2012
DOI: 10.1371/journal.pone.0043692
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Valproic Acid Downregulates RBP4 and Elicits Hypervitaminosis A-Teratogenesis—A Kinetic Analysis on Retinol/Retinoic Acid Homeostatic System

Abstract: BackgroundValproic acid (VPA) is an antiepileptic and anti-migraine prophylactic drug. VPA exhibits two severe side effects, namely acute liver toxicity and teratogenicity. These side effects are usually seen at the genetic and somatic levels. The cited action mechanisms involve inhibition of histone deacetylase, hypofolatenemia, hyperhomocysteinemia, and reactive oxidative stress. The proteomic information associated with VPA teratogenicity is still unavailable. We hypothesized that proteomic analysis might h… Show more

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Cited by 19 publications
(25 citation statements)
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“…VPA is a notorious teratogenic antiepileptic and thymoregulator, inducing neural tube defects in mammalian embryos, probably by inhibition of histone deacetylase, interference with folate metabolism and inducing oxidative stress. However, the mechanism of action remains not well known [25][26][27]. VPA exerts its pharmacological effects mainly in the central nervous system by inhibition of the citric acid cycle and elevation of γ-aminobutyric acid (GABA) level [26].…”
Section: Introductionmentioning
confidence: 99%
“…VPA is a notorious teratogenic antiepileptic and thymoregulator, inducing neural tube defects in mammalian embryos, probably by inhibition of histone deacetylase, interference with folate metabolism and inducing oxidative stress. However, the mechanism of action remains not well known [25][26][27]. VPA exerts its pharmacological effects mainly in the central nervous system by inhibition of the citric acid cycle and elevation of γ-aminobutyric acid (GABA) level [26].…”
Section: Introductionmentioning
confidence: 99%
“…De novo carnitine biosynthesis is closely linked to two important metabolic pathways, namely the methionine and tricarboxylic acid (TCA) cycles. Carnitine accumulation may implicate an adequate source of SAM and α ‐KGA with significantly inhibited CPT1 . The question arises, could these pharmacological effects of RV and vitamin E disturb the therapeutic effects of VPA?…”
Section: Discussionmentioning
confidence: 99%
“…Carnitine accumulation may implicate an adequate source of SAM and a-KGA with significantly inhibited CPT1. 32,34 The question arises, could these pharmacological effects of RV and vitamin E disturb the therapeutic effects of VPA? It appears that the answer is 'no'.…”
Section: Discussionmentioning
confidence: 99%
“…VPA acts on class I and IIa HDACs, which collectively deacetylate a variety of nuclear and cytoplasmic proteins, so its effects are inevitably pleiotropic. For example, VPA induces oxidative stress, with increased levels of reactive oxygen species, and anti-oxidants can alleviate some of its teratogenic effects [18,19]. …”
Section: Introductionmentioning
confidence: 99%