50, 271–279 (1999) Copyright © 1999 by the Society of Toxicology TOXICOLOGICAL SCIENCES Maternal and Developmental Toxicity Evaluation of Melatonin Administered Orally to Pregnant Sprague-Dawley Rats G. Jahnke,* ,1 M. Marr,‡ C. Myers,‡ R. Wilson,† G. Travlos,† and C. Price‡ *Reproductive Toxicology Group and †Laboratory of Experimental Pathology, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709; and ‡Center for Life Sciences and Toxicology, Research Triangle Institute, Research Triangle Park, North Carolina 27709 Received on November 12, 1998; accepted on April 7, 1999 Melatonin (MEL) is a widely used, over-the-counter sleep aid, and it has putative contraceptive, antioxidant, antiaging, and anticancer effects. The developmental toxicity potential for repeated oral doses of MEL had not previously been evaluated. In the present studies, time-mated, Sprague-Dawley-derived (CDt) rats were administered MEL or vehicle by gavage on gestation days (gd) 6 –19. MEL-treated groups received 1-, 10-, 100-, 150-, or 200-mg/kg body weight/day in the screening study (15 rats/group), and 50, 100, or 200 mg/kg/day in the definitive study (25 rats/ group). In both studies, maternal food/water consumption, body weight, and clinical signs were monitored at regular intervals throughout gestation. At termination (gd 20, both studies), maternal liver and gravid uterine weights, number of ovarian corpora lutea, conceptus survival, fetal sex, and fetal body weight were evaluated. Fetal morphological examination included external structures (both studies) as well as visceral and skeletal structures (definitive study). In the screening study, maternal serum levels of 17b-estradiol, progesterone, prolactin, and luteinizing hormone were determined by radioimmunoassay, and mammary tissue was fixed, stained, and evaluated for percent glandular area within the fat pad. No maternal morbidity/mortality was found in either study. In the screening study, aversion to treatment (>100 mg/kg/ day) and reduced maternal weight gain (>150 mg/kg/day) were noted, but reproductive/endocrine parameters and fetal development were not affected. In the definitive study, aversion to treatment was noted at >50 mg/kg/day, and mild sedation, reduced maternal food intake, and reduced body weight gain were found during initial treatment with 200 mg/kg/day. MEL had no effect on prenatal survival, fetal body weight, or incidences of fetal malformations/variations. Thus, in the definitive study, the maternal toxicity NOAEL and LOAEL were 100 and 200 mg/kg/day, respectively, and the developmental toxicity NOAEL was >200 mg/kg/day. Key Words: melatonin; prenatal toxicity; development; mammary gland; pregnancy. Melatonin (CAS No. 73–31– 4) is an endogenous substance 1 To whom correspondence should be addressed at MD B3-05 NIEHS, Bldg. 101 Alexander Drive, Research Triangle Park, NC 27709. Fax: (919) 541– 4634. E-mail: [email protected]. produced by the mammalian pineal gland and other organs, especially the enterochromaffin cells of the gastrointestinal tract and the retina (Hardeland et al., 1993; Huether, 1993). Endogenous production of melatonin in humans has been estimated as 25–30 mg/day (Peters, 1992), or roughly 0.4 mg/kg/ day in a 70-kg person. Circulating levels of melatonin follow a diurnal pattern, with night-time plasma levels higher than day-time levels even in nocturnal species such as the rat (Edmonds and Stetson, 1995; Reiter, 1991; Ronco and Halberg, 1996; Velàzquez et al., 1992). During pregnancy, the diurnal pattern is maintained (Matsumoto et al., 1991; Velàzquez et al., 1992), but peak plasma levels may vary with stage of pregnancy (Kennaway et al., 1981; Pang et al., 1987). Melatonin is a hydrophobic molecule that readily penetrates biological membranes appearing in tissues or body fluids at concentrations which are the same order of magnitude as those in plasma (Hardeland et al., 1993; Menendez-Pelaez and Reiter, 1993). Rat offspring prior to postnatal day (pnd) 10 do not have the pineal enzymes to synthesize melatonin (Reppert and Klein, 1978). However, melatonin crosses the placenta and can be transferred in maternal milk (McMillen and Nowak, 1988; Reppert et al., 1979; Reppert and Klein, 1978). These and other studies suggest that the dam serves as a natural source of melatonin for rat offspring during gestation and early lactation. Furthermore, melatonin mediates maternal-fetal transfer of information related to circadian phase and photoperiod (Williams et al., 1991; Velàzquez et al., 1992). Exogenously administered melatonin influences reproduction in laboratory rodents and other animals, particularly species which