1
|
Crossin R. Exploring the link between adolescent inhalant misuse and suicidal behaviour: a behavioural toxicology perspective. Neurotoxicol Teratol 2021; 88:107038. [PMID: 34678460 DOI: 10.1016/j.ntt.2021.107038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 10/13/2021] [Accepted: 10/14/2021] [Indexed: 10/20/2022]
Abstract
Adolescent inhalant misuse has a known association with suicidal thoughts and behaviour. This association persists even after inhalant misuse has ceased. Previous studies have hypothesised that this association may derive from socioeconomic disadvantage or vulnerability, and potentially mediated by impulsivity. This association may also be due to the central nervous system depressant effects of inhalants. This review takes a behavioural toxicology perspective, focussed particularly on the serotonergic system and the Hypothalamic-Pituitary-Adrenal (HPA) axis, as potential links between adolescent inhalant misuse and suicidal behaviour. The challenges of bridging the pre-clinical and clinical literature in this area are discussed, along with promising avenues for future research; ultimately aimed at reducing suicide risk in a vulnerable adolescent population group.
Collapse
Affiliation(s)
- Rose Crossin
- Department of Population Health, University of Otago (Christchurch), Christchurch 8140, New Zealand.
| |
Collapse
|
2
|
Crossin R, Qama A, Andrews ZB, Lawrence AJ, Duncan JR. The effect of adolescent inhalant abuse on energy balance and growth. Pharmacol Res Perspect 2019; 7:e00498. [PMID: 31384470 PMCID: PMC6664821 DOI: 10.1002/prp2.498] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 05/21/2019] [Accepted: 05/25/2019] [Indexed: 12/20/2022] Open
Abstract
The abuse of volatile solvents such as toluene is a significant public health concern, predominantly affecting adolescents. To date, inhalant abuse research has primarily focused on the central nervous system; however, inhalants also exert effects on other organ systems and processes, including metabolic function and energy balance. Adolescent inhalant abuse is characterized by a negative energy balance phenotype, with the peak period of abuse overlapping with the adolescent growth spurt. There are multiple components within the central and peripheral regulation of energy balance that may be affected by adolescent inhalant abuse, such as impaired metabolic signaling, decreased food intake, altered dietary preferences, disrupted glucose tolerance and insulin release, reduced adiposity and skeletal density, and adrenal hypertrophy. These effects may persist into abstinence and adulthood, and the long-term consequences of inhalant-induced metabolic dysfunction are currently unknown. The signs and symptoms resulting from chronic adolescent inhalant abuse may result in a propensity for the development of adult-onset metabolic disorders such as type 2 diabetes, however, further research investigating the long-term effects of inhalant abuse upon energy balance and metabolism are needed. This review addresses several aspects of the short- and long-term effects of inhalant abuse relating to energy and metabolic processes, including energy balance, intake and expenditure; dietary preferences and glycemic control; and the dysfunction of metabolic homeostasis through altered adipose tissue, bone, and hypothalamic-pituitary-adrenal axis function.
