PMID- 34902770 OWN - NLM STAT- MEDLINE DCOM- 20220505 LR - 20220505 IS - 1432-0436 (Electronic) IS - 0301-4681 (Linking) VI - 123 DP - 2022 Jan-Feb TI - NRF2 activation protects against valproic acid-induced disruption of neurogenesis in P19 cells. PG - 18-29 LID - S0301-4681(21)00068-2 [pii] LID - 10.1016/j.diff.2021.12.002 [doi] AB - Valproic acid (VPA) is a commonly prescribed antiepileptic drug that causes fetal valproate syndrome (FVS) in developing embryos exposed to it. Symptoms of FVS include neural tube defects (NTDs), musculoskeletal abnormalities, and neurodevelopmental difficulties. One proposed mechanism of VPA-induced developmental toxicity is via oxidative stress, defined as the disruption of redox-sensitive cell signaling. We propose that redox imbalances caused by VPA exposure result in improper cellular differentiation that may contribute to FVS. In undifferentiated P19 mouse embryonal carcinoma cells treated with VPA, glutathione disulfide (GSSG) concentrations were higher and the glutathione (GSH)/GSSG redox potential (E(h)) was more oxidizing compared to vehicle-treated control cells, both of which are indications of potential intracellular oxidative stress. Interestingly, VPA had no effect on GSH or GSSG levels in differentiated P19 neurons. Undifferentiated cells pretreated with 3H-1,2-dithiole-3-thione (D3T), an inducer of the nuclear factor erythroid 2-related factor 2 (NRF2) antioxidant response that combats cellular redox disruption, were protected from VPA-induced alterations to the GSH/GSSG system. To assess differential periods of susceptibility, P19 cells were exposed to VPA at various time points during their neuronal differentiation. Cells exposed to VPA early in the differentiation process did not undergo normal neurogenesis as measured by POU domain, class 5, transcription factor 1 (OCT4) and tubulin beta-3 chain (betaIII-tubulin), markers of cell stemness and neuronal differentiation, respectively. Neurogenesis was improved with D3T pretreatments prior to VPA exposure. Furthermore, differentiating P19 cells treated with VPA exhibited increased protein oxidation that was diminished with D3T pretreatment. These findings demonstrate that VPA inhibits neurogenesis and propose NRF2-mediated redox homeostasis as a means to promote normal neuronal differentiation, thereby potentially decreasing the prevalence of FVS outcomes. CI - Copyright (c) 2021 International Society of Differentiation. Published by Elsevier B.V. All rights reserved. FAU - Piorczynski, Ted B AU - Piorczynski TB AD - Department of Cell Biology and Physiology, Brigham Young University, Provo, UT, 84602, USA. FAU - Larsen, Madison W AU - Larsen MW AD - Department of Cell Biology and Physiology, Brigham Young University, Provo, UT, 84602, USA. FAU - Lee, Sariah J AU - Lee SJ AD - Department of Cell Biology and Physiology, Brigham Young University, Provo, UT, 84602, USA. FAU - Hansen, Jason M AU - Hansen JM AD - Department of Cell Biology and Physiology, Brigham Young University, Provo, UT, 84602, USA. Electronic address: jason_hansen@byu.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211207 PL - England TA - Differentiation JT - Differentiation; research in biological diversity JID - 0401650 RN - 0 (NF-E2-Related Factor 2) RN - 0 (Tubulin) RN - 614OI1Z5WI (Valproic Acid) RN - GAN16C9B8O (Glutathione) RN - ULW86O013H (Glutathione Disulfide) RN - Valproic acid antenatal infection SB - IM MH - Abnormalities, Drug-Induced MH - Animals MH - Glutathione/metabolism MH - Glutathione Disulfide MH - Mice MH - *NF-E2-Related Factor 2/genetics/metabolism MH - Neurogenesis MH - Tubulin MH - *Valproic Acid/adverse effects/toxicity OTO - NOTNLM OT - Fetal valproate syndrome OT - Glutathione OT - NRF2 OT - P19 OT - Valproic acid EDAT- 2021/12/14 06:00 MHDA- 2022/05/06 06:00 CRDT- 2021/12/13 20:26 PHST- 2021/08/04 00:00 [received] PHST- 2021/11/25 00:00 [revised] PHST- 2021/12/06 00:00 [accepted] PHST- 2021/12/14 06:00 [pubmed] PHST- 2022/05/06 06:00 [medline] PHST- 2021/12/13 20:26 [entrez] AID - S0301-4681(21)00068-2 [pii] AID - 10.1016/j.diff.2021.12.002 [doi] PST - ppublish SO - Differentiation. 2022 Jan-Feb;123:18-29. doi: 10.1016/j.diff.2021.12.002. Epub 2021 Dec 7.