Hippocampal transcriptome reveals novel targets of FASD pathogenesis

Abstract Introduction Prenatal alcohol exposure can contribute to fetal alcohol spectrum disorders (FASD), characterized by a myriad of developmental impairments affecting behavior and cognition. Studies show that many of these functional impairments are associated with the hippocampus, a structure exhibiting exquisite vulnerability to developmental alcohol exposure and critically implicated in learning and memory; however, mechanisms underlying alcohol‐induced hippocampal deficits remain poorly understood. By utilizing a high‐throughput RNA‐sequencing (RNA‐seq) approach to address the neurobiological and molecular basis of prenatal alcohol‐induced hippocampal functional deficits, we hypothesized that chronic binge prenatal alcohol exposure alters gene expression and global molecular pathways in the fetal hippocampus. Methods Timed‐pregnant Sprague–Dawley rats were randomly assigned to a pair‐fed control (PF) or binge alcohol (ALC) treatment group on gestational day (GD) 4. ALC dams acclimatized from GDs 5–10 with a daily treatment of 4.5 g/kg alcohol and subsequently received 6 g/kg on GDs 11–20. PF dams received a once daily maltose dextrin gavage on GDs 5–20, isocalorically matching ALC counterparts. On GD 21, bilateral hippocampi were dissected, flash frozen, and stored at −80°C. Total RNA was then isolated from homogenized tissues. Samples were normalized to ~4nM and pooled equally. Sequencing was performed by Illumina NextSeq 500 on a 75 cycle, single‐end sequencing run. Results RNA‐seq identified 13,388 genes, of these, 76 genes showed a significant difference (p < 0.05, log2 fold change ≥2) in expression between the PF and ALC groups. Forty‐nine genes showed sex‐dependent dysregulation; IPA analysis showed among female offspring, dysregulated pathways included proline and citrulline biosynthesis, whereas in males, xenobiotic metabolism signaling and alaninine biosynthesis etc. were altered. Conclusion We conclude that chronic binge alcohol exposure during pregnancy dysregulates fetal hippocampal gene expression in a sex‐specific manner. Identification of subtle, transcriptome‐level dysregulation in hippocampal molecular pathways offers potential mechanistic insights underlying FASD pathogenesis.


| INTRODUC TI ON
Fetal alcohol spectrum disorders (FASD) collectively describe an array of physical abnormalities, central nervous system disruptions, and cognitive and behavioral deficits induced by prenatal alcohol exposure (Riley, Infante, & Warren, 2011;Sokol, Delaney-Black, & Nordstrom, 2003). In the United States, more than 30% of pregnancies are estimated to be affected by prenatal alcohol exposure (Ethen et al., 2009), and one in 10 pregnant women report alcohol consumption in the past 30 days (Tan, Denny, Cheal, Sniezek, & Kanny, 2015). A recent study estimates that FASD prevalence in the U.S. populations may range from 3% up to 9% (May et al., 2018).
A myriad of factors influence phenotypic severity within FASD, including timing, dose, and duration of exposure, as well as maternal nutrition, genetic susceptibility of both the mother and fetus, and parental history of substance use disorder (Maier & West, 2001;May et al., 2013;May & Gossage, 2011;Smith, Garic, Berres, & Flentke, 2014). These variables, coupled with the fact that in utero alcohol exposure impairs nearly every developing organ system, attribute to the wide-ranging variation in the presentation and severity of FASD phenotypes among affected individuals (Caputo, Wood, & Jabbour, 2016;Hofer & Burd, 2009;Popova et al., 2016). Birth defects resulting from prenatal alcohol exposure are persistent and lifelong, with profound socioeconomic consequences (Thanh, Jonsson, Dennett, & Jacobs, 2011); currently no approved pharmacologic therapy exists (Spohr & Steinhausen, 2008). Targets of prenatal alcohol exposure and its pharmacokinetics are complex in nature, and thus to date, the molecular mechanisms underlying FASD pathogenesis remain insufficiently understood (Burd, 2016).
These studies largely utilize microarrays to assess gene expression in mature offspring, a time when hippocampal-based learning outcomes can be effectively assessed. Our study is unique as it is the first to utilize high-throughput next-generation (next-gen) RNA deep-sequencing (RNA-seq) to examine a more thorough, dynamic range of transcriptome-wide effects of chronic prenatal binge alcohol exposure on the developing hippocampus. Alcohol-induced dysregulation to the hippocampal transcriptome during pregnancy could substantially impair hippocampal development, and associated adverse consequences may impair juvenile learning outcomes that could persist into adulthood. It is essential to understand the fully alcohol-induced hippocampal transcriptome dysregulation early in life so that targeted intervention strategies may be effectively applied as soon as possible. However, microarray analysis is restricted in its ability to detect differentially expressed genes due to factors such as high background levels caused by cross-hybridization and signal saturation, and also lacks sensitivity for genes with very high or low expression levels (Wang, Gerstein, & Snyder, 2009). By utilizing next-gen RNA-Seq as a strategic means for investigating multimechanistic actions of alcohol on holistic gene expression of target Conclusion: We conclude that chronic binge alcohol exposure during pregnancy dysregulates fetal hippocampal gene expression in a sex-specific manner. Identification of subtle, transcriptome-level dysregulation in hippocampal molecular pathways offers potential mechanistic insights underlying FASD pathogenesis.