are seasonal breeders (Asher et al., 1994; Peters, 1992; Rivest et al., 1986). Notable effects of exogenous melatonin in adult female rats include disruption of normal estrous cycles and reduced fertility, apparently due to suppression of luteinizing hormone (LH) releasing hormone and, hence, suppression of ovulation (Rivest, 1987; Vaughan et al., 1976; Ying and Greep, 1973; Walker et al., 1982). The ability of exogenous melatonin to block the pre-ovulatory LH surge in mammals has resulted in its 271 272 JAHNKE ET AL. evaluation as an oral contraceptive in women (McElhinny et al., 1996; Silman, 1993). In immature female Wistar rats, melatonin (100 mg /day, sc) delays sexual maturation, and this effect is dependent upon the time of day for dosing, being most sensitive 9 –11 h after light onset (Rivest et al., 1985). Immature male rats treated with melatonin (100 mg/day, sc) for 15–20 days exhibited abnormal progression of spermatogenesis, decreased ability of Leydig cells to produce testosterone, decreased number of human chorionic gonadotropin binding sites, and decreased serum LH at the end of the juvenile period (Olivares et al., 1989). Male rats appear to be most sensitive to effects on sexual maturation when melatonin is administered in the afternoon, between 20 – 40 days of age, and these effects appear to be reversible (Lang et al., 1984). Investigators evaluating the effects of exogenous melatonin on sexual maturation have suggested that this compound may play an intrinsic role in the timing of puberty in mammals (Lang et al., 1984; Rivest et al., 1986). In pregnant Balb-c mice, exogenous melatonin did not have adverse effects when administered daily throughout gestation (200 mg /day, ip, equivalent to 5.7 mg/kg/day in a 35-g mouse), 3 h before the end of the light period (San Martin et al., 1995). The authors reported no significant differences in dam body weight or total numbers of fetuses, live fetuses, or abortions through gd 18 (San Martin et al., 1995). However, mammary gland development, measured according to DNA content and concentration, was significantly inhibited. Subcutaneous implants containing melatonin also inhibited mammary development during pregnancy in the red deer, a short day-seasonal breeder (Asher et al., 1994). Because melatonin is produced endogenously and also occurs naturally in some foods, it can be sold as a dietary supplement in the U.S. under the Dietary Supplement Health and Education Act of 1994, without pre-market approval from the FDA. Developmental and reproductive toxicity studies under current regulatory guidelines were not found in the published literature. Therefore, the current developmental toxicity studies were undertaken due to the widespread use of melatonin by the general population as a nonprescription sleep aid. In addition, the proposed use of melatonin as an antioxidant/anticancer agent, contraceptive, or antiaging agent can be expected to increase the population exposed to supra-physiological doses. The screening study served as a dose-range finder for the definitive study and also included examination of maternal serum hormones and mammary gland development. MATERIALS AND METHODS Chemistry. The identity of melatonin (CAS No. 73–31– 4) [Triple Crown America, Inc., Perkasie, PA (Lot No. tca6040568)] was confirmed by infrared and proton nuclear magnetic resonance spectroscopy. Purity determinations by gas chromatography with mass-spectroscopy detection or liquid chromatography with ultraviolet detection did not identify any impurities greater than 0.1% of the major peak. The purity was therefore estimated as 100%, consistent with the producer’s certification. Animals and husbandry. Male (breeders) and female CDt rats (caesarean-originated, barrier-sustained, Crl:CDt (SD)BR VAF/ Plust outbred albino rats, Charles River Laboratories, Inc., Raleigh, NC) were used in these studies. Animals were individually identified by eartag. After a 10-day quarantine period, individual breeding pairs were cohabited overnight. The morning on which sperm were found in the vaginal lavage (Hafez, 1970) was designated as gd 0. Confirmed-mated females were assigned to treatment groups by stratified randomization (15/group in the screening study or 25/group in the definitive study), so that mean body weight on gd 0 did not differ among treatment groups in either study. Maternal body weights, for confirmed pregnant females used in these studies, ranged from 220 to 275 g on gd 0. Confirmed-mated females were individually housed in solid-bottom polycarbonate cages with stainless steel wire lids (Laboratory Products, Rochelle Park, NJ) and certified hardwood