/. Embryol. exp. Morph. Vol. 22, 1, pp. 115-25, August 1969 Printed in Great Britain Effects of trypan blue and Niagara blue 2 B on the in vitro absorption of ions by the rat visceral yolk sac By MARTEN M. KERNIS 1 and E. MARSHALL JOHNSON 1 Department of Anatomical Sciences, University of Florida Prior to 1927, when Brunschwig proposed that the rat visceral yolk sac is functionally a placenta, it was customary to consider the chorio-allantoic placenta as the primary organ for bringing nourishment to and taking waste from the developing embryo and growing fetus. Eight years later, Everett (1935) predicted that the visceral yolk sac is functionally at least as important as the chorio-allantoic placenta, while Noer & Mossman (1947) suggested that the yolk sac functions differently from the placenta and is therefore complementary in its role. More recently, Halliday (1955) indicated that the proximal yolk sac of the rat is capable of absorbing antibodies by day 17 of gestation. This was confirmed by Brambell & Halliday (1956), who were able to demonstrate that the vitelline epithelium and its underlying vascular system are partly responsible for antibodies penetrating into the embryo. Padykula, Deren & Wilson (1966) noted that the rat yolk sac has the ability to absorb vitamin B12 and that this ability is stimulated by the presence of intrinsic factor. The yolk sac has also been shown to be capable of actively transporting certain amino acids (Deren, Padykula & Wilson, 1966) and is able to accumulate ferritin by means of pinocytosis (Lambson, 1966). In addition to being a physiologically dynamic organ, the yolk sac also undergoes biochemical changes during gestation. Padykula (1958) and Johnson & Spinuzzi (1966, 1968) have demonstrated that the activities of a variety of histochemically and electrophoretically distinguishable enzymes in the yolk sac change with increasing gestational age. In addition, the latter investigators have been able to show that the repertory of multiple molecular forms of certain enzymes is altered in the presence of a potent teratogenic agent. Since most investigations of mammalian placental function have been limited to studies in late fetal or term placentae, the fact that the rat visceral yolk sac also serves a placental function affords the opportunity to study the relationships and exchange mechanisms operating between the embryo and a placental organ 1 Authors' address: Department of Anatomy, College of Medicine, University of Illinois, P.O. Box 6998, Chicago, Illinois 60680. 116 M. M. KERNIS AND E. M. JOHNSON during the critical periods of embryonic morphogenesis. The understanding of exchange during embryogenesis is not only of considerable value in analysing normal development, but may also lead to knowledge concerning the mechanisms of teratogen-induced congenital malformation. It follows that the effect of a teratogen on the ability of the yolk sac to absorb and possibly transfer material to the embryo is one of the first problems to be studied. Trypan blue was chosen as the teratogen because it is accumulated in the vitelline epithelium (Goldmann, 1909) and because its administration to pregnant rats results in a high incidence of congenitally malformed fetuses (Gillman, Gilbert, Gillman & Spence, 1948). Niagara blue 2B, an azo dye similar in molecular structure to trypan blue but not effective as a teratogen at the same dose (Beaudoin & Pickering, 1960), was also used to correlate any drug-induced alterations in ion absorption with the incidence of congenital malformation. METHODS To determine the incidence of congenital malformation caused by trypan blue and Niagara blue 2 B, proestrous black-hooded Long-Evans rats were mated with males of the same strain. The day on which spermatozoa were found in the contents of a vaginal smear was designated as day zero of gestation. On day 8 of gestation, females were given a single, subcutaneous injection of a 1-8 % aqueous solution of either trypan blue or Niagara blue 2B at a dose of 167 mg/ kg maternal body weight. (Trypan blue was purified and donated through the courtesy of Mr Floyd Greene of the Matheson, Coleman and Bell Company, Norwood, Ohio; Niagara blue 2B was obtained in unpurified form from the Hartman-Leddon Co., Philadelphia, Pennsylvania.) Control pregnant animals were left untreated. At day 20 (1 day before parturition), the