Abstract.
Adriamycin is an anthracycline, anti-neoplastic drug with known teratogenic effects on foetal rats in what is known as the Adriamycin rat model (ARM). This includes conditions similar to those in newborn humans, known collectively as the VACTERL association. This comprises vertebral (V), anorectal (A), cardiac (C), tracheoesophageal (TE), renal (R) and limb (L) anomalies. We designed this study to test the hypothesis that the administration of Adriamycin to chick embryos would cause similar anomalies to those in the VACTERL association seen in the ARM. Fertilized Ross eggs received Adriamycin doses from 2–50 μg into the air sac and from 0.9–6 μg into the albumin. Administration varied from day 0–3 (D0–3) with D0 being the first day of incubation. Control eggs received saline. Embryos were incubated at 38°C and a relative humidity of 70%. Embryos were recovered on D14, paraffin-embedded and transverse sections studied for morphological abnormalities. In the air sac group (n=142), 71% of Adriamycin embryos survived versus 86% of controls (n=29). In the albumin group (n=121), 42% of Adriamycin embryos survived versus 55% of controls (n=69). No embryos demonstrated anomalies consistent with the VACTERL association. Ventral defects affected 1% of surviving Adriamycin embryos versus 4% of controls in the air sac group. In the albumin group, 19.8% of surviving Adriamycin embryos had ventral defects compared to 15.7% of surviving controls. Anophthalmia affected 1% of the surviving embryos in the Adriamycin air sac group and 2% of the Adriamycin albumin group. No controls developed anophthalmia. Exencephaly affected 2% of the survivors in the Adriamycin air sac group but none of the albumin group or controls. The administration of Adriamycin to chick embryos in comparable doses and times to those used in the ARM does not appear to produce comparable effects in relation to developmental anomalies, such as the VACTERL association. Despite examining different administration routes and mimicking the ARM, by giving Adriamycin to embryos at gastrulation, we were unable to re-create the anomalies seen in the ARM.
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References
Young RC, Ozols RF, Myers CE (1981) The anthracycline antineoplastic drugs. N Engl J Med 305:139–153
Di Marco A, Arcamone F (1975) DNA complexing antibiotics: daunomycin, adriamycin and their derivatives. Arzneim Forsch 25:368–375
Thompson DJ, Molello JA, Strebing RJ et al. (1978) Teratogenicity of adriamycin and daunomycin in the rat and rabbit. Teratology 17:151–157
Quan L, Smith DW (1973) The VATER association. Vertebral defects, anal atresia, T-E fistula with esophageal atresia, radial and renal dysplasia: a spectrum of associated defects. J Pediatr 82:104–107
Khoury MJ, Cordero JF, Greenburg F, James LM, Erickson JD (1983) A population study of the VACTERL association: evidence for its etiologic heterogeneity. Pediatrics 71: 815–820
Kim JH, Kim PCW, Hui CC (2001) The VACTERL association: lessons from the Sonic hedgehog pathway. Clin Genet 59:306–315
Ramalho-Santos M, Melton DA, McMahon AP (2000) Hedgehog signals regulate multiple aspects of gastrointestinal development. Development 127: 2763–2772
Rennie J (1994) Super sonic. A gene named for a video game guides development. Sci Am 270:20
Roberts DJ, Johnson RL, Burke AC et al (1995) Sonic hedgehog is an endodermal signal inducing Bmp-4 and Hox genes during induction and regionalization of the chick hindgut. Development 121:3163–3174
Traiffort E, Charytoniuk DA, Faure H, Ruat M et al (1998) Regional distribution of Sonic Hedgehog, patched, and smoothened mRNA in the adult rat brain. J Neurochem 70:1327–1330
