Laboratory of Clinical Pharmaceutics & Therapeutics, Division of Pharmasciences, Faculty of Pharmaceutical Sciences, Hokkaido University, Kita-12-jo, Nishi-6-chome, Kita-ku, Sapporo 060-0812, Japan.
Department of Pharmacy, Hokkaido University Hospital, Kita-14-jo, Nishi-5-chome, Kita-ku, Sapporo 060-8648, Japan.
Toxicol In Vitro. 2018 Apr;48:104-110. doi: 10.1016/j.tiv.2017.12.003. Epub 2017 Dec 6.
Folate status during pregnancy is important for fetal development and health. The placenta plays an important role in supplying the fetus with folate. Most women with epilepsy continue their medication during pregnancy. In the present study, we aimed to evaluate the effects of 16 antiepileptic drugs, clinically used for treatment of epilepsy, on folic acid uptake in two in vitro placental models, BeWo and JEG-3 cells. Short-term exposure to antiepileptic drugs had no effects on [H]-folic acid uptake by BeWo cells. However, long-term exposure (24h) to valproic acid (VPA) increased [H]-folic acid uptake by BeWo and JEG-3 cells. VPA treatment for 24h increased folate receptor-α (FRα) and proton-coupled folate transporter (PCFT) mRNA expression; however, it did not affect reduced folate carrier expression. These results suggested that the increase in folic acid uptake after exposure to VPA can be attributed to the induction of FRα and PCFT expression. Furthermore, the present study showed that exposure to clinical concentrations of oxcarbazepine and stiripentol reduced the viability of BeWo cells. Therefore, the findings of the present study may contribute to better understanding of the mechanisms of toxicity of antiepileptic drugs, and estimation of their potential risk to fetus.
妊娠期间的叶酸状态对胎儿发育和健康很重要。胎盘在为胎儿提供叶酸方面起着重要作用。大多数患有癫痫的女性在怀孕期间会继续服用药物。在本研究中,我们旨在评估 16 种抗癫痫药物对两种体外胎盘模型(BeWo 和 JEG-3 细胞)中叶酸摄取的影响。抗癫痫药物的短期暴露对 BeWo 细胞摄取 [H]-叶酸没有影响。然而,长期暴露(24 小时)丙戊酸(VPA)增加了 BeWo 和 JEG-3 细胞对 [H]-叶酸的摄取。VPA 处理 24 小时增加了叶酸受体-α(FRα)和质子偶联叶酸转运蛋白(PCFT)mRNA 的表达;然而,它并不影响还原叶酸载体的表达。这些结果表明,暴露于 VPA 后叶酸摄取的增加归因于 FRα 和 PCFT 表达的诱导。此外,本研究表明,暴露于临床浓度的奥卡西平和 stiripentol 降低了 BeWo 细胞的活力。因此,本研究的结果可能有助于更好地了解抗癫痫药物毒性的机制,并评估其对胎儿的潜在风险。