EPA-650/1-73-001
September 1974
Environmental  Health Effects Research  Series
                                                                    !'X'!'-S8W



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Research reports of the Office of Research and Development, Environmental Protection
Agency, have been grouped into five series.  These five broad categories were estab-
lished to facilitate further development and application of environmental technology.
Elimination of traditional grouping was consciously planned to foster technology trans-
fer and  a maximum interface in related fields.  The five  series are:

          1.  Environmental Health Effects Research
          2.  Environmental Protection Technology
          3.  Ecological Research
          4.  Environmental Monitoring
          5.  Socioeconomic Environmental Studies

This report has been assigned to the ENVIRONMENTAL HEALTH EFFECTS RESEARCH
series.  This series describes projects and studies relating to the tolerances of man for
unhealthful substances or conditions.  This work is generally assessed from a medical
viewpoint, including physiological or psychological studies.  In addition to toxicology
and other medical specialities,  study areas include biomedical instrumentation and
health research techniques utilizing animals -  but always with intended application to
human health measures.
Copies of this report are available free of-charge to Federal employees, current con-
tractors and grantees, and nonprofit organizations - as  supplies permit - from the Air
Pollution Technical Information Center, Environmental Protection Agency, Research
Triangle Park, North Carolina 27711; or,  for a fee, from the National Technical Infor-
mation Service, Springfield, Virginia 22151.

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                                     EPA-650/1-73-001
      TRAINING  MANUAL
                 FOR
           TERATOLOGY
                    by

         K.D. Courtney and N. Chernoff

Pesticides and Toxic Substances Effects Laboratory
     National Environmental Research Center
   Research Triangle Park, North Carolina 27711
          Prepared at the request of
   National Center for Toxicological Research
             Jefferson, Arkansas
       OFFICE OF RESEARCH AND DEVELOPMENT
     NATIONAL ENVIRONMENTAL RESEARCH CENTER
      U.S. ENVIRONMENTAL PROTECTION AGENCY
       RESEARCH TRIANGLE PARK, N.C. 27711

                September 1974

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This report has been reviewed by the Office of Research and Development,  EPA,  and
approved for publication.  Approval does not signify that the contents necessarily
reflect the views and policies of the Agency, nor does mention of trade names  or
commercial products constitute endorsement or recommendation for use.
                           Publication No.  EPA-650/1-73-001
                                          11

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                                     CONTENTS

                                                                               Page
ABSTRACT	   v
INTRODUCTION		   1
BASIC TECHNIQUES	   2
     Experimental Animals	   2
          Strains of Mice  	   2
          Handling of Mice	   2
          Techniques of Compound Administration	   2
          Safety Procedures.  	   3
          Caging 	   3
          Coding by Ear Punch	   3
          Condition of Colony	   3
     Compound Preparation	   4
          Solutions	   4
          Suspensions	   5
          Color Coding of Solutions  and Mice  	   5
          Dosage Calculations	   5
          Calculations for Making  a  Solution  .	   6
          Practice Problems	   7
     Fetal Fixation and Staining	   7
          Fetal Fixation.	   7
          Alizarin Staining	   7
EXPERIMENT DESIGN	   9
     Maternal Data	   9
          Experiment Schedule	   9
          Protocol Sheet A -  Before  Sacrifice.	10
          Protocol Sheet A -  Day  of  Sacrifice	12
     Fetal Data	13
          Examination of Fetuses  by  Necropsy	13
          Examination of Alizarin-Stained Fetuses  	  13
          Protocol Sheet B	  14
          Glossary of Malformations	  .  14
 SAMPLE EXPERIMENT:   VITAMIN A	19
     Experiment Design  	  19
                                         111

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                                    ABSTRACT
        This report is an introduction to the basic techniques  involved  in  tera-
tology testing.  General topics covered include the handling of animals, compound
preparation and administration, dosage calculations, and coding techniques.  Tera-
tology techniques include fetal fixation, alizarin staining, and the  examination
of fixed and stained fetuses for soft tissue and skeletal anomalies.   Suitable
protocol sheets covering data obtained before sacrifice, after  sacrifice, and  from
subsequent fetal examinations are included.   A glossary of the  most common  malfor-
mations and their description is present. The outlines of a teratology  experiment
with Vitamin A is included as a suggested training exercise. This experiment and
the techniques described in the manual may be used to train laboratory personnel
in the techniques and designs of teratology"experiments.

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                            TRAINING  MANUAL
                                       FOR
                                 TERATOLOGY
                                 INTRODUCTION
     Teratology is the study of birth defects.  It is derived from the  Greek word
"teratos," which means monster, and indeed in ancient times children with birth
defects were considered monsters and evil omens.   It is now known that  birth defects
can occur any  time there is interference with, or malfunctioning of, the normal
processes of development.  The causes of birth defects are as varied as the types of
defects themselves.  Genetic factors, maternal disease, too much or too little of
vital nutrients, radiation, oxygen deprivation, or the presence of foreign chemicals
may all contribute to the formation of birth defects.  The defects can  be external
such as shortened limbs or cleft lip, or internal such as heart or kidney malfor-
mations.  Cellular defects may also occur and can make their presence known by mal-
functioning organs or mental retardation.
     From day  to day, human beings come in contact with large numbers of diverse chem-
icals, including food additives, drugs, and other natural and synthetic compounds pre-
sent in the environment.  There is great need for the proper testing of these sub-
stances to determine their ability to cause birth defects since seemingly  innocuous
drugs (e.g., thalidomide) and environmental contaminants  (e.g., methylmercury) are
known to have  caused serious malformations.

