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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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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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17103675</identifier><identifier>PMID: 32456093</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>International journal of environmental research and public health, 2020-05, Vol.17 (10), p.3675</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). 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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.</description><subject>Abnormalities</subject><subject>Acetylation</subject><subject>Animals</subject><subject>Anticonvulsants - toxicity</subject><subject>Antiepileptic agents</subject><subject>Apoptosis</subject><subject>Cartilage</subject><subject>Caspase-3</subject><subject>Cell culture</subject><subject>Cells, Cultured</subject><subject>Child</subject><subject>Children</subject><subject>Chondrocytes</subject><subject>Chondrocytes - drug effects</subject><subject>Convulsions & seizures</subject><subject>COX-2 inhibitors</subject><subject>Cyclooxygenase-2</subject><subject>Epilepsy</subject><subject>Etiracetam</subject><subject>Gene expression</subject><subject>Growth plate</subject><subject>Growth Plate - drug effects</subject><subject>Humans</subject><subject>Lamotrigine</subject><subject>Medical research</subject><subject>Metabolism</subject><subject>Metabolites</subject><subject>mRNA</subject><subject>Oxcarbazepine</subject><subject>Polyclonal antibodies</subject><subject>Proteins</subject><subject>Rats</subject><subject>Topiramate</subject><subject>Valproic acid</subject><subject>Valproic Acid - toxicity</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUMFKAzEUDKLYWr16lAXPW_OSbLI5KJSitVDQg3oN2TTrbtk2a5Iq_XtXWkt7esN782aGQega8JBSie_qhfVtBQIw5SI7QX3gHKeMYzg9wD10EcICY5ozLs9RjxKWcSxpH91_6Kb1rjbJyNTzZLpstYkhiZVNJt79xCpx5T96bXS0ybhyq7l3ZhNtuERnpW6CvdrNAXp_enwbP6ezl8l0PJqlhkEeUy6wZCC41UUmuQZNcqFzbKguCRZFzo0QBAhwyClYIKYES63uViWX3BR0gB62uu26WNq5savodaNaXy-13yina3V8WdWV-nTfShAhGGGdwO1OwLuvtQ1RLdzar7rMijDMZS4yKTrWcMsy3oXgbbl3AKz-6lbHdXcPN4e59vT_fukvN7x7pA</recordid><startdate>20200522</startdate><enddate>20200522</enddate><creator>Fan, Hueng-Chuen</creator><creator>Wang, Shih-Yu</creator><creator>Peng, Yi-Jen</creator><creator>Lee, Herng-Sheng</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4630-2103</orcidid></search><sort><creationdate>20200522</creationdate><title>Valproic Acid Impacts the Growth of Growth Plate Chondrocytes</title><author>Fan, Hueng-Chuen ; Wang, Shih-Yu ; Peng, Yi-Jen ; Lee, Herng-Sheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-67094176eab596a1a287a80c3af207b86c77212161831e12cf1e3ea212f696cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abnormalities</topic><topic>Acetylation</topic><topic>Animals</topic><topic>Anticonvulsants - toxicity</topic><topic>Antiepileptic agents</topic><topic>Apoptosis</topic><topic>Cartilage</topic><topic>Caspase-3</topic><topic>Cell culture</topic><topic>Cells, Cultured</topic><topic>Child</topic><topic>Children</topic><topic>Chondrocytes</topic><topic>Chondrocytes - drug effects</topic><topic>Convulsions & seizures</topic><topic>COX-2 inhibitors</topic><topic>Cyclooxygenase-2</topic><topic>Epilepsy</topic><topic>Etiracetam</topic><topic>Gene expression</topic><topic>Growth plate</topic><topic>Growth Plate - drug effects</topic><topic>Humans</topic><topic>Lamotrigine</topic><topic>Medical research</topic><topic>Metabolism</topic><topic>Metabolites</topic><topic>mRNA</topic><topic>Oxcarbazepine</topic><topic>Polyclonal antibodies</topic><topic>Proteins</topic><topic>Rats</topic><topic>Topiramate</topic><topic>Valproic acid</topic><topic>Valproic Acid - toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fan, Hueng-Chuen</creatorcontrib><creatorcontrib>Wang, Shih-Yu</creatorcontrib><creatorcontrib>Peng, Yi-Jen</creatorcontrib><creatorcontrib>Lee, Herng-Sheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fan, Hueng-Chuen</au><au>Wang, Shih-Yu</au><au>Peng, Yi-Jen</au><au>Lee, Herng-Sheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Valproic Acid Impacts the Growth of Growth Plate Chondrocytes</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-05-22</date><risdate>2020</risdate><volume>17</volume><issue>10</issue><spage>3675</spage><pages>3675-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32456093</pmid><doi>10.3390/ijerph17103675</doi><orcidid>https://orcid.org/0000-0003-4630-2103</orcidid><oa>free_for_read</oa></addata></record> |
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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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