cage litter (Sani-Chipt, P.J. Murphy, Montville, NJ). Certified rodent feed (Purina Certified Rodent Chowt, #5002; PMI, St. Louis, MO) and tap water were available ad libitum throughout both studies. Environmental conditions were monitored and controlled by computer (Barber-Colman Network 8000 System, Barber-Colman Co., Loves Park, IL). Light cycles were maintained on 12:12 light:dark. Temperature and relative humidity ranged from 21.6 –24.6°C, and 46.2– 65.2% in the screening study and from 21.6 –23.7°C and 48.8 –59.2% in the definitive study. Treatment. On the afternoons of gd 6 through 19, time-mated rats were administered melatonin in 0.5% aqueous methylcellulose. Previous melatonin studies have shown that afternoon dosing resulted in optimal alteration of reproductive/endocrine endpoints (Lang et al., 1984; Rivest et al., 1985). Dose groups were 0, 1, 10, 100, 150, or 200 mg/kg/day, po, in the screening study and 0, 50, 100, or 200 mg/kg/day, po, in the definitive study. Administered volume (5 ml/kg) was based upon body weight taken prior to daily dosing. Dose formulations were prepared twice for each study (set 1 and set 2) and were stored under refrigeration and used within the period of proven stability (21 days). Aliquots were submitted for verification of melatonin concentration by high performance, liquid chromatography (HPLC). In the screening study, pre-dose aliquots were within 98.2–107% of their nominal concentrations, and post-dose aliquots were within 94.8 –107% of nominal, except for one postdose sample from the lowest dose group, which was reported as 65.8% of nominal concentration. In the definitive study, pre-dose aliquots were within 96.2–109.2% of their nominal concentrations, and post-dose aliquots were within 93.3–105.4% of nominal, except for the highest concentration of set 1 (65.4%) and the lowest concentration of set 2 (115.8%). Maternal evaluations. In the screening study and definitive study, body weight (g) of confirmed-mated females was recorded on the mornings of gd 0 and 20, on the afternoons of gd 6 through 19, and immediately following sacrifice on gd 20. Females were observed for clinical condition at least once/day on gd 0 to 5 (prior to dosing). From gd 6 through 19, females were observed for clinical condition and signs of pharmacological activity or toxicity at daily dosing, and generally at 30 – 60 min thereafter. On gd 20, females were observed for clinical condition at weighing and again at scheduled termination. Feed and water consumption was monitored during both studies, with measurements on the mornings of gd 0 and 20 and on the afternoons of gd 6, 9, 12, 15, 18, and 19. On gd 20, time-mated females were sacrificed by CO 2 asphyxiation. The body, liver, and gravid uterus of each time-mated female were weighed. Thoracic and abdominal cavities were examined. Ovarian corpora lutea were counted. Pregnancy status was confirmed by uterine examination. Uterine contents were examined to determine the number of implantation sites, resorptions, dead fetuses, and live fetuses. Dead fetuses were counted, weighed, and discarded. Uteri which presented no visible implantation sites were stained with ammonium sulfide (10%) in order to visualize any implantation sites which might have undergone very early resorption (Salewski, 1964). In the screening study only, the left fourth mammary gland was removed and fixed in 10% neutral buffered formalin, and embedded in paraffin. Tissue sections at the level of the mammary lymph node were stained with hemotoxylin and eosin. Similar areas (2 3 3 mm) taken near the lymph node were evaluated for percentage of fat-pad area occupied by glandular structure 273 DEVELOPMENTAL EVALUATION OF MELATONIN (image analysis performed on a Macintosh computer using the public domain NIH Image program (http://rsb.info.nih.gov/nih-image/). Immediately after termination, blood was collected from the abdominal vena cava by syringe and transferred to serum separation tubes (Vacuutainert). Samples were then centrifuged at 4°C. Serum from each dam was aliquoted into snap-top cryovials and frozen at approximately –20°C. Serum estradiol, progesterone (Double Antibody Estradiol and Coat-A-Count Progesterone radioimmunoassay kits, respectively, Diagnostic Products Corp., Los Angeles, CA), prolactin, and LH (Amersham Life Science, Arlington Heights, IL) concentrations were determined by 125I radioimmunoassay techniques. Serum hormones were measured using a double-antibody procedure, except that a solid-phase assay was employed for progesterone. All assays for serum hormone analyses were completed on sera, which had been only thawed once. Embryo/fetal