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                                BASIC TECHNIQUES
EXPERIMENTAL ANIMALS
Strains of Mice
     Mice are classified according to strains.  An inbred strain is homogeneous for a
number of specific genes while a random-bred strain js genetically heterogeneous.   The
studies described here utilize the random-bred, all purpose, white laboratory mouse.

Handling of Mice
     The description below is for right-handed people; left-handed people should re-
verse the procedure.
     To handle mice properly, the worker should always he firm but gentle and  never
frighten the animals.  A mouse may be picked up by the tail but should not be  sus-
pended in this position for too long.  For transportation across short distances
(e.g., from cage to scale) it is best to place the animal on your left forearm while
maintaining your hold on the tail with your right hand.
     For administration of a compound to the mouse by any route, a firm grasp  is need-
ed to prevent the animal from either escaping or nipping.  This is achieved by hold-
ing the mouse by the tail and placing it on a cage top or other rough surface  that  it
can grab.  One then attempts to have the mouse extend its body by cither allowing it
to pull away from one while holding the tail or by gently pulling the mouse backwards
after it has grabbed the cage top.   Once the mouse has extended its body, all  the skin
at the nape of the neck should be firmly grasped with the thumb and index finger of
the left hand so that the animal's forelimbs are immobilized.   Care must be taken not
to choke the mouse.  The tail should then be placed between the ring finger and little
finger of your left hand.  The right hand is now free to handle a syringe.

Techniques of Compound Administration
     Compounds are administered by oral intubation or by subcutaneous injections.   l:or
oral intubation, a feeding needle is used on the syringe.  An 18-gauge needle  with  a
blunt end or a needle with an 18-guuge ball tip works well.  These needles should he
approximately 2 inches long.  The intubation needle is put into the most posterior
portion of the oral cavity, causing the mouse to swallow.  When the mouse swallows,
the needle is guided down the esophagus and into the stomach.   The proper volume of
vehicle, the substance in which the compound is dissolved or suspended to facilitate
administration, is expelled from the syringe, and the needle gently withdrawn.

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     When the compound is to be injected subcutaneously, a hypodermic needle is used
on the syringe.  A needle of 25 gauge and 1 inch  length works well. The mouse is
grasped and held in the same manner described above.  The needle is inserted into
the skin at the nape of the neck, which is held between the thumb and index finger.
The needle should always enter the skin at an angle of 45 degrees or less.  It should
be inserted at least 0.5 inch to minimize leaking upon withdrawal.  The needle should
be withdrawn at precisely the same angle to prevent tearing of the skin.
Safety Procedures
     A strong point must be made concerning safety procedures.  It must be remembered
that many compounds are being studied for their teratogenic potential because so little
is known about them.  Thus, at all times, rubber gloves are worn when one is working
with test compounds or animals.  Volatile compounds or solvents are to be used in the
hood.  It may even be necessary to administer a volatile compound in a hood.  All
pipetting is done by mechanical devices, not by mouth.  All intubation needles are
to be rinsed with acetone after they are washed.  This step is important since most
of the compounds are not soluble in water.  'Fhe washing procedure will mechanically
remove any suspensions, and a rinse with acetone will ensure that any residual will
be washed away and the needle will be dry.  Because hypodermic needles will be dis-
posable, they will not require this attention.
Caging
     Pregnant mice are caged at a density of no more than six and no less than two
mice per cage, with each cage numbered sequentially.  The mice within the cage are
identified individually by coding 1 through 6, applied with an ear punch.  The mouse
number is the cage number followed by the ear punch code number; e.g., the mouse in
cage 12 with the ear code 5 is mouse number 12-5.
Coding by Ear Punch
     Individual mice within a single cage are identified by ear coding.  To ear code,
one should first hold the mouse firmly in the left hand as described for compound
administration.  With the ear punch in the right hand., a swift, sure movement will
produce a small hole in the ear.  The placement of the hole will determine the mouse
ear code number, as depicted in the scheme  in Figure 1.
Condition of Colony
     It must be remembered at all times  that your experiment is only as good as the
animals you use.  Clean cages are necessary to minimize outbreaks of diseases or ill-
ness that can  spread throughout the whole colony.  Also, food and water should be
available for  the mice at all times.   If an animal has been without food, water, or
both,  it should be  immediately noted  in  the records.  This notation is  extremely im-
portant since  it has been shown  that mice deprived  of food produce malformed  Fetuses.

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           MOUSE NUMBER 1
MOUSE NUMBER 2
MOUSE NUMBER 3
           MOUSE NUMBER 4               MOUSE NUMBER 5               MOUSE NUMBER 6
                   Figure 1.  Scheme for determining mouse ear code number.