Collapse
Affiliation(s)
- Rose Crossin
- Florey Institute of Neuroscience and Mental HealthParkvilleVIC
- Turning Point, Eastern HealthRichmondVIC
- Eastern Health Clinical SchoolMonash UniversityBox HillVIC
| | - Ashleigh Qama
- Florey Institute of Neuroscience and Mental HealthParkvilleVIC
- WHO Collaborating Centre for Viral HepatitisPeter Doherty Institute for Infection and ImmunityMelbourneVIC
| | - Zane B. Andrews
- Monash Biomedicine Discovery InstituteMonash UniversityClaytonVIC
| | - Andrew J. Lawrence
- Florey Institute of Neuroscience and Mental HealthParkvilleVIC
- Florey Department of Neuroscience and Mental HealthUniversity of MelbourneParkvilleVIC
| | | |
Collapse
|
3
|
Vesterinen HM, Morello-Frosch R, Sen S, Zeise L, Woodruff TJ. Cumulative effects of prenatal-exposure to exogenous chemicals and psychosocial stress on fetal growth: Systematic-review of the human and animal evidence. PLoS One 2017; 12:e0176331. [PMID: 28700705 PMCID: PMC5507491 DOI: 10.1371/journal.pone.0176331] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 03/14/2017] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Adverse effects of prenatal stress or environmental chemical exposures on fetal growth are well described, yet their combined effect remains unclear. OBJECTIVES To conduct a systematic review on the combined impact and interaction of prenatal exposure to stress and chemicals on developmental outcomes. METHODS We used the first three steps of the Navigation Guide systematic review. We wrote a protocol, performed a robust literature search to identify relevant animal and human studies and extracted data on developmental outcomes. For the most common outcome (fetal growth), we evaluated risk of bias, calculated effect sizes for main effects of individual and combined exposures, and performed a random effects meta-analysis of those studies reporting on odds of low birthweight (LBW) by smoking and socioeconomic status (SES). RESULTS We identified 17 human- and 22 animal-studies of combined chemical and stress exposures and fetal growth. Human studies tended to have a lower risk of bias across nine domains. Generally, we found stronger effects for chemicals than stress, and these exposures were associated with reduced fetal growth in the low-stress group and the association was often greater in high stress groups, with limited evidence of effect modification. We found smoking associated with significantly increased odds of LBW, with a greater effect for high stress (low SES; OR 4.75 (2.46-9.16)) compared to low stress (high SES; OR 1.95 (95% CI 1.53-2.48)). Animal studies generally had a high risk of bias with no significant combined effect or effect modification. CONCLUSIONS We found that despite concern for the combined effects of environmental chemicals and stress, this is still an under-studied topic, though limited available human studies indicate chemical exposures exert stronger effects than stress, and this effect is generally larger in the presence of stress.
Collapse
Affiliation(s)
- Hanna M. Vesterinen
- Program on Reproductive Health and the Environment, University of California, San Francisco, United States of America
| | - Rachel Morello-Frosch
- Department of Environmental Science, Policy and Management and School of Public Health, University of California, Berkeley, United States of America
| | - Saunak Sen
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, United States of America
| | - Lauren Zeise
- California Environmental Protection Agency Office of Environmental Health Hazard Assessment, Oakland, United States of America
| | - Tracey J. Woodruff
- Program on Reproductive Health and the Environment, University of California, San Francisco, United States of America
- * E-mail:
| |
Collapse
|
4
|
Yan Y, Wang Q, Li W, Zhao Z, Yuan X, Huang Y, Duan Y. Discovery of potential biomarkers in exhaled breath for diagnosis of type 2 diabetes mellitus based on GC-MS with metabolomics. RSC Adv 2014. [DOI: 10.1039/c4ra01422g] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Eight breath biomarkers of T2DM were discovered by a new SPME-GC-MS based metabolic profiling tool.
