Valproic Acid Impacts the Growth of Growth Plate Chondrocytes

A range of bone abnormalities including short stature have been reported to be associated with the use of antiepileptic drugs (AEDs) in children. Exactly how AEDs impact skeletal growth, however, is not clear. In the present study, rat growth plate chondrocytes were cultured to study the effects of...

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Veröffentlicht in:International journal of environmental research and public health 2020-05, Vol.17 (10), p.3675
Hauptverfasser: Fan, Hueng-Chuen, Wang, Shih-Yu, Peng, Yi-Jen, Lee, Herng-Sheng
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creator Fan, Hueng-Chuen
Wang, Shih-Yu
Peng, Yi-Jen
Lee, Herng-Sheng
description A range of bone abnormalities including short stature have been reported to be associated with the use of antiepileptic drugs (AEDs) in children. Exactly how AEDs impact skeletal growth, however, is not clear. In the present study, rat growth plate chondrocytes were cultured to study the effects of AEDs, including valproic acid (VPA), oxcarbazepine (OXA), levetiracetam (LEV), lamotrigine (LTG), and topiramate (TPM) on the skeletal growth. VPA markedly reduced the number of chondrocytes by apoptosiswhile other AEDs had no effect. The apoptosis associated noncleaved and cleaved caspase 3, and caspases were increased by exposure to VPA, which up-regulated cyclooxygenase 2 (COX-2) mRNA and protein levels likely through histone acetylation. The COX-2 inhibitor NS-398 attenuated the effects of VPA up-regulating COX-2 expression and decreased VPA-induced caspase 3 expression. The use of VPA in children should be closely monitored or replaced, where appropriate, by AEDs which do not apparently affect the growth plate chondrocytes.
doi_str_mv 10.3390/ijerph17103675
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subjects Abnormalities
Acetylation
Animals
Anticonvulsants - toxicity
Antiepileptic agents
Apoptosis
Cartilage
Caspase-3
Cell culture
Cells, Cultured
Child
Children
Chondrocytes
Chondrocytes - drug effects
Convulsions & seizures
COX-2 inhibitors
Cyclooxygenase-2
Epilepsy
Etiracetam
Gene expression
Growth plate
Growth Plate - drug effects
Humans
Lamotrigine
Medical research
Metabolism
Metabolites
mRNA
Oxcarbazepine
Polyclonal antibodies
Proteins
Rats
Topiramate
Valproic acid
Valproic Acid - toxicity
title Valproic Acid Impacts the Growth of Growth Plate Chondrocytes
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