COMPOUND PREPARATION
      Upon arrival in the laboratory, all compounds are logged by sequential number in
 a book indicating the date of arrival, source, batch number, purity, storage, and
 any other pertinent information.  This log number is marked on the container of the
 compound.
 Solutions
     Either solutions or suspensions may be used  for  oral  administration; only  solu-
tions are used for subcutaneous  administration.   When a solution  is  used, all of  the
compound must be dissolved, and  the solution well mixed.   If the  compound is  stable
in the solution, one solution may be made  for  the entire experiment.   If there  is any
chance of decomposition of the compound in the solution, then  a new solution must be
made daily.  A solution should always  be stored in  the dark to prevent photoclecompo-
sition.  Storage in the cold is  also recommended.   If a solution  is  stored  in the
refrigerator or freezer, it should be  allowed  to  warm up to room  temperature before
being administered to an animal.  Extreme  caution should be used  if heat is applied
to these solutions since they could decompose.

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     When a solution is to be injected, the pH should be within the biological range
of pH 6.0 to 8.0 in order to prevent discomfort and'stress to the mouse, as well as
lesions and fibrotic areas.  Solvents that may be injected are water, saline, buffers,
and dimethylsulfoxide (DMSO).  Corn oil, organic solvents, and suspending media are
not compatible with tissue fluids and, therefore, should be intubated into the stomach.
Suspensions
     In order to make a suspension that will stay suspended long enough to enable the
syringe to be filled and the mice to be treated, one probably needs to grind the com-
pound to a small particulate size.  The smaller the size of the particle, the longer
it stays in suspension.  An ordinary mortar and pestle is adequate for most compounds.
Occasionally a motor-driven pestle is necessary.  The suspending agent may be water
or saline, but usually a more viscous substance, such as corn oil, honey, sugar
solutions, or carboxymethylcellulose, is used.
     Suspensions must be made daily.  This can easily be achieved by weighing the
daily supply of compound in as many vials as are needed for the experiment.  The
vials are then stoppered, labeled, and stored appropriately.  Each morning, sufficient
suspending agent is added to a vial, and the suspension thoroughly mixed.  It is
necessary to make daily suspensions in order to minimize the error in dosage created
by improper sampling of suspensions.
     When suspensions ai-e used, it is recommended that the syringe be filled directly
from the vial and then the needle be placed on the syringe.  In this way, it is easier
to remove air bubbles from the syringe.
Color Coding of Solutions and Mice
     Each solution or suspension is labeled with colored tape.  The cage containing
the mice that receive that solution or suspension is also labeled with the same col-
ored tape, thus minimizing the need for written labels as well as minimizing errors.
Dosage Calculations
     The dose is always expressed in terms of kilograms  (kg) of mouse per day.  The
average body weight of the mice in a cage on gestational day 6 is used for the calcu-
lations.  Thus, on day 6 of gestation, the mice in cage  12 are weighed.  The numeri-
cal average of these weights is calculated as shown  in the following example:

                          Mouse no.             Weight,  grams
                            12-1                 28.1
                            12-2                 22.2
                            12-3                 24.6
                            12-4                 23.7
                            12-5                 27.2
                            12-6                 25.4
                                                151.2 = total

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 151 2
   g    =25.2 grams « average mouse weight in cage 12
 The mice in cage 12 have been assigned compound (cmpd) Z at a dose of 150 milligrams
 (ing)/kg/day.  To make the appropriate solution for the mice in cage 12, the following
 calculations are used:
                       150 mg of cmpd Z  =  X mg of cmpd Z
                       1000 g of mouse   =  25.2 g of mouse
 This equation should be read as follows:  if 150 mg of compound Z are required for
 1000 g of mouse (= 1 kilogram), then how many mg of the compound (X) are required for
 25.2 g of mouse.  This equation is solved by cross multiplying as follows:

                         150 mg cmpd Z ^><^-»'  X mg cmpd Z
                         1000  g mouse  ~-><--*.  25.2~g of mouse
   (1000 g mouse)  (X mg cmpd  Z) = (150 mg cmpd Z) (25.2 g mouse)
                         1000  X = 150 x 25.2
                         1000  X = 3780.0
                              y _ 5780.0
                                  1000
           /
                              X * 3.78 mg of compound  Z
Thus each mouse  in that cage  receives 3.78 mg of compound Z  every day.

     Assuming that  compound Z is soluble and  stable in the vehicle,  then a solution
is made as follows:
           1.  Each  mouse receives  an injection  of  0.1  milliliter  (ml) daily  for 10
              days.  Thus each mouse needs 10 x 0.1 ml or 1.0  ml  of  solution for the
              experiment.
           2.  Since there are six  mice  in the cage, the quantity  of  solution needed
              for the  experiment is  six times 1.0 ml of solution  or  6.0 ml.
           3.  As to the  total volume required,  allowances must be made for the amount
              that  is  needed  to  fill the syringe properly.   Thus, to have  adequate
              solution for an individual cage of mice  for the  whole  experiment, a total
              volume of  10.0  ml  is more  than  enough.

