NUTR 337 Lecture Notes - Fetus, Connective Tissue, Spina Bifida

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Dilantin= fetal hydantoin syndrome (calss of anticonvulsive, high n-3 pufa protects)-> 10% risk defect. Thalidomide (not all offsprings affected)= limb and ear abnormalities. Fluoride= spina bifida occulta (seen by xrays and # of functional consequences) 4. infectious diseases (inflammatory response): rubella, cytomegalovirus (cat feces->suggest not to garden), toxoplasmosis. 5. chronic diseases: diabetes, severe overweight -> inflammatory response= free radicals, dec. protection from folic acid supp. 6. social drugs: alcohol (leading cause of mental retardation in canada), cocaine, cigarettes. Organic solvents, heavy metals, pesticides, pcbs (cognitive dev. , high in large seafoods) Diethlstilbesterol= uterine and cervical defects in 22-53% cases. Vitamin a (don t need much to overdose-> watch multivitamins) Dextromethorphan (cough medication)= cns abnormalities risk of defect. Zinc (alcohol, enviro, cigarettes, diet, infections)-> metallothionine (stress protein)- > acts as antioxidant (protective) and inc. with alcohol, infections, etc. ; binds with trace metals like cadmium in cigarettes but also essential metals like zinc= less to enter blood of fetus to nourish it.

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