Influence of the antifolate drug Methotrexate on the development of murine neural tube defects and genomic instability

J Appl Toxicol. 2013 Sep;33(9):915-23. doi: 10.1002/jat.2769. Epub 2012 Jul 13.

Abstract

Impaired folate metabolism is considered a risk factor for neural tube defects (NTDs). However, the relationship between folate deficiency and the risk of NTDs remains unclear, because experimentally induced dietary folate deficiency is insufficient to cause NTDs in non-mutant mice. Methotrexate (MTX) is a specific folate antagonist that competitively inhibits dihydrofolate reductase (DHFR) activity. The objective of this study was to develop a folate dysmetabolism murine model, and study the development of NTDs and its mechanism. Pregnant mice were injected with different doses of MTX [0, 0.5, 1.0, 3.0, 4.5 and 6.0 mg kg(-1) body weight (b/w) intraperitoneally (i.p.)] on gestational day 7.5 and sacrificed on gestational day 11.5. DHFR activity in embryonic tissues was detected, and folate concentrations were analyzed using LC/MS/MS. Copy number variations (CNVs) in neural tube tissues were detected using array comparative genomic hybridization (aCGH). A dose of MTX 4.5 mg kg(-1) b/w, resulted in the highest incidence of NTDs (31.4%) compared with the other groups, and DHFR activities, 5-MeTHF and 5-FoTHF concentrations in embryonic tissues decreased significantly after MTX injection. Furthermore, we found three high-confidence CNVs on chromosome X using aCGH, which was confirmed by RT-PCR and MassARRAY. These results indicate that MTX could cause a folate-associated dysmetabolism, which is similar to that of dietary folate deficiency in mice. The presence of CNVs in neural tube tissues was associated with the development of NTDs.

Keywords: DNA copy number variations; development; methotrexate; mice; neural tube defects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Drug-Induced / etiology
  • Abnormalities, Drug-Induced / pathology
  • Animals
  • Chromatography, Liquid
  • Comparative Genomic Hybridization
  • DNA Copy Number Variations / drug effects
  • Diet
  • Dose-Response Relationship, Drug
  • Embryonic Development / drug effects
  • Enzyme Inhibitors / metabolism
  • Female
  • Folic Acid / metabolism
  • Folic Acid Antagonists / administration & dosage
  • Folic Acid Antagonists / toxicity*
  • Folic Acid Deficiency / metabolism
  • Folic Acid Deficiency / pathology
  • Genomic Instability / drug effects*
  • Male
  • Methotrexate / administration & dosage
  • Methotrexate / toxicity*
  • Mice
  • Mice, Inbred C57BL
  • Neural Tube / drug effects
  • Neural Tube / embryology
  • Neural Tube / pathology
  • Neural Tube Defects / chemically induced
  • Neural Tube Defects / embryology
  • Neural Tube Defects / pathology*
  • Pregnancy
  • Real-Time Polymerase Chain Reaction
  • Reproducibility of Results
  • Tandem Mass Spectrometry
  • Tetrahydrofolate Dehydrogenase / metabolism

Substances

  • Enzyme Inhibitors
  • Folic Acid Antagonists
  • Folic Acid
  • Tetrahydrofolate Dehydrogenase
  • Methotrexate