PMID- 19283862 OWN - NLM STAT- MEDLINE DCOM- 20090617 LR - 20151119 IS - 1542-9741 (Electronic) IS - 1542-9733 (Linking) VI - 86 IP - 2 DP - 2009 Apr TI - Effects of natalizumab, an alpha4 integrin inhibitor, on fertility in male and female guinea pigs. PG - 108-16 LID - 10.1002/bdrb.20191 [doi] AB - BACKGROUND: Natalizumab is a humanized monoclonal immunoglobulin G4 antibody directed against the human alpha4 integrin subunit disrupting interaction with its ligands. As alpha4 integrins and/or their ligands appear to be involved in reproductive function, the effects of natalizumab on fertility in male and female guinea pigs were investigated. METHODS: Natalizumab was administered by bolus intravenous injection every other day at doses of 0, 3, 10, and 30 mg/kg. Males began treatment at least 28 days prior to mating until necropsy (approximately 3 to 5 days after mating). Dosing in females was done from gestational day (GD) of an existing pregnancy to GD 30 of a second pregnancy. RESULTS: In male guinea pigs, natalizumab treatment had no effect on sperm parameters, reproductive organ weights, organ-weight ratios, or histology of the testis or epididymis. Natalizumab did not affect the ability of treated males to produce pregnancies in untreated females. In female guinea pigs, no treatment-related changes were seen in uterine weights or ovary weights. Pregnancy rates were reduced in females treated with 30 mg/kg natalizumab, but not those treated with 3 or 10 mg/kg. Pregnancy rates were 63.3, 66.7, 66.7, and 29.6% for groups treated with 0, 3, 10, and 30 mg/kg, respectively. Effects observed at 30 mg/kg were at exposures 36-fold those observed in humans. CONCLUSIONS: Natalizumab had no effects on male fertility, but did result in a reduction in pregnancy rates in females treated with the high dose of 30 mg/kg. CI - (c) 2009 Wiley-Liss, Inc. FAU - Wehner, Nancy G AU - Wehner NG AD - Elan Pharmaceuticals, Inc., South San Francisco, California 94080, USA. nancy.wehner@elan.com FAU - Skov, Michael AU - Skov M FAU - Shopp, George AU - Shopp G FAU - Rocca, Meredith S AU - Rocca MS FAU - Clarke, Janet AU - Clarke J LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Birth Defects Res B Dev Reprod Toxicol JT - Birth defects research. Part B, Developmental and reproductive toxicology JID - 101155115 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Natalizumab) RN - 143198-26-9 (Integrin alpha4) SB - IM MH - Animals MH - Anti-Inflammatory Agents, Non-Steroidal/blood/immunology/pharmacology/*toxicity MH - Antibodies, Monoclonal/blood/immunology/pharmacology/*toxicity MH - Antibodies, Monoclonal, Humanized MH - Antibody Formation MH - Body Weight/drug effects MH - Dose-Response Relationship, Drug MH - Drug Evaluation, Preclinical MH - Embryo Implantation/drug effects MH - Embryonic Development/*drug effects MH - Female MH - Fertility/*drug effects MH - Fertilization/drug effects MH - Fetus/drug effects MH - Guinea Pigs/embryology/*physiology MH - Infertility, Female/*chemically induced MH - Integrin alpha4/*immunology MH - Male MH - Natalizumab MH - Pregnancy MH - Pregnancy Rate MH - Random Allocation MH - Sperm Motility/drug effects MH - Spermatogenesis/drug effects EDAT- 2009/03/14 09:00 MHDA- 2009/06/18 09:00 CRDT- 2009/03/14 09:00 PHST- 2009/03/14 09:00 [entrez] PHST- 2009/03/14 09:00 [pubmed] PHST- 2009/06/18 09:00 [medline] AID - 10.1002/bdrb.20191 [doi] PST - ppublish SO - Birth Defects Res B Dev Reprod Toxicol. 2009 Apr;86(2):108-16. doi: 10.1002/bdrb.20191.