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The Journal of Neuroscience, September 15, 1999, 19(18):8114-8121
Reversals of Age-Related Declines in Neuronal Signal
Transduction, Cognitive, and Motor Behavioral Deficits with Blueberry,
Spinach, or Strawberry Dietary Supplementation
James A.
Joseph1,
Barbara
Shukitt-Hale1,
Natalia A.
Denisova1,
Donna
Bielinski1,
Antonio
Martin1,
John J.
McEwen1, and
Paula C.
Bickford2
1 United States Department of Agriculture, Human
Nutrition Research Center on Aging, Tufts University, Boston,
Massachusetts 02111, and 2 Department of Veterans Affairs
Medical Center, Denver, Colorado 80262
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ABSTRACT |
Ample research indicates that age-related neuronal-behavioral
decrements are the result of oxidative stress that may be ameliorated by antioxidants. Our previous study had shown that rats given dietary
supplements of fruit and vegetable extracts with high antioxidant
activity for 8 months beginning at 6 months of age retarded age-related
declines in neuronal and cognitive function. The present study showed
that such supplements (strawberry, spinach, or blueberry at 14.8, 9.1, or 18.6 gm of dried aqueous extract per kilogram of diet, respectively)
fed for 8 weeks to 19-month-old Fischer 344 rats were also effective in
reversing age-related deficits in several neuronal and behavioral
parameters including: oxotremorine enhancement of
K+-evoked release of dopamine from striatal slices,
carbachol-stimulated GTPase activity, striatal Ca45
buffering in striatal synaptosomes, motor behavioral performance on the
rod walking and accelerod tasks, and Morris water maze performance.
These findings suggest that, in addition to their known beneficial
effects on cancer and heart disease, phytochemicals present in
antioxidant-rich foods may be beneficial in reversing the course of
neuronal and behavioral aging.
Key words:
phytonutrients; aging; dopamine; striatum; cognitive
behavior; motor behavior
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INTRODUCTION |
It is well known that there are a
number of neuronal and behavioral changes that take place as a function
of aging, even in the absence of neurodegenerative diseases. These
changes may include decrements in calcium homeostasis (Landfield and
Eldridge, 1994 ) and in the sensitivity of several receptor systems,
most notably: (1) adrenergic (Gould and Bickford, 1997 ); (2)
dopaminergic (Joseph et al., 1978 ; Levine and Cepeda, 1998 ); (3)
muscarinic (Joseph et al., 1990 ; Yufu et al., 1994 ; Egashira et al.,
1996 ); and (4) opioid (Kornhuber et al., 1996 ; Nagahara et al., 1996 ).
These decrements can be expressed, ultimately, as alterations in both motor (Joseph et al., 1983 ; Kluger et al., 1997 ) and cognitive behaviors (Bartus, 1990 ).
Although the major factors involved in these age-related declines
remain to be specified, a great deal of research in recent years has
suggested that one of the most important may be reductions in the
ability to mitigate the long-term effects of oxidative stress (OS).
This appears to be particularly evident in Parkinson's disease (PD)
(Jenner, 1996 ) and Alzheimer's disease (AD) (Finch and Cohen, 1997 ).
In AD, for example, several studies have shown increased: (1) OS and
damage to proteins tau and neurofilaments (Smith et al., 1995 ); (2)
A -mediated OS-induced cell death (Smith et al., 1996 ; Pike et al.,
1997 ; Daniels et al., 1998 ); and (3) protein carbonyls (Smith et al.,
1991 ) and 4-hydroxynonenal (Sayre et al., 1997 ).
If OS is indeed a major factor in brain aging and in age-related
neurodegenerative disease, it would seem that some of its deleterious
effects could be retarded or even reversed by increasing antioxidant levels, and that the putative synergistic effects of
combinations of antioxidants might be particularly effective in this
regard. Our findings have suggested that this might be accomplished by
increasing the dietary intake of fruits and vegetables.
