Mycophenolate mofetil exposure on embryonic and fetal ear development in rats during pregnancy

Qian Chen1, Yang Zhang1, Youqi Luo1

  • 1Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.

Birth Defects Research
|August 21, 2023
PubMed
Abstract

Insights

Mycophenolate mofetil (MMF) exposure during pregnancy caused dose-dependent microtia in rat offspring, affecting ear development and survival. This study establishes a drug-induced microtia model for further research into its pathogenesis.

Area of Science:

  • Developmental biology
  • Teratology
  • Pharmacology

Background:

  • Microtia, a congenital ear anomaly, lacks a fully understood pathogenesis.
  • Investigating drug-induced models can elucidate developmental defects.

Purpose of the Study:

  • To explore the pathogenesis of microtia by establishing a drug-induced model.
  • To assess the effects of mycophenolate mofetil (MMF) on embryonic and fetal ear development in rats.

Main Methods:

  • Pregnant Sprague-Dawley rats were administered varying doses of MMF (50, 100, 200 mg/kg) or a control solution.
  • Embryos and fetuses were evaluated for development, survival, and specific ear morphology at different gestational and postnatal stages.
  • Histological analysis examined chondrocyte proliferation, differentiation, and collagen type II expression.

Main Results:

  • MMF exposure resulted in a dose-dependent decrease in embryonic and fetal survival and ear development.
  • Significant developmental abnormalities were observed in the first and second branchial arches, skull, and auditory vesicles.
  • MMF impacted chondrocyte biology and collagen type II expression, crucial for cartilage formation.

Conclusions:

  • Mycophenolate mofetil induces microtia and other developmental defects in a dose-dependent manner in rats.
  • MMF likely interferes with cranial neural crest cell migration and proliferation, leading to microtia.
  • This study provides a valuable animal model for investigating microtia pathogenesis.