Collapse
Affiliation(s)
- Yanyue Yan
- Research Center of Analytical Instrumentation
- Analytical & Testing Center
- Sichuan University
- Chengdu, P. R. China
| | - Qihui Wang
- Research Center of Analytical Instrumentation
- Analytical & Testing Center
- Sichuan University
- Chengdu, P. R. China
| | - Wenwen Li
- Research Center of Analytical Instrumentation
- Analytical & Testing Center
- Sichuan University
- Chengdu, P. R. China
| | - Zhongjun Zhao
- Research Center of Analytical Instrumentation
- College of Chemistry
- Sichuan University
- Chengdu, P. R. China
| | - Xin Yuan
- Research Center of Analytical Instrumentation
- College of Chemistry
- Sichuan University
- Chengdu, P. R. China
| | - Yanping Huang
- Research Center of Analytical Instrumentation
- College of Chemistry
- Sichuan University
- Chengdu, P. R. China
| | - Yixiang Duan
- Research Center of Analytical Instrumentation
- College of Life Sciences
- Sichuan University
- Chengdu, P. R. China
| |
Collapse
|
5
|
Exposure to toluene and stress during pregnancy impairs pups' growth and dams' lactation. Neurotoxicol Teratol 2013; 40:9-16. [DOI: 10.1016/j.ntt.2013.07.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2013] [Revised: 07/11/2013] [Accepted: 07/31/2013] [Indexed: 10/26/2022]
|
6
|
Jarosz PA, Fata E, Bowen SE, Jen KLC, Coscina DV. Effects of abuse pattern of gestational toluene exposure on metabolism, feeding and body composition. Physiol Behav 2007; 93:984-93. [PMID: 18272189 DOI: 10.1016/j.physbeh.2007.12.016] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2007] [Revised: 11/13/2007] [Accepted: 12/19/2007] [Indexed: 11/20/2022]
Abstract
AIMS Inhalant abuse during pregnancy lowers birth weight and impedes early development. These studies explored the effects of brief, repeated, prenatal toluene exposures in pregnant female rats on body weight, metabolic rate, body composition, and food intake in their offspring. METHOD Rats were exposed to 0, 8000, 12,000, or 16,000 ppm of toluene twice daily for 15 min from gestational days 8 to 20. The effects of such exposures on post-weaning litter weights, oxygen consumption, carbon dioxide output, and body fat content were determined in 2 cohorts (n=23, n=24) of offspring. Food intakes and weight changes in response to 3 different diets (regular chow, purified diet, purified high fat diet) were examined in another cohort (n=24) from postnatal days 72 to 116. RESULTS Litter weights showed a significant linear decrease as a function of toluene dose. Offspring exposed to the 16,000 ppm toluene dose displayed statistically lower energy expenditures than control rats. Male rats exposed to 8000 or 16,000 ppm toluene had significantly greater percentage of body fat as well as total body fat than the other groups. Toluene also significantly suppressed weight gain over the time chow was consumed compared to the 0 ppm control group. Finally there were trends for a main effect of toluene dose on food intake during chow and during high fat diet consumption, with rats in the 12,000 ppm group consuming more than the 0 ppm group on both diets. DISCUSSION These data suggest that, in addition to other previously documented abnormalities in neurological development and behavior, the physiological regulation of metabolism and body composition in males as well as food intake and weight gain in both sexes may be altered by prenatal exposure to toluene.
Collapse
|
7
|
Hougaard KS, Barrenäs ML, Kristiansen GB, Lund SP. No evidence for enhanced noise induced hearing loss after prenatal stress or dexamethasone. Neurotoxicol Teratol 2007; 29:613-21. [PMID: 17804195 DOI: 10.1016/j.ntt.2007.07.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2007] [Revised: 07/12/2007] [Accepted: 07/12/2007] [Indexed: 11/20/2022]
Abstract
It was recently implied that prenatal stress and fetal exposure to glucocorticoids may interfere with hearing ability and noise induced hearing loss in adulthood. In the present study pregnant Wistar rats were stressed during gestation by Chronic Mild Stress (CMS, a variable schedule of different stressors) or by dexamethasone (a synthetic glucocorticoid, i.e. a pharmacological stressor). At birth, but not at weaning, the dexamethasone offspring exhibited significantly decreased body weight compared to both control offspring and progeny from dams exposed to CMS during pregnancy. As adults, male offspring were exposed to 105 dB sound pressure level (SPL) wide band noise either continuously for eight hours or for two hours per day on three consecutive days. Oto-acoustic emissions and auditory brainstem responses were recorded before and after exposure to noise. Neither prenatal chronic stress nor prenatal dexamethasone exposure was associated with significantly enhanced noise induced hearing loss compared to controls, and these results were consistent in both subsets of animals. Our data do not support previous reports that prenatal exposure to mild stress nor to dexamethasone is detrimental to the hearing organ per se. However, hearing may be modulated by prenatal stressors under certain circumstances, of which the timing and degree are probably the most important.
