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Neuro-immuno-teratogenicity of drugs used in neonatal pharmacotherapy in relation to the ontogenic stage at the time of their administration.
Benesová, O; Tejkalová, H; Kristofiková, Z; Panajotova, V; Husek, P.
Afiliación
  • Benesová O; Prague Psychiatric Center, Prague, Czech Republic. benesova@pcp.lf3.cuni.cz
Gen Physiol Biophys ; 18 Spec No: 21-7, 1999 Oct.
Article en En | MEDLINE | ID: mdl-10703715
The risk of functional teratogenicity of two drugs used in neonatal pharmacotherapy was studied: indomethacin (INDO) and dexamethasone (DEX). Model experiments were carried out in Wistar strain rats, breed Konárovice, which received single subcutaneous drug injection (INDO 2 mg/kg, DEX 1 mg/kg) on postnatal day 4 (PD:4; model of human fetus/preterm newborn of 6-7-month-gestational age) or on postnatal day 9 (PD:9; model of full-term human neonate). The rats were followed up during development (body weight, maturation) till late adulthood (age 6-8 months) using tests of cognition, immune reactivity and biochemical brain analysis. The results evaluated by comparing treated and control litter-mates indicated that the functional teratogenic risk was significantly higher in DEX than in INDO. DEX-rats revealed disorganization of developmental processes: retardation of body growth, but acceleration of sensory development (pinna and eye opening), retarded male sexual maturation. Adult DEX-rats (age 6 months) of both series (PD:4, PD:9) had deficit of short-term memory (social recognition test). Disturbances of immune reactivity (decrease of humoral and rise of cell-mediated immune response) appeared both in adult INDO and DEX-rats (age 7 months), but only in the PD:9 series i.e. when the drugs were administered at a higher stage of the ontogenic development simulating neonatal period in humans. This finding may be warning from the clinical point of view for the neonatological practice.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Conducta Social / Teratógenos / Encéfalo / Dexametasona / Indometacina Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Animals / Female / Humans / Male / Newborn / Pregnancy Idioma: En Revista: Gen Physiol Biophys Año: 1999 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Eslovaquia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Conducta Social / Teratógenos / Encéfalo / Dexametasona / Indometacina Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Animals / Female / Humans / Male / Newborn / Pregnancy Idioma: En Revista: Gen Physiol Biophys Año: 1999 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Eslovaquia