In a previous study we examined whether long-term (from 6-15 months of
age; F344 rats) feeding with a control diet (AIN-93) or a diet
supplemented with a strawberry or spinach extract that had been
identified as being high in antioxidant activity via the oxygen radical
absorbance capacity assay (ORAC; Cao et al., 1995 , 1996 ; Wang et
al., 1996 ) or vitamin E would forstall the effects of aging. Results
indicated that the supplemented diets could prevent the onset of
age-related deficits in several indices [e.g., signal transduction,
such as oxotremorine-enhanced striatal dopamine release
(ox-K+-ERDA)], as well as cognitive
behavior (e.g., Morris water maze performance), with spinach having the
greatest effects (Joseph et al., 1998 ). These results suggested that
phytochemicals present in antioxidant-rich foods could be beneficial in
forestalling functional age-related deficits.
However, although these results are interesting, it is important to
note that at present, the world population comprised of people over 65 years of age represents >50% of all those who have ever lived to
attain this age. Therefore, it is important to determine whether these
dietary supplementations might be effective in aged organisms. Thus,
the purpose of the present experiment was to examine whether dietary
supplementations (for 8 weeks) with spinach, strawberry, or blueberry
(Prior et al., 1998 ) extracts in an AIN-93 diet would be effective in
reversing age-related deficits in neuronal and behavioral function in
aged (19 months) Fischer 344 rats.
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MATERIALS AND METHODS |
Note that for these experiments we employed age-valid tests in
which Fischer 344 rats had been shown to exhibit decrements by 15 months of age (Joseph et al., 1998 ; Shukitt-Hale et al., 1998b ).
Animals
The subjects were 40 male Fischer 344 rats (Harlan Sprague
Dawley, Indianapolis, IN). They were individually housed in stainless steel mesh suspended cages, provided food and water ad
libitum, and maintained on a 12 hr light/dark cycle. All rats were
observed daily for clinical signs of disease. After a 5 d
acclimatization period to the facility, the 19-month-old rats were
weight-matched, given 5 d on the control (modified AIN-93) diet
(Table 1), and randomly assigned to one
of the four diet groups [control, 1.48% strawberry, 0.91% spinach,
or 1.86% blueberry (w/v); 10/diet group; Table 1]. The rats were fed
these diets for 8 weeks before experimental testing at 21 months. The
amounts of strawberry, spinach, or blueberry extracts added into the
control diet were based on an equivalent ORAC activity so that each
diet provided equivalent antioxidant activity (1.36 mmol Trolox
equivalent per kilogram of diet, Joseph et al., 1998 ). Weights were
recorded every 2 weeks, and food intakes (over a 48 hr period) were
performed twice during the study. These animals were used in compliance
with all applicable laws and regulations as well as principles
expressed in the National Institutes of Health, United States Public
Health Service Guide for the Care and Use of Laboratory Animals. This
study was approved by the Animal Care and Use Committee of our
center.
Diet preparation
Four hundred grams of sample were added to water in the ratio of
2:1 for strawberries and spinach, and 1:1 for blueberries, then
homogenized in a blender for 2 min. The recovered homogenate was
centrifuged at 13,000 × g for 15 min at 4°C. The
diet was then prepared as described previously (Joseph et al., 1998 ).
The amount of corn starch in the control diet was adjusted accordingly when the strawberry, spinach, or blueberry extracts were added (Table
1).
Procedures
Dopamine release. Oxotremorine enhancement of
K+-ERDA was conducted as previously
described (Joseph et al., 1988a ,b ; 1990 ; 1998 ).