evaluations, screening study. On gd 20, fetuses were dissected from the uterus and counted. All live fetuses were weighed, sexed (externally), and examined for external morphological abnormalities, including cleft palate. These fetuses were placed on a moist paper towel over ice prior to decapitation (Blair, 1971; Lumb and Jones, 1973). Thus, fetuses were terminated by decapitation under hypothermic anesthesia (Tyl and Marr, 1997). Embryo/fetal evaluations, definitive study. Live fetuses were dissected from the uterus and immediately placed on a moist paper towel over a tray of ice, a procedure which induces anesthesia by lowering the core body temperature below 25°C All live fetuses were counted, weighed, and examined for external morphological abnormalities, including cleft palate. Approximately 50% of the fetuses were terminated by decapitation and the remaining ones by evisceration. Approximately 50% of the fetal carcasses were sexed and examined for visceral morphological abnormalities using a fresh-tissue dissection method (Staples, 1974; Stuckhardt and Poppe, 1984). The same fetal carcasses were decapitated prior to dissection. Fetal heads were fixed and decalcified in Bouin’s solution and subsequently examined using a free-hand sectioning technique (Wilson, 1965). All fetal carcasses were eviscerated (and sex determined for those not scheduled for a full visceral morphological examination), and the skeletons were macerated and stained with alcian blue/alizarin red-S stain (Marr et al., 1988). Intact fetal skeletons (i.e., those fetuses that were not decapitated) were examined for skeletal morphological abnormalities. Statistics. The unit for statistical measurement was the pregnant female or the litter. For each statistical comparison, the alpha level was 0.05, and the significance was reported as p . 0.05 (not significant), p , 0.05, or p , 0.01. Statistics, screening study. Nonparametric tests applied to continuous variables included the Kruskal-Wallis one-way analysis of variance by ranks for among-group differences and, if significant (p , 0.05), the Mann-Whitney U test for pairwise comparisons to the vehicle control group (Siegel, 1956; Winer, 1962). A one-tailed Mann-Whitney U test was used for all parameters, except that maternal and fetal body weight parameters, and maternal feed and water consumption, were examined in a two-tailed test (Siegel, 1956). Jonckheere’s test for k independent samples (Jonckheere, 1954) was used to identify significant dose-response trends. Nominal scale measures were analyzed by a Chi-square test for independence for differences among treatment groups (Snedecor and Cochran, 1967), and by the Cochran-Armitage test for linear trend on proportions (Agresti, 1990; Armitage, 1955; Cochran, 1954). When Chi-square revealed significant (p , 0.05) differences among groups, a one-tailed Fisher’s Exact probability test, with appropriate adjustments for multiple comparisons, was used for pairwise comparisons between each treatment group and the control group. Statistics, definitive study. Quantitative, continuous data (e.g., maternal body weights, fetal body weights, feed consumption, etc.) were compared among treatment groups by parametric statistical tests whenever Bartlett’s test for homogeneity of variance was not significant. When Bartlett’s test indicated a lack of homogeneity (p , 0.001), nonparametric statistical tests were applied (Winer, 1962). A one-tailed test (i.e., Dunnett’s Test) was used for serum hormone and mammary gland-area pairwise comparisons. Parametric statistical procedures were applied to selected measures from this developmental toxicity study. General Linear Models (GLM) procedures (SASt Institute, Inc., Cary, NC) were applied to the Analyses of Variance (ANOVA) and the Tests for Linear Trend. Prior to GLM analysis, an arcsinesquare root transformation was performed on all litter-derived percentage data (Snedecor and Cochran, 1967). For litter-derived percentage data, the ANOVA was weighted according to litter size. When a significant (p , 0.05) main effect for dose occurred, Dunnett’s Multiple Comparison Test (Dunnett, 1955; 1964) was used to compare each treatment group to the control group for that measure. A one-tailed test (i.e., Dunnett’s test) was used for all pairwise comparisons to the vehicle control group, except that a two-tailed test was used for maternal body and organ weight parameters, maternal feed and water consumption, fetal body weight, and percent males per litter. Nonparametric tests, applied to continuous and nominal scale variables, were the same as those described for the screening study. RESULTS