K E Y W O R D S
brain, hippocampus, nitric oxide, pregnancy, teratology organ structures, a much larger dynamic range of differentially expressed hippocampal genes can be detected (Wang et al., 2009).
Since alcohol has been shown to affect various aspects of fetal hippocampal development, (Boschen & Klintsova, 2017;Gil-Mohapel et al., 2011;Mantha, Kleiber, & Singh, 2013), it is imperative to further discern how gestational alcohol exposure alters this structure at the level of the transcriptome so that we may understand mechanisms underlying neuropathogenesis and develop appropriately targeted intervention strategies.
Our model of FASD has previously shown distinct dysregulation of amino acid homeostasis and the protein signature in the fetal hippocampus (Davis-Anderson et al., 2018). The purpose of the study was to discern the alterations of fetal hippocampal gene expression and their associated pathways in response to maternal alcohol exposure. We hypothesized that chronic gestational alcohol exposure alters fetal hippocampal gene expression and their related global canonical pathways.

| Animals
All experimental procedures were in accordance with the National Institutes of Health guidelines (NIH Publication No. 85-23, revised 1996) with approval by the Animal Care and Use Committee at Texas A&M University. Timed-pregnant Sprague-Dawley rats were purchased from Charles River (Wilmington, MA), and were housed in a temperature-controlled room (23°C) with a 12:12-hr light-dark cycle.
Rats were assigned to a pair-fed control (PF) group (n = 6 dams) or an alcohol (ALC) treatment group (n = 6 dams) on GD 4. The ALC-treated animals acclimatized via a once daily orogastric gavage of a 4.5 g/ kg (22.5% wt/v, peak BAC, 216 mg/dl) alcohol dose from GDs 5-10, and progressed to a 6 g/kg dose (28.5% wt/v, peak BAC, 289 mg/dl) (Davis-Anderson et al., 2018) from GDs 11-20. The PF animals were isocalorically matched to the ALCs by daily dosing with a gavage of maltose dextrin to account for calories derived from alcohol. The exposure regimen utilized in this study is based on both reported binge alcohol consumption patterns in pregnant women and binge exposure patterns implemented across FASD animal models (Caetano, Ramisetty-Mikler, Floyd, & McGrath, 2006;Church & Gerkin, 1988;Cudd, Chen, & West, 2002;May et al., 2013;Ryan, Williams, & Thomas, 2008;Thomas, Idrus, Monk, & Dominguez, 2010). All rats were weighed prior to the start of the study, and each treatment animal was yoked with a control animal of similar weight throughout the duration of the study. Feed intake in both groups was measured daily and the amount of diet consumed by the ALC animals was matched to the diet administered to PF animals. There was no significant maternal weight difference between treatment groups. Animals were sacrificed on GD 21, one day after the last alcohol exposure.

| Fetal hippocampal isolation
Fetal brain tissue was collected from an equal number of male and female offspring within each treatment group. Brains were extracted under a dissection microscope via craniotomy and were serially washed in cold phosphate buffered saline (PBS), meninges were removed, and bilateral hippocampi were microdissected in ice-cold HEPES buffer. Individual samples were then flash frozen and stored at −80 • C until analyses. One pair of male or female hippocampi from each dam was utilized for analysis.