Briefly, cross cut (300 µm; McIlwain tissue chopper) striatal slices
were obtained from the animals maintained on the various diets. The
slices were placed in small glass vials containing modified
Krebs'-Ringer's solution basal release medium (BRM) that had been
bubbled for 30 min with 95% O2 and 5%
CO2 and which contained (in mM)
NaHCO3 21, glucose 3.4, NaH2PO4 1.3, EGTA 1, MgCl2 0.93, NaCl 127, and KCl 2.5 (low KCl), pH
7.4. They were then placed in the perfusion chambers where they were
maintained at 37°C and perfused with the BRM for 30 min. After this
equilibration period, the medium was then switched to one containing
(in mM) KCl 30, CaCl2 · 2H2O 1.26 (in place of
EGTA), NaCl 57, and 0 or 500 µM oxotremorine, and the
enhancement of K+-ERDA was assessed. DA
release was then quantitated by HPLC coupled to electrochemical
detection. Data were expressed as picomoles per milligram of protein as
determined by the Lowry et al. (1951) procedure.
GTPase activity. Striatal membranes were prepared, and low
KM GTPase analysis was performed according to the
method of Cassel and Selinger (1976) as modified by Yamagami et al.
(1992) . Low KM GTPase activity was
calculated by subtracting the activity measured in the presence of 100 µM unlabeled GTP from total activity. Activity was
expressed in picomoles of -[32P]
hydrolyzed per milligram of protein per minute. Values were expressed
as means ± SEM of the differences between basal and carbachol-stimulated low-Km GTPase activity
( G) in picomoles per milligram of protein per minute. Proteins were
determined by the Lowry et al. (1951) method.
45Ca2+ recovery.
Striatal synaptosomes were isolated from the individual rats, and
45Ca2+ uptake
studies were performed as described previously (Joseph et al., 1998 ).
Results were expressed as nanomoles of
Ca2+ per milligram of protein. Percent of
increase in
45Ca2+ uptake
(increase) and recovery at 30 sec after depolarization (recovery) were
calculated as described in Joseph et al. (1998) .
Psychomotor testing. A battery of age-sensitive tests of
psychomotor behavior (Joseph et al., 1983 ; Ingram et al., 1994 ;
Shukitt-Hale et al., 1998b ) was administered in a randomized order to
the animals. Each test was performed once, separated by no less than a
1 hr break between tasks. Briefly, the tests included: (1) rod walking, which measures psychomotor coordination and the integrity of the vestibular system by requiring the animal to balance on a stationary, horizontal rod; (2) wire suspension, which measures muscle strength and
the prehensile reflex, an animal's ability to grasp a horizontal wire
with its forepaws and to remain suspended; (3) plank walking, which
measures balance and coordination by exposing the rats to different
sizes of horizontal planks; (4) inclined screen, which measures muscle
tone, strength, stamina, and balance by placing the animal on a wire
mesh screen that is tilted 60° to the horizontal plane of the floor;
and (5) accelerating rotarod, which measures fine motor coordination,
balance, and resistance to fatigue by measuring the amount of time that
a rat can remain standing/walking on a rotating, slowly accelerating rod.
Cognitive testing. The working memory version of the Morris
water maze (MWM), with a 10 min intertrial interval, was used to test
spatial learning and memory (Morris, 1984 ; Brandeis et al., 1989 ;
Shukitt-Hale et al., 1998b ). Performance on the maze, including the
working memory paradigm, has been shown to deteriorate with aging
(Morris, 1984 ; Rapp et al., 1987 ; Brandeis et al., 1989 ; Van der Staay
et al., 1993 ; Ingram et al., 1994 ; Shukitt-Hale et al., 1998b ).
MWM testing was performed daily for 4 consecutive days, with a morning
and an afternoon session, two trials each session, with a 10 min
intertrial interval between the two trials. At the beginning of each
trial, the rat was gently immersed in the water at one of four
randomized start locations (located 90° apart on the perimeter of the
pool). Each rat was allowed 120 sec to escape onto the platform
(submerged 2 cm below the surface; its location was changed to a
different quadrant for each session of testing); if the rat failed to
escape within this time, it was guided to the platform. Once the rat
reached the platform, it remained there for 15 sec (trial 1; reference
memory or acquisition trial). The rat was returned to its home cage
between trials (10 min). Trial 2 (the working memory or retrieval
trial) used the same platform location and start position as trial 1. Performance (latency to find platform in seconds, distance swam in
centimeters, and swim speed in centimeters per second) on each trial
was videotaped and analyzed with image tracking software (HVS Image,
Hampton, UK). For a more detailed description of the maze and the
paradigm used, see Shukitt-Hale et al. (1998a ,b ).