Collapse
Affiliation(s)
- Karin S Hougaard
- National Research Centre for the Working Environment, Lersø Parkallé 105, DK-2100 Copenhagen, Denmark.
| | | | | | | |
Collapse
|
8
|
Hougaard KS, Hansen AM. Enhancement of developmental toxicity effects of chemicals by gestational stress. A review. Neurotoxicol Teratol 2007; 29:425-45. [PMID: 17433620 DOI: 10.1016/j.ntt.2007.02.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2006] [Revised: 02/21/2007] [Accepted: 02/26/2007] [Indexed: 01/17/2023]
Abstract
Risk assessment of developmental toxicants is almost exclusively based on single chemicals studied in animals under controlled experimental conditions, as to reduce stress. Although humans may be exposed simultaneously to numerous hazards, little is known about the interaction of prenatal chemical exposures with other factors, such as maternal stress, itself a modifier of fetal development. Gestational stress has been hypothesized to enhance the developmental toxicity of chemicals. This review identified 36 animal studies investigating if maternal stress may enhance the effects of prenatal chemical exposure, and evaluated the presented hypothesis. Studies of a broad range of chemicals and developmental endpoints support the notion, that maternal stress is able to enhance the effects of developmental toxicants, although stress mitigated chemically induced effects in a few cases. Maternal stress most often enhanced chemical developmental toxicity at dose levels associated with severe maternal toxicity or where test agents were already above threshold for effect. Thus, LOAEL(chemical) was generally similar to LOAEL(chemical+stress), although not necessarily for the same endpoint. It should be noted that the database contained a limited number of studies, and only a single high dose level was applied in most studies, rendering establishment of NOAELs for combined exposures impossible. Furthermore, for some compounds, the margin between human exposure levels and the LOAEL(chemical+stress) seems small. Future studies are recommended to investigate compounds, for which maternal stress was already proven as an enhancer, at lower dose levels. Interactive response seems to depend on stressor severity and timing of chemical exposure relative to maternal stress which should be further scrutinized.
Collapse
Affiliation(s)
- Karin S Hougaard
- Laboratory: National Research Centre for the Working Environment, DK-2100 Copenhagen Ø, Denmark.
| | | |
Collapse
|
9
|
Hougaard KS, Andersen MB, Kjaer SL, Hansen AM, Werge T, Lund SP. Prenatal stress may increase vulnerability to life events: comparison with the effects of prenatal dexamethasone. BRAIN RESEARCH. DEVELOPMENTAL BRAIN RESEARCH 2005; 159:55-63. [PMID: 16085319 DOI: 10.1016/j.devbrainres.2005.06.014] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2005] [Revised: 06/24/2005] [Accepted: 06/27/2005] [Indexed: 11/18/2022]
Abstract
Prenatal stress has been associated with a variety of alterations in the offspring. The presented observations suggest that rather than causing changes in the offspring per se, prenatal stress may increase the organism's vulnerability to aversive life events. Offspring of rat dams stressed gestationally by chronic mild stress (CMS, a variable schedule of different stressors) or dexamethasone (DEX, a synthetic glucocorticoid, i.e., a pharmacological stressor) was tested for reactivity by testing their acoustic startle response (ASR). Two subsets of offspring were tested. One was experimentally naïve at the time of ASR testing, whereas the other had been through blood sampling for assessment of the hormonal stress response to restraint, 3 months previously. Both prenatal CMS and dexamethasone increased ASR in the offspring compared to controls, but only in prenatally stressed offspring that had been blood sampled 3 months previously. In conclusion, similarity of the effects of maternal gestational exposure to a regular stress schedule and of exposure to a synthetic glucocorticoid suggests that maternal glucocorticoids may be a determining factor for changes in the regulatory mechanisms of the acoustic startle response. Further, a single aversive life event showed capable of changing the reactivity of prenatally stressed offspring, whereas offspring of dams going through a less stressful gestation was largely unaffected by this event. This suggests that circumstances dating back to the very beginning of life affect the individual's sensitivity towards experiences in life after birth. The prenatal environment may thus form part of the explanation of the considerable individual variation in the development of psychopathology.