| Sample preparation
Each tissue sample was homogenized in TRIzol® Reagent and total RNA was isolated according to manufacturer's protocol (Invitrogen; Carlsbad, CA). Prior to analysis, RNA quality was assessed using an Agilent TapeStation RNA assay. Whole-genome RNA transcripts were quantified via Qubit Fluorometric assay and subsequently all samples were normalized to an equivalent starting concentration.
Sequencing libraries were prepared using the TruSeq Stranded mRNA Library Prep kit (Illumina; San Diego, CA). Each sample was uniquely indexed (barcoded) to allow for pooling of all samples in a single sequencing run. Library size and quality were then assessed with an Agilent TapeStation D1000 DNA assay. Samples were normalized to ~4nM and pooled equally. Sequencing was performed on an Illumina NextSeq 500 running with a 75 cycle, single-end sequencing run.

| Bioinformatics
Raw RNA-sequence data were analyzed to identify significant differences in gene expression between the PF and ALC treatment groups, sex-dependent expression differences between these treatment groups, and the global biological pathways associated with disruption of these hippocampal genes. A total of approximately 142 million reads were evaluated and trimmed of all adapter sequences and low quality bases using Trimmomatic read trimmer (Bolger, Lohse, & Usadel, 2014). Using Trimmomatic and the corresponding adapter sequences file for Illumina, reads were scanned with a sliding window of 5, cutting when the average quality per base drops below 20, then trimming reads at the beginning and end if base quality drops below 20, and finally dropping reads if the read length is less than 50. This resulted in 131 million filtered reads (approximately 92%), of which a total of 128 million filtered reads (approximately 97%) were mapped to the Rattus norvegicus (rn5) genome assembly. Read mapping for our samples was performed using HISAT genomic analysis software platform version 2.0.5 (Kim, Langmead, & Salzberg, 2015).
Transcript-wise counts were generated using the featureCounts tool from the SUBREAD high-performance read alignment package (Liao, Smyth, & Shi, 2013). Differential gene expression tests were then performed using DESeq2 software following the guidelines recommended by Love and colleagues (Love, Huber, & Anders, 2014). Heat map and volcano plots were generated from this processed data using the R programming language. The resulting gene expression values for genes that met statistical significance criteria were uploaded to INGENUITY ® Pathways (QIAGEN, Venlo, Netherlands; Application Build 261899, Content Version 18030641) for biological pathway analysis. A core analysis was used to identify top canonical pathways effected by the alcohol treatment. Filters utilized for this analysis include species, confidence, mutation, and molecule type.

| Statistical analyses
Raw read counts for each gene in each hippocampal sample were utilized as input into DESeq2, which modeled the read counts as following a negative binomial distribution, with a mean representing the read concentration per gene. This mean was scaled by a normalization factor (median-of-ratios) to account for differences in sequencing depth between samples. During independent filtering, DESeq2 used the average expression strength of each gene, across all samples as its filter criteria, and omitted all genes with mean normalized counts below a filtering threshold from multiple testing adjustments. The geneset that satisfied −2 > log2(fold change) >2 and p < 0.05 was deemed differentially expressed. Median-of-ratios for each gene was determined as a raw count of the gene divided by the row-wise geometric mean to yield a ratio and a median of ratios for all genes in each sample, thus producing a normalization factor for the sample. After normalized counts were calculated for each gene in each sample, a generalized linear model (GLM) with a logarithmic link was fit in order to test for treatment effects (alcohol vs. control) and conditional effects (sex), which returned the coefficients indicating overall expression strength of a gene and log2(fold change) between the treatment groups. After GLMs were fit for each gene, DESeq2 utilized a Wald test for significance (to test the null hypothesis that the logarithmic fold change between the treatment and control group is exactly zero for a given gene's expression), and the resulting Wald test p values of a subset of genes that pass independent filtering were adjusted for multiple testing using the Benjamini-Hochberg procedure. During independent filtering, DESeq2 used the average expression strength of each gene, across all samples, as its filter criteria, and omitted all genes with mean normalized counts below a filtering threshold from multiple testing adjustments. By default, DESeq2 chose a threshold that maximized the number of genes found at a user-specified target false discovery rate (FDR; 0.05). Genesets that satisfied log2 (fold change) ≥2.0 and an FDR adjusted P-value <0.05 were considered differentially expressed.