Analyses of oxidative stress. The effects of oxidative
stress on the production of reactive oxygen species (ROS) in the brain tissue obtained from animals in the various diet groups was assessed using 2',7'-dichlorofluorescin diacetate (DCFH-DA; Molecular
Probes, Eugene, OR) analysis (Lebel et al., 1992 ; Ueda et al., 1997 ). For these experiments, striata were quickly removed from the brain, and
pellets of membranes (synaptosomes, myelin, and mitochondria) were
obtained and treated as described previously (Denisova et al., 1998 ).
The results were expressed as a percent of control.
In addition to these analyses, total glutathione (GSH) levels were also
analyzed using the procedure described in Shukitt-Hale et al.
(1998a) .
Vitamin E analyses. Vitamin E ( -tocopherol and
-tocopherol) content of tissues was measured by reverse-phase HPLC
as described in Martin et al. (1997) . Briefly, 100 µl of homogenized
tissue was mixed with 100 µl ethanol; after vortexing, tocopherols
were extracted into 500 µl hexane containing 0.002% butylated
hydroxyl toluene (BHT). Tocol (a gift from Hoffmann-La Roche, Neutley, NJ) was added to the mixture as an internal standard. Samples were
centrifuged at 800 rpm for 5 min at 4°C, and the supernatant was
collected, dried under a stream of nitrogen gas, and reconstituted in
100 µl of methanol. Tocopherols were separated by HPLC using a 3 µm
C18 reverse phase column and eluted peaks detected with an amperometric
electrochemical detector (Bioanalytical Systems, West Lafayette, IN).
Peaks were integrated with a ChemStation (Hewlett Packard);
-tocopherol and -tocopherol concentration was expressed in
picomoles per milligram of protein. Protein was measured by the method
of Lowry et al. (1951) .
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RESULTS |
Weights
The rats gained weight from 19-21 months
(F(9,30) = 49.95; p < 0.001) from an average of 405.3 ± 0.2 precontrol diet to 459.4 ± 4.1 at age 21 months. However, there were no differences in weight between
the diet groups over time (p > 0.05) or at age 21 months (p > 0.05). There were also no
differences in food intakes between the diet groups over the course of
the study (p > 0.05).
DA release
As can be seen from Figure
1A, all striatal slices
obtained from the animals in the various diet groups (six animals per
group) showed significantly greater oxo-enhanced striatal K
+-ERDA than that seen in those obtained
from animals maintained on the control diet
(F(3,20) = 237.56; p < 0.0001; Fisher's LSD test: control versus strawberry,
p < 0.0001; spinach, p < 0.0001; blueberry, p < 0.0001]. Additional post
hoc comparisons indicated that oxo-enhanced
K+-ERDA in the blueberry-fed group was
greater than that seen in the strawberry-fed (p < 0.0001) or spinach-fed (p < 0.0001) groups, which were not different from each other.

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Figure 1.
Oxotremorine enhancement of DA release
(A) and differences (expressed as change from
baseline) in carbachol-stimulated low KM GTPase activity
(B) from striatal slices obtained and prepared
from animals maintained on the control or the various antioxidant diets
(mean + SEM). Means not sharing a common letter are significantly
different from each other (p < 0.05;
Fisher's LSD).
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GTPase activity
As Figure 1B shows, there were differences
between basal and carbachol-stimulated GTPase activity from striatal
slices for the various diet groups (six animals per group),
(F(3,20) = 27.05; p < 0.0001), with the spinach (p < 0.05) and
blueberry (p < 0.0001) groups preventing the
age-related decrement, but not the strawberry group
(p > 0.05). Additional post hoc
comparisons indicated that GTPase activity in the blueberry-fed group
was greater than that seen in the strawberry-fed
(p < 0.0001) or spinach-fed
(p < 0.0001) groups, which were also different
from each other (p < 0.05), with the
spinach-fed group having higher activity.
