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A Holistic Systems Approach to Characterize the Impact of Pre- and Post-natal Oxycodone Exposure on Neurodevelopment
Katherine E Odegaard1, Victoria L Schaal1, Alexander R Clark1
1Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, United States.
Insights
Prenatal and early-life oxycodone exposure alters offspring brain chemistry and function, leading to neurodevelopmental and behavioral changes, including lower pain sensitivity.
Area of Science:
- Neuroscience
- Developmental Biology
- Pharmacology
Background:
- Pregnancy-associated oxycodone (oxy) dependency poses risks for offspring.
- Limited understanding of in utero and postnatal oxycodone exposure effects on neurodevelopment and behavior.
Purpose of the Study:
- Investigate the long-term neurodevelopmental and behavioral consequences of in utero and postnatal oxycodone exposure.
- Utilize a holistic systems biology approach to uncover molecular and functional changes.
Main Methods:
- Preclinical rodent model for in utero (IUO) and postnatal (PNO) oxycodone exposure.
- Integrated analysis using proton magnetic resonance spectroscopy (1H-MRS), electrophysiology, RNA-sequencing, and Von Frey pain testing.
Main Results:
- Significant alterations in brain metabolites and synaptic currents observed in exposed offspring.
- RNA-sequencing revealed changes in genes related to neurodevelopment, mood disorders, and addiction.
- Exposed offspring exhibited reduced pain thresholds.
Conclusions:
- Oxycodone exposure during critical developmental windows has persistent effects on offspring neurobiology and behavior.
- Findings highlight potential risks of prenatal and early-life opiate exposure beyond maternal effects.
Abstract:
Background: Increased risk of oxycodone (oxy) dependency during pregnancy has been associated with altered behaviors and cognitive deficits in exposed offspring. However, a significant knowledge gap remains regarding the effect of in utero and postnatal exposure on neurodevelopment and subsequent behavioral outcomes. Methods: Using a preclinical rodent model that mimics oxy exposure in utero (IUO) and postnatally (PNO), we employed an integrative holistic systems biology approach encompassing proton magnetic resonance spectroscopy (1H-MRS), electrophysiology, RNA-sequencing, and Von Frey pain testing to elucidate molecular and behavioral changes in the exposed offspring during early neurodevelopment as well as adulthood. Results: 1H-MRS studies revealed significant changes in key brain metabolites in the exposed offspring that were corroborated with changes in synaptic currents. Transcriptomic analysis employing RNA-sequencing identified alterations in the expression of pivotal genes associated with synaptic transmission, neurodevelopment, mood disorders, and addiction in the treatment groups. Furthermore, Von Frey analysis revealed lower pain thresholds in both exposed groups. Conclusions: Given the increased use of opiates, understanding the persistent developmental effects of these drugs on children will delineate potential risks associated with opiate use beyond the direct effects in pregnant women.
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