females were killed by cervical dislocation. The fetuses were removed, examined for gross malformations and fixed in Bouin's fluid for later free-hand sectioning (Wilson, 1965) to detect any gross internal malformations. To measure the absorption of radioactively labeled ions, control and azo dye-treated rats were killed by cervical dislocation on either day 12, 13 or 14 of gestation. Each uterus was removed in toto and placed in a Petri dish containing warmed (38 °C) culture medium consisting of bovine serum, chicken-embryo extract ultrafiltrate and phosphate-Ringer buffer in a ratio of 3:1:1 (Netzloff, Chepenik, Johnson & Kaplan, 1968). One implantation site at a time was separated from the remaining intact uterus and transferred to another Petri dish which contained warmed culture medium. The uterine muscle was opened along the antimesometrial border and the decidua capsularis and parietal yolk sac were dissected free of the chorio-allantoic placenta and visceral yolk sac. A silk ligature was tied around the umbilical vessels at the hilus of the chorioallantoic placenta. The placenta and uterus were separated from the ligated visceral yolk sac which remained as a complete and vascularized membrane In vitro absorption of ions 117 surrounding the embryo (see Netzloff, Johnson & Kaplan, 1968, for photographs of the preparation). The visceral yolk sac, vitelline vessels and embryo were examined to be certain that (1) the yolk sac was not punctured, (2) none of the vitelline vessels were ruptured, and (3) the embryo had a beating heart which perfused the vitelline vessels with blood. If the preparation did not meet this last criterion at the end of its incubation period it was discarded. No more than six embryos were used from any one pregnancy. The preparations, handled by the loose ends of the ligature, were transferred to disposable 30 ml beakers containing warmed culture medium to which either 45 CaCl2, Na235SO4 or 22NaCl had been added. The final activities of ions were 0-210 //c/ml for calcium, 0-072/tc/ml for sulfate and 0-019 /tc/ml for sodium. After 60 min of incubation at 38 °C the preparations were removed from the medium, examined for the presence of a beating heart and rinsed several times in 0-9 % saline. The visceral yolk sacs were separated from the embryos and both were rinsed 5 times in saline. The tissues were transferred to individual test tubes containing 0-25 ml of concentrated nitric acid and dissolved over a low flame. Each resulting solution was placed on a tared, stainless steel, ringed planchet, dried for 24 h at 70 °C and for another 24 h at 120 °C. The planchets were weighed and then counted for radioactivity with a thin-window, halogenquenched, Geiger-Muller tube. Corrections were made for the decay rates of the isotopes and the results were expressed in terms of cpm/preparation and cpm/mg dry weight. A Student's f-test was employed to detect differences between experimental and control means, and a P value of 0-05 or less was considered significant. RESULTS The administration of a single, subcutaneous injection of trypan blue at a dosage of 167 mg/kg maternal body weight on day 8 of gestation in the rat resulted in a 62 % incidence of living, malformed fetuses (Table 1). Although the same treatment with Niagara blue 2B induced only a 2 % malformation rate, this was still significantly greater than the spontaneous incidence in normal control animals. The most common malformations induced by treatment with either trypan blue or Niagara blue 2B were of the central nervous system and the eye and included such defects as anencephaly, exencephaly, meningocele, meningomyelocele, anophthalmia and microphthalmia. In many cases, the young bore multiple congenital abnormalities of varying severity. The effects of both azo dyes on the general growth of yolk sacs and embryos are summarized in Table 2. The presence of trypan blue resulted in a significant decrease both in yolk sac weight on days 12 and 13 and in embryonic weight on day 13. Niagara blue 2B treatment did not change the dry weight of the tissues except on day 14, when the embryos were significantly heavier than the corresponding controls. By day 14, treated yolk sacs had weights similar to controls. 