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Published on: February 7, 2018
An embryoprotective role for glucose-6-phosphate dehydrogenase in developmental oxidative stress and chemical
C J Nicol1, J Zielenski, L C Tsui
1Department of Pharmacology, University of Toronto, Medical Sciences Building, Toronto Ontario, Canada M5S 1A8.
Insights
Hereditary glucose-6-phosphate dehydrogenase (G6PD) deficiency in mice led to increased fetal and postnatal death. This G6PD deficiency also worsened drug-induced birth defects and embryonic death, highlighting G6PD
Area of Science:
- Biochemistry and Molecular Biology
- Developmental Biology
- Genetics and Genomics
Background:
- Glucose-6-phosphate dehydrogenase (G6PD) is a crucial enzyme protecting cells from oxidative stress.
- G6PD deficiency primarily causes red blood cell hemolysis, but its role in development is less understood.
- Oxidative stress during embryonic development can lead to adverse outcomes, including birth defects and fetal death.
Purpose of the Study:
- To investigate the role of G6PD in protecting against endogenous and xenobiotic-induced embryonic oxidative stress.
- To determine if G6PD deficiency impacts prenatal and postnatal survival in mice.
- To assess the effect of G6PD deficiency on teratogenesis induced by phenytoin, a known human teratogen.
Main Methods:
- Utilized genetically modified mice with a hereditary G6PD deficiency.
- Administered phenytoin, a teratogenic drug, to pregnant G6PD-deficient and wild-type dams.
- Assessed prenatal and postnatal survival rates, embryonic DNA oxidation levels, and fetal abnormalities.
- Genotyped fetal resorptions to confirm G6PD deficiency.
Main Results:
- Untreated G6PD-deficient dams exhibited increased fetal resorptions and postnatal mortality.
- Phenytoin treatment of G6PD-deficient dams resulted in significantly higher embryonic DNA oxidation, fetal death, and birth defects compared to controls.
- The majority of fetal resorptions in G6PD-deficient dams were confirmed to be G6PD deficient.
Conclusions:
- G6PD is essential for cytoprotection against both endogenous and drug-induced oxidative stress during embryonic development.
- G6PD deficiency is a critical factor contributing to infertility, in utero and postnatal death, and teratogenesis.
- These findings suggest a broader biological significance of G6PD deficiency beyond hemolysis.
Abstract:
The primary recognized health risk from common deficiencies in glucose-6-phosphate dehydrogenase (G6PD), a cytoprotective enzyme for oxidative stress, is red blood cell hemolysis. Here we show that litters from untreated pregnant mutant mice with a hereditary G6PD deficiency had increased prenatal (fetal resorptions) and postnatal death. When treated with the anticonvulsant drug phenytoin, a human teratogen that is commonly used in pregnant women and causes embryonic oxidative stress, G6PD-deficient dams had higher embryonic DNA oxidation and more fetal death and birth defects. The reported G6PD gene mutation was confirmed and used to genotype fetal resorptions, which were primarily G6PD deficient. This is the first evidence that G6PD is a developmentally critical cytoprotective enzyme for both endogenous and xenobiotic-initiated embryopathic oxidative stress and DNA damage. G6PD deficiencies accordingly may have a broader biological relevance as important determinants of infertility, in utero and postnatal death, and teratogenesis.
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