Complex cardiac defects after ethanol exposure during discrete cardiogenic events in zebrafish: prevention with folic

Swapnalee Sarmah1, James A Marrs

  • 1Department of Biology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana.

Abstract

Insights

Fetal alcohol spectrum disorder (FASD) causes heart defects by disrupting multiple developmental steps. Folic acid supplementation effectively prevented these ethanol-induced congenital heart defects (CHDs) in zebrafish embryos.

Area of Science:

  • Developmental biology
  • Teratology
  • Cardiovascular research

Background:

  • Fetal alcohol spectrum disorder (FASD) is linked to congenital heart defects (CHDs), but the underlying mechanisms remain unclear.
  • It is unknown if alcohol affects a single critical event or multiple processes during heart development.

Purpose of the Study:

  • To investigate the impact of ethanol exposure on distinct stages of cardiogenesis.
  • To determine if specific developmental windows are more vulnerable to ethanol-induced cardiac malformations.
  • To evaluate the potential protective effects of retinoic acid and folic acid against ethanol-induced heart defects.

Main Methods:

  • Zebrafish embryos were exposed to ethanol at various developmental stages.
  • Cardiac morphology and specific developmental events (e.g., looping, cushion formation) were assessed.
  • The effects of co-administered retinoic acid and folic acid were evaluated.

Main Results:

  • Ethanol exposure disrupted multiple cardiac regulatory networks and perturbed various cardiogenesis steps, including specification, migration, looping, and morphogenesis.
  • Exposure during specific windows, particularly gastrulation to midline fusion and heart patterning, led to aberrant heart looping and defective endocardial cushions.
  • Continuous ethanol exposure resulted in complex cardiac defects affecting myocardium, endocardium, and endocardial cushions.
  • Folic acid supplementation effectively rescued normal heart development, including endocardial cushion formation, while retinoic acid showed only partial rescue.

Conclusions:

  • Ethanol exposure interferes with diverse cardiac morphogenetic events, leading to a spectrum of heart defects.
  • Folic acid supplementation demonstrates significant efficacy in preventing a wide range of ethanol-induced developmental cardiac abnormalities.

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