Kim PCW, Mo R, Hui CC (2001) Murine models of VACTERL syndrome: role of sonic hedgehog signalling pathway. J Pediatr Surg 36:381–384
Sukegawa A, Narita T, Kameda T et al (2000) The concentric structure of the developing gut is regulated by Sonic hedgehog derived from endodermal epithelium. Development 127: 1971–1980
Walterhouse DO, Yoon JW, Iannaccone PM (1999) Developmental pathways: Sonic hedgehog-Patched-GLI. Environ Health Perspect 107:167–171
Motoyama J, Liu J, Mo R, Ding O, Post M, Hui CC et al (1998) Essential function of Gli2 and Gli3 in the formation of lung, trachea and oesophagus. Nat Genet 20:54–57
Mo R, Kim JH, Zhang J, Chiang C, Hui CC, Kim PCW (2001) Anorectal malformations caused by defects in sonic hedgehog signalling. Am J Pathol 159:765–774
Gilani SH, Kreshal C (1986) Teratogenicity of cytochalasin D in chick embryos. J Environ Pathol Toxicol Oncol 6:67–72
Vesela D, Vesely D, Jelinek R (1983) Toxic effects of ochratoxin A and citrinin, alone and in combination, on chicken embryos. Appl Environ Microbiol 45:91–93
Cilievici O, Cordos I, Ghidus E, Moldovan A (1980) The toxic and teratogenic effect of aflatoxin B1 on the chick embryo development. Rom J Morphol Embryol 26:309–314
Gilani SH, Marano M (1980) Congenital abnormalities in nickel poisoning in chick embryos. Arch Environ Contam Toxicol 9:17–22
Novitt AD, Gilani SH (1979) Abnormal embryogenesis induced by thiopental. J Clin Pharmacol 19:697–700
Jelinek R, Doskocil M, Losticky C (1976) The "strait-jacket" syndrome in chicks. II. Mechanism of development. Teratology 14:327–334
Vesely D, Vesela D, Ticha J (1987) Contamination of wheat flour with the toxigenic strain of Penicillium islandicum Sopp and the embryotoxic effect of its secondary metabolites in the chick embryo. Vet Med (Praha) 32:435–439
Poessoegel AK, Diez-Pardo JA, Morales C, Tovar JA (1999) Notochord involvement in experimental oesophageal atresia. Pediatr Surg Int 15:201–205
Gillick J, Mooney E, Giles S, Bannigan J, Puri P (2003) Notochord anomalies in the adriamycin-rat model: a morphologic and molecular basis for the VACTERL association. J Pediatr Surg 38:469–473
Orford J, Manglick P, Cass DT, Tam PPL (2001) Mechanisms for the development of oesophageal atresia. J Pediatr Surg 36:985–994
Qi BQ, Beasley SW (1999) Relationship of the notochord to foregut development in the fetal rat model of esophageal atresia. J Pediatr Surg 34:1593–1598
Williams AK, Qi BQ, Beasley SW (2001) Demonstration of abnormal notochord development by three-dimensional reconstructive imaging in the rat model of esophageal atresia. Pediatr Surg Int 17:21–24
Gillick J, Giles S, Bannigan S, Puri P (2002) Midgut atresias result from abnormal development of the notochord in an adriamycin rat model. J Pediatr Surg 37:719–722
Fineman RM, Schoenwolf GC (1987) Animal model: dysmorphogenesis and death in a chicken embryo model. Am J Med Genet 27:543–552
Fineman RM, Schoenwolf GC, Huff M, Davis PL (1986) Causes of windowing-induced dysmorphogenesis (neural tube defects and early amnion deficit spectrum) in chicken embryos. Am J Med Genet 25:489–505
Hamburger V, Hamilton HL (1951) A series of normal stages in the development of the chick embryo. J Morphol 88:49–92 (Reprinted 1992, Dev Dyn 195:231–272)
Chapman SC, Collignon J, Schoenwolf GC, Lumsden A (2001) Improved method for chick whole-embryo culture using a filter paper carrier. Dev Dyn 220:284–289
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Mortell, A., Giles, J., Bannigan, J. et al. Adriamycin effects on the chick embryo. Ped Surgery Int 19, 359–364 (2003). https://doi.org/10.1007/s00383-003-1011-8
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DOI: https://doi.org/10.1007/s00383-003-1011-8