Screening Study Confirmed pregnancy rates were high (93–100%) for all groups. No maternal deaths occurred in this study, and the primary treatment-related clinical sign was “rooting” behavior, which showed an increased incidence at $100 mg/kg/day. Maternal food and water intake showed no consistent doserelated effects for the treatment period as a whole (data not shown). Prior to treatment (gd 0 – 6), maternal body weight and weight gain did not differ among groups. Mean maternal body weight at the high dose was never below 94% of the mean control weight. Body weight gain during treatment (gd 6 to 20) and during gestation (gd 0 to 20) as well as corrected gain (weight gain during gestation minus gravid uterine weight) each showed a significant decreasing trend across treatment groups. Weight gains during the treatment period and gestational weight gains were each significantly reduced in the 150and 200-mg/kg/day groups, while corrected weight gain was significantly reduced only at 200 mg/kg/day. No treatmentrelated effects were noted for gravid uterine weight or maternal liver weight (absolute or relative, data not shown). Area of the mammary glandular tissue and serum hormone concentrations of 17b-estradiol, progesterone, prolactin, and LH on gd 20 showed no treatment-related effect (Table 1). There were no significant treatment-related effects on prenatal growth, viability, or external morphology. Average live litter size in melatonin-treated groups was 94 –102% of the control mean, and average fetal body weight in melatonin-treated groups was 97–101% of the control mean (data not shown). Definitive Study Maternal. Twenty-five time-mated female rats were assigned to each treatment group in this study, and pregnancy was confirmed in all of these females (Table 2). Clinical signs associated with melatonin exposure were minimal and no maternal deaths occurred in this study (Table 2). Rooting in the cage bedding after dosing indicated an aversion to the taste, odor, or other sensory properties of the dose 274 JAHNKE ET AL. TABLE 1 Glandular Area in the Mammary Fat Pad and Serum Hormone Concentrations of Term Pregnant Rats after Melatonin Dosage on GD 6 –19 Melatonin (mg/kg/day, po) Mammary gland area (%) 17b-Estradiol (pg/ml) Luteinizing hormone (ng/ml) Prolactin (ng/ml) Progesterone (ng/ml) 0 1 10 100 150 200 59.5 6 2.7 9.5 6 1.1 1.8 6 0.2 30.7 6 5.0 35.0 6 3.8 59.5 6 2.6 13.5 6 2.5 1.8 6 0.1 27.2 6 4.4 29.8 6 3.0 57.5 6 2.5 11.1 6 1.9 1.8 6 0.1 43.0 6 11.5 32.9 6 3.3 58.7 6 3.7 14.8 6 2.7 1.7 6 0.1 24.2 6 4.6 31.8 6 2.4 52.9 6 1.8 14.2 6 3.5 1.8 6 0.1 16.6 6 2.6 26.5 6 5.1 60.0 6 2.1 9.1 6 1.8 1.8 6 0.1 37.1 6 5.9 28.2 6 3.6 Note. There were no statistically significant (p , 0.05) differences between the dosed groups and the control for any of these variables (Dunnett’s test). Reported as the mean 6 SEM (N, 15 animals per group). Mammary glandular area in the fat pad of age-matched non-pregnant rats is ;26%. formulation. On individual treatment days, rooting behavior frequently showed a dose-related increase of incidence across the 50-, 100-, and 200-mg/kg/day groups, but was never observed in the control group (data not shown). The peak incidence occurred on gd 15, when rooting was observed in 0, 16, 96, and 100% of the females from the control through highdose groups, respectively. Maternal body weight did not differ among groups at any time during the study, but weight gain was significantly decreased in the high-dose group during the first 3 days of treatment (gd 6 to 9). This effect was less pronounced between gd 9 and 12 (significant trend test only), and was not evident during subsequent measurement periods (data not shown). Maternal weight gain during treatment (gd 6 to 20), during gestation (gd 0 to 20), and corrected weight gain did not differ among groups (Table 2). Prior to the initiation of treatment, relative maternal food intake (g/kg/day) did not differ among groups. Between gd 6 and 12, maternal food intake was significantly decreased at the high dose (Fig. 1). In contrast, the low-dose group (gd 12 to 18) and the mid-dose group (gd 15 to 18) exhibited significantly greater food intake than controls, as did the low-dose group for the treatment period as a whole (Fig. 1). Maternal water intake was equivalent among groups prior to TABLE 2 Maternal Toxicity in CDt Rats Exposed to Melatonin on Gestational Days 6 through 19 Melatonin (mg/kg/day) Maternal pregnancy status No. treated No. (%) pregnant at sacrifice Maternal body height (g) a Gd 0 b Gd 20 at sacrifice Maternal body weight changes (g) a,b Gestation wt gain (gd 0 to 20) Treatment wt gain (gd 6 to 20) Corrected