The use of cocaine use has been associated with adverse developmental
effects in humans, and cocaine administration produces developmental t
oxicity in animal models. However, whether the adverse effects produce
d during organogenesis are due directly to the effects of cocaine or i
ts metabolites remains to be established. This study was therefore und
ertaken to compare the morphological effects of cocaine and its metabo
lites, ecgonine, benzoylecgonine (BE) and ecgonine methyl ester (EME)
in whole embryo culture (WEC) using early somite stage ICR mice. Cocai
ne produced a concentration-dependent induction of defects including e
ffects on craniofacial development such as neural tube closure defects
(NTDs). Concentrations of cocaine of 51.4 mu M or more produced dysmo
rphogenesis and 100% of the embryos exhibited NTDs at 441 mu M. EME al
so induced defects at concentrations of 400 mu M or above. Neither ecg
onine nor BE altered embryogenesis at concentrations of 2000 mu M or l
ess. The incidence of cocaine-induced NTDs was dependent on the length
of exposure to cocaine. At 294 mu M, exposures of 3 hr or more were r
equired to alter development when evaluated at the end of a 24-hr cult
ure period. Lower cocaine concentrations required longer exposure peri
ods (6 or 12 hr) to produce dysmorphogenesis. The incidence of NTDs ap
pears to follow the area under the concentration time curve and is not
solely dependent on the peak cocaine concentration in the medium. Exp
osure of conceptuses to a combination of cocaine and EME produced a hi
gh incidence of NTDs. These results suggest that the concentration of
cocaine or EME required to induce NTDs in vitro is higher than the ter
atogenic concentration in vivo. Additionally, the time required for hi
gh concentrations of cocaine to induce NTDs is longer than the serum h
alf-life of cocaine reported in vivo following a single administration
. Thus, NTDs produced by cocaine administration appear not to be due s
olely to the effect of cocaine or its metabolites on the conceptus but
may involve effects on extraembryonic and/or maternal tissues as well
. Published by Elsevier Science Ltd.