Neonatal malnutrition: neurochemical, hormonal and behavioral manifestations

Postnatal undernutrition accelerates incidence of stroke in stroke-prone spontaneously hypertensive rats

The effect of infantile nutritional levels on the development of hypertension and incidence of stroke was investigated in stroke-prone spontaneously hypertensive rats (SHRSP). Caloric intake was varied during the suckling period by manipulating litter size immediately after birth; however, all animals had free access to food after weaning. Animals reared in large litters of 15 (LL group) weighed significantly less than those in small litters of 5 (SL group) at every age. In the LL group, systolic blood pressure (mean +/- SD) increased age-dependently to reach 237 +/- 16 mm Hg at 14 weeks of age, and 14 of 15 rats developed stroke from 14 to 19 weeks of age. On the other hand, in the SL group, the blood pressure at 14 weeks of age was 213 +/- 6 mm Hg, which was significantly lower than that in LL group, and stroke occurred only in 3 of 10 rats kept up to 22 weeks. When the drinking water was replaced with a 1% salt solution, the onset of stroke markedly accelerated in both groups; more than 90% of rats developed stroke within 18 days after the salt-loading. However, the time required for the onset of stroke signs was significantly shorter in the LL group (10.5 +/- 1.5 days) than in the SL group (15.4 +/- 1.7 days). Furthermore, the blood pressure increment for the first week after the salt-loading was significantly greater in the LL group (29.5 +/- 9.5 mm Hg) than in the SL group (14.2 +/- 3.0 mm Hg). These findings indicate that infantile undernutrition may accelerate the development of hypertension and incidence of stroke in SHRSP.

Effect of undernutrition on tryptophan and tyrosine hydroxylases in the developing rat brain

Rats born to well-fed mothers (20% protein diet ad libitum), protein-restricted mothers (7.5% protein diet ad libitum) or pair-fed with protein-restricted mothers were killed on days 0, 7, 14, 21, 28 and 35 and activities of the two enzymes of neurotransmitter synthesis, tryptophan-5-hydroxylase (EC 1.14.16.4) and tyrosine hydroxylase (EC 1.14.16.2) were assayed. Enzyme activities in normal animals were low at birth and progressively increased to reach adult levels by day 15. Protein-restricted and pair-fed animals also showed a similar pattern. However, significantly higher activities were observed from day 15 onwards in both experimental groups.

The influence of protein restriction, rehabilitation and changing nutritional status on synaptic development: a quantitative study in rat brain

Quantitative ultrastructural technique were employed to compare the development and maturation of cortical synapses in rats subjected to protein deprivation, control diet, nutritional rehabilitation and a normal-low crossover diet. Osmicated preparations of the molecular layer of occipital cortex were prepared at 15, 20, 28, 75 and 224 days postnatal in male rats. At 15 and 30 days the values for mitochondrial and synaptic densities, vesicle number and packing per terminal, synaptic length, terminal area and brain weight were lower in the protein-deprived than in the control animals. These initial deficits were progressively transformed to excesses, with the most marked crossover period occurring between 20 and 28 days. By 224 days only brain weight and presynaptic terminal area were lower in the protein-deprived material. A further parameter, synaptic curvature, showed a decrease in negativity in protein-deficient junctions between 15 days (64%) and 224 days (41%). Well-nourished tissue had fewer negatively-curved synapses during early development. These data suggest that the morphological development of the presynaptic terminals is not simply delayed, but is ultimately different in the protein-deprived animals. The nature of these changes may facilitate an adaptation to provide more efficient functioning in the adverse condition. Nutritionally rehabilitated tissue ultimately approaches the control, although significant differences occur in synaptic and mitochondrial densities and in brain weight. The normal--low crossover procedure intensities the differences noted in animals subjected to continuous deprivation.

Long lasting effects of intrauterine growth retardation of 5-HT metabolism in the brain of developing rats

Intrauterine growth retardation (IUGR) was achieved by ligating the artery and vein supplying one uterine horn in pregnant rats on the 5th day before delivery. At birth, the weight of the whole body and of the forebrain (but not that of the brain stem of about half of the offspring) were significantly lower than those of normal controls. This deficit persisted for at least the first 3 postnatal weeks. During the immediate period following birth, the concentrations of norepinephrine, dopamine, serotonin and 5-hydroxyindoleacetic acid (5-HIAA) were significantly higher in IUGR rats than in controls. Increased levels of serotonin and 5-HIAA were still observed in the forebrain and brain stem of 15-day-old IUGR rats and were associated with parallel increases in brain and serum free tryptophan levels. These results indicate that a transient insult in the fetal life could result in long-lasting alterations in 5-HT metabolism in CNS of developing rats.

