ucd ssra presentation

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GENE & TONIC: EXPLORING THE MOLECULAR MECHANISMS UNDERLYING FETAL ALCOHOL SYNDROME Leia Judge 1 , Deirdre Brennan 1 1 UCD Anatomy, School of Medicine, University College Dublin, Belfield, Dublin 4.

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Page 1: UCD SSRA Presentation

GENE & TONIC: EXPLORING THE MOLECULAR MECHANISMS

UNDERLYING FETAL ALCOHOL SYNDROMELeia Judge1, Deirdre Brennan1

1 UCD Anatomy, School of Medicine, University College Dublin, Belfield, Dublin 4.

Page 2: UCD SSRA Presentation

Fetal Alcohol Spectrum Disorders

• Fetal Alcohol Effects

• Alcohol Related Neurodevelopmental Disorder (ARND)

• Alcohol Related Birth Defects (ARBD)

• Fetal Alcohol Syndrome (FAS)

Page 3: UCD SSRA Presentation

40-70 : 1000

20 : 1000

8 : 1000

15 : 1000

15 : 1000

FAS is a Global Problem

In Europe estimated to occur in 1 : 1000 live births

(Abel EL. Curr Pharm Des. 2006;12:1521-9)

Page 4: UCD SSRA Presentation

What is Fetal Alcohol Syndrome (FAS)?

1. Growth Retardation

2. Craniofacial Dysmorphology

3. Neurodevelopmental Delay

Page 5: UCD SSRA Presentation

FAS Ocular Phenotype

Busby A et al. Arch Dis Child Fetal Neonatal Ed. 1998;79(3):F168-73. Gregory-Evans CY et al. J Med Genet. 2004;41:881-91 Strömland K, Pinazo-Durán MD. Alcohol Alcohol. 2002;37(1):2-8.

Microphthalmia Coloboma

Strabismus Optic nerve hypoplasia

Page 6: UCD SSRA Presentation

Eye Development

Paired Box Gene 2 (Pax2)• Tissue Fusion, Neural Retina (NR) & Optic Nerve

Bone Morphogenic Protein 4 (Bmp4)• Retinal Pigmented Epithelium (RPE)

Page 7: UCD SSRA Presentation

0% Ethanol

1% Ethanol

5% Ethanol

10% Ethanol

20% Ethanol

Hypothesis: Expression of Bmp4 & Pax2 are altered in the eye in FAS.

• Physiologically mimic chronic human fetal ethanol exposure in a novel chick embryo model.

• Produce phenotypes closely resembling human FAS.

• Examine resulting expression patterns using immunohistochemistry.

0.73% Saline

Treatment regimen(n=60)

My Study

Page 8: UCD SSRA Presentation

E1 + 40 Hours (n=25)

Methodology – Chick Embryo Model

E1 + 5 Days (n=35)

Page 9: UCD SSRA Presentation

Saline 1% 5% 10% 20%0%

10%20%30%40%50%60%70%80%90%

100%

Growth Retarded Vascular None

% o

f tre

atm

ent g

roup

Morphological Defects (E1 + 40 Hours)

Control

Control 1% 5% 10% 20%

Page 10: UCD SSRA Presentation

Saline 1% 5% 10% 20%0%

10%20%30%40%50%60%70%80%90%

100%

Vascular Growth Retarded Eye Defect None

% o

f tre

atm

ent g

roup

Morphological Defects (E1 + 5 Days)

Control

Control

1% 5% 10% 20%

Page 11: UCD SSRA Presentation

Immunohistochemistry – Bmp4

Saline Control

1% 5%

• Aberrant Bmp4 expression throughout ocular region.• Hyperplasia of RPE observed from 5-20%.• Complete tissue disruption in 20% groups.

BMP4

Page 12: UCD SSRA Presentation

Immunohistochemistry – Pax2

Saline Control

• Pax2 expression decreased in a dose-dependent manner.• Punctate expression pattern at the transitional border

between RPE & NR.• Complete tissue disruption in 20% groups.

Page 13: UCD SSRA Presentation

Sonic Hedgehog – Supporting Research

Antagonistic Relationship Stimulatory Relationship

Shh

Bmp4

Shh

Pax2

Page 14: UCD SSRA Presentation

Novel Findings

• Molecular deficits of Bmp4 & Pax2 could play a pivotal role in the pathogenesis of FAS.

• Judge L., Giles S., Brennan D. (2016) Reprod Toxicol 64:45.

Page 15: UCD SSRA Presentation

Conclusion

1. Novel chick embryo model of FAS developed.

2. Aberrant Bmp4 expression Retinal Disruption.

3. Decreased Pax2 expression Optic Nerve Hypoplasia, Colobomas.

Page 16: UCD SSRA Presentation

GENE & TONIC: EXPLORING THE MOLECULAR MECHANISMS

UNDERLYING FETAL ALCOHOL SYNDROMELeia Judge1, Deirdre Brennan1

1 UCD Anatomy, School of Medicine, University College Dublin, Belfield, Dublin 4.