The most sensitive period in brain development is during prenatal life. The
use of antibiotics in pregnancy is still controversial. Recent studies
revealed the high neurotoxic potential of the antibiotic and antiprotozoal
medication, metronidazole. However, there are insufficient data from animal
studies about prenatal treatment effects. We investigated the effect of
prenatal treatment with metronidazole on cerebellar development in guinea
pigs. Treatment with metronidazole was performed from the 42nd to the 49th
day of gestation. On the 50th day of pregnancy, all dams were killed, and
the cerebella of the fetuses were analyzed. Gross cerebellar changes
characterized by malposition of the folia with partial atrophy were found in
12 of 19 fetuses in the experimental group, but in none of 20 control
fetuses that received saline. The most affected were folia VII with
depletion of the areal fraction of the external granular layer, molecular
layer and the internal granular layer. Purkinje cells displayed cell
distortion with loss of normal dendritic polarity. The investigation
revealed cell depletion, with a disturbance of the cytoarchitectonic of the
cerebellar cortex and folia alteration. [Projects of the Serbian Ministry of
Education, Science and Technological Development, Grant no. 175006
and Grant no. 142-451-3176/2020-01]