Yanaguita M Y, Gutierrez C M, Ribeiro C N M, Lima G A, Machado H R, Peres L C
Department of Pathology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Childs Nerv Syst. 2008 Jan;24(1):99-104. doi: 10.1007/s00381-007-0427-1. Epub 2007 Jul 10.
Maternal folic acid deficiency is the most important metabolic factor in the etiology of neural tube defects (NTD) and is reduced by ethanol, which is extensively consumed by young women.
The objective of the study was to determine whether folic acid supplementation in dietary saccharose is efficient in the prevention NTD induced by ethanol in fetuses of Swiss mice.
Pregnant mice were divided into four groups of six animals each: control (C), ethanol (E), deficient-supplemented (DS), and deficient-supplemented + ethanol (DSE). Groups C and E received commercial mouse chow (containing 3 mg/kg folic acid) throughout the experiment, while groups DS and DSE received a folic acid-free diet with the addition of saccharose supplemented with folic acid (2 mg/kg folic acid) in water. Group E and DSE animals received ethanol (4 g/kg) administered intraperitoneally from the seventh to the ninth gestational day (gd) and were euthanized on the 18th gd, while groups C and DS received saline.
Congenital anomalies were observed in groups E and DSE. The fetal weight and length of the animals in group E were lower than in groups C and DS and, in group DSE, were lower than in groups C and DS. The placental diameter of group E was smaller than that of group C, and the placental weight of group C animals was lower than that of groups E, DSE, and DS.
The study demonstrated that dietary supplementation with folate in saccharose is an accessible means of consumption that could be further diffused but in an increased dose than recommended to reduce the teratogenic effects of ethanol.
母体叶酸缺乏是神经管缺陷(NTD)病因中最重要的代谢因素,而乙醇会降低叶酸水平,年轻女性中乙醇的消耗量很大。
本研究的目的是确定在膳食蔗糖中补充叶酸是否能有效预防瑞士小鼠胎儿因乙醇诱导的神经管缺陷。
将怀孕小鼠分为四组,每组六只动物:对照组(C)、乙醇组(E)、缺乏补充组(DS)和缺乏补充+乙醇组(DSE)。在整个实验过程中,C组和E组给予商业小鼠饲料(含3mg/kg叶酸),而DS组和DSE组给予不含叶酸的饲料,并在水中添加补充了叶酸(2mg/kg叶酸)的蔗糖。E组和DSE组动物在妊娠第7至9天腹腔注射乙醇(4g/kg),并在妊娠第18天安乐死,而C组和DS组给予生理盐水。
在E组和DSE组中观察到先天性异常。E组动物的胎儿体重和长度低于C组和DS组,DSE组低于C组和DS组。E组的胎盘直径小于C组,C组动物的胎盘重量低于E组、DSE组和DS组。
该研究表明,在蔗糖中补充叶酸是一种易于获取的食用方式,可进一步推广,但需增加剂量,高于推荐剂量,以降低乙醇的致畸作用。