure reduced somite numbers, yolk sac diameter, crown-rump length, and increased the rate of embryonic degeneration compared with the control. We chose the lowest but clearly toxic concentration: 5 µM to investigate the molecular mechanisms of the damage. At the molecular level, stavudine produced DNA damage, increased the levels of the phospho-CHK1 and cleaved-caspase-3, and decreased the expression level of proliferating cell nuclear antigen. These changes indicated that stavudine caused a coordinated DNA damage response, inhibited cell proliferation, and induced apoptosis in the embryos. Collectively these results suggest that stavudine exposure disturbs the embryonic development, and its use in pregnant mothers should be re-examined.


Asunto(s)
Anomalías Inducidas por Medicamentos/patología , Fármacos Anti-VIH/toxicidad , Apoptosis/efectos de los fármacos , Estavudina/toxicidad , Animales , Caspasa 3/efectos de los fármacos , Recuento de Células , Proliferación Celular/efectos de los fármacos , Quinasa 1 Reguladora del Ciclo Celular (Checkpoint 1)/efectos de los fármacos , Daño del ADN , Desarrollo Embrionario/efectos de los fármacos , Femenino , Ratones , Ratones Endogámicos C57BL , Neurogénesis/efectos de los fármacos , Embarazo , Antígeno Nuclear de Célula en Proliferación/efectos de los fármacos , Saco Vitelino/efectos de los fármacos , Saco Vitelino/patología
11.
Pak J Pharm Sci ; 33(6(Supplementary)): 2721-2728, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33879430

RESUMEN

The study is aimed to investigate the protective role of Moringa oleifera extracts against sodium arsenate induced embryo toxicity in albino mice. Forty four pregnant mice were divided into 11groups (A-K). Group A was control while B and C were sodium arsenate treated groups with dose, A (0.00), B (6.00, 0.00), C (12.00, 0.00). Group D to G were of sodium arsenate+Moringa oleifera flower extract treated groups with doses D (6.00, 150.00), E (6.00, 300.00), F (12.00, 150.00), G (12.00, 300.00) and groups H to K were sodium arsenate+Moringa oleifera leaf extract treated groups H (6.00, 150.00), I (6.00, 300.00), J (12.00, 150.00) and K (12.00, 300.00) mg/kg B.W. Moringa oleifera leaf extract treated groups showed significant (p<0.05) amelioration against sodium arsenate induced histopathological changes as malformed heart, spina bifida, enlarged ventricles, poorly developed kidneys, anopthalmia and cavitation in brain. Significant (p<0.05) increased in malondialdehyde 36±0.81 and decreased glutathione 8.25±0.95 values in sodium arsenate treated groups were observed as compared to control 22.5±0.57 and 19±0.81.Whereas Moringa oleifera leaf extract at dose of 300mg/kg B.W normalizesd the malondialdehyde 23±0.81 and glutathione 17.75±3.20 values. So concluded that Moringa oleifera leaf extract has ameliorative effects against sodium arsenate induced embryotoxicity.


Asunto(s)
Anomalías Inducidas por Medicamentos/prevención & control , Arseniatos/toxicidad , Moringa oleifera , Estrés Oxidativo/efectos de los fármacos , Extractos Vegetales/farmacología , Anomalías Inducidas por Medicamentos/metabolismo , Anomalías Inducidas por Medicamentos/patología , Animales , Peso Corporal/efectos de los fármacos , Femenino , Masculino , Ratones , Moringa oleifera/química , Hojas de la Planta , Embarazo
12.
Hand (N Y) ; 15(1): NP14-NP21, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31542953

RESUMEN

Background: Methotrexate (MTX) is widely used as an immunosuppressant, chemotherapeutic, and abortifacient agent. It is also a potent teratogen, and intentional or unintentional exposure during pregnancy is associated with heterogeneous birth anomalies. Methods: We retrospectively reviewed a cohort of patients who presented to our clinic with limb anomalies in the setting of MTX embryopathy. Results: In our case series, we describe 7 cases of patients who had limb anomalies with heterogeneous functionality, from severely debilitating to completely asymptomatic. Most of the upper extremity anomalies in our group were managed conservatively. Conclusions: Methotrexate embryopathy is a rare but clinically important entity with phenotypic and functional variability. This series underscores the need for proper counseling of patients and raises concern regarding using this medication for the purpose of abortion.


