Abnormal development of the enteric nervous system in rat embryos and fetuses with congenital diaphragmatic hernia

Leopoldo Martínez1, Rosa Aras-López, Sara Lancha

  • 1Department of Pediatric Surgery, Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain. lmartinezm.hulp@salud.madrid.org

Insights

Nitrofen exposure in pregnant rats caused abnormal development of the enteric nervous system in fetal esophagus and intestines. These neural defects may explain gastrointestinal issues in congenital diaphragmatic hernia survivors.

Area of Science:

  • Developmental biology
  • Neuroscience
  • Gastroenterology

Background:

  • Congenital diaphragmatic hernia (CDH) survivors often experience esophageal and intestinal issues.
  • Abnormal innervation of the esophagus and intestines has been observed in CDH patients and animal models.
  • Previous studies indicated potential neural malformations in CDH.

Purpose of the Study:

  • To investigate the effects of nitrofen exposure on the development of the enteric nervous system in rat embryos and fetuses.
  • To characterize malformations in the esophagus and small bowel following prenatal nitrofen exposure.
  • To correlate observed neural defects with potential causes of gastrointestinal morbidity in CDH survivors.

Main Methods:

  • Pregnant rats were exposed to nitrofen or a vehicle control on embryonic day 9.5.
  • Fetal tissues (esophagus, small bowel) were collected at embryonic days 15, 18, and 21.
  • Histochemical staining for acetylcholinesterase (AChE) and immunohistochemistry for PGP9.5 were performed.
  • Western blot (WB) and mRNA analysis of PGP9.5 were conducted.

Main Results:

  • Deficient innervation was observed in the esophagus and small bowel of nitrofen-exposed fetuses at all studied time points.
  • Western blot confirmed reduced PGP9.5 protein levels in E21 fetuses.
  • PGP9.5 mRNA levels showed dynamic changes, decreasing at earlier time points and increasing later in specific tissues.

Conclusions:

  • Prenatal exposure to nitrofen leads to deficient development of the enteric nervous system in the esophagus and small bowel.
  • These neurodevelopmental anomalies are a potential contributing factor to the long-term gastrointestinal problems seen in CDH survivors.
  • The study highlights the impact of specific teratogens on fetal gastrointestinal neurodevelopment.
Abstract