Calculations for Making  a_ Solution
     The quantity of compound Z  in a volume of  0.1  ml   needed  for each mouse for each
day is  3.78 mg.  To make 10.0 ml of  solution, the problem is approached in the same
manner  as  the following:
                         3.78  mg  cmpd Z    _     X mg cmpd Z
                         0.1 ml solvent    ~     10.0 ml solvent

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To solve this equation, first cross multiply as follows:
                        3.78 mg cmpd Z"--.    x
                        0 . 1 ml solvent         10.0 ml solvent
   (0.1 ml solvent) (X mg cmpd Z) « (3.78 mg cmpd Z) (10.0 ml solvent)
                        (0.1) (X) = (3.78) (10.0)
                            0.1. X =37.8
                                Y   37.8
                                A    0.1
                                X = 378 mg of compound Z
Thus, 378 mg of compound Z should be weighed out and dissolved in 10.0  ml of solvent.
Each injection will use 0.1 ml of the solution.
Practice Problems
     In the following problems, determine the solution or suspension that would be
required.
          1.  Compound D will be administered at a dose of 84 mg/kg as  a stable solu-
              tion.  The mice in the cage weigh:  22.4, 23.6, 25.8, 26.1, 24.7, and
              23.2 g.
          2.  Compound E will be administered at a dose of 52 mg/kg as  a suspension.
              The mice in the cage weigh:  23.8, 24.3, 24.6, 25.2, and 25.9 g.
          3.  Compound F will be administered at a dose of 115 mg/kg as a nonstable
              solution.  The mice weigh:  24.2, 24.7, 25.8, 26.1, 22.0, and 23.3 g.
 FETAL FIXATION AND STAINING
Fetal Fixation
     Fetuses should be hardened to ensure proper necropsy.  Bouin's solution is a pre-
servative and fixative which accomplishes this.  It consists of a saturated solution of
picric acid mixed with formaldehyde and glacial acetic acid.  The solution will harden
a mouse fetus in about 3 days.  Fetuses left in this solution for more than 3 weeks
become too brittle for necropsy.
      Modified Bouin's Solution:
          1.  Prepare picric acid:  30 g dissolved  in 1900 ml H20.
          2.  Add  1900 ml of formaldehyde.
          3.  Add  190 ml of glacial acetic acid.
          4.  Mix well.
Alizarin Staining
     Alizarin red  S  is used to stain the skeleton,  permitting examination for skeletal
 defects.  Fetuses  from an entire litter are placed  in a jar with  70 percent propyl
 or ethyl alcohol for at least 24 hours.  They may be stored indefinitely in 70 per-

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cent propyl or ethyl  alcohol.   The  amount of alcohol  should be approximately  10 times
the volume of the  fetuses.  The fetuses  are  put  into  the  alcohol  to fix or preserve
the tissues.
     When the fetuses are sufficiently fixed by  the alcohol, usually in 1 to  3 days,
all internal  organs are  removed with  small forceps.   The  heart and lungs are  removed
through an opening made  in  the  diaphragm, leaving  the rib cage intact.  Also, a fat
pad located on the back  of  the  neck and  between  the shoulder blades is carefully re-
moved with scissors and  forceps.
     After the internal  organs  have been removed,  the fetuses are placed in a 1 per-
cent potassium hydroxide (KOH)  solution  until the  bones are visible through the skin.
This step may take from  1 to  7  days.   The KOH solution is then poured off and replaced
with the following solution:
                      distilled  H20        800 ml
                      II  KOH solution       35 ml
                      glycerin            200 ml
                      alizarin solution   10-15  drops
Solutions are as follows:
                      II  KOH solution   -  1  g of potassium hydroxide in 100 ml of
                                          distilled water.
                      501 glycerin      -  equal  amounts of glycerin and distilled water
                                          mix well.
                      alizarin solution -  500 mg alizarin red S in 100 ml of  distilled
                                          water.
     Within 1 to 2 days  the fetal bones  should be  stained red.  When the desired
depth of coloring  of  the bones  has  occurred,  the staining solution is poured  off;
the fetuses are rinsed with water and placed in  a  50  percent glycerin solution.
After 1 or more days  in  the glycerin  solution, the fetuses can be  examined for skele-
tal defects.   Fetuses that  are  kept for  long indefinite periods should be preserved
in 100 percent glycerin, to which some crystals  of thymol have been added to prevent
fungal growth.

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                               EXPERIMENT  DESIGN
MATERNAL DATA
Experiment Schedule
     The schedule shown in Table 1 was designed for use with CD-I mice; with some
compounds or with other strains, variations of this design  could be necessary.  The
mice may be bred by a commercial supplier and delivered to  the  teratology laboratory
before they are 5 days pregnant, or bred at the laboratory.
     The mice are mated according to the following plan.  One group of mice are mated
on Friday night with detection of a vaginal plug on Saturday morning.  From this
breeding, there should be 100 pregnant mice, with the  first day of gestation being on
Saturday as outlined in Table 1.  Then, on the following Thursday  (day 6 of gesta-
tion), these mice are weighed and coded by ear punch.   The  compound they are to re-
ceive is prepared for the entire experiment.  The compound  is administered daily for
the next 10 days, starting on Friday (day 7 of gestation).   On  gestational day 17,
Monday, these animals are weighed and sacrificed.  The fetuses  are removed, weighed,
and stored in Bouin's solution until necropsied.   Some litters  are stored directly in
70 percent propyl alcohol for staining the skeleton-with alizarin red S.  (See earlier
     Table  1.  SCHEDULE SHOWN FOR 4 WEEKS FOR GROUPS OF MICE A, 8, C, D, E,  F
                            This schedule will continue as such.
Sun

