Language
English
Publication Date
8-24-2025
Journal
bioRxiv
DOI
10.1101/2025.06.24.661395
PMID
40666986
PMCID
PMC12262275
PubMedCentral® Posted Date
8-24-2025
PubMedCentral® Full Text Version
Pre-Print
Abstract
Integrase-strand-transfer inhibitors have transformed HIV therapy, yet the widely prescribed drug dolutegravir (DTG) has been linked to developmental toxicity and its teratogenic mechanism remains uncertain. Here we use zebrafish to dissect DTG toxicity during early vertebrate development. DTG exposure from 2-4 h post-fertilization (hpf) to 24 hpf produced high mortality and abnormal morphology; co-treatment with folic acid or 5-methyltetrahydrofolate partially restored normal morphology, whereas calcium had no effect. Strikingly, supplementation with magnesium (Mg) rescued DTG-exposed embryos almost as effectively as folate, implicating magnesium availability in protection. In competitive binding assays, Mg increased binding of folate to purified folate receptor (FOLR1) by 30% in the presence of DTG. Maternal-zygotic zebrafish
Published Open-Access
yes
Recommended Citation
Cabrera, Robert M; Mohamed, Ahmed; Minowa, Ryoko; et al., "Dolutegravir Developmental Toxicity is Mitigated by Magnesium and Folate in Zebrafish Embryos" (2025). Faculty, Staff and Students Publications. 8062.
https://digitalcommons.library.tmc.edu/baylor_docs/8062