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产前和产后接触丙戊酸会影响大脑发育。

Pre- and Postnatal Valproate Exposure Affects Brain Development.

作者信息

Pettie Michaela A, Wilkin-Krug Linda C M, Ellenbroek Bart

机构信息

Department of Pathology and Biomedical Science, Ōtākou Whakaihu Waka - University of Otago, Christchurch, New Zealand.

Department of Psychology, Julius-Maximilians-University Würzburg, Würzburg, Germany.

出版信息

Curr Top Behav Neurosci. 2025;75:43-68. doi: 10.1007/7854_2025_603.

DOI:10.1007/7854_2025_603
PMID:40877569
Abstract

This review investigates the teratogenic impact of valproic acid (VPA) on brain development, focusing on dose-dependent and timing-related behavioural and neurological outcomes in rats and mice, with an emphasis on using it as a model for autism spectrum disorders (ASD). Single and multiple administration methods (e.g., oral gavage and intraperitoneal injections) across various rat and mouse strains consistently report behavioural alterations (i.e., altered social interaction and locomotor activity) and neuronal changes, particularly in the hippocampus and cerebellum. We underscore the importance of understanding dose-related changes and the critical role of VPA exposure in determining the long-term neurodevelopmental effects. While animal models provide valuable insights into the pre- and postnatal effects of drug exposure, this chapter also addresses the limitation of extrapolating such findings to humans given the face and construct validity of the model. Overall, this review emphasises VPA's utility in modelling ASD-like behaviours and the need for ongoing research to refine these models for better applicability to humans.

摘要

本综述研究了丙戊酸(VPA)对大脑发育的致畸影响,重点关注大鼠和小鼠中与剂量和时间相关的行为及神经学结果,尤其强调将其用作自闭症谱系障碍(ASD)的模型。在各种大鼠和小鼠品系中采用单次和多次给药方法(如灌胃和腹腔注射),均一致报告了行为改变(即社交互动和运动活动改变)以及神经元变化,特别是在海马体和小脑中。我们强调了解剂量相关变化的重要性以及VPA暴露在确定长期神经发育影响方面的关键作用。虽然动物模型为药物暴露的产前和产后影响提供了有价值的见解,但鉴于该模型的表面效度和结构效度,本章也讨论了将此类研究结果外推至人类的局限性。总体而言,本综述强调了VPA在模拟ASD样行为方面的效用,以及持续开展研究以完善这些模型从而更好地应用于人类的必要性。

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本文引用的文献

1
Vitamin A ameliorates valproic acid-induced autism-like symptoms in developing zebrafish larvae by attenuating oxidative stress and apoptosis.维生素 A 通过减轻氧化应激和细胞凋亡改善发育中斑马鱼幼鱼丙戊酸诱导的自闭症样症状。
Neurotoxicology. 2024 Mar;101:93-101. doi: 10.1016/j.neuro.2023.12.015. Epub 2024 Jan 6.
2
Mice prenatally exposed to valproic acid do not show autism-related disorders when fed with polyunsaturated fatty acid-enriched diets.产前暴露于丙戊酸的小鼠在食用富含多不饱和脂肪酸的饮食时不会出现自闭症相关障碍。
Sci Rep. 2023 Jul 11;13(1):11235. doi: 10.1038/s41598-023-38423-z.
3
The evidence for repurposing anti-epileptic drugs to target cancer.
将抗癫痫药物重新用于靶向癌症治疗的证据。
Mol Biol Rep. 2023 Sep;50(9):7667-7680. doi: 10.1007/s11033-023-08568-1. Epub 2023 Jul 7.
4
Fetal exposure to valproic acid dysregulates the expression of autism-linked genes in the developing cerebellum.胎儿暴露于丙戊酸会扰乱发育中小脑自闭症相关基因的表达。
Transl Psychiatry. 2023 Apr 5;13(1):114. doi: 10.1038/s41398-023-02391-9.
5
Valproate, divalproex, valpromide: Are the differences in indications justified?丙戊酸盐、丙戊酸酯、丙戊酰胺:适应证的差异是否合理?
Biomed Pharmacother. 2023 Feb;158:114051. doi: 10.1016/j.biopha.2022.114051. Epub 2022 Dec 13.
6
Critical Evaluation of Valproic Acid-Induced Rodent Models of Autism: Current and Future Perspectives.丙戊酸诱导自闭症啮齿动物模型的批判性评价:现状与未来展望。
J Mol Neurosci. 2022 Jun;72(6):1259-1273. doi: 10.1007/s12031-022-02033-7. Epub 2022 May 30.
7
Early postnatal handling alters social behavior, learning, and memory of pre- and postnatal VPA-induced rat models of autism in a context-based manner.出生后早期处理以基于情境的方式改变产前和产后丙戊酸诱导的自闭症大鼠模型的社会行为、学习和记忆。
Physiol Behav. 2022 May 15;249:113739. doi: 10.1016/j.physbeh.2022.113739. Epub 2022 Feb 11.
8
Current knowledge, challenges, new perspectives of the study, and treatments of Autism Spectrum Disorder.自闭症谱系障碍的研究现状、挑战、新视角和治疗方法。
Reprod Toxicol. 2021 Dec;106:82-93. doi: 10.1016/j.reprotox.2021.10.010. Epub 2021 Oct 22.
9
Functional and molecular characterization of a non-human primate model of autism spectrum disorder shows similarity with the human disease.自闭症谱系障碍的非人类灵长类动物模型的功能和分子特征与人类疾病具有相似性。
Nat Commun. 2021 Sep 15;12(1):5388. doi: 10.1038/s41467-021-25487-6.
10
The long-term prognosis of hippocampal neurogenesis and behavioral changes of offspring from rats exposed to valproic acid during pregnancy.孕期暴露于丙戊酸的大鼠后代海马神经发生和行为变化的长期预后。
Neuropsychopharmacol Rep. 2021 Jun;41(2):260-264. doi: 10.1002/npr2.12181. Epub 2021 May 5.