## Abstract ## BACKGROUND Valproic acid (VPA) is widely used to treat epilepsy and bipolar disorder and is also a potent teratogen, but its teratogenic mechanisms are unknown. We have attempted to describe a fundamental role of the Polycomb group (PcโG) in VPAโinduced transformations of the axial
Amidic modification of valproic acid reduces skeletal teratogenicity in mice
โ Scribed by Akinobu Okada; Hiroshi Kurihara; Yoshinobu Aoki; Meir Bialer; Michio Fujiwara
- Publisher
- John Wiley and Sons
- Year
- 2004
- Tongue
- English
- Weight
- 295 KB
- Volume
- 71
- Category
- Article
- ISSN
- 1542-9733
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โฆ Synopsis
Abstract
BACKGROUND: The antiepileptic drug valproic acid (VPA) is well known to cause neural tube and skeletal defects in both humans and animals. The amidic VPA analogues valpromide (VPD) and valnoctamide (VCD) have much lower teratogenicity than VPA inducing exencephaly in mice. The objective of this study was to investigate the teratogenic effects of VPA, VPD, and VCD on the skeleton of NMRI mice. METHODS: Pregnant NMRI mice were given a single subcutaneous injection of VPA (400 and 800โmg/kg), VPD (800โmg/kg), or VCD (800โmg/kg) on the morning of gestation day (GD) 8. Cesarean section was carried out on GD 18. Live fetuses were doubleโstained for bone and cartilage and their skeletons were examined. RESULTS: Significant increases in fetal loss and exencephaly rate were observed with VPA at 800โmg/kg compared to the vehicle control. There were no significant differences between either VPD or VCD and the control groups for any parameter at cesarean section. A number of abnormalities were doseโdependently induced at high incidences by VPA in both the cartilage and bone of vertebrae, ribs and sternum. In contrast, lower frequencies of abnormality were exhibited with VPD and VCD than VPA in all skeletons affected by VPA. CONCLUSIONS: These findings clearly indicate that VPD and VCD are distinctly less teratogenic than VPA in the induction of not only neural tube defects, but also skeletal abnormalities. A structureโteratogenicity relationship of VPA on the skeleton is suspected. Birth Defects Res B 71:47โ53, 2004. ยฉ 2004 WileyโLiss, Inc.
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## Abstract **BACKGROUND:** Although valproic acid (VPA) is used extensively for treating various kinds of epilepsy, it causes hepatotoxicity and teratogenicity. In an attempt to develop a more potent and safer second generation to VPA drug, the amide derivatives of the tetramethylcyclopropyl VPA a
The present study shows that the multifactorial genetic liability to spontaneous exencephaly in the SELH/Bc mouse strain (10-20% of embryos) also confers an elevated risk of exencephaly induced by valproic acid. Treatment of pregnant dams (600 mg/kg sodium valproate in distilled water, i.p.) during