Maternal alcohol consumption causes Fetal Alcohol Spectrum Defects (FASD), an array of developmental abnormalities that includes neurological, craniofacial, cardiac and limb malformations, as well as mental and growth retardation. FASD is enormously detrimental to afflicted individuals, to their families, and to society as a whole. Although there has been great progress in delineating mechanisms contributing to alcohol-induced birth defects, there are still many gaps that need filling. We have evidence that a post-translational modification defect may be at the root of FASD, namely, ethanol-impairment of cholesterol esterification of a potent fetal morphogen, Sonic hedgehog (Shh). Shh is a cholesterol-modified protein that is produced in different regions of developing embryos at various stages of embryogenesis. It regulates cell differentiation and proliferation of neural, cardiac, bone, blood, and endodermal progenitors in early embryonic development. Knocking-down Hedgehog (Hh) signaling pathway components causes a spectrum of developmental defects that resemble those that occur in FASD. We note dose-dependent reductions in cholesterol esters, cholesterol-modified Shh, and Hh pathway activity in zebrafish embryos that develop FASD following transient alcohol exposure. These findings prompted our HYPOTHESIS that ethanol-inhibition of Shh ligand modification by cholesterol, and the consequent decreases in Hh pathway activity during embryogenesis, contribute to FASD pathogenesis. We will evaluate this hypothesis by two aims: (1) To characterize the effects of ethanol on Hh signaling and the resulting pattern of morphological defects throughout embryogenesis. (2) To determine whether inhibited cholesterol modification of Shh is responsible for ethanol-induced developmental defects defects. The results from this investigation may provide insight into a novel mechanism for alcohol's teratogenic effects and he lead to new directions for the prevention, diagnosis and treatment of Fetal Alcohol Spectrum Defects. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AA016001-01A2
Application #
7256818
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Guo, Qingbin
Project Start
2007-09-28
Project End
2009-08-31
Budget Start
2007-09-28
Budget End
2008-08-31
Support Year
1
Fiscal Year
2007
Total Cost
$213,516
Indirect Cost
Name
Duke University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
Mao, Hua; Diehl, Anna Mae; Li, Yin-Xiong (2009) Sonic hedgehog ligand partners with caveolin-1 for intracellular transport. Lab Invest 89:290-300