wt gain c Gravid uterine wt Maternal organ weights a Liver: Absolute (g) Liver: Relative (% body wt) d 0 50 100 200 25 25 (100) 25 25 (100) 25 25 (100) 25 25 (100) 253.2 6 2.4 380.6 6 4.8 251.8 6 2.3 380.9 6 3.8 251.0 6 2.3 379.5 6 3.7 249.4 6 2.8 375.2 6 3.8 127.4 6 3.6 112.5 6 2.8 42.89 6 2.65 84.54 6 1.99 129.0 6 2.8 112.9 6 2.5 45.40 6 2.58 83.63 6 2.26 128.5 6 2.6 113.1 6 2.6 41.65 6 2.17 86.82 6 2.10 125.8 6 2.9 107.1 6 2.7 42.27 6 2.85 83.51 6 1.82 15.66 6 0.36 4.11 6 0.08‡ 16.57 6 0.24 4.35 6 0.06* 16.23 6 0.24 4.28 6 0.06 16.55 6 0.29 4.41 6 0.06** Includes all dams pregnant at sacrifice; mean 6 SEM; gd, gestational day. Body weights were recorded in the morning of each designated gestational day. c Weight change during gestation minus gravid uterine weight. d Calculated using body weight at the time of sacrifice on gd 20. ‡p , 0.01; test for linear trend. *p , 0.05; Dunnett’s test. **p , 0.01; Dunnett’s test. a b 275 DEVELOPMENTAL EVALUATION OF MELATONIN FIG. 1. Maternal gestational feed intake. Melatonin significantly decreased maternal feed intake for gd 6 to 9 and gd 9 to 12 at 200 mg/kg/day, and significantly increased maternal feed intake for gd 12 to 15 at 50 mg/kg/day and for gd 15 to 18 at 50 and 100 mg/kg/day. Data are presented as mean 6 SEM for 24 –25 pregnant dams per group. *p , 0.05 vs. the control group. the initiation of treatment and throughout the treatment period (data not shown). Absolute maternal liver weight did not differ among groups on gd 20, but relative liver weight (% body weight) was increased in the low- and high-dose groups (Table 2). The absence of a clear dose-response pattern suggests that this apparent effect on relative liver weight may have been a spurious result. Gravid uterine weight was equivalent among groups (Table 2). At termination, a limited number of gross findings primarily relating to the urinary tract were reported for dams assigned to this study (data not shown). Histopathology was not elected for these maternal tissues, since individual findings failed to exhibit a dose-related incidence and were probably not related to melatonin exposure. Furthermore, urinary tract anomalies are common in this species and strain (Chandra and Frith, 1993/ 1994; Humes et al., 1980; Van Winkle et al., 1988), and the observed incidence may be affected by altered urodynamics during pregnancy (Hsia and Shortliffe, 1995). Developmental. Melatonin did not affect any of the endpoints related to embryo/fetal growth, viability, or morphological development (Tables 3 and 4). Average live-litter size in melatonin-treated groups was between 98 –103% of the control mean, and average fetal body weight per litter in melatonintreated groups was 100 –101% of the control mean (Table 3). Likewise, the incidences of prenatal mortality (resorptions and/or late fetal deaths), as well as fetal morphological anomalies (malformations or variations), were statistically equivalent among groups (Table 3). DISCUSSION Melatonin has been reported to influence the rate of reproductive maturation in rodents and may play an intrinsic role in the timing of puberty in mammals. Furthermore, melatonin has been reported to alter endocrine and reproductive status in mature mammals and appears to act as an intrinsic modifier of reproductive patterns in species sensitive to changes in photoperiod (Lang et al., 1984) The ability of exogenous melatonin TABLE 3 Developmental Toxicity in CDt Rat Fetuses following Maternal Exposure to Melatonin on GD 6 through 19 Melatonin (mg/kg/day) Number of litters a No. corpora lutea/dam No. implantation sites/dam % preimplantation loss/litter % resorptions/litter % litters with resorptions No. live fetuses/litter c Avg. male fetal body wt/litter (g) Avg. female fetal body wt/litter (g) % male fetuses/litter % externally malformed fetuses/litter d % viscerally malformed fetuses/litter % skeletally malformed fetuses/litter % malformed fetuses/litter d a 0 50 100 200 25 16.08 6 0.40 b 15.52 6 0.40 3.58 6 1.25 3.83 6 0.98 48 14.92 6 0.41 3.58 6 0.05 3.43 6 0.05 48.01 6 2.08 0.46 6 0.32 0.80 6 0.08 0 0.88 6 0.67 25 16.44 6 0.42 15.20 6 0.37 7.48 6 2.03 4.17 6 0.93 56 14.60 6 0.41 3.62 6 6 0.06 3.45 6 0.06 48.97 6 2.16 0 0.50 6 0.50 0.67 6 0.67 0.57 6 0.40 25 16.72 6 0.44 15.88 6 0.31 4.73 6 1.26 3.61 6 0.98 44 15.32 6 0.36 3.61 6 0.05 3.46 6 0.05 49.56 6 2.40 0 0.50 6 0.50 0 0.25 6 0.25 25 16.56 6 0.24 15.60 6 0.28 5.78 6 1.12 5.00 6 1.45 52 14.80 6 0.32 3.60 6 0.05 3.39 6 0.05 49.32 6 3.22 0 1.44 6 0.80 0 0.74 6 0.41 Includes all dams pregnant at sacrifice; litter size, no. implantation sites per dam. Reported as the mean 6 SEM. c Every litter contained one