PMID- 22127902 OWN - NLM STAT- MEDLINE DCOM- 20140519 LR - 20161125 IS - 1542-9741 (Electronic) IS - 1542-9733 (Linking) VI - 95 IP - 1 DP - 2012 Feb TI - Noninvasive high-resolution ultrasound reveals structural and functional deficits in dimethadione-exposed fetal rat hearts in utero. PG - 35-46 LID - 10.1002/bdrb.20339 [doi] AB - BACKGROUND: We previously showed dimethadione (DMO), the N-demethylated metabolite of the anticonvulsant trimethadione, induces ventricular septation defects (VSD) and other heart anomalies in rat (Weston et al., 2011). Because of the relationship between cardiac structure and function, we hypothesized that DMO-induced structural defects of the heart are associated with in utero functional deficits. To test the hypothesis, the goals were (1) define the parameters for ultrasound in the rat conceptus, and; (2) use ultrasound to identify structural and functional deficits following DMO treatment. METHODS: Different ultrasound modes (B-mode, M-mode, and Pulse-wave Doppler) using four high-resolution ultrasound transducer heads of varying frequency (25-40 MHz) were tested on gestational day (GD) 14, 15, 16, 17, and 21. Having identified the optimal conditions, pregnant Sprague-Dawley rats were administered six 300 mg/kg doses of DMO every 12 hr beginning at 19:00 hr on GD 8 to generate conceptuses with a high incidence of VSD. RESULTS: The three ultrasound modalities were used to identify VSD and several novel and rare structural heart anomalies (cardiac effusions and bifurcated septum) in live rat fetuses. DMO-treated hearts had an array of functional deficits including a decrease in mean heart rate, ejection fraction, and cardiac output and increased incidence of bradycardia and dysrhythmia. CONCLUSIONS: The ultrasound biomicroscope is an effective tool for the real-time characterization of the structure and function of embryo/fetal rat hearts. DMO causes significant deficits to in utero heart function for up to ten days (GD 21) following its final administration, suggesting long-term or possible permanent changes cardiac function. CI - (c) 2011 Wiley-Liss, Inc. FAU - Purssell, Elizabeth AU - Purssell E AD - Department of Pharmacology and Toxicology, Queen's University, Kingston, Ontario, Canada. FAU - Weston, Andrea D AU - Weston AD FAU - Thomson, Jason J AU - Thomson JJ FAU - Swanson, Terri A AU - Swanson TA FAU - Brown, Nigel A AU - Brown NA FAU - Ozolins, Terence R S AU - Ozolins TR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111129 PL - United States TA - Birth Defects Res B Dev Reprod Toxicol JT - Birth defects research. Part B, Developmental and reproductive toxicology JID - 101155115 RN - ALU9NPM703 (Dimethadione) RN - CYS9AKD70P (Isoflurane) SB - IM MH - Animals MH - Dimethadione/*adverse effects MH - Female MH - Fetus/*drug effects/*physiopathology MH - Heart/drug effects/*embryology/*physiopathology MH - Heart Function Tests MH - Heart Rate/drug effects MH - Heart Septal Defects, Ventricular/diagnostic imaging MH - Isoflurane/adverse effects MH - Myocardial Contraction/drug effects MH - Pregnancy MH - Rats MH - Rats, Sprague-Dawley MH - *Ultrasonics MH - Ultrasonography OTO - NOTNLM OT - cardiac defects OT - cardiac function OT - dimethadione OT - teratogens OT - ultrasound OT - ventricular septation defect EDAT- 2011/12/01 06:00 MHDA- 2014/05/20 06:00 CRDT- 2011/12/01 06:00 PHST- 2011/07/21 00:00 [received] PHST- 2011/09/09 00:00 [revised] PHST- 2011/09/12 00:00 [accepted] PHST- 2011/12/01 06:00 [entrez] PHST- 2011/12/01 06:00 [pubmed] PHST- 2014/05/20 06:00 [medline] AID - 10.1002/bdrb.20339 [doi] PST - ppublish SO - Birth Defects Res B Dev Reprod Toxicol. 2012 Feb;95(1):35-46. doi: 10.1002/bdrb.20339. Epub 2011 Nov 29.