Morphology-based mammalian stem cell tests reveal potential developmental toxicity of donepezil

Caroline G Y Lau1, Yusuke Marikawa

  • 1University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii.

Insights

Donepezil, an Alzheimer's drug, may harm early embryo development by disrupting axial elongation. This study used embryoid bodies to identify donepezil as a potential developmental toxicant affecting key gene expression.

Area of Science:

  • Developmental toxicology
  • Embryology
  • Stem cell biology

Background:

  • Therapeutic drugs can pose risks to embryonic development.
  • Identifying developmental toxicants requires robust in vitro models.
  • Embryonic stem cells offer a valuable tool for toxicological screening.

Purpose of the Study:

  • To identify potential developmental toxicants using an in vitro embryoid body elongation model.
  • To investigate the impact of donepezil on early embryonic patterning.
  • To assess donepezil's effects on both mouse and human embryonic stem cell-derived embryoid bodies.

Main Methods:

  • Utilized in vitro elongation of P19C5 mouse embryonal carcinoma stem cell-derived embryoid bodies (EBs) as a model for gastrulation and axial patterning.
  • Administered donepezil to EBs in a dose-dependent manner.
  • Performed quantitative reverse-transcriptase PCR to analyze gene expression.
  • Evaluated donepezil's effects in mouse whole embryo culture and on human embryonic stem cell-derived EBs.

Main Results:

  • Donepezil significantly inhibited P19C5 EB axial elongation in a dose-dependent manner.
  • Donepezil altered the expression of developmental regulator genes involved in anterior-posterior axis patterning.
  • Donepezil induced morphological abnormalities, including impaired somitogenesis, in whole mouse embryo cultures.
  • Donepezil also impaired elongation morphogenesis in human embryonic stem cell-derived EBs.

Conclusions:

  • Donepezil is identified as a potential developmental toxicant affecting early embryonic axial elongation.
  • The mechanism of interference does not involve acetylcholinesterase inhibition.
  • Donepezil disrupts embryonic development by altering the expression of key axial patterning regulators.
  • These findings highlight the need for careful evaluation of drugs like donepezil for potential embryotoxicity.

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