or more live fetuses. d Fetuses with one or more malformations. b 276 JAHNKE ET AL. TABLE 4 Morphological Abnormalities in CD Rat Fetuses: Listing by Defect Type Melatonin (mg/kg/day, po) External Malformations a No. fetuses (no. litters) examined b No. fetuses (no. litters) with external malformations c % fetuses (% litters) with external malformations d Anal atresia Short thread-like tail Short thread-like tail with bulbous tip Visceral Malformations No. fetuses (no. litters) examined b No. fetuses (no. litters) with visceral malformations c % Fetuses (% litters) with visceral malformations d Hydronephrosis: bilateral, left or right Skeletal Malformations No. fetuses (no. litters) examined b No. fetuses (no. litters) with skeletal salformations c % Fetuses (% litters) with skeletal malformations Thoracic centrum: Bipartite cartilage, bipartite ossification center e External Variations No. fetuses (no. litters) examined b No. fetuses (no. litters) with external variations c % Fetuses (% litters) with external variations d Visceral Variations No. fetuses (no. litters) examined b No. fetuses (no. litters) with visceral variations c % Fetuses (% litters) with visceral variations d Enlarged lateral ventricle: bilateral, left, right Distended ureter: bilateral, left or right Skeletal Variations No. fetuses (no. litters) examined b No. fetuses (no. litters) with skeletal variations c % Fetuses (% litters) with skeletal variations d Misaligned sternebrae Rudimentary rib, lumbar I: bilateral, left, or right Short rib: XIII Thoracic centrum: Normal cartilage, bipartite ossification center Dumbbell cartilage, dumbbell ossification center Dumbbell cartilage, bipartite ossification center 0 50 100 200 373 (25) 2 (2) 0.5 (8) 2 (2) 1 (1) 1 (1) 365 (25) 0 (0) 0 (0) 383 (25) 0 (0) 0 (0) 370 (25) 0 (0) 0 (0) 187 (25) 2 (1) 1 (4) 2 (1) 182 (25) 1 (1) 0.5 (4) 1 (1) 193 (25) 1 (1) 0.5 (4) 1 (1) 185 (25) 3 (3) 2 (12) 3 (3) 186 (25) 0 (0) 0 (0) 183 (25) 1 (1) 0.5 (4) 1 (1) 190 (25) 0 (0) 0 (0) 185 (25) 0 (0) 0 (0) 373 (25) 0 (0) 0 (0) 365 (25) 0 (0) 0 (0) 383 (25) 0 (0) 0 (0) 370 (25) 0 (0) 0 (0) 187 (25) 39 (20) 21 (80) 35 (18) 6 (6) 182 (25) 36 (15) 20 (60) 31 (15) 6 (4) 193 (25) 31 (17) 16 (68) 21 (12) 15 (13) 185 (25) 33 (17) 18 (68) 26 (14) 10 (8) 186 (25) 10 (7) 5 (28) 1 (1) 1 (1) 183 (25) 20 (13) 11 (52) 190 (25) 17 (11) 9 (44) 185 (25) 17 (10) 9 (40) 3 (3) 2 (2) 1 (1) 3 (2) 5 (3) 1 (1) 3 (3) 12 (9) 6 (4) 1 (1) 8 (6) 4 (3) 3 (2) 7 (6) 3 (1) 2 (2) a In listing individual defects, a single fetus may be represented more than once, and data are presented as the number of fetuses (number of litters) exhibiting that defect. b Only live fetuses were examined. The number of litters examined includes all litters with live fetuses. c Number of fetuses (number of litters) with one or more malformations/variations. d % Fetuses (% litters) with one or more malformations/variations. Percentages .1% are rounded to the nearest whole percent. e The centrum (including cartilaginous and ossified areas) was discontinuous across the midline. to block the pre-ovulatory LH surge in mammals has resulted in its evaluation as an oral contraceptive in humans (McElhinny et al., 1996; Silman, 1993). Thus, the endocrine activity of melatonin is widely recognized. Despite these effects on endocrine status and fertility, earlier studies in laboratory rodents and other domestic species suggested that melatonin did not affect prenatal growth, survival, or morphology of the conceptus once pregnancy had been established (Chan and Ng, 1994, 1995; Tigchelaar and Nal- bandov, 1975; Vaughan et al., 1976). The present investigations (NTP, 1997, 1998) extend the dose range evaluated in pregnant animals, and the results are consistent with earlier studies that failed to find adverse effects on prenatal growth, viability, or gross morphological development. Furthermore, these studies are the first to evaluate pregnancy outcome in animals exposed repeatedly during gestation via the most common human route of administration. Prenatally-induced effects on sexual maturation of the off- 277 DEVELOPMENTAL EVALUATION OF MELATONIN spring are suggested by prior research in which gestational exposure to melatonin (;2–2.5 mg/kg/day, sc) resulted in delayed vaginal opening and/or altered LH levels postnatally (Colmenero et al., 1991; Dı́az López et al., 1995; Vaughan et al., 1970). Thus, studies designed to assess reproductive development and fertility in offspring exposed orally to melatonin in utero also appear to be warranted. Melatonin administered during pregnancy inhibits mammary gland development (lobuloalveolization) in the mouse (Sanchez-Barcelo