Asunto(s)
Anomalías Inducidas por Medicamentos/patología , Enfermedades Fetales/inducido químicamente , Exposición Materna/efectos adversos , Metotrexato/efectos adversos , Deformidades Congénitas de las Extremidades Superiores/inducido químicamente , Anomalías Inducidas por Medicamentos/etiología , Femenino , Humanos , Recién Nacido , Embarazo , Estudios Retrospectivos , Extremidad Superior/patología
13.
Environ Toxicol ; 34(7): 878-885, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31037826

RESUMEN

Perfluorooctanoic acid (PFOA) is an octanoic acid and is found in wildlife and humans. We have investigated mitochondrial toxicity in isolated mitochondria from, placenta, brain, liver, and heart after oral exposure with PFOA in mice during gestational days (7-15). Histopathological examination and mitochondrial toxicity parameters were assayed. Results indicated that PFOA decreased the weight of the fetus and placenta, the length of the fetus and the diameter of the placenta, dead fetuses and dead macerated fetuses in treated mice with 25 mg/kg. Histopathological examination showed that PFOA induced pathological abnormalities in liver, brain, heart, and placenta. Also, PFOA induced mitochondria toxicity in brain, liver, heart of mouse fetus. Our results indicate that PFOA up to 20 mg/kg exposure adversely affect embryofetal/developmental because for mitochondria dysfunction. These results suggested that mitochondrial dysfunction induced by PFOA in liver, heart, and brain lead to developmental toxicity and abnormality in tissues.


Asunto(s)
Aborto Espontáneo/inducido químicamente , Caprilatos/toxicidad , Desarrollo Fetal/efectos de los fármacos , Feto/efectos de los fármacos , Fluorocarburos/toxicidad , Exposición Materna/efectos adversos , Mitocondrias/efectos de los fármacos , Anomalías Inducidas por Medicamentos/patología , Animales , Encéfalo/efectos de los fármacos , Encéfalo/ultraestructura , Femenino , Feto/metabolismo , Feto/patología , Corazón/efectos de los fármacos , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/ultraestructura , Masculino , Ratones , Mitocondrias/metabolismo , Mitocondrias/patología , Mitocondrias Cardíacas/efectos de los fármacos , Mitocondrias Cardíacas/fisiología , Mitocondrias Hepáticas/efectos de los fármacos , Mitocondrias Hepáticas/fisiología , Miocardio/ultraestructura , Embarazo
14.
Toxicol Ind Health ; 35(1): 63-78, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30803421

RESUMEN

The present study aimed to investigate the impact of perinatal potassium bromate (KBrO3) exposure on the development of sensorimotor reflexes and redox status, and on the histological architecture of the brain, liver, and kidney of newborn mice. Pregnant mice received 1-ml bottled drinking water daily by oral intubation and served as the control group. Another group of pregnant mice were supplemented orally with 200 mg/kg body weight KBrO3 dissolved in drinking water from gestation day 5 to postnatal day 21. KBrO3 induced a decrease in the postnatal body weight in the newborn mice. KBrO3-exposed newborn mice showed poor performance and delayed development of the sensorimotor reflexes. Histological changes, increased lipid peroxidation, and altered antioxidants were reported in the cerebrum, cerebellum, medulla oblongata, liver, and kidney of the KBrO3-exposed newborn mice. In conclusion, these findings demonstrated that perinatal exposure to bromate induced oxidative stress, histological and behavioral alterations, and was a potential teratogen in newborn mice.


Asunto(s)
Bromatos/toxicidad , Efectos Tardíos de la Exposición Prenatal/inducido químicamente , Anomalías Inducidas por Medicamentos/etiología , Anomalías Inducidas por Medicamentos/patología , Animales , Animales Recién Nacidos/anomalías , Animales Recién Nacidos/crecimiento & desarrollo , Animales Recién Nacidos/metabolismo , Femenino , Glutatión/metabolismo , Peroxidación de Lípido/efectos de los fármacos , Masculino , Ratones , Estrés Oxidativo/efectos de los fármacos , Peroxidasa/metabolismo , Embarazo , Reflejo de Enderezamiento/efectos de los fármacos , Prueba de Desempeño de Rotación con Aceleración Constante , Superóxido Dismutasa/metabolismo
15.
Curr Opin Neurol ; 32(2): 246-252, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30664067