Cerebrovascular integrity in protein-deprived rats

Protein-deprivation does not increase the permeability of the blood-brain barrier in rats aged 3.5--12 months. PA, the product of cerebrovascular permeability (P) to 14C-sucrose and of cerebral capillary surface area (A), is very low in mature rats that have been maintained either on an 8% or 25% casein diet, and equals about 8 X 10(-6) sec-1 in both groups. There is a tendency for the calculated distribution volume of 14C-sucrose within the brain to decline in protein-deprived rats. Conscious, partially immobilized, protein-deprived rats have the same mean blood pressure, heart rate, arterial plasma pH and adreno-sympathetic response to stress (as measured by plasma norepinephrine and epinephrine concentrations) as do normally fed animals.

Food supplementation of pregnant women at risk of malnutrition and their newborns' responsiveness to stimulation

Pregnant women at risk of malnutrition were enrolled in a health care programme in Colombia, South America, and were randomly assigned to a group receiving supplementary food or to a control group at the beginning of the third trimester of pregnancy. There were no differences between the groups in social or nutritional variables. Supplementary food was found to have an effect on infants' reactions to mild aversive stimulation and their degree of irritability. Infants born to non-supplemented mothers generally responded more irritably to removal of a nipple and to the application of a cold disc to the abdomen. Female infants of non-supplemented mothers also recovered more slowly than the supplemented group from crying in response to both removal of nipple and the cold disc. The findings are believed to show a maturational effect of maternal diet during the last trimester of pregnancy.

Postnatal vascular growth in the cerebellar cortex of normal and protein-deprived rats. Morphometric studies

The postnatal vascular growth in the cortex of vermis cerebelli folium IX of normal and pre- and postnatally protein-deprived rats was examined. The rate of increase in specific length of vessels seem to parallel the functional maturation of neurons in all cortical layers. From the first postnatal week there is a higher specific length of vessels in the Purkinje cell layer than in the adjoining parts of the molecular and granular layers. The results indicate that such differences are present also after the period of rapid vascular growth. Protein deprivation appears to affect the postnatal increase in specific length of vessels less in the Purkinje cell layer than in the granular and molecular layer where a significant reduction compared to controls was seen for the interval 7--20 days of age. At 90 days of age no significant differences were seen between control and protein-deprived rats.

Studies on neurotransmitter-stimulated phospholipid metabolism with cerebral tissue suspensions: a possible biochemical correlate of synaptogenesis in normal and undernourished rats

The phenomenon of neurotransmitter-stimulated incorporation of 32Pi into phosphatidic acid and inositol phosphatides (neurotransmitter effect) in developing brain was studied in vitro as a possible measure of synaptogenesis. While the neurotransmitter effect was not observed with brain homogenates, highly consistent and significant effects were noted with brain tissue suspensions obtained by passing the tissue through nylon bolting cloth. The magnitude of the effect decreased with the increase in mesh number. Maximum stimulations obtained with the 33 mesh adult brain cortex preparations (mean +/- S.E.M. of 6 experiments) were 203 +/- 8%, 316 +/- 17% and 150 +/- 8% with 10(-3) M acetylcholine (ACh) + 10(-3) M eserine; 10(-2) M norepinephrine (NE) and 10(-2) M serotonin (5-HT), respectively. Experiments with developing rat brain at 7, 14 and 21 days of age showed that the neurotransmitter effects due to ACh, NE and 5-HT increase progressively in different regions of the brain but that there are marked regional differences. It is suggested that the neurotransmitter effect is a valid biochemical correlate of synaptogenesis. In rats undernourished from birth to 21 days of age, by increasing the litter size, the neurotransmitter effect with ACh, NE or 5-HT was not altered in the cortex but was significantly reduced in the brain stem. In cerebellum the effects due to ACh and NE were significantly altered, while that with 5-HT was unaffected. It is concluded that cholinergic, adrenergic and serotonergic synapses are relatively unaffected in the cortex but are significantly affected in the brain stem by undernutrition. In the cerebellum of undernourished rats the adrenergic and cholinergic, but not serotonergic systems, are altered.

