Prenatal ethanol exposure is teratogenic, but the effects of ethanol on kidney development and the health of offspring are incompletely understood. Our objective was to investigate the effects of acute ethanol exposure during pregnancy on nephron endowment, mean arterial pressure, and renal function in offspring. We administered ethanol or saline by gavage to pregnant Sprague-Dawley rats on embryonic days 13.5 and 14.5. At 1 month of age, the nephron number was 15% lower and 10% lower in ethanol-exposed males and females, respectively, compared with controls. Mean arterial pressure, measured in conscious animals via indwelling tail-artery catheter, was 10% higher in both ethanolexposed males and females compared with controls. GFR was 20% higher in ethanol-exposed males but 15% lower in ethanol-exposed females; moreover, males had increased proteinuria compared with controls. Furthermore, embryonic kidneys cultured in the presence of ethanol for 48 hours had 15% fewer ureteric branch points and tips than kidneys cultured in control media. Taken together, these data demonstrate that acute prenatal ethanol exposure reduces the number of nephrons, possibly as a result of inhibited ureteric branching morphogenesis, and that these changes affect adult cardiovascular and renal function. 21: 189121: -190221: , 201021: . doi: 10.1681 In Western communities, alcohol (ethanol) consumption by pregnant women is a relatively common occurrence. 1 Some women, while reducing their daily alcohol consumption, partake in episodes of acute (binge) drinking while pregnant. 2 Whereas in most countries guidelines generally recommend that pregnant women abstain from alcohol consumption, many women still consume alcohol in the early stages of their pregnancy. This is of clinical importance because many pregnancies are unconfirmed until the end of the first trimester. 3 Whereas strong evidence suggests chronic consumption of high doses of ethanol are teratogenic, the effects of acute ethanol exposure on the fetus are less well understood. Animal studies have demonstrated that acute ethanol exposure is associated with neuroapoptosis, reduced brain growth, and pulmonary alveolar dysfunction. 4 -6 However, the effects of ethanol exposure during pregnancy on kidney development and long-term renal and cardiovascular function are yet to be thoroughly explored.
J Am Soc NephrolRats chronically exposed to ethanol during pregnancy have a reduced ability to concentrate urine at 90 days of age, and renal DNA and protein content is reduced at 7 days of age. 7,8 Recently, we have shown that repeated maternal ethanol administration during the peak period of nephrogenesis in fetal sheep results in an 11% lower nephron endow-