RESUMEN

PURPOSE OF REVIEW: We review data on the comparative teratogenicity of antiepileptic drugs (AEDs), focusing on major congenital malformations (MCMs), intrauterine growth restriction, impaired cognitive development, and behavioral adverse effects following prenatal exposure. RECENT FINDINGS: Prospective registries and meta-analyses have better defined the risk of MCMs in offspring exposed to individual AEDs at different dose levels. Valproate is the drug with the highest risk, whereas prevalence of MCMs is lowest with lamotrigine, levetiracetam, and oxcarbazepine. For valproate, phenobarbital, phenytoin, carbamazepine, and lamotrigine, the risk of MCMs is dose-dependent. Prenatal exposure to valproate has also been confirmed to cause an increased risk of cognitive impairments and autistic traits. In a population-based study, the risk of AED-induced autistic traits was attenuated by periconceptional folate supplementation. SUMMARY: The risk of adverse fetal effects differs in relation to the type of AED and for some AEDs also the daily dose. Although for MCMs the risk is primarily associated with the first trimester of gestation, influences on cognitive and behavioral development could extend throughout pregnancy. Available information now permits a more rational AED selection in women of childbearing potential, and evidence-based counseling on optimization of AED treatment before conception.


Asunto(s)
Anticonvulsivantes/efectos adversos , Teratógenos , Anomalías Inducidas por Medicamentos/patología , Anomalías Inducidas por Medicamentos/psicología , Animales , Anticonvulsivantes/toxicidad , Femenino , Retardo del Crecimiento Fetal/inducido químicamente , Retardo del Crecimiento Fetal/patología , Humanos , Embarazo , Efectos Tardíos de la Exposición Prenatal
16.
Congenit Anom (Kyoto) ; 59(2): 39-42, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29653020

RESUMEN

To investigate the abnormalities that are specific to administration of flucytosine at one time point during embryonic organogenesis, flucytosine was administered orally to pregnant Sprague Dawley (SD) rats in a single dose on day 11 of pregnancy at 25 or 35 mg/kg. Fetuses on day 20 of pregnancy were externally, viscerally, and skeletally examined. Maternal body weight gain and food consumption were suppressed the day after administration of a 35 mg/kg. Fetal examinations revealed various alterations in both dose groups: externally preaxial polydactyly in the hind limb; skeletally fused lumbar centrum, absent sacral centrum, supernumerary sacral vertebra, and absent ribs. Our findings indicated that specific types of external and skeletal anomalies were induced following flucytosine administration on day 11 of pregnancy.


Asunto(s)
Anomalías Inducidas por Medicamentos/patología , Ectromelia/patología , Desarrollo Fetal/efectos de los fármacos , Flucitosina/toxicidad , Polidactilia/patología , Teratógenos/toxicidad , Anomalías Inducidas por Medicamentos/etiología , Administración Oral , Animales , Esquema de Medicación , Ingestión de Alimentos/efectos de los fármacos , Ectromelia/inducido químicamente , Femenino , Feto , Miembro Posterior/anomalías , Miembro Posterior/efectos de los fármacos , Región Lumbosacra/anomalías , Masculino , Exposición Materna/efectos adversos , Organogénesis/efectos de los fármacos , Polidactilia/inducido químicamente , Embarazo , Ratas , Ratas Sprague-Dawley , Costillas/anomalías , Costillas/efectos de los fármacos , Aumento de Peso/efectos de los fármacos
17.
J Matern Fetal Neonatal Med ; 32(3): 461-471, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28931341

