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International Journal of Bioprinting                               Pregabalin impact on 3D neuronal models























            Figure 2. Viability and adenosine triphosphate (ATP) release in pregabalin-treated and control cultures. (A) Viability and (B) ATP release in cultures
            treated with pregabalin and control cultures. Data are presented as the mean ± standard error of the mean (SEM); n = 7 for viability and n = 3 biological
            replicates for ATP release. Statistical analyses were performed using a t-test. * p < 0.05.

            production, which is considered a substantial alteration.   3.4. Pregabalin induces upregulation or
            Therefore, it can be concluded that pregabalin disrupts   downregulation of important cortical-related genes
            the mitochondrial electron transport pathway, leading to   in embryonic cortical neurons
            metabolic failure (Figure 2B).                     Genome-wide association studies (GWAS) have evolved
                                                               into an effective technique to identify the genes responsible
            3.2. Pregabalin does not alter the morphogenesis of   for variations in a wide range of human traits and
            Tbr1-positive embryonic cortical neurons           disorders.  As a result of numerous GWAS, genes and
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            The effects of pregabalin on the morphogenesis of Tbr1-  biological pathways that are particularly active at different
            positive ECNs were evaluated using labeled cultures.   stages of prenatal brain development have been identified.
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            Figure 3A and  B displays non-significant morphological
            changes in the lengths and dominant lengths of neurites,   These genes have earlier  been linked to intellectual
                                                                                            38,39
            respectively.  Figure 3C and  D indicates no significant   disability and developmental delays.   Modern genomics
            variation in the number of branches or neurites between   suggests that changes in gene regulation are the main
            pregabalin-treated and control cultures. Moreover,   factor driving the evolution of the human brain. To fully
            labeled cultures from both groups revealed that there   comprehend the biological role of these largely noncoding,
            were no notable differences in the morphology of Tbr1-  tissue-specific gene regulatory elements, it is necessary
                                                                                                   40
            positive ECNs (Figure 3E–Lʹ). These findings suggest that   to understand their biological functions.  Here, we
            pregabalin exposure, at a therapeutic dose, does not affect   studied the expression of key genes involved in neuronal
            the morphogenesis of Tbr1-positive ECNs.           differentiation and development. The expression of Emx2,
                                                               Lhx6,  and  Nkx2.1  in  ECNs did  not  change  significantly
            3.3. Effect of pregabalin on the morphogenesis of   as a result of pregabalin exposure (Figure 5A, C, and D,
            Tbr1-negative embryonic cortical neurons           respectively). Although  Gsx2  was downregulated  in the
            The effects of pregabalin on the morphogenesis of Tbr1-  pregabalin-treated  culture, this  shift is  not statistically
            negative ECNs were evaluated in labeled cultures to   significant (Figure 5B). However, there was a considerable
            determine whether pregabalin has any specific effects   shift in the regulated expression of the genes encoding
            on  the  morphogenesis  of  the  restricted  forebrain  ECN   Dlx2,  Olig2,  NhIh2,  Otp,  Zic1,  and  Gad67  (Figure  5E–J,
            subpopulation. There was no significant difference   respectively). In pregabalin-treated cultures,  Olig2 and
            observed in terms of overall neurite length, length of the   Zic1 were significantly upregulated, whereas Dlx2, NhIh2,
            dominant neurite, number of branches, and total neurite   Otp, and Gad67 were significantly downregulated.
            count  between  control  groups  and  those  treated  with
            pregabalin (Figure 4A–D). Furthermore, analysis of the   3.5. Microelectrode array recordings of
            labeled cultures from both groups revealed that there were   spontaneous activity in 2D- and 3D-cultured
            no prominent differences in the morphology of Tbr1-  primary cortical neurons
            positive ECNs (Figure 4E–Lʹ). Based on these findings,   The dynamic intricacies of neural activity were studied in
            pregabalin, at a therapeutic dose, does not alter the   both 2D- and 3D-cultured primary cortical neurons. We
            morphogenesis of Tbr1-negative ECNs in vitro.      aimed to elucidate the effects of pregabalin on the electrical


            Volume 10 Issue 4 (2024)                       411                                doi: 10.36922/ijb.3010
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