Abstract
Fetal Alcohol Spectrum Disorder (FASD) is a complex set of developmental malformations, neurobehavioral anomalies and mental disabilities induced by exposing human embryos to alcohol during fetal development. Several experimental models and a series of developmental and biochemical approaches have established a strong link between FASD and reduced retinoic acid (RA) signaling. RA signaling is involved in the regulation of numerous developmental decisions from patterning of the anterior–posterior axis, starting at gastrulation, to the differentiation of specific cell types within developing organs, to adult tissue homeostasis. Being such an important regulatory signal during embryonic development, mutations or environmental perturbations that affect the level, timing or location of the RA signal can induce multiple and severe developmental malformations. The evidence connecting human syndromes to reduced RA signaling is presented here and the resulting phenotypes are compared to FASD. Available data suggest that competition between ethanol clearance and RA biosynthesis is a major etiological component in FASD.
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Abbreviations
- PAE:
-
Prenatal Alcohol Exposure
- FAS:
-
Fetal Alcohol Syndrome
- pFAS:
-
partial Fetal Alcohol Syndrome
- FASD:
-
Fetal Alcohol Spectrum Disorder
- IUGR:
-
Intrauterine Growth Restriction
- ARND:
-
Alcohol-Related Neurodevelopmental Disorder
- ARBD:
-
Alcohol-Related Birth Defects
- CNS:
-
Central Nervous System
- ADH:
-
Alcohol Dehydrogenase
- ALDH:
-
Aldehyde Dehydrogenase
- RALDH:
-
Retinaldehyde Dehydrogenase
- SDR:
-
Short-chain Dehydrogenase/Reductase
- DEAB:
-
4-Diethylaminobenzaldehyde
- RA:
-
Retinoic Acid
- RAR:
-
Retinoic Acid Receptor
- RXR:
-
Retinoid X Receptor
- RARE:
-
Retinoic Acid Responsive Element
- RDH:
-
Retinol Dehydrogenase
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Fainsod, A., Bendelac-Kapon, L., Shabtai, Y. (2020). Fetal Alcohol Spectrum Disorder: Embryogenesis Under Reduced Retinoic Acid Signaling Conditions. In: Asson-Batres, M., Rochette-Egly, C. (eds) The Biochemistry of Retinoid Signaling III. Subcellular Biochemistry, vol 95. Springer, Cham. https://doi.org/10.1007/978-3-030-42282-0_8
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