Adıyaman University Medical Health College, Adıyaman, Turkey.
Seizure. 2011 Apr;20(3):187-93. doi: 10.1016/j.seizure.2010.12.009. Epub 2011 Jan 21.
This study was conducted on determining the effects of phenytoin on the skeletal system of the fetuses of 13 Wistar Albino rats. The female rats were divided into two groups after the vaginal smear test: the group 1 (control group) included 6 individuals, whereas the group 2 (phenytoin group) comprised 7 animals. A dose of 25mg/kg/day phenytoin was administered intraperitoneally to pregnant rats on the 8th-10th days of pregnancy and fetuses were obtained by C-section on the 20th day. A number of 82 fetuses were observed by double staining technique. Their lengths and weights were measured, revealing the statistically significant differences between the two groups (p<0.001). The lengths of the fetuses in the group 2 were determined as to be 14% shorter and the weights 13% lower compared to those in the group 1. Similarly, number of the fetuses obtained in one gestation decreased 9% in the group 2. Ossification of the skull bones in the fetuses of the group 2 was observed eminently to be deteriorated through using dissection microscope and inspection. Costal separation anomaly was observed in the 10 fetuses of the group 2. The separated-laterally located costal components were not attached to the costal arch. Shape malformations in the last two ribs and wide angularity, particularly in the last six ribs, were also determined. This study has documented that intraperitoneal usage of the pheytoin during pregnancy may cause to different skeletal malformations, even with lower doses, in rat fetuses.
本研究旨在探讨苯妥英钠对 13 只 Wistar 白化大鼠胎儿骨骼系统的影响。阴道涂片检查后,将雌性大鼠分为两组:第 1 组(对照组)包括 6 只个体,第 2 组(苯妥英钠组)包括 7 只动物。在妊娠第 8-10 天,对妊娠大鼠进行 25mg/kg/天的苯妥英钠腹腔内给药,妊娠第 20 天通过剖宫产获取胎儿。采用双重染色技术观察了 82 只胎儿。测量了它们的长度和重量,发现两组之间存在显著差异(p<0.001)。第 2 组的胎儿长度比第 1 组短 14%,体重低 13%。同样,第 2 组的一次妊娠中获得的胎儿数量减少了 9%。通过解剖显微镜检查和观察,发现第 2 组胎儿的颅骨骨化明显恶化。在第 2 组的 10 只胎儿中观察到肋骨分离异常。分离的侧位肋骨成分未附着在肋骨弓上。最后两根肋骨和宽角畸形,特别是最后六根肋骨,也被确定存在形状畸形。本研究表明,妊娠期间腹腔内使用苯妥英钠可能导致大鼠胎儿出现不同的骨骼畸形,即使使用较低剂量也是如此。