Sun

Sun
treat A
treat B
Sun
treat B
treat C
treat D
Mon
Mon
weigh A
Mon
treat A
treat B
weigh C
Mon
kill B
treat C
treat D
weigh E
Tues
mate A
'rues
treat A
mate C
Tues
treat A
treat B
treat C
mate E
Tues
treat C
treat D
treat E
mate G
Wed
day 1 A
Wed
treat A
day 1 C
Wed
treat A
treat B
treat C
day 1 E
Wed
treat C
treat D
treat E
day 1 G
Thurs
Thurs
treat A
weigh B
Thurs
treat A
treat B
treat C
weigh D
Thurs
treat C
treat D
treat E
weigh F
Fri
mate B
Fri
treat A
treat B
mate D
Fri
kill A
treat B
treat C
treat D
mate F
Fri
kill C
treat D
treat E
treat F
mate H
Sat
day 1 B
Sat
treat A
treat B
day 1 D
Sat
treat B
treat C
treat D
day 1 F
Sat
treat D
treat E
treat F
day 1 H

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 section entitled Fetal Fixation and Staining for preparation of Bouin's  solution and
 alizarin staining technique.)   Other strains of mice may be sacrificed on gestational
 day 18 or 19 since they have longer gestational periods.   The purpose is to  sacrifice
 the mice 1 or 2  days before delivery to  recover the  fetuses.
     Another group of  mice  are mated on  Tuesday so that  there will be 150 pregnant
 mice with a day  1 of gestation on Wednesday.  Then on the following Monday (day  6 of
 gestation)  these mice  are weighed,  and ear  coded; the compound is then prepared  for
 this group.   On  Tuesday (day 7 of gestation) , the treatment begins and continues for
 10  days.   On Friday (day 17 of gestation),  the  mice  are  sacrificed as indicated  above.

 Protocol  Sheet A -  Before Sacrifice
     Protocol sheet A,  a sample of which is provided on the next page  as  Figure  2,
 is  filled out when  the  pregnant mice  arrive in  the teratology  laboratory.  The sheet
 should be completed as  follows:
     The  cage number is placed in the upper right-hand corner.  The cages  are numbered
 sequentially.  Assignment of the  compound and the doses is  done on a random basis;
 however,  all the mice  in any single cage receive the same treatment.
     Thg  date of day 1  means the  date (month/day) of the first day of  gestation, which
 is  defined as the date  when a  vaginal plug was  found in the female.
     The  compound and  its log  number  are entered.
     The  vehicle is defined as  the substance in which the compound is  dissolved  or
 suspended to facilitate administration.  There  are always animals that receive only
 the vehicle; they serve as  controls for  those receiving the compound.  For these con-
 trol animals, the vehicle is entered  and the compound listed  as NONE.
     The  route of administration  (injection, intubation) is listed as well as the
volume administered in  a single treatment.
          dose is entered in terms of  quantity of compound per kg of mouse per day.
     Both the dates of treatment  (e.g., March 12-21) and the days of gestation (i.e.,
days 7-16) will be listed.
     As above, the date the mouse is sacrificed and the day of gestation are entered
by date and day sacrificed.  The days of treatment and sacrifice could vary with the
compounds tested and the strain of mouse utilized.
     On gestational day 6, the animals are weighed and coded.  This weight is placed
in the column under the appropriate mouse number across from day 6 weight.
     During the course of treatment, the dates of any maternal deaths are entered in
the appropriate boxes across from died (date) .
10

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                                                       Cage No.
Mouse strain.
Date of day 1.
Compound.
Vehicle.
Route.
Dates and days treated.
Date and day sacrificed.
Log no..
Dose.
Volume.
./kg/day





_ml/day
Mouse ear no.
Day 6 weight
Day sacrifice
weight
Liver weight
Gravid uterus
weight
Total live
litter weight
No. live fetuses
No. dead and
resorbed fetuses
Non-pregnant
Died (date)
1









2









3


-






4









5









6









                                Figure 2. Protocol sheet A.
                                                                                     1.1