118 M. M. KERNIS AND E. M. JOHNSON Where the presence of either of the azo dyes caused significant alterations in the absorption (cpm/preparation) or specific activity (cpm/mg dry weight) of any of the ions studied, the tissues from dye-treated mothers tended to accumulate more radioactivity than their corresponding controls. The absorption and specific activities of 45Ca2+, 35SO42~, and 22Na+ are presented in Tables 3-5. Although the absorption of ions in terms of cpm/preparation seemed to Table 1. Incidence of malformation^ Control! Trypan blue§ Niagara blue 2B|| — 12 136 167 22 240 167 12 144 134(99%) 2 (1 %) 130(54%) 110(46%) 134(93%) Dose (mg/kg) No. of females No. of sites No. live No. dead Survivors Normal Abnormal 134(100%) 0 49(38%) 81 (62%) 10(7%) 131(98%) 3(2%) t Animals were sacrificed on day 20 of gestation. % Maternal animals left untreated. § A single subcutaneous injection of a 1-8 % aqueous solution of the dye administered on day 8 of gestation. II Ibid. Table 2. Dry weight of yolk sacs and embryos^ Treatment groupsj Yolk sac Control Trypan blue Niagara blue 2B Embryo Control Trypan blue Niagara blue 2B Day 12 Day 13 1-21 ±008 (62/11)§ 0-94 ±005* (59/12) 108 + 009 (40/7) 1-81 ±006 (67/12) 1-55 + 005* (54/11) 1 66 ±006 3 04 + 009 (61/H) 5-96 ± 0 1 7 (65/12) 5-32±018* (52/11) 5-73±O-13** (36/6) 2-89±0-10 (58/12) 314±010 (40/7) (35/6) Day 14 2-91 ± 0 0 9 (61/11) 2-73 + 008 (41/11) 2-92 + 0-08 (34/6) 10-99 ±0-38 (61/11) 10-91 ±0-38 (40/11) 12-50±0-31* (34/6) * Significant difference (P < 005) between experimental and control tissues. ** Significant difference (P < 0-05) between tissues treated with trypan blue and Niagara blue 2B. t Dry weight in milligrams, mean ± standard error. % See legend in Table 1 for details of treatment. § (Number of preparations/number of mothers.) In vitro absorption of ions 119 increase as a function of gestational age and tissue dry weight, the control specific activities of the ions did not seem to follow a general pattern. In addition, the significant increases of specific activities of the dye-treated tissues were not limited to any particular gestational age. Trypan blue caused an increase in 45Ca2+ specific activity in yolk sacs at day 13 only but no statistically significant differences in the embryos at any day of gestation (Table 3). Sulfate Table 3. Uptake ofi5Ca2+-\ (cpm Absorption Ca2+/preparation) 45 Specific activity (cpm 45Ca2+/mg dry weight) A Day 12 Yolk sac Embryo Day 13 Yolk sac Embryo Day 14 Yolk sac Embryo Control Trypan blue Control Trypan blue 121 ±6 (16/3) 23±4 (16/3) 120 ±9 (14/3) 10 + 6 (13/3) 136±6 (16/3) 7±1 (16/3) 144 ±9 (14/3) 3±2 (13/3) 200+10 (18/3) 59±4 (16/3) 223 ±12 (15/3) 62± 11 (14/3) 87±4 (18/3) 9±1 (16/3) 126±5* (15/3) 410 + 43 (20/4) 150 + 29 (19/4) 352 ±39 (10/3) 132 + 34 (10/3) 174 ±12 (20/4) 16±3 (19/4) 132± 13* (10/3) 14 + 3 (10/3) 11 ±2 (14/3) * Significant difference (P < 005) between experimental and control tissues. f See text and Table 1 for details of treatment. Data expressed as mean ± standard error. Figures in parentheses indicate: (number of preparations/number of mothers). specific activity was greater in yolk sacs treated with trypan blue on all days studied, while yolk sacs treated with Niagara blue 2B seemed to be essentially normal by day 13 (Table 4). No significant differences in sulfate uptake between control and treated embryos were apparent. Yolk sacs after either dye treatment had greater 22 Na + specific activities than controls at days 12 and 14, while day 13 embryos after Niagara blue 2B treatment accumulated more ion than controls (Table 5). DISCUSSION The incidence of congenital malformation induced by either trypan blue or Niagara blue2Bfound in this study agrees with those reported by others (Wilson, 1955; Wilson, Beaudoin & Free, 1959; Beaudoin & Pickering, 1960; Beaudoin, 1962; Beaudoin & Kahkonen, 1963; Lloyd & Beck, 1966). The small variations between the present and previous results are probably related to several factors. 120 M. M. KERNIS AND E. M. JOHNSON These are: (1) the strain of rats studied; (2) the time, dose and route of administration of the dye; (3) the purity of the dye. Judged by the malformation rate, it follows that at least 3 out of 5 of the preparations treated with trypan blue incubated in vitro for the ion uptake studies were destined to have at least one abnormality, while about 1 out of 50 embryos treated with Niagara blue 2B would be malformed. Table 4. Uptake of*6SOA2-\ Absorption (cpm 35SO|~/preparation) Niagara blue 2B Control 53±4* 21 ±2 (24/4) 22±3 (24/4) 152± 11 (25/5) 137± 12 (25/5) 194±12* 187 ±22 (20/4) (17/3) 110±13** 176 ±25 (20/4) (18/3) 354 ±29 (20/4) 356 ±51 (21/4) 411 ±28 (13/4) 352 ±61 (12/4) Control Day 12 Yolk sac Embryo Day 13 Yolk sac Embryo Day 14 Yolk sac Embryo Specific activity (cpm : i5SO!