RESUMEN

AIM: Teratogenicity is a problematic issue for pregnant women because of X-ray radiation, drugs, and genetic and unknown variables. First-generation antiepileptic drugs (AED) like valproic acid are well-known teratogens for developing fetuses. However, their usage is necessary in order to prevent maternal seizures. The underlying mechanism of birth defects associated with AED exposure remains unclear and information about the neurotoxic effects of prenatal exposure to AED is still limited. Oxcarbazepine (OXC) and gabapentin (GBP) are second-generation AED. It still remains unclear how much these drugs are safe during pregnancy. This study aimed to investigate whether any neurotoxic effect of OXC and GBP in utero exposure on the developing brain. METHODS: Eighteen pregnant Wistar albino rats were divided into six groups. The first group was exposed to OXC at 100 mg/kg/day, the second to GBP at 50 mg/kg/day, and third to saline (0.9% NaCl) at 1.5 ml/day between the first and the fifth days of gestation. The same procedure was applied at the same dosages between the 6th and the 15th days of gestation for the 2nd three groups. Five female offspring (total n = 30, 45 days old) were taken from each group and stereological methods were applied in order to analyze the total and dopaminergic neuron number of the substantia nigra pars compacta (SNc). CONCLUSION: The result is that the OXC and GBP exposure at different gestational periods may not give rise to congenital malformation and it appears that the GBP exposure during the organogenesis period proliferatively affects the total number of neurons.


Asunto(s)
Gabapentina/toxicidad , Síndromes de Neurotoxicidad/congénito , Oxcarbazepina/toxicidad , Efectos Tardíos de la Exposición Prenatal , Anomalías Inducidas por Medicamentos/patología , Animales , Animales Recién Nacidos , Encéfalo/efectos de los fármacos , Neuronas Dopaminérgicas/efectos de los fármacos , Neuronas Dopaminérgicas/fisiología , Femenino , Síndromes de Neurotoxicidad/patología , Embarazo , Efectos Tardíos de la Exposición Prenatal/fisiopatología , Efectos Tardíos de la Exposición Prenatal/psicología , Ratas , Ratas Wistar
18.
Toxicology ; 411: 143-153, 2019 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-30321647

RESUMEN

The health-related effects of ionizing radiation on embryonic development and their underlying mechanisms are still unclear. The aim of this study was to investigate the role of Wnt signaling in mediating the developmental toxicity induced by heavy ion and proton radiation using zebrafish embryos. Zebrafish embryos were radiated with carbon ions or protons. HLY78, an activator of the Wnt signaling pathway, was added immediately after radiation. Carbon ion radiation induced a significant increase of mortality, and activating Wnt signaling using HLY78 after radiation significantly alleviated this stress. Both carbon ion and proton radiation significantly increased malformation rates and decreased hatching rates. Supplementation with HLY78 significantly reduced the effects induced by carbon ion radiation alone. After irradiation with carbon ions, embryos showed a significant decrease in heart rate, spontaneous movement, and locomotive behavior. The expression of apoptotic genes was significantly increased, while the expression of anti-apoptotic and Wnt-related genes was significantly decreased. Supplementation with HLY78 was able to reduce these effects. However, embryos irradiated with proton radiation did not show significant changes in the expression of Wnt-related genes. The results of this study improve our understanding of the mechanisms of carbon ion radiation-induced developmental toxicity, which potentially involves the inhibition of Wnt signaling.


Asunto(s)
Benzodioxoles/toxicidad , Embrión no Mamífero/efectos de los fármacos , Embrión no Mamífero/efectos de la radiación , Desarrollo Embrionario/efectos de los fármacos , Desarrollo Embrionario/efectos de la radiación , Fenantridinas/toxicidad , Radiación Ionizante , Pez Cebra/fisiología , Anomalías Inducidas por Medicamentos/patología , Anomalías Inducidas por Radiación/patología , Animales , Conducta Animal/efectos de los fármacos , Conducta Animal/efectos de la radiación , Carbono , Regulación del Desarrollo de la Expresión Génica/efectos de los fármacos , Regulación del Desarrollo de la Expresión Génica/efectos de la radiación , Frecuencia Cardíaca/efectos de los fármacos , Frecuencia Cardíaca/efectos de la radiación , Iones , Actividad Motora/efectos de los fármacos , Actividad Motora/efectos de la radiación , Protones , Vía de Señalización Wnt/efectos de los fármacos , Vía de Señalización Wnt/efectos de la radiación
19.
Environ Toxicol ; 34(1): 30-36, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30240524