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Protocol Sheet A_- Day of Sacrifice
     The day the animals are sacrificed, they are weighed and this weight is entered
on the sheet under day sacrifice weight.
     After sacrifice, the animals  are placed on their backs on plastic-backed  absor-
bant paper.  The  fur on  the abdomen is thoroughly wetted with a dilute  solution of
detergent from a  squeeze bottle, preventing the fur from flying when the  abdomen  is
opened.   With  the use of a pair of dissecting scissors,  the abdomen of  the  animal is
opened by cutting through the  skin and muscle from the region of the bladder to the
thorax.   This  incision exposes the uterus,  liver, and other maternal organs.   The
maternal liver and the gravid  uterus are removed, each is weighed independently,  and
the  weights are entered  under  liver weight  and gravid uterus weight.  The gravid
uterus is the  entire uterine mass  (both horns), with fetuses (live and  dead) and
amniotic fluid contained within.
     After the weighing, the gravid uterus  is carefully opened and the  fetuses re-
moved.   Care should  be exercised not to damage the fetuses.   The live fetuses  from a
single litter  are counted and  entered as no_.  live fetuses.   They are then weighed,
and  this value is entered under total live  litter weight.
     After the weighing, the litter destined to be necropsied is placed in  a single
compartment of a  plastic tray  that contains Bouin's solution.   For large  fetuses,  a
transverse abdominal cut may be necessary to permit the  Bouin's solution  to penetrate
the  internal organs  fast enough to prevent  rotting.   The cage number and  specific mouse
number should  be  noted,  with wax pencil,  on the lid of the  compartment  on a piece of
tape.  Thus, the  litter  from mouse number 5 in cage 12 would have a piece of tape
reading  12-5 above its compartment.   The cage number always  is first, followed by the
mouse number.
     A litter  destined for alizarin red S staining is counted,  weighed, and then
placed in a jar containing 70  percent propyl alcohol.  A transverse abdominal  cut may
be made  in the fetuses to enhance  fixation.   The jar,  not the cap,  should be labeled
with the mouse number.
     In  addition  to  live fetuses,  a gravid  uterus may contain dead fetuses  or  resorp-
tion sites.  A dead  fetus generally appears as  a well formed,  pale  fetus  with  no
response to stimulation  and no apparent umbilical circulation.   A resorption site
appears  as a mascerated  fetus  or a small dot of black tissue.   This is  the  result of
fetal death and subsequent autolysis (dissolving)  and resorption.   At the time of
examination of the uterus,  the dead fetuses may vary greatly in size and  form, de-
pending  upon the  length  of time they have been autolyzing.   They may appear as pale
fetal forms or very  small masses termed resorption sites.
     When found,  dead fetuses  and/or resorption sites  are counted,  and  the  number is
entered  under  no. dead and resorbed fetuses.
 12

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     Uteruses that do not appear to contain fetuses are carefully examined for the
presence of small resorption sites.  If none are found after careful examination, the
animal  is  considered non-pregnant  and  should be so indicated by placing an "X" in the
appropriate box.
FETAL DATA
Examination of Fetuses by Necropsy
     Fetuses stored  in Bouin's solution may be necropsied when they have become firm.
Generally  3 days is  sufficient for this to happen.  Before T^rropsy, the fetuses are
rinsed  in water to remove excess Bouin's solution since it is an eye, nose, and throat
irritant.  Gloves are worn at all  times during necropsy to avoid contact with both
the test chemicals and the Bouin's solution.
     The fetus is initially examined for external defects.  Then the top of the head
is cut  off by inserting the- scalpel  into the mouth above and parallel to the tongue
and slicing through  the back of the skull.  The palate and tongue are observed.  Cor-
onal sections are made through the nares, eyes, and cerebrum, and these portions are
examined.  The internal organs of  the  fetus are exposed by cutting, with a pair of
scissors or scalpel, through the ventral bodv wall from the region of the bladder up
through the thorax,  and then across the abdomen at the level of the liver.  By gently
pulling the fore and hind limbs apart, the examiner inspects the heart and lungs.
The liver and intestines should be examined and removed so that the sex of the fetus
can be  determined.   This step is accomplished by the identification of either the
testes  or uterus.  The testes are  spherical bodies, one on each side of the bladder
and against the posterior body wall.  The uterus is a flattened "V"-shaped tube against
the posterior body wall.,
     Each kidney is  then sliced open so that the internal structure can be observed.
     During the examination of a fetus, the size, shape, and location of organs or
structures are carefully noted.  Deviations from normal of any of these factors de-
scribe  the majority  of the malformations that will be observed.
     Notations on specific anatomical malformations are found in the glossary at the
end of  this section.

Examination of Alizarin-Stained Fetuses
     Alizarin-stained fetuses should remain in 50 percent glycerin during examination.
At this stage of development, the bones of the cranium are almost completely ossified.
The bones of the arms, legs, digits, ribs,  and spinal cord are ossified while the car-
pals, tarsals, and sternebrae may not be.
     The skeleton should be examined for the presence or absence of bones as well as
the shape or length of the bones and degree of ossification.
                                                                                  13

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Protocol Sheet B
     Protocol sheet  B,  a sample  of which may be found on the next page  (Figure  3),  is
utilized at the time of fetal  examination by necropsy or alizarin staining.  It is
designed to record descriptions  of abnormal  fetuses.   The mouse number  is placed on
the upper  right-hand corner.   When the  litter has been stained with alizarin red S,
an "X"  is  placed after  alizarin.
     If all the fetuses in  a litter are found upon examination to be normal, an "X"
is placed  after all  normal.
     In litters with both normal and abnormal fetuses, the normal fetuses are sexed
and tallied.  Each abnormal fetus  is arbitrarily assigned a  number, and its descrip-
tion occupies a single  column  on the protocol sheet.
     There are seven columns on  the protocol sheet that  will accommodate seven  abnor-
mal fetuses.  In a litter in which there are more than seven abnormal fetuses,  two
protocol sheets are  used.   This  fact should  be  indicated by  placing an  "X" after two
sheets  used in the upper right hand corner.
     The types of defects and  their descriptions are  found in the glossary.  A single
fetus may  have more  than one defect, e.g., clubfoot and  cleft palate.  There can also
be more than one defect for each fetal  structure.  All defects are entered in the
column across from the  appropriate structure, by the use  of  the acceptable abbrevia-
tions as they appear in the glossary.   For defects not listed in the glossary, a
standard medical dictionary should be consulted.
     All fetuses, both  normal  and abnormal,  should be  sexed, and the total number of
males and  females for the litter placed in the upper  left corner under no. females,
no. males.  The sex of  abnormal  fetuses  should also be entered as M or F in the line
labeled sex/uterus/testes.
Glossary of_ Malformations
     The malformations  listed  in the glossary are arranged in groups as they appear
on protocol sheet B.  Each malformation  is followed by the appropriate abbreviation
to be used on the sheet.  Some malformations  are not listed  in the glossary since they
occur infrequently.  If any are observed, reference should be made to a textbook or
medical dictionary and  the  full name of  the malformation  should be entered under the
appropriate fetal column in one of the blank boxes.
Brain/Cranium
     encephalocele - EN  - protrusion of  the brain through an opening of the skull.
                          The cerebrum is well formed and covered by transparent
                          connective tissue.
     exencephaly - EX -  lack of skull with disorganized outward growth of the brain.
14