| RE SULTS
High-throughput RNA deep-sequencing analysis identified 13,388 hippocampal genes, of which 76 showed significant dysregulation following chronic binge gestational alcohol exposure (p < 0.05; log2(fold change) ≥2.0). Of these dysregulated genes, 37 exhibited downregulation and 39 expressed upregulation. A heat map illustrates these alterations ( Figure 1); expression values based on Pearson correlation values determined the hierarchical clustering structure. Within this group of dysregulated genes, a subset of 49 genes showed sex-dependent expression differences (p < 0.05; F I G U R E 1 Heat map of RNA-Seq transcriptome analysis of significantly altered hippocampal genes following our chronic binge prenatal alcohol paradigm. Heat map representation of 76 differentially expressed genes in the fetal hippocampus between pair-fed Control and alcohol treatment groups, with 37 genes exhibiting downregulation and 39 genes exhibiting upregulation. Map was constructed from the normalized and log-transformed expression values and subtracted from the row means for each treatment group (p < 0.05, and log2 (fold change) ≥2.0) log2(fold change) ≥2.0), with 23 genes in alcohol-exposed females and 26 genes in alcohol-exposed males showing expression differences when compared to respective PF offspring. Two genes, ATP synthase F1 subunit (Atp5f1) and Smad nuclear interacting protein 1 (Snip1) exhibited significant dysregulation in both alcohol-exposed females and males. Interestingly, Atp5f1 expression increased in ALC females but decreased in ALC males. Snip1 expression decreased in ALC female and male offspring. has previously been identified as involved in brain development, and is also implicated in neuroendocrine signaling (Demoures, Siegfried, & Khatib, 2018). Other genes of interest include neuraminidase 2 (Neu2, ↓), for which response to ethanol is a biological process and solute carrier family 6 member 13 (Slc6a13, ↓) which is involved in neurotransmitter transport and binding.