45Ca recovery
As can be seen in Figure
2A, differences in
45Ca2+
recovery were examined in the striatal synaptosomes obtained from the
controls and various diet groups, under control and OS (exposure of the synaptosomes to H2O2)
conditions. The results indicated that there were significant
differences as a function of diet and
H2O2 treatment (F(3,24) = 15.49; p < 0.0001), as well as H2O2
treatment alone (F(1,24) = 35.90;
p < 0.0001). Post hoc testing showed that
the strawberry diet had greater calcium recovery
(p < 0.001), whereas the blueberry diet had
lower recovery (p < 0.05), in
non-H2O2-treated synaptosomes compared to the control diet. After treatment with 300 µM
H2O2, only the blueberry
group showed greater 45Ca recovery
(p < 0.05) after treatment, i.e., a greater
ability to extrude or sequester calcium after depolarization, than the control group. In fact, only the blueberry-fed diet group had no
deficits in 45Ca recovery after exposure
to H2O2
(p > 0.05), whereas
45Ca recovery was significantly decreased
in the H2O2-exposed diet control group as compared to nonexposed control
(p < 0.05), as well as the strawberry
(p < 0.0001) and spinach groups
(p < 0.0001).

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Figure 2.
Calcium recovery (A; expressed as
percent of control) and increase in calcium (B;
expressed as percent increase) in synaptosomes obtained from animals in
the various diet groups and exposed to 0 or 300 µM
H2O2 (15 min) and depolarized with 60 mM KCl. For this figure, a differs from
untreated (no H2O2) control diet group,
b differs from treated
(H2O2) control diet group, and the
asterisk indicates a difference between 0 and 300 µM H2O2 for that diet group
(p < 0.05; Fisher's LSD).
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Calcium increase (Fig. 2B) showed an effect of diet
(F(3,24) = 7.69; p < 0.001), H2O2
(F(1,24) = 4.48; p < 0.05), and a diet by H2O2 interaction
(F(3,24) = 4.24; p < 0.05). Post hoc testing showed that striatal synaptosomes
isolated from the blueberry- supplemented animals showed a greater
increase in calcium in
non-H2O2-treated synaptosomes than those from controls (p < 0.01). After treatment with 300 µM
H2O2, the spinach group had
a greater increase in calcium than the control group
(p < 0.05). However, only the blueberry diet
showed a decreased calcium increase after depolarization when comparing
0 µM
H2O2 and 300 µM
H2O2 conditions
(p < 0.0001).
Psychomotor testing
There were significant effects of diet on rod walking
(F(3,35) = 3.79; p < 0.05) and the accelerating rotarod
(F(3,35) = 2.89; p < 0.05) (Fig. 3). For the rod walk, latency
to fall was significantly longer in the blueberry group compared to the
control (p < 0.01), strawberry
(p < 0.01), and spinach groups
(p < 0.05). Similarly, for the accelerating
rotarod, latency to fall was significantly longer in the blueberry
group compared to the strawberry (p < 0.05) and
spinach (p < 0.05) groups, and tended to be
higher than the control group (p = 0.06). There
was no effect of diet group on wire suspension, inclined screen, or any
measure of plank walking. Therefore, supplementation with the blueberry
extract improved motor performance on two motor tests that rely on
balance and coordination.

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Figure 3.
Performance (latency to fall, in seconds) on the
rod walk (A) and rotarod
(B) tests for the various diet groups. Means not
sharing a common letter are significantly different from each other
(p < 0.05; Fisher's LSD).
