Midazolam-induced developmental toxicity and neurotoxicity in zebrafish embryos: Insights from phenotypic,

Daohua Cao1, Xiaoyang Zhou2, Jiaolong Huang3

  • 1Department of Anesthesiology, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, China.

PubMed

Insights

Midazolam (MDZ) exposure causes developmental and neurotoxic effects in zebrafish, impacting growth, behavior, and gene expression. These findings highlight potential risks during early development.

Area of Science:

  • Developmental toxicology
  • Neuroscience
  • Genomics

Background:

  • Midazolam (MDZ), a short-acting benzodiazepine, is widely used but linked to developmental and neurotoxic effects.
  • The molecular mechanisms of MDZ's impact on early development are not fully understood.

Purpose of the Study:

  • To investigate the phenotypic, behavioral, and transcriptomic effects of MDZ exposure on zebrafish embryos and larvae.
  • To elucidate the molecular pathways affected by MDZ during early development.

Main Methods:

  • Zebrafish embryos were exposed to MDZ (2 and 4 mg/L) from 6 to 96 hours post-fertilization.
  • Phenotypic, behavioral (locomotion, light-dark stimulation), cardiac function, and transcriptomic analyses were performed.
  • Gene expression changes were analyzed using transcriptomic profiling.

Main Results:

  • MDZ exposure led to increased mortality, delayed hatching, morphological abnormalities, and reduced body size.
  • Neurotoxicity was evidenced by increased apoptosis in brain and heart, reduced movement, and altered responses to stimuli.
  • Transcriptomic analysis revealed significant alterations in genes related to GABAergic synapse, cardiac function, apoptosis, and signaling pathways.

Conclusions:

  • MDZ exposure poses significant developmental and neurotoxic risks during early zebrafish development.
  • Altered gene expression in key pathways underlies the observed adverse effects.
  • Findings provide molecular insights into MDZ's toxicity, informing safer clinical practices.

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