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Antiepileptic drug risk assessment and harm reduction strategy for fetal brain function: Focus on cross-placental substance exchange

Research Project

Project/Area Number 18K14972
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 47060:Clinical pharmacy-related
Research InstitutionHokkaido University

Principal Investigator

Furugen Ayako  北海道大学, 薬学研究院, 助教 (90767261)

Project Period (FY) 2018-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords抗てんかん薬 / 胎盤 / トランスポータ / バルプロ酸 / ラモトリギン / 妊娠ラット / 脳機能リスク
Outline of Final Research Achievements

This study investigated the effects of antiepileptic drugs on placental transporter expression and the mechanism of antiepileptic drug transport across the placenta. We investigated the in vivo effects of valproic acid (VPA), which presents several risks to the fetus, on the gene expression of 18 transporters in the placenta. Pregnant rats were orally administered 400 mg/kg/day of VPA for 4 days during mid- or late gestation. VPA administration altered the expression of several transporters in the rat placenta, which suggested differing sensitivity to VPA across gestational stages. We also investigated the factors involved in fetal exposure to lamotrigine (LTG), which is frequently prescribed for treating women with epilepsy. Our results using human placental cell lines indicated that a carrier inhibited by chloroquine, imipramine, quinidine, and verapamil was involved in the transport of LTG.

Academic Significance and Societal Importance of the Research Achievements

VPAは、認知機能低下や自閉症といった出生児の脳機能に影響する可能性が示されている抗てんかん薬である。本研究において、VPAはラット胎盤における各種トランスポータ発現量を変化させることを示した。また、妊娠可能年齢女性に選択されるLTGの胎盤由来細胞における輸送特性を明らかにした。本成果を基に、変動したトランスポータ、輸送に寄与することが示されたトランスポータについて、その基質や阻害剤の投与が及ぼす効果を評価することで、リスクを低減させる物質の探索に繋げる。本研究の進展は、抗てんかん薬のリスク評価及び回避策の構築に貢献できるものと考えられる。

Report

(3 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • Research Products

    (6 results)

All 2020 2019 2018

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (4 results)

  • [Journal Article] Cellular uptake properties of lamotrigine in human placental cell lines: Investigation of involvement of organic cation transporters (SLC22A1-5)2020

    • Author(s)
      Nami Hasegawa, Ayako Furugen, Kanako Ono, Mai Koishikawa, Yuki Miyazawa, Ayako Nishimura, Takeshi Umazume, Katsuya Narumi, Masaki Kobayashi, Ken Iseki
    • Journal Title

      Drug Metabolism and Pharmacokinetics

      Volume: - Issue: 3 Pages: 266-273

    • DOI

      10.1016/j.dmpk.2020.01.005

    • NAID

      120006954276

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of single and repetitive valproic acid administration on the gene expression of placental transporters in pregnant rats: An analysis by gestational period2020

    • Author(s)
      Naoko Jinno, Ayako Furugen, Yuko Kurosawa, Yuki Kanno, Katsuya Narumi, Masaki Kobayashi, Ken Iseki
    • Journal Title

      Reproductive Toxicology

      Volume: - Pages: 47-56

    • DOI

      10.1016/j.reprotox.2020.04.077

    • NAID

      120007034041

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Presentation] バルプロ酸が胎盤SLCトランスポーター発現に及ぼす影響――妊娠期と性別による解析2019

    • Author(s)
      神野 菜緒子、古堅 彩子、黒澤 優子、菅野 裕希、鳴海 克哉、小林 正紀、井関 健
    • Organizer
      第14回トランスポーター研究会年会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 多価不飽和脂肪酸が胎盤細胞のトランスポーター発現に及ぼす影響2019

    • Author(s)
      小野 佳菜子、古堅 彩子、 黒澤 優子、神野 菜緒子、鳴海 克哉、小林 正紀、井関 健
    • Organizer
      日本薬学会北海道支部第146回例会
    • Related Report
      2019 Annual Research Report
  • [Presentation] バルプロ酸がラット胎盤ABCトランスポーター発現に及ぼす影響2019

    • Author(s)
      神野菜緒子、古堅彩子、黒澤優子、菅野裕希、鳴海克哉、小林正紀、井関健
    • Organizer
      日本薬学会北海道支部第146回例会
    • Related Report
      2018 Research-status Report
  • [Presentation] ヒト胎盤絨毛癌由来細胞におけるラモトリギンの輸送機構2018

    • Author(s)
      長谷川奈美、古堅彩子、黒澤優子、西村あや子、鳴海克哉、小林正紀、井関健
    • Organizer
      第32回北海道薬物作用談話会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2021-02-19  

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