Jurand A
University of Edinburgh, Institute of Animal Genetics, West Mains Road, Edinburgh EH 9 3JN, United Kingdom.
Dev Growth Differ. 1980;22(1):61-78. doi: 10.1111/j.1440-169X.1980.00061.x.
Out of a sample of fifteen neurotropic drugs consisting of seven antidepressants and anti-psychotics, two antianxiety drugs, one anticonvulsant, three opiates and two synthetic analgesics, twelve were found to be teratogenic for mouse embryos, causing malformations of the central nervous system. After single injections of the teratogenic dose administered at the very beginning of the ninth day of gestation, four days later, i.e. in 13-day-old embryos, the induced defects appeared to make up a recurring syndrome of malformations which consists of several abnormalities present in various frequencies either individually or in combination in the same embryos. These malformations are: exencephaly, craniorachischisis, cervical and thoraco-lumbar myeloschisis, hydrocephalic dilatation of the fourth brain ventricle, Z-shaped kinking of the spinal cord and lumbar hydromyelia. In addition, after administration of some of the drugs, branchyury or anury with or without lumbar myeloaplasia were recorded. In general the results reported here seem to suggest that because of their possible affinity neurotropic drugs are potentially teratogenic for the embryonic central nervous system if applied at the time of the neural tube closure although it is known that there are drugs in this group which do not cause any malformations of the central nervous system and that many non-neurotropic agents do cause such malformations. Secondly, the results seem to suggest also that the position of the malformations along the cerebro-spinal axis may be depending to some extent on the pharmacological properties of the drugs tested. These conjectures are treated here as entirely provisional pending further investigations.
在由七种抗抑郁药和抗精神病药、两种抗焦虑药、一种抗惊厥药、三种阿片类药物和两种合成镇痛药组成的15种神经营养药物样本中,发现有12种对小鼠胚胎具有致畸性,可导致中枢神经系统畸形。在妊娠第9天刚开始时单次注射致畸剂量的药物后,4天后,即在13日龄胚胎中,诱导产生的缺陷似乎构成了一种反复出现的畸形综合征,该综合征由几种异常组成,这些异常在同一胚胎中以不同频率单独或组合出现。这些畸形包括:无脑儿、颅脑脊柱裂、颈胸段和胸腰段脊髓裂、第四脑室脑积水扩张、脊髓Z形扭结和腰段积水性脊髓空洞症。此外,在使用某些药物后,记录到有短尾或无尾,伴或不伴有腰髓发育不全。总体而言,此处报告的结果似乎表明,由于神经营养药物可能具有的亲和力,如果在神经管闭合时使用,它们对胚胎中枢神经系统具有潜在致畸性,尽管已知该组中有一些药物不会导致中枢神经系统任何畸形,而且许多非神经营养药物确实会导致此类畸形。其次,结果似乎还表明,畸形在脑脊髓轴上的位置可能在一定程度上取决于所测试药物的药理特性。在进一步研究之前,这些推测在此仅作为完全临时性的处理。