Fujinaga M, Baden J M
Department of Anesthesia, Stanford University School of Medicine, California.
Anesthesiology. 1994 Jul;81(1):184-9. doi: 10.1097/00000542-199407000-00025.
Nitrous oxide (N2O)-induced teratogenicity in rats is commonly believed to be due to decreased tetrahydrofolate, which results in decreased DNA synthesis. The role of decreased methionine has been largely ignored as have the sympathomimetic effects of N2O.
A rat whole-embryo culture system was used to determine whether N2O-induced teratogenicity can be prevented with supplemental methionine or folinic acid and whether N2O-induced situs inversus is mediated by alpha 1-adrenergic stimulation. Embryos were explanted on day 9 of gestation, and those at stage 10b (late primitive streak stage) were cultured with or without N2O and the various chemicals, methionine (25 micrograms.ml-1), folinic acid (5 micrograms.ml-1), phenylephrine (range 0.5-50 microM) and prazosin (10 microM). Embryos in the N2O groups were exposed to a concentration of 75% for the first 24 h of culture. After 50 h of culture, embryos were examined for abnormalities including situs inversus.
Treatment with N2O alone resulted in increased incidences of malformations and growth retardation. Methionine, but not folinic acid or prazosin, almost completely prevented N2O-induced malformations and growth retardation. N2O itself did not cause situs inversus but increased the incidence of phenylephrine-induced situs inversus. This additive effect was blocked by prazosin.
Our results indicate that decreased methionine rather than decreased tetrahydrofolate plays the major role in N2O-induced teratogenicity in rats. They also indicate that N2O stimulates the alpha 1-adrenergic pathway in the embryo and thereby increases the incidence of phenylephrine-induced situs inversus.
人们普遍认为,一氧化二氮(N₂O)对大鼠的致畸作用是由于四氢叶酸减少,进而导致DNA合成减少。蛋氨酸减少的作用以及N₂O的拟交感神经效应在很大程度上被忽视了。
采用大鼠全胚胎培养系统,以确定补充蛋氨酸或亚叶酸是否可预防N₂O诱导的致畸作用,以及N₂O诱导的内脏反位是否由α₁-肾上腺素能刺激介导。在妊娠第9天取出胚胎,将处于10b期(原始条纹晚期)的胚胎在有或无N₂O及各种化学物质(蛋氨酸(25微克/毫升)、亚叶酸(5微克/毫升)、去氧肾上腺素(范围0.5 - 50微摩尔)和哌唑嗪(10微摩尔))的条件下培养。N₂O组的胚胎在培养的最初24小时暴露于75%的浓度下。培养50小时后,检查胚胎是否存在包括内脏反位在内的异常情况。
单独使用N₂O处理导致畸形和生长迟缓的发生率增加。蛋氨酸几乎完全预防了N₂O诱导的畸形和生长迟缓,而亚叶酸或哌唑嗪则不能。N₂O本身不会导致内脏反位,但会增加去氧肾上腺素诱导的内脏反位的发生率。这种相加作用被哌唑嗪阻断。
我们的结果表明,蛋氨酸减少而非四氢叶酸减少在N₂O诱导的大鼠致畸作用中起主要作用。它们还表明,N₂O刺激胚胎中的α₁-肾上腺素能途径,从而增加去氧肾上腺素诱导的内脏反位的发生率。