PUBLICATION

The Primodos components Norethisterone acetate and Ethinyl estradiol induce developmental abnormalities in zebrafish embryos

Authors
Brown, S., Fraga, L.R., Cameron, G., Erskine, L., Vargesson, N.
ID
ZDB-PUB-180223-4
Date
2018
Source
Scientific Reports   8: 2917 (Journal)
Registered Authors
Keywords
none
MeSH Terms
  • Animals
  • Cell Line
  • Cell Proliferation/drug effects
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Embryo, Nonmammalian/cytology
  • Embryo, Nonmammalian/drug effects*
  • Embryo, Nonmammalian/innervation
  • Embryonic Development/drug effects
  • Ethinyl Estradiol/analysis
  • Ethinyl Estradiol/toxicity*
  • Hormones/chemistry*
  • Humans
  • Mice
  • Nervous System/drug effects
  • Nervous System/growth & development
  • Norethindrone Acetate/analysis
  • Norethindrone Acetate/toxicity*
  • Pregnancy Tests/adverse effects*
  • Time Factors
  • Toxicity Tests*
  • Zebrafish/embryology*
PubMed
29440757 Full text @ Sci. Rep.
Abstract
Primodos was a hormone pregnancy test used between 1958-1978 that has been implicated with causing a range of birth defects ever since. Though Primodos is no longer used, it's components, Norethisterone acetate and Ethinyl estradiol, are used in other medications today including treatments for endometriosis and contraceptives. However, whether Primodos caused birth defects or not remains controversial, and has been little investigated. Here we used the developing zebrafish embryo, a human cell-line and mouse retinal explants to investigate the actions of the components of Primodos upon embryonic and tissue development. We show that Norethisterone acetate and Ethinyl estradiol cause embryonic damage in a dose and time responsive manner. The damage occurs rapidly after drug exposure, affecting multiple organ systems. Moreover, we found that the Norethisterone acetate and Ethinyl estradiol mixture can affect nerve outgrowth and blood vessel patterning directly and accumulates in the forming embryo for at least 24 hrs. These data demonstrate that Norethisterone acetate and Ethinyl estradiol are potentially teratogenic, depending on dose and embryonic stage of development in the zebrafish. Further work in mammalian model species are now required to build on these findings and determine if placental embryos also are affected by synthetic sex hormones and their mechanisms of action.
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Human Disease / Model
Sequence Targeting Reagents
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