RESUMEN

Trichlorfon is an organophosphate insecticide widely used in aquaculture and agriculture. Little is known about the effects of long-term of low doses trichlorfon exposure on amphibians. In this study, we investigated the effects of low doses trichlorfon on Rana chensinensis tadpoles after exposure to 0.01, 0.1, and 1.0 mg/L trichlorfon for 2 and 4 weeks. Survival, growth, development and mortality were monitored regularly over the course of exposure. The results showed that trichlorfon led to a decrease in tadpole survival. Reductions in growth and disruptions to the development of tadpoles were observed in trichlorfon treatments. Morphological abnormalities of affected tadpoles included axial flexures, skeletal malformations and lateral kinks. Trichlorfon increased the frequency of micronucleus (MN) formation in circulating erythrocytes of tadpoles exposed for 2 weeks to 0.1 and 1.0 mg/L trichlorfon. At all concentrations, an enhanced frequency of MN formation was observed in tadpoles exposed for 4 weeks. Exposure to trichlorfon induced other nuclear abnormalities such as lobed and notched nuclei only in tadpoles exposed to 1.0 mg/L trichlorfon for 4 weeks. In addition, exposure to trichlorfon within the 0.01-1.0 mg/L range increased the genetic damage index in hepatic tissues in all treatments. Apoptosis-associated DNA fragmentation in hepatic tissues occurred in a weak ladder-like pattern. This study presents evidence of low doses trichlorfon effects on amphibians, highlighting the properties of this organophosphate insecticide that jeopardize nontarget species exposed to trichlorfon.


Asunto(s)
Insecticidas/toxicidad , Larva/efectos de los fármacos , Ranidae , Triclorfón/toxicidad , Contaminantes Químicos del Agua/toxicidad , Anomalías Inducidas por Medicamentos/patología , Animales , Relación Dosis-Respuesta a Droga , Eritrocitos/efectos de los fármacos , Insecticidas/farmacología , Larva/crecimiento & desarrollo , Hígado/efectos de los fármacos , Ranidae/crecimiento & desarrollo , Pruebas de Toxicidad , Triclorfón/farmacología , Contaminantes Químicos del Agua/farmacología
20.
Acta Biol Hung ; 69(4): 395-410, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30587022

RESUMEN

Cancer drug resistance and poor selectivity towards cancer cells demand the constant search for new therapeutics. PI3K-Akt-mTOR and RAS-MAPK-ERK signaling pathways are key mechanisms involved in cell survival, proliferation, differentiation, and metabolism and their deregulation in cancer can promote development of therapy resistance. We investigated the effects of targeted inhibitors (wortmannin, GSK690693, AZD2014 and tipifarnib) towards these two pathways on early zebrafish and sea urchin development to assess their toxicity in normal, fast proliferating cells. PI3K inhibitor wortmannin and RAS inhibitor tipifarnib displayed highest toxicity while GSK690693, a pan-Akt kinase inhibitor, exhibited a less significant impact on embryo survival and development. Moreover, inhibition of the upstream part of the PI3K-Akt-mTOR pathway (wortmannin/GSK690693 co-treatment) produced a synergistic effect and impacted zebrafish embryo survival and development at much lower concentrations. Dual mTORC1/mTORC2 inhibitor AZD2014 showed no considerable effects on embryonic cells of zebrafish in concentrations substantially toxic in cancer cells. AZD2014 also caused the least prominent effects on sea urchin embryo development compared to other inhibitors. Significant toxicity of AZD2014 in human cancer cells, its capacity to sensitize resistant cancers, lower antiproliferative activity against human normal cell lines and fast proliferating embryonic cells could make this agent a promising candidate for anticancer therapy.


Asunto(s)
Antineoplásicos/toxicidad , Proliferación Celular/efectos de los fármacos , Inhibidores Enzimáticos/toxicidad , Terapia Molecular Dirigida/efectos adversos , Transducción de Señal/efectos de los fármacos , Anomalías Inducidas por Medicamentos/enzimología , Anomalías Inducidas por Medicamentos/etiología , Anomalías Inducidas por Medicamentos/patología , Animales , Arbacia/embriología , Benzamidas , Relación Dosis-Respuesta a Droga , Desarrollo Embrionario/efectos de los fármacos , Morfolinas/toxicidad , Oxadiazoles/toxicidad , Pirimidinas , Quinolonas/toxicidad , Wortmanina/toxicidad , Pez Cebra/embriología
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