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                                                              Mouse no.
No. females.
All normal
No. males.
Alizarin
Two sheets used
Abnormal fetus no.;
Brain/cranium
Right eye
Left eye
Jaw
Palate
Right front limb
Left front limb
Right front digits
Left front digits
Right hind limb
Left hind limb
Right hind digits
Left hind digits
Ribs
Spinal cord
Tail
Intestines
Heart
Lung
Sex/uterus/testes
Right kidney
Left kidney






















































-










































































































                                 Figure 3. Protocol sheet B.
                                                                                      15

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     microcephaly  - M -  small  head on normal  sized'body.
     hydrocephaly  - H -  marked enlargement of the ventricles  of the  cerebrum.
     craniorachischisis  - CR - exposed brain  and  spinal cord.
Nose
     enlarged naris - EN - enlarged nasal  cavities.
     single naris  - SN - a single  naris, usually median.
Eye
     microphthalmia - M  - small eye.
     anophthalmia  - A -  lack of eye.
     open eye - 0  - no apparent eyelid, eye is open.
Ear
     anotia - A -  absence of the external ear.
     microtia - M  - small ear.
Jaw
     micrognathia  - M -  small  lower jaw.
     agnathia - A  - absence  of lower jaw.
     aglossia - AG - lack of tongue.
     astomia - AS  - lack of  mouth  opening.
     bifid tongue  - BT - forked tongue.
     cleft lip - CL - may be either unilateral or bilateral cleft
                      of the upper  lip.
Palate
     cleft palate  - CP - a cleft or separation of the median portion of the palate.
Limbs
     clubfoot - C  - a foot that has grown in a twisted manner, resulting in an abnor-
                    mal shape  or position.  It is possible to have a malposition of
                    the whole  limb.
     micromelia - M - abnormal  shortness of the limb.
     hemimelia - H - absence of any of the long bones resulting in a shortened limb.
     phocomelia -  P - absence of all the long bones of a limb, the feet being attached
                      directly  to  the body.
 16

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Digits
     polydactyly - P - presence of extra digits.  Since five is the normal number in
                       the mouse, a polydactylous fetus would have six or more.
     syndactyly - S - fusion of two or more digits.
     oligodactyly - 0 - absence of one oivmore digits.
     brachydactyly - B - smallness of one or more digits.
Ribs
     wavy ribs - W - ribs may be any aberrant shape.
     extra ribs - E - may have extra ribs on either side.
     missing ribs - M - may be missing on either side.
     fused ribs - F - may be fused anywhere along length of rib.
     branched ribs - B - single base and branched.
Spinal Cord
     spina bifida - B - nonfusion of spinal processes.   Usually the covering ectoderm
                        is missing, and the spinal cord is evident.  Vertebrae may be
                        missing, fused, or malshaped.
Tail
     short tail - S - short tail, usually lack of vertebrae.
     missing tail - A - absence of tail.
     corkscrew - C - a corkscrew-shaped tail.
Intestines
     umbilical hernia - UH - protrusion of the intestines into the umbilical cord.
     ectopic intestines - El - extrusion of the intestines outside the body wall.
Heart
     dextrocardia - D - rotation of the heart axis to the right.
     enlarged heart - E - either the atrium or the ventricle may be enlarged.
Lung
     enlarged lung - L - all lobes are usually enlarged.
     small lung - S - all lobes are usually small.  Lobes may have immature appearance,
                      e.g., look like a bunch of grapes.
Sex/uterus/testes
     sex - M or F - the sex of every abnormal fetus should be entered.

                                                                                      17

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     undescended testes - U - testes are located anterior to the bladder instead of
                              lateral.  May be bilateral or unilateral.

     agenesis of testes - AT - one or both testes may be missing.
     agenesis of uterus - AU - one or both horns of the uterus may be missing.
Kidney
     hydronephrosis - H - fluid-filled kidney, often grossly enlarged.  This condi-
                          tion  may be  accompanied  by hydroureter.
     fused - F - kidneys fused, appearing as one misshapen kidney with two ureters.
     agenesis - A - one or both kidneys missing.
     misshapen - M - small, enlarged (normal internally), spherical,  or odd-shaped
                     kidneys.
18

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                        SAMPLE  EXPERIMENT:  VITAMIN A

