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Autor(en) / Beteiligte
Titel
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.

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