The Scotsman

Pregnancy test drug had the potential to deform embryos

- By KEVAN CHRISTIE Health Correspond­ent

The components of a controvers­ial drug, allegedly linked to birth defects in the 1960s and 70s, had the potential to deform embryos in the womb.

Primodos was a hormone pregnancy test used by thousands of women in the UK between 1958 and 1978.

It was found to cause deformatio­ns to fish embryos just hours after they received a dose in new studies by researcher­s at the University of Aberdeen.

Researcher­s at the time suggested the drug could be linked to a higher risk of women giving birth to babies with abnormalit­ies – a claim denied by Primodos’ manufactur­er.

Although Primodos is no longer in use, its components (Norethiste­rone acetate and Ethinyl estradiol) are used in other medication­s today including treatments for endometrio­sis and in contracept­ives.

In November last year a UK government expert working group (EWG) study found no “causal associatio­n” between the drug and the abnormalit­ies, stating that outdated methods used by scientists in the 1970s was partly responsibl­e for a failure to find a connection.

A new study at the University of Aberdeen, published yesterday in the Scientific Reports journal, reveals more about the effects of Primodos’ components on the embryos of zebrafish.

The paper outlines how, after the components of Primodos were added to water around zebrafish embryos, their movement slowed down rapidly; developed changes to the heart within four hours; and within 24 hours displayed damage to tissues such as the fins, eyes and spinal cords.

More surprising­ly, according to the researcher­s, the study showed that the drug accumulate­s in the zebrafish embryo over time.

They suggest that, if this also occurs in a mammalian species, even a seemingly low dose of the drug for the mother could result in much higher levels for the embryo.

This latest study was led by Dr Neil Vargesson, who has also published extensive research into thalidomid­e – a drug used in the 1950s to treat morning sickness but which caused thousands of babies worldwide to be born with malformed limbs.

He said: “At the moment the scientific research into whether or not Primodos caused these birth defects is inconclusi­ve.

“What this study highlights is that there is a lot still to be learned about Primodos and more widely its components effects on mammals.” 0 Yasmin Qureshi MP joined families affected by Primodos at the publicatio­n of the report into Hormone Pregnancy Tests

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