Document Detail


Evaluation of the rat embryo culture system as a predictive test for human teratogens.
MedLine Citation:
PMID:  8012899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ingestion of the anticonvulsant drug valproic acid and of the angiotensin converting enzyme inhibitor captopril during pregnancy has been associated with abnormal fetal outcome in humans. In contrast, the use of the antiinflammatory drug ibuprofen and the antihistamine diphenhydramine has not been documented to be embryotoxic in humans. We evaluated the rat embryo culture system as a predictive model of teratogenesis, using these four drugs as test agents. Valproic acid, ibuprofen, and diphenhydramine were embryotoxic, inducing concentration-dependent decreases in growth and a significant increase in anomalies. Valproic acid caused an increase in neural tube defects, ibuprofen increased the incidence of abnormal maxillary processes, and diphenhydramine increased the number of embryos with distorted body morphology. These abnormalities were induced at concentrations of valproic acid and diphenhydramine that are used clinically, but ibuprofen only induced toxicity at concentrations greatly exceeding the therapeutic range. Captopril was not embryotoxic up to 5 mM, the highest concentration tested. These results suggest that the rat embryo culture system produces both false positive and false negative data on the teratogenic potential of drugs. Although such an in vitro assay may be suitable to determine the mechanism of teratogenesis, it is not a sensitive indicator of potential human teratogens on its own. These data support the view that in vitro systems can only supplement clinical and epidemiological observations in humans, possibly as a method to determine mechanisms of actions of teratogens.
Authors:
I Guest; H S Buttar; S Smith; D R Varma
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian journal of physiology and pharmacology     Volume:  72     ISSN:  0008-4212     ISO Abbreviation:  Can. J. Physiol. Pharmacol.     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-07-26     Completed Date:  1994-07-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372712     Medline TA:  Can J Physiol Pharmacol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  57-62     Citation Subset:  IM    
Affiliation:
Department of Pharmacology and Therapeutics, McGill University, Montréal, PQ, Canada.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Drug-Induced / pathology
Animals
Captopril / toxicity
DNA / metabolism
Diphenhydramine / toxicity
Embryo, Mammalian / drug effects*
False Negative Reactions
False Positive Reactions
Female
Humans
Ibuprofen / toxicity
Neural Tube Defects / chemically induced
Organ Culture Techniques
Pregnancy
Rats
Teratogens / toxicity*
Valproic Acid / toxicity
Chemical
Reg. No./Substance:
0/Teratogens; 15687-27-1/Ibuprofen; 58-73-1/Diphenhydramine; 62571-86-2/Captopril; 9007-49-2/DNA; 99-66-1/Valproic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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