Effect of undernutrition on the metabolism of phospholipids and gangliosides in developing rat brain

1. Phospholipid content of brains of 3- or 8-week-old undernourished rats was 7--9% less than that for the corresponding control animals and this deficit could not be made up by rehabilitation. Phosphatidyl ethanolamine and plasmalogen were the components most affected in brains of undernourished rats. 2. Incorporation of 32P into phospholipids by brain homogenates was 28% higher in 3-week-old undernourished rats. It is suggested that enhanced phospholipid metabolism in undernourished animals may be related to behavioural alterations noted previously (Sobotka, Cook & Brodie, 1974). 3. Ganglioside concentrations in 3- and 8-week-old undernourished animals were 14% and 11.5% less respectively than those of the control animals and this difference could be made up by rehabilitation. [14C]Glucosamine incorporation in vivo into brain gangliosides was not affected by undernutrition.

Perinatal malnutrition and early handling: interactive effects on the development of the pituitary-adrenal system

The preweaning development of the pituitary-adrenal system was investigated in perinatally malnourished rodents. Malnourished pups that were routinely handled displayed an earlier plasma corticosterone stress response to electric shock and an accelerated development of feedback inhibition of the stress response by exogenously elevated steroid levels. Although malnourished pups displayed elevated basal corticosterone levels compared to well-fed controls, the post-stress levels were also higher in these malnourished young. Thus, the corticosterone response to stress was not impaired in malnourished pups. The influence of the early handling of malnourished young on pituitary-adrenal activity was also studied. Whereas the accelerated development of the stress response and the elevated post-shock levels were not the result of early handling, the elevated basal corticosterone levels displayed by handled malnourished pups were not present in nonhandled malnourished pups. Thus, the early non-nutritional environment interacts with malnutrition to alter the development of the pituitary-adrenal system.

Perinatal malnutrition: effects on brain norepinephrine content

Timed-gestation Wister rats were given free access to isocaloric diets containing 8% protein (malnourished) or 24% protein (controls). The dietary regimen was initiated on the 12th day of gestation and continued to the dams throughout the remainder of gestation and lactation. Postweaning rats were continued on the respective diets until studies were performed. Whole brain norepinephrine concentration was slightly increased on Day 21 after birth and was significantly increased on Day 35 in malnourished rats as compared with controls.

Effects of thyroxine on infant development of undernourished rats

The rehabilitative effects of exogenous thyroxine on infant development of undernourished animals were examined. Thyroxine injection accelerated the rate of body growth, age at eye opening, tooth eruption, and several emitted behaviors in undernourished infant animals. The data indirectly support previous findings that undernutrition induces hypothyroidism and that exogenous thyroxine might be an effective rehabilitative agent.

Effect of dietary protein and calorie deficiency on tryptophan levels in the developing rat brain

The pattern of development of brain tryptophan in the rat was studied in the progeny of mothers fed a 7.5% protein diet ad lib., a 20% protein diet ad lib. and those fed a 20% protein diet pair-fed with mothers who received the 7.5% protein. The pattern of development was similar in all three groups. Starting with a high brain tryptophan content at birth, all animals showed a progressive reduction during the next 3 weeks. However, tryptophan levels at birth were several fold higher in the brains of pups born to mothers receiving either the low protein diet fed ad lib. or those born to mothers who received the 20% protein diet in restricted amounts. From the 14th day after birth, tryptophan concentration of brain in undernourished pups was significantly lower until the 35th day. The implications of this finding are discussed.

Acquisition and retention of habituation in the preweanling rat

The acquisition and retention of habituation to air-puff was studied in rats on Days 1-19 postpartum. Animals of all ages demonstrated habituation but the rate of habituation varied with age: slower on each successive day from Day 1 to Day 8, but thereafter more rapid on each successive day. This peak of elicited responding is discussed in relation to the peak of spontaneous activity at Day 16 and to the pattern of neural development, including changes in acetylcholinesterase, norepinephrine, and serotonin, measured during the preweaning period. All ages showed 30-min retention of habituation, with 60-min retention developing after the 1st week. No evidence of 24-hr retention appeared at any age.

Protein synthesis with special reference to S-100 protein in brain slices from rats receiving a restricted protein supply

The synthesis of S-100 protein and that of soluble and total proteins was investigated using cerebral slices from rats fed a 20% or 3% protein containing diet for 6 days. Incorporation of radioactive amino acids into S-100 protein was significantly higher when rats were fed a diet containing 20% protein. No significant differences were obtained in the radioactivity incorporated into total or soluble proteins between the 2 dietary groups. 14C-leucine of aspecific radioactivity of 55 mCi/mmol or 3.2 mCi/mmol incorporated with time into total protein was similar for the 2 dietary groups. The time-dependent uptake of 14C-leucine by the slices and theinulin space remained unaffected by the dietary conditions used; and amino acid analyser estimates of the free amino acid pool showed no significant differences. Brain wet weight was 1.54+/-0.02 g and1.39+/-0.02 g for protein-fed and protein-restricted rats respectively. The corresponding body weight increased by 7.8 g/day or fell by 0.5 g/day. Although the differences observed in total protein synthesis were small the synthesis of a nervous tissue specific protein S-100 was markedly affected by short-term protein restriction.

