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Thalidomide as a
teratogen appears to be highly species-specific. According to a review by Rogers and
Kavlock (1996), the drug has been tested for prenatal toxicity in at least 19 laboratory
species. These studies showed that limb malformations and increased resorption could be
induced only in less commonly used rodent laboratory animals. Teratogenic effects similar
to those observed in the human fetus have been reported for several rabbit strains, but at
a much lower incidence rate. The monkey had been shown to be the most sensitive test
species for thalidomide. Even in these nonhuman primates, the thalidomide effects can be
induced typically only within the short time frame of 10 days to 2 weeks. The animal
studies conducted for the teratogenic effects of thalidomide are critical not only for
elucidating the mechanism of the drug’s teratogenicity. They are also important in that
certain teratogenic effects were proven to be highly time- and species-specific. The exact
details of such a mechanism of action should be elucidated because certain teratogenic
effects could also be specific to a certain chemical structure involved. To this day, the
functional relationship between thalidomide’s chemical structure and its teratogenic
action remains largely unknown. Some progress has been made, however, after more than 30
years later since the epidemic. According to Neubert et al. (1999), pronounced
changes in the expression of surface adhesion receptors were observed during the embryonic
differentiation and migration processes in primates dosed with thalidomide. |