-/mg dry >weight) 38 + 3 (24/4) 60 ±6 (24/4) Trypan blue 43 ±5 (19/4) 48±3** (19/4) (17/3) 77 ±10 (17/3) 347 ± 56 (18/3) 326 ±49 (18/3) Trypan blue Niagara blue 2B (19/4) 18 + 2 (19/4) 33±4* 34±3* (17/3) 24±4 (17/3) 112 + 6 (25/5) 29 ±3 (25/5) 163±18* (20/4) 24±3 (20/4) 118 + 13 (17/3) 33 ±5 (18/3) 116±9 (20/4) 35 ±5 (21/4) 166± 13* (13/4) 36±6 (12/4) 118± 16** (18/3) 27 ±4 (18/3) * Significant difference (P < 005) between experimental and control tissues. ** Significant difference (P < 005) between tissues treated with trypan blue and Niagara blue 2B. f See text and Table 1 for details of treatment. Data expressed as mean ± standard error. Figures in parentheses indicate: (number of preparations/number of mothers). Since Gillman et ah (1948) first demonstrated the teratogenicity of trypan blue in the rat, its site and mechanism of action have been enigmas. It is still unclear whether the dye causes malformations by affecting some maternal physiological process necessary to normal embryonic development, by altering the function of the placenta or yolk sac, or by directly affecting the embryo. Because trypan blue had never been seen to penetrate the rat embryo and because it is a potent teratogen in chicks (suggesting that no maternal influence is involved), Beck, Lloyd & Griffiths (1967) concluded that the most reasonable site of action for trypan blue in the rat is the visceral yolk sac. Indeed, under in vitro circumstances they have demonstrated that increasing concentrations of trypan blue are able to inhibit the activities of certain enzymes isolated from the lysosomes of visceral yolk sacs near term. They therefore suggested that the inhibition of those lysosomal enzymes results in the inability on the part of the visceral endoderm to In vitro absorption of ions 121 digest absorbed material. Any barrier to these large undigested molecules would result in a lack of transfer of nutritional elements to the embryo. Although this hypothesis is quite attractive, judgement should be reserved until it is substantially shown that the enzyme inhibition occurs in vivo and also that such inhibition occurs in yolk sacs from earlier stages in gestation, particularly at that critical time in development when trypan blue is most effective in producing malformations. Table 5. Uptake o (cpm Embryo Day 13 Yolk sac Embryo Day 14 Yolk sac Embryo (cpm Specific activity Na+/mg dry weight) 22 Trypan blue Niagara blue 2B Control Trypan blue Niagara blue 2B (21/4) 71 ±5 (26/5) 95 + 7 (26/5) 73 + 5* (23/4) 122±13* (23/4) 81 ±5 (22/4) 29 ±3 (21/4) 105 ±7* (26/5) 35 ±3 (26/5) 116 + 8* (23/4) 43 + 5 (23/4) 171 ±9 (24/4) 153 ±13 (24/4) 162+10 (19/4) 199±43 (18/4) 167 ±9 (18/3) 189 + 21 (18/3) 95 ±6 (24/4) 22 + 2 (24/4) 105 ±8 (19/4) 30 + 5 (18/4) 102±6 (18/3) 33±4* (18/3) 462 + 33 (18/3) 785 + 141 (18/3) 633 + 55* 570 ±47 (16/3) (18/4) 703 ±48** 1040+145 (18/4) (16/3) 144 ±10 (18/3) 58 ±10 219±18* (18/4) 55 + 4 (18/4) 186 ±14* (16/3) 80± 11 (16/3) Control Day 12 Yolk sac Absorption Na+/preparation) 22 58±4 (22/4) 85 ±9 08/3) * Significant difference (P < 005) between experimental and control tissues. ** Significant difference (P < 005) between tissues treated with trypan blue and Niagara blue 2B. t See text and Table 1 for details of treatment. Data expressed as mean ± standard error. Figures in parentheses indicate: (number of preparations/number of mothers). The yolk sac, however, may not be the only site of trypan blue action. In contradiction to many previous reports, Davis & Gunberg (1968) have been able to visualize trypan blue in both stained and unstained 11-, 12- and 13-day rat embryos with both low- and high-power light microscopy. Apparently, the dye accumulated in the epithelium of the embryonic gut and possibly in some of the surrounding mesenchymal cells. This finding may indicate that the dye has a direct effect on embryonic tissue. The amount of dye in the embryo, however, appears to be quite small and its distribution is somewhat remote from the sites of malformation. Thus, the ability of the yolk sac to absorb ions