et al., 1990; San Martı́n et al., 1995) and in the red deer (Asher et al., 1994). Melatonin also inhibits development of the mammary gland in organ culture (SanchezBarcelo et al, 1990), suggesting a direct inhibition of growth during lobuloaveolar development. The increase in serum concentrations of estrogen, progesterone, prolactin, and glucocorticoids during pregnancy allows lobuloalveolization of the mammary gland to occur (Dembinski and Shiu, 1987; Ichinose and Nandi, 196; Vonderhaar 1987). In some studies demonstrating inhibition of mammary gland growth (Asher et al., 1994), serum prolactin levels were also inhibited, suggesting that inhibition of mammary gland growth by melatonin may be mediated by lower prolactin levels. In the current study, we found no effect on gd 20 of exogenously administered melatonin on the glandular area of the mammary tissue, nor were there differences in estradiol, progesterone, prolactin, or LH serum concentrations when compared to control values. Lack of an effect of melatonin on LH and FSH levels during pregnancy has been described in Holtzmann rats, although continuation of melatonin exposure suppressed the LH surge after delivery (Tigchelaar and Nalbandov, 1975). Our findings are in apparent disagreement with the previous study of melatonin inhibition of mouse mammary development during pregnancy. Although the mouse and the rat have similar reproductive and mammary developmental patterns, the response of mouse and rat mammary tissue to melatonin may be different. The Balb/c mouse strain used in the experiments that demonstrated inhibition is melatonin-deficient, lacking enzymes necessary for melatonin synthesis (Ebihara et al, 1987, 1986). Perhaps without endogenous melatonin, the biochemistry of the mammary growth factors or the melatonin receptor is perturbed sufficiently by exogenous melatonin to result in a measurable inhibition of growth. A similar argument can be presented for inhibition of mammary gland growth by melatonin in tissue culture. In this study, we used a different exposure period and route of administration to the dams. In the mouse studies and in deer, melatonin was given by a non-oral route throughout the gestational period. Differences in experimental design, including route and duration of exposure, could also account for the lack of effect on mammary gland development in this study. The effect of these variables and the role of the melatonin receptor on mammary growth response are areas for further investigation. In summary, no significant embryo/fetal toxicity was noted in Sprague-Dawley-derived (CDt) rats dosed by gavage with melatonin (0, 50, 100, or 200 mg/kg/day) from gd 6 through 19. Aversion to the dose formulations was noted at all doses, as indicated by rooting in the cage bedding after daily gavage. Mild maternal toxicity was noted at 200 mg/kg/day, based on a transient reduction in body weight gain. Thus, the maternal LOAEL in the definitive developmental toxicology study was 200 mg/kg/day, and the maternal NOAEL was 100 mg/kg/day. The developmental NOAEL in this study was $200 mg/kg/ day. Orally administered melatonin is associated with a wide range of potential human exposures. Recommended doses are reported as 0.2–10 mg for sleep induction, 1–10 mg for jet lag, 0.1–3 mg for anti-aging, 1–5 mg for shift work, or 2–20 mg for immune stimulation (Reiter and Robinson, 1995). Melatonin (75 mg) plus norethisterone (0.3 mg), administered over a 4-month period, resulted in anovulation, and this combination is under clinical evaluation as an estrogen-free oral contraceptive (McElhinny et al., 1996; Reiter and Robinson, 1995; Silman, 1993; Voordouw et al., 1992). Melatonin has also been investigated as a component of cancer chemotherapy (10 mg/ day–50 mg 4 times/day; Conti and Maestroni, 1995; Robinson et al., 1995) or in the management of hyperpigmentation disorders (250 mg, 4 times/day; Nordlund and Lerner, 1977). Thus, the developmental toxicity NOAEL in this developmental toxicology study was ;1,400 –70,000 times the doses recommended for sleep induction; ;187 times the proposed daily oral contraceptive dose; ;69 – 667 times the doses reported in cancer patients; and ;14 times the reported dose in patients with hyperpigmentation disorders. ACKNOWLEDGMENTS The laboratory animal studies were done under NIEHS Contract Number N01-ES-65405 at Research Triangle Institute, Research Triangle Park, NC. The laboratory studies were conducted under FDA-GLP guidelines, with the exception of the determination of mammary gland area and serum hormone levels in the screening study. 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