Effects of protein malnutrition during development on protein synthesis in brain and peripheral tissues

Rats born of mothers fed a low protein diet (8% casein versus a normal 25% casein diet) starting 5 weeks prior to mating showed a 50-100% increase in protein synthesis in the brain and kidney on the day of birth. This effect was due to a 50-100% increase in the uptake of IP injected 14C-leucine in the malnourished rats. The proportion of total tissue radioactivity in the trichloroacetic acid-protein precipitates was the same in the 8% and 25% casein groups. For the most part, there were no significant diet related changes in uptake or incorporation of 14C-leucine in the brain, liver or kidney in the 8% and 25% casein groups on Days 5, 10-11 and 21. While the physiological basis of the diet related changes seen on the day of birth is unknown, the present data represent a previously undescribed effect of prenatal protein malnutrition.

Psychophysiologic effects of early lead exposure

In several separate experiments neonatal rats were intubated daily with 9, 27 or 81 mg lead acetate/kg of body weight throughout their 3-week postnatal period of development. Based on average body weights, the total daily lead intake was 0.156, 0.454 or 1.384 mg lead per animal, respectively (in addition to normal lead intake from the environment). Subtle and specific behavioral changes, involving an inability to attenuate inappropriate behavior in a two-way shuttle or a habit-reversal operant task, occurred in offspring following exposure to a minimum of 0.454 mg lead per day. The specificity of this central dysfunction was such that motor activity was normal, stress responsiveness remained unaffected and simple learning ability was comparable to that of controls. The only indication of a central neurochemical modification accompanying this behavioral defect was a tendency for telencephalic acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) activities to be depressed, suggesting a possible involvement of the cholinergic system. Steady-state levels of brain monoamines were unaltered. The experimental weanlings displayed an inhibition of blood delta-amino levulinic acid dehydratase (ALAD) activity, a parallel reduction in regional brain ALAD activity, a moderate reduction in hematocrit and hemoglobin and an increase in kidney weight. This latter effect occurred even at the lowest level of lead intake, 0.156 mg lead per day.

Effects of litter size on protein, choline acetyltransferase (cat), and dopamine-beta-hydroxylase (DBH) of a mouse sympathetic ganglion

Litters of 5, 10 and 17 pups were formed at birth. At 7, 14, 21, 28 and 60 days after birth mice were weighed and the cervical superior ganglia were examined for total protein and for CAT and DBH activities. At each age, the parameters examined were fitted into regression lines on the reciprocal of the litter size (L.S.R.); a highly positive correlation was found at each age between body weight and L.S.R., with maximum differences at weaning (day 21) followed by partial recovery after ad libitum feeding until day 60. A positive correlation was also found for total ganglion protein at days 21 and 28, with recovery practically completed at day 60. For CAT activity a positive correlation with L.S.R. appeared at day 14, with increasing coefficient and significance in later periods, until day 60. The temporal pattern of DBH activity for the 5-pup litter showed a peak at day 21, followed by a 35% decrease at day 28, with a steady level until day 60. A similar trend was observed for the 10- and 17-pup litters, but the peak occurred at day 28. Significant differences were found as early as day 7 between the 5- and the 17-pup litters, the maximum differences in the 3 experimental conditions being found at weaning, with a high and significant correlation coefficient, which persisted at day 60. Thus, the biochemical development and maturation of both presynaptic cholinergic nerve terminals and postsynaptic adrenergic neurones was evidently affected by the itter size during the suckling period, with persistent effects.

The effect of undernutrition in early life on cell generation in the rat brain

In undernourished rats aged up to 21 days, the DNA synthesis period in dividing cells of the subependymal and external granular layers is consistently and markedly prolonged, while rates of cell production from these layers are only slightly altered. Cell cycle times are unchanged up to the end of the first week of life and prolonged from day 12. The G1 phase is markedly shortened at 1, 6 and 12 days of age. It would appear that, in comparison with controls, disappearance of the external granular layer is delayed, and cell numbers in both germinal layers may be reduced.