| D ISCUSS I ON
To our knowledge, this is the first investigation of the fetal hippocampal transcriptome utilizing next-gen high-throughput RNAseq following chronic binge gestational alcohol exposure. Three salient findings can be gleaned from this study: (a) a chronic binge paradigm of gestational alcohol exposure dysregulates hippocampal gene expression, (b) this gene dysregulation manifests differently between male and female hippocampi, and (c) gene disruption following our exposure paradigm implicates key global pathways essential for healthy fetal development. Collectively, high-throughput RNA deep-sequencing identified 76 hippocampal genes with a significant expression difference between the PF and alcohol-treated groups, and within this group, a subset of 49 of these genes exhibited sex-dependent dysregulation.
Among female hippocampi, IPA ® determined alcohol dysregulated 24 global canonical pathways following our chronic binge exposure, and includes the following pathways of interest: proline F I G U R E 2 Volcano plot representation of female hippocampal gene expression between the pair-fed control and alcohol groups. In alcohol-exposed females, 25 hippocampal genes exhibited sex-specific alcohol-induced dysregulation, of which nine were upregulated and 16 were downregulated. Dotted lines denote selection criteria for significance (p < 0.05, and log2 (fold change) ≥ 2) and separate differentially expressed genes and similarly expressed genes biosynthesis I, citrulline biosynthesis, and the superpathway of citrulline metabolism. Aldh18a1 encodes for the catalytic enzyme delta-1-pyrroline-5-carboxylate synthetase (P5CS), which is critical for de novo proline synthesis. Emerging data implicate proline's critical role as a neuroprotectant (Andrade et al., 2018;Sareddy et al., 2015) through opposition to intracellular accumulation of reactive oxygen species (Delwing, Delwing, Chiarani, Kurek, & Wyse, 2007;Krishnan, Dickman, & Becker, 2008), which has been extensively documented as a response to alcohol exposure in the developing brain. Taken in conjunction with proline's established roles as an antagonist to abiotic stressors (Dall'Asta et al., 1999;Ignatova & Gierasch, 2006;Wondrak, Jacobson, & Jacobson, 2005) and an apoptotic regulator (Liu, Borchert, Surazynski, Hu, & Phang, 2006;Rivera & Maxwell, 2005), alcohol-induced dysregulation of proline biosynthesis I may contribute to alcohol's pathogenesis in the developing hippocampus. Interestingly, Aldh18a1 is also critically implicated in citrulline biosynthesis and the superpathway of citrulline metabolism. Citrulline biosynthesis occurs downstream from the amino acid precursors glutamate, proline, and arginine, and as arginine is converted to citrulline, nitric oxide (NO) is produced.
Interestingly, NO is essential for healthy physiological nervous system regulation and has been shown to have critical roles in synaptic plasticity, learning, and memory (Feil & Kleppisch, 2008;Susswein, Katzoff, Miller, & Hurwitz, 2004). It is possible that alcohol-induced dysregulation of citrulline-related biochemical pathways observed in the female hippocampus is reflective of dysregulation of nitric oxide synthase (NOS) activity in this region. Aldh18a1 downregulation among females may lead to accumulation of its substrate, glutamate, implicating a role for amino acid homeostasis in female hippocampal FASD pathogenesis. Although Aldh18a1 dysregulation has been linked with learning disabilities and neurodevelopmental deficits, hippocampal dysregulation in the context of FASD remains unknown.
F I G U R E 3 INGENUITY ® Pathway Analysis of female hippocampal differentially expressed genes. In alcohol-exposed females, 24 global pathways were altered compared to the pair-fed control group (p < 0.05). Ratio represents the number of molecules affected to total number of molecules in each pathway F I G U R E 4 Volcano plot representation of male hippocampal gene expression between the pair-fed control and alcohol groups. In alcohol-exposed males, 28 hippocampal genes exhibited sex-specific alcohol-induced dysregulation, of which 12 genes were upregulated and 16 genes were downregulated. Dotted lines denote selection criteria for significance (p < 0.05, and log2 (fold change) ≥2) and separate differentially expressed genes and similarly expressed genes Other genes of interest dysregulated by alcohol among female hippocampi include Mir410, Myl2, Phkg2, Pcsk1, and Slc6a13. Two downregulated genes, Myl2 and Phkg2, have gene-chemical interactions with ethanol, but to our knowledge have not been previously linked with FASD. Phkg2, a regulator of neural and hormonal regulation of glycogen breakdown, has been shown to be downregulated in whole-brain analysis following prenatal alcohol exposure, but has not been localized to the hippocampus in FASD (Laufer, 2016). Pcsk1, a highly expressed gene in the hippocampus that encodes for a serine protease responsible for processing neuropeptides and prohormones, has previously been identified as involved in brain development and is implicated in neuroendocrine signaling (Demoures et al., 2018). In Alzheimer's patients with severe neurodegeneration, the hippocampus is the most vulnerable region of Pcsk1 dysregulation (Hokama et al., 2013). Neu2, for which response to ethanol is a biological process, has shown dysregulation in human embryonic stem cells exposed to alcohol (Khalid et al., 2014) and has been shown to be dysregulated in humans with alcohol dependence (Lingjun et al., 2015). Slc6a13 (solute carrier family 6 member 13), which is involved in neurotransmitter transport and binding, has also been linked by multiple reports with alcohol use disorders (Hagerty, Bidwell, Harlaar, & Hutchison, 2016;McClintick et al., 2015McClintick et al., , 2016, but to our knowledge, its relationship to FASD has not been explored.
Among male hippocampi, IPA ® determined alcohol dysregulated 31 global pathways following our chronic binge exposure. Pathways of interest include xenobiotic metabolism signaling, anandamide degradation, alanine biosynthesis III, and molybdenum cofactor biosynthesis.
Xenobiotic metabolism signaling describes a cellular stress response to xenobiotic exposure and a concomitant metabolism response to detoxify drugs and other organic compounds (Omiecinski, Vanden Heuvel, Perdew, & Peters, 2010). Genes that were differentially expressed by alcohol and that are associated with this pathway include Aldh1a3, Gstm3, Map3k7, Map2k3. Interestingly, Gstm3 and Map2k3 have known gene-chemical interactions with ethanol. Gstm3 is a major detoxification enzyme shown to play a role in the breakdown of xenobiotics including a wide array of drugs and genetic variation is reported to influence susceptibility to toxins (Dasari et al., 2018;Mei et al., 2008). Recent microarray analysis reported dysregulation of glutathione pathways in the synaptoneurosome transcriptome of the mouse amygdala following a chronic alcohol exposure (Most, Ferguson, Blednov, Mayfield, & Harris, 2015). Anandamide is an endogenous neurotransmitter and Faah, a key gene within this pathway chiefly responsible for enzymatic breakdown of anandamide, was dysregulated by alcohol. Anandamide dysregulation is associated with hippocampal-based memory in rats and has been previously speculated to underlie FASD behavioral pathology (Basavarajappa, 2015;Mallet & Beninger, 1996). Molybdenum cofactor biosynthesis and alanine biosynthesis III are directly related, and cysteine desulfurase (Nfs1) is implicated in each. Xanthine oxidoreductases are a class of molybdenum cofactor enzymes implicated in cellular responses to senescence and apoptosis (Garattini, Mendel, Romão, Wright, & Terao, 2003), and the conversion of cysteine to alanine (alanine biosynthesis III) through sulfuration of xanthine oxidoreductase renders this class of enzymes catalytically active (Schwarz, 2005). In humans, dysregulation of this process is associated with progressive neurological damage (Johnson, 2001). Collectively, these pathways and their associated genes previously implicated in critical F I G U R E 5 INGENUITY ® Pathway Analysis of male hippocampal differentially expressed genes. In alcohol-exposed males, 32 global pathways were altered compared to the pair-fed control group (p < 0.05). Ratio represents the number of molecules affected to total number of molecules in each pathway neurodevelopmental processes may play a role in FASD hippocampal pathogenesis observed in male offspring.
Seven dysregulated genes (Aldh1a3, Gstm5, Pdcd5, Rufy2, Sccpdh, Spag4, and Sspo) have a known gene-chemical interaction with choline. Prenatal alcohol-induced dysregulation of choline bioavailability is associated with impaired hippocampal development, learning, and memory (Niculescu, Craciunescu, & Zeisel, 2006), and we conjecture that these choline-interacting genes play an underlying role in this established alcohol-induced neuropathology. Though these genes have been previously implicated in alcohol-related neurological dysfunction, their roles in FASD hippocampal deficits remain to be explored.
Sex-based differences identified in the brain, and specifically in the hippocampus, have been shown to differentially affect susceptibility to disease, neurological function, and behaviors (Ngun, Ghahramani, Sánchez, Bocklandt, & Vilain, 2011). Collaborative reports investigating FASD models have implicated abundant alcohol-induced sexspecific hippocampal effects. Hippocampal neuroimmune response measured in offspring on PND 5 and 8 demonstrated a sex-dependent response to a developmental alcohol challenge (Ruggiero, Boschen, Roth, & Klintsova, 2018). Adolescent hippocampal functional assessment revealed N-methyl-D-aspartate long-term potentiation reduced by 40% in adolescent males prenatally exposed to alcohol compared to adolescent females; interestingly, females exhibited increased hippocampal glutamine synthetase expression (Sickmann et al., 2014).
Prenatal alcohol exposure has also been shown to have sex-specific hippocampal effects lasting into adulthood, as Uban and colleagues demonstrated that PND 60 females exhibit a reduced proportion of newly produced neurons and glia in the dentate gyrus compared with males (Uban et al., 2010). These studies indicate that alcohol has the potential to affect this brain region differentially based on sex, however, a knowledge gap persists regarding differences in hippocampal gene expression profiles between male and female rats alone and even more in the context of FASD (Schneider, Anderson, Sonnenahalli, & Vadigepalli, 2011;Van den Hove et al., 2013).
An understanding of these differential outcomes at the transcriptome level is fundamental for developing novel therapeutic strategies that account for these sex-based differences for maximum effectiveness.