Collapse
Affiliation(s)
- Karin S Hougaard
- National Institute of Occupational Health, Lersø Parkallé 105, DK-2100 Copenhagen, Denmark.
| | | | | | | | | | | |
Collapse
|
10
|
Hougaard KS, Andersen MB, Hansen AM, Hass U, Werge T, Lund SP. Effects of prenatal exposure to chronic mild stress and toluene in rats. Neurotoxicol Teratol 2005; 27:153-67. [PMID: 15681129 DOI: 10.1016/j.ntt.2004.08.001] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2003] [Revised: 08/02/2004] [Accepted: 08/02/2004] [Indexed: 11/22/2022]
Abstract
The aim of the present study was to elucidate whether prenatal chronic stress, in combination with exposure to a developmental neurotoxicant, would increase effects in the offspring compared with the effects of either exposure alone. Development and neurobehavioral effects were investigated in female offspring of pregnant rats (Mol:WIST) exposed to chronic mild stress (CMS) during gestational days (GD) 9-20, or 1500 ppm toluene, 6 h/day during gestational days 7-20, or a combination of the two. Prenatal CMS was associated with decreased thymic weight and increased auditory startle response. The corticosterone response to restraint seemed modified by prenatal exposure to toluene. Lactational body weight was decreased in offsprings subjected to CMS, primarily due to effects in the combined exposure group. Cognitive function was investigated in the Morris water maze, and some indications of improved function due to CMS were observed. In the present experimental setting, there was no indication of the two exposures potentiating each other with respect to adverse effects on the nervous system. However, the effects of prenatal CMS indicate that stress during fetal life may interfere with the development of the thymus and increase the reactivity (startle reflex) of the offspring.
Collapse
Affiliation(s)
- Karin S Hougaard
- National Institute of Occupational Health, DK-2100 Copenhagen Ø, Denmark.
| | | | | | | | | | | |
Collapse
|
11
|
Ladefoged O, Hougaard KS, Hass U, Sørensen IK, Lund SP, Svendsen GW, Lam HR. Effects of Combined Prenatal Stress and Toluene Exposure on Apoptotic Neurodegeneration in Cerebellum and Hippocampus of Rats. ACTA ACUST UNITED AC 2004; 94:169-76. [PMID: 15078341 DOI: 10.1111/j.1742-7843.2004.pto940403.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Pregnant Wistar rats were exposed to 1500 ppm toluene 6 hr/day from gestational day 7-20 or to chronical mild stress from gestational day 9-20 as single exposure or in combination. Behavioural, immunohistopathological, molecular biological, and neurochemical methods were applied to investigate the offspring for developmental neurotoxicity and level of apoptosis in the brain. The number of apoptotic cells in cerebellum postnatal day 22, 24, and 27 and in hippocampus (postnatal day 22, 24, and 27) were counted after visualization by the TUNEL staining or measured by DNA-laddering technique. Caspase-3 activity was determined in cerebellum (postnatal day 6, 22, 24, and 27) and in hippocampus (postnatal day 6 and 22). TUNEL staining and DNA-laddering technique showed a marked decrease in number of apoptotic cells from postnatal day 22 to 27 in both cerebellum and hippocampus. Apparently, a peak in the number of TUNEL positive cells was identified in cerebellum at postnatal day 22. There was no statistically significant influence of exposure except that DNA-laddering in cerebellum at postnatal day 27 was increased by toluene exposure. Caspase-3 activity decreased in cerebellum and hippocampus with age. At postnatal day 6 stress and toluene, when singly exposed, increased activity in cerebellum whereas co-exposure to stress and toluene did not. Stress increased caspase-3 activity in hippocampus postnatal day 22. There was overall consistency between the results obtained by the three supplementary methods regarding the influence of exposure and age on apoptotic activity in cerebellum and hippocampus. New methods to quantitate the relative level of apoptosis measured as DNA-laddering and the caspase-3 activity in tissue are presented.
Collapse
Affiliation(s)
- Ole Ladefoged
- Institute of Food Safety and Nutrition, Danish Veterinary and Food Administration, Copenhagen, Denmark.
| | | | | | | | | | | | | |
Collapse
|