and the effect of trypan blue on this function is still of considerable import. These results show that, with the exception of the 45Ca2+ activities of day 14 yolk sacs, wherever there was a significant difference between trypan blue- 122 M. M. KERNIS AND E. M. JOHNSON treated and control yolk sacs or embryos, the specific activity of the dye-treated tissue was always greater. Since day 12 and 13 trypan blue-treated yolk sacs weighed significantly less than the corresponding controls, the increased specific activities indicate that either a smaller amount of protein or a fewer number of cells (or both) was capable of absorbing the same or greater amounts of ion. Although Niagara blue 2B treatment did not result in reduced tissue weights, where statistical differences did exist, the dye-treated tissues also had greater specific activities than controls. This phenomenon would tend to suggest that the machinery used by the yolk sac to absorb ions is altered by some interaction with Niagara blue 2B. This interaction is as yet unidentified. Although the absorption of ions by embryos generally paralleled the uptake by yolk sacs as gestation proceeded, there appeared to be no consistency in the relative amounts of ions taken up when the yolk sacs were compared to similarly treated embryos at the same day of development. For example, the presence of trypan blue in the yolk sac at day 13 increased the 35SOf~ uptake, but the increase was not reflected in the embryo (Table 4). However, the presence of Niagara blue 2B on day 13 had no effect on the yolk sac's ability to absorb sulfate, while it may have caused an increase in the amount of ion passing into the embryo. With regard to 22 Na + (Table 5), no differences were seen in day 13 yolk sacs, while treatment with Niagara blue 2B caused an increased amount of label to penetrate into the embryo. Since the presence of trypan blue in the yolk sac was never correlated with a concomitant significant increase of ions in the embryo, there is the possibility that the dye may prohibit the passage of these particular ions at these particular stages of development. Whether the same holds true for other stages of development and for other ions or organic molecules has not as yet been determined. The relationship between treated and control tissues may also change from day to day. For example, trypan blue-treated yolk sacs had significantly greater 35 SOfr specific activities than controls at each day of gestation (Table 4). The day 12 Niagara blue 2B-treated yolk sacs also absorbed more sulfate than controls. The change occurs at day 13, when there was no difference between Niagara blue 2B and control yolk sacs, thus indicating a possible recovery. Conceivably, recovery from Niagara blue 2 B treatment could occur more rapidly than from treatment with trypan blue, for the former appears to be excreted from the maternal tissues and proximal yolk sac at a greater rate than the latter (Lloyd & Beck, 1966). Recovery from a teratogenic insult is not a new concept. Johnson (1965) and Johnson & Spinuzzi (1966, 1968) have described recovery of enzyme forms after an initial alteration caused by a folic acid deficiency. Two of the enzymes discussed were glucose-6-phosphate dehydrogenase and alkaline phosphatase, both of which having been previously implicated in transport mechanisms (Moog & Wenger, 1952; Karnovsky, 1962). In addition, Netzloff et al (1968) have shown that folic acid deficient, abnormally developing embryos consume In vitro absorption of ions 123 oxygen at a greater rate than controls. Also, recovery, or normal oxygen uptake, was found 24-48 h after the pregnant female ceased eating the diet deficient in folic acid and began ingesting the vitamin-supplemented ration. The fact that there were changes in the specific activities or amounts of different ions absorbed by control and experimental tissues on varying days of gestation is not surprising. Embryonic and yolk sac tissues were undergoing a rapid and extensive biochemical and morphological differentiation during this period of gestation. As a result, it is likely that as the tissues differentiated, their ionic and nutritional requirements were altered with their particular needs at distinct stages of development. More important, however, is the finding that the presence of azo dyes could affect the ability of mammalian yolk