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Neural tube defects: role of lithium carbonate exposure in embryonic neural development in a murine model
Ist Teil von
Pediatric research, 2021-07, Vol.90 (1), p.82-92
Ort / Verlag
New York: Nature Publishing Group US
Erscheinungsjahr
2021
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Background
Lithium carbonate (Li
2
CO
3
) is widely used in the treatment of clinical-affective psychosis. Exposure to Li
2
CO
3
during pregnancy increases the risk of neural tube defects (NTDs) in offspring, which are severe birth defects of the central nervous system. The mechanism of Li
2
CO
3
-induced NTDs remains unclear.
Methods
C57BL/6 mice were injected with different doses of Li
2
CO
3
intraperitoneally on gestational day 7.5 (GD7.5), and embryos collected at GD11.5 and GD13.5. The mechanisms of Li
2
CO
3
exposure-induced NTDs were determined utilizing immunohistochemistry, western blotting, EdU imaging, enzymatic method, gas chromatography-mass spectrometry (GC-MS), ELISA and HE staining.
Results
The NTDs incidence was 33.7% following Li
2
CO
3
exposure. Neuroepithelial cell proliferation and phosphohistone H3 level were significantly increased in NTDs embryos, compared with control group (
P
< 0.01), while the expressing levels of p53 and caspase-3 were significantly decreased. IMPase and GSK-3β activity was inhibited in Li
2
CO
3
-treated maternal and embryonic neural tissues (
P
< 0.01 and
P
< 0.05, respectively), along with decreased levels of inositol and metabolites, compared with control groups (
P
< 0.01).
Conclusions
Lithium-induced NTDs model in C57BL/6 mice was established. Enhanced cell proliferation and decreased apoptosis following lithium exposure were closely associated with the impairment of inositol biosynthesis, which may contribute to lithium-induced NTDs.
Impact
Impairment of inositol biosynthesis has an important role in lithium exposure-induced NTDs in mice model.
Lithium-induced NTDs model on C57BL/6 mice was established. Based on this NTDs model, lithium-induced impairment of inositol biosynthesis resulted in the imbalance between cell proliferation and apoptosis, which may contribute to lithium-induced NTDs.
Providing evidence to further understand the molecular mechanisms of lithium-induced NTDs and enhancing its primary prevention.