     Vitamin A was selected as  a model compound that can be used to produce many types
of anomalies.  Single large doses  of vitamin A are teratogenic, and the day of gesta-
tion on which it is administered determines the types of anomalies produced.  The
following experiment with vitamin  A has been designed to produce a large spectrum of
types of anomalies.
EXPERIMENT DESIGN
     Vitamin A palmitate is administered  to CD-I mice as a suspension in corn oil by
oral intubation.  The initial dose is  25,000 to 40,000 Units/mouse in 0.1-ml volume.
Vitamin A is administered on. a  single  day of gestation during the period of organ
formation, days 8 - 13.   All mice  are  sacrificed on day 17 of gestation.
     On Friday, Saturday, Sunday,  Monday,  and Tuesday, mice are mated, resulting in the
following groups:

              Day 1 of gestation           Number of mice            Group
                 Saturday                        64                    A
                 Sunday                           64                    B
                 Monday'                          64                    C
                 Tuesday                         48                    D
                 Wednesday                       48                    R
     The groups are treated as  follows:
     Group A - 32 mice are nontreated  controls.  Treat 32 mice on gestational day
14; 24 with vitamin A and 8 with corn  oil.
     Group B - treat 32  mice on gestation day 11; 24 with vitamin A and 8 witli corn
oil.  Treat the remaining 32 mice  on gestational day 13; 24 with vitamin A and 8 with
corn oil.
     Group C - treat 32  mice on gestational day 10; 24 with vitamin A and 8 with corn
oil.  Treat remaining 32 mice on gestational day 12; 24 with vitamin A and 8 with corn
oil.
     Group D - treat 48  mice on gestational day 9;  32 with vitamin A and 16 with corn
oil.
     Group E - treat 48  mice on gestational day 8; 32 with vitamin A and 16 with corn
oil.
     All treatments occur on either Wednesday or Friday as may be seen in the follow-
ing schedule:

                                                                                  19

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             Group
      Wednesday
               B
               B
               C
               C
               D
               D
               E
               E
      Friday
               A
               A
               B
               B
               C
               C
Day of gestation

      11
      11
      10
      10
       9
       9
       8
       8

      14
      14
      13
      13
      12
      12
No. of nice

    24
     8
    24
     8
    32
    16
    32
    16

    24
     8
    24
     8
    24
     8
Treatment

vitamin A
corn oil
vitamin A
corn oil
vitamin A
corn oil
vitamin A
corn oil

vitamin A
corn oil
vitamin A
corn oil
vitamin A
corn oil
     Beginning on the following Monday, the mice are sacrificed on gestational day
17 according to the following schedule.  The fetuses arc stored in Bouin's solution
until necropsied.

                                             Day they were      No. of
                     Weekday      Group         treated          mice
                     Monday         A        nontreated           64
                                             controls + day 14
                     Tuesday        B        day 1.1 5 13          64
                     Wednesday      C        day 10 § 12          64
                     Thursday       D        day 9                48
                     Friday         E        day 8                48
 20

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                                   TECHNICAL REPORT DATA
                            (Please read Instructions on the reverse before completing)
1. REPORT NO.
   EPA-650/1-73-001
                             2.
              3. RECIPIENT'S ACCESSION-NO.
4. TITLE AND SUBTITLE
   Training Manual  for Teratology
                                                           5. REPORT DATE
                                                             September 1974
                                                           6. PERFORMING ORGANIZATION CODE
7. AUTHOR(S)

   K. Diane Courtney and Neil Chernoff
                                                           8. PERFORMING ORGANIZATION REPORT NO.
9. PERFORMING ORGANIZATION NAME AND ADDRESS
   Pesticides and  Toxic Substances Effects  Laboratory
   Research Triangle Park, N. C.  27711
              10. PROGRAM ELEMENT NO.
                 1EA078
              11. CONTRACT/GRANT NO.
12. SPONSORING AGENCY NAME AND ADDRESS
   Office of Research and Development
   National Environmental Research Center
   Environmental  Protection Agency
   Research Triangle Park,  N. C.  27711
               13. TYPE OF REPORT AND PERIOD COVERED
                 Final
              14. SPONSORING AGENCY CODE
15. SUPPLEMENTARY NOTES
16. ABSTRACT
        The report  is an introduction  to  the basic techniques  involved in teratology
   testing.  General topics covered  include the handling of animals,  compound pre-
   paration and  administration, dosage calculations, and coding  techniques.  Teratology
   techniques  include fetal fixation,  alizarin staining, and the examination of fixed
   and stained fetuses for soft tissue and skeletal anomalies.   Suitable protocol
   sheets covering  data obtained before sacrifice, after sacrifice,  and subsequent
   fetal examinations are included.  A glossary of the most common malformations and
   their description is present.  The  outlines of a teratology experiment with
   Vitamin A is  included as a suggested training exercise.  The  above experiment
   and the techniques described in the manual may be used to train laboratory
   personnel in  the techniques and designs of teratology experiments.
17.
                                KEY WORDS AND DOCUMENT ANALYSIS
                  DESCRIPTORS
   teratology
   techniques
   training
                                              b.IDENTIFIERS/OPEN ENDED TERMS
                            c.  COSATI Held/Group
18. DISTRIBUTION STATEMENT

   Release Unlimited
 19. SECURITY CLASS (This Report!
    Unclassified
21. NO. OF PAGES
     25
                                              20. SECURITY CLASS (Thispage)
                                                 Unclassified
                                                                         22. PRICE
EPA Form 2220-1 (9-73)
21

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