sacs to absorb and possibly transfer certain ions. Indeed, Grabowski (1963) has already shown that the presence of trypan blue in the yolk of developing chickens caused significant imbalances in embryonic serum electrolytes. That Niagara blue 2B resulted in changes in the absorption of ions similar to those produced by trypan blue would indicate at least two possibilities. First, differences in ionic uptake as seen in these experiments were not causally related to mechanisms of malformation, as Niagara blue 2B at the dosage employed is only about 3 % as potent a teratogen as trypan blue. Secondly, since both agents are most effective as teratogens when administered at day 8 of gestation, changes in ionic uptake as late as day 12 may simply reflect the presence of the dyes within the yolk sac, and indeed may have no relationship to causes of malformation. In order to be able to study the effects of a teratogen on yolk sac function, another agent which is capable of causing a high percentage of malformations when administered at a later stage in gestation must be utilized. In this manner, alterations in yolk sac function may be monitored before, during and after the teratogenic insult. Thus, the complex relationship between the embryo and its yolk sac should be studied further. Experiments utilizing the in vitro embryonic system described above might indeed show that the yolk sac plays an important role in normal embryonic differentiation and that alterations in yolk sac function and the resulting changes in the embryonic microenvironment could be involved as a mechanism of teratogenesis. SUMMARY 1. When injected into pregnant rats on day 8 of gestation, trypan blue is a potent teratogen. Niagara blue 2B at the same dose is considerably less effective as a teratogen, but still results in a rate of malformation which is significantly greater than the spontaneous incidence of malformation for the Long-Evans black-hooded strain of rats. Both dyes result in the same syndrome of malformations, affecting the central nervous system and special sense organs primarily. 2. On days 12, 13 and 14 of gestation, both trypan blue and Niagara blue 2 B cause a significant increase in the absorption of 45Ca2+, 35SO|~ and 22 Na + 124 M. M. KERNIS AND E. M. JOHNSON by yolk sacs and, in some cases, developing embryos. These changes in the specific activities of yolk sacs suggest that both dyes have an effect on normal yolk sac function and indicate that alterations in the function of the yolk sac may bear a direct relationship to the induction of congenital abnormalities. Future studies, however, must utilize a teratogen which is effective at later days of gestation, so that transfer phenomena may be studied before, during and after the teratogenic insult. RESUME Ejfets du bleu try pan et du bleu Niagara 2B sur Vabsorption d'ions in vitro par le sac vitellin visceral du rat 1. Le bleu trypan est un agent teratogene puissant quand on Finjecte a des rattes gestantes le 8e jour de la gestation. A la meme dose, le bleu Niagara 2B est beaucoup moins efficace comme teratogene, mais provoque encore des malformations dont le taux est plus eleve, de maniere significative, que l'apparition de malformations spontanees dans la lignee de rats Long-Evans, a 'capuchon noir'. Les deux colorants provoquent le meme syndrome de malformations, affectant en premier lieu le systeme nerveux central et certains organes des sens. 2. Les 12e, 13e et 14e jours de la gestation, le bleu trypan et le bleu Niagara 2B provoquent tous deux un accroissement significatif de l'absorption de 45 Ca2+, 35SOfr, et 22Na+ par les sacs vitellins et, dans certains cas, les embryons en cours de developpement. Ces modifications dans les activites specifiques des sacs vitellins suggerent que les deux colorants ont un effet sur les fonctions normales du sac vitellin et indiquent que des alterations de ces fonctions peuvent se trouver en relation directe avec l'induction d'anomalies congenitales. Neanmoins, des recherches ulterieures devront utiliser un agent teratogene qui soit efficace a une periode plus tardive de la gestation, de sorte que les phenomenes de transport puissent etre etudies avant, pendant et apres l'agression teratogene. The authors wish to express their gratitude to Dr Stanley Kaplan for reviewing this manuscript. 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