| Perspectives and significance
Thus far, the effects of chronic binge gestational alcohol exposure on hippocampal transcriptome-wide gene expression have remained largely limited to microarray analyses. The majority of hippocampal microarray analyses in animal models of FASD has been performed on: (a) adolescent or adult animals exposed to alcohol during development (Chater-Diehl et al., 2016;Lussier et al., 2015;Marjonen et al., 2015), or (b) on animals whose exposure paradigm did not mimic a chronic binge exposure paradigm throughout pregnancy (Mandal et al., 2015).
To our knowledge, no microarray has analyzed rat hippocampal gene expression using a chronic binge model of gestational alcohol exposure. By utilizing next-gen high-throughput RNA-seq, our goal was to elucidate the novel molecular targets underlying FASD hippocampal deficits to better understand FASD pathogenesis. In summary, our results indicate that a chronic binge paradigm of gestational alcohol exposure differentially alters the hippocampal gene expression, and that this alcohol-induced gene expression exhibits sex-specific variation in the developing hippocampus, as do their associated global canonical pathways. Detection of subtle gene expression changes within specific brain regions, such as the hippocampus, through advances in next-generation sequencing may yield critical new understanding of vulnerable genes and genetic networks underlying FASD neuropathogenesis.
Insights acquired from this advanced genomic technology offer novel findings essential for pinpointing targets of developmental alcohol exposure necessary for the development of urgently needed, targeted therapeutic intervention strategies.

ACK N OWLED G M ENTS
This work was supported by the National Institutes of Health [AA19446, AA23520, AA23035] and Texas A&M University [Tier One Program] JR.

DATA AVA I L A B I L I T Y S TAT E M E N T
The data that support the findings will be available in U.S. National Library of Medicine, NCBI Sequence Read Archive (SRA) following an embargo that ends on 14 February 2020 (Ramadoss, 2019).  (2002). MRI findings in children with school problems who had been exposed prenatally to alcohol. Developmental Medicine