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Cognitive testing
Although there were improvements in performance over the four
testing days, as evident from significant effects of time, ANOVA showed
no effects of diet for either trial 1 or trial 2 performance on
latency, distance, or speed. However, when separate t tests were performed between the two trial latencies for each diet (to see if
the different diet groups significantly improved their performance from
trial 1 to trial 2, as the working memory hypothesis predicts (Van der
Staay and de Jonge, 1993 ), positive effects of diet supplementation
were observed (Fig. 4). For latency to find the platform on days 3 and 4 (a time when learning the task should
not interfere with the results), the strawberry
(t(9) = 2.60; p < 0.05), spinach (t(8) = 5.18;
p < 0.01), and blueberry (t(8) = 5.37; p < 0.01) groups showed significant differences between trial 1 and trial
2, i.e., trial 2 latencies were significantly less than trial 1, showing that these rats demonstrated one-trial learning, even with the
10 min retention interval. This one-trial learning was not found in the
control group (p > 0.05) (Fig.
4A).

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Figure 4.
Morris water maze performance in the various diet
groups. Performance was assessed over 4 d (2 sessions per day, 2 trials per session). Results are given as latencies
(A) and distances (B) to
find the hidden platform for the first and second trials for each
session on days 3 and 4. Asterisks indicate a difference
between trial 1 and trial 2 performance for that diet group
(*p < 0.05; **p < 0.01;
***p < 0.001; Fisher's LSD).
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For distance swam to the platform on days 3 and 4, similar results were
found (Fig. 4B); the strawberry
(t(9) = 2.66; p < 0.05), spinach (t(8) = 6.85;
p < 0.001), and blueberry
(t(8) = 5.32; p < 0.01) groups showed significant improvements between trial 1 and trial
2, with trial 2 distances significantly less than trial 1. Again, no
significant improvement was seen from trial 1 to trial 2 in the control
group (p > 0.05). The effects of improved
working memory (trial 2) performance via diet supplementation were not
caused by swim speed, because there were no differences in swim speed
between trial 1 and trial 2 for any group.
Oxidative stress
As can be seen from Figure
5A, there were significant
differences in DCF fluorescence among the various groups
(F(3,21) = 4.63; p < 0.01) in the striatum. In this regard, the striata obtained from the
spinach-supplemented group did not exhibit any increased level of OS
protection relative to the control group (p > 0.05). Only the strawberry (p < 0.002) and
blueberry (p < 0.05) groups showed greater
native OS protection than controls. Analysis of striatal glutathione
(GSH) levels indicated that although dietary supplementation produced
increases in GSH that were greater than controls, these differences
were not significant (F(3,19) = 1.34; p > 0.05) (Fig. 5B).

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Figure 5.
DCF fluorescence in the striata (expressed as
percent of control) in the various diet groups
(A). Means not sharing a common letter are
statistically different from each other (p < 0.05; Fisher's LSD). B shows total striatal
glutathione levels among the four groups.
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Vitamin E quantification
Levels of vitamin E ( -tocopherol and -tocopherol) for only
one brain area, the hippocampus, were different between the animals maintained on the control or the various antioxidant diets.
Specifically, there was a diet effect for -tocopherol
(F(3,36) = 2.73; p 0.05), with all the antioxidant diets (strawberry, spinach, and blueberry) showing higher levels of vitamin E than the control diet
(p < 0.05), and a diet effect for
-tocopherol (F(3,36) = 2.65;
p = 0.06), with only the strawberry diet
(p < 0.05) showing higher vitamin E levels than
the control diet. There were no differences between the diet groups in
vitamin E concentration (either -tocopherol or -tocopherol) in
the striatum or cortex (p > 0.05).
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DISCUSSION |
For many years now studies have shown that there is a highly
significant negative association between the intake of total fresh
fruits and vegetables and ischemic heart disease mortality as reported
by Armstrong et al. (1975) in Britain and by Verlangieri et al. (1985)
in the United States (see also Hughes, 1995 ; Mayne, 1996 ). Consumption
of fruits and vegetables is correlated with a reduced incidence and
lower mortality rates of cancer in humans (Dell, 1990 ; Willett,
1994a ,b ) and animals (Wattenberg and Coccia, 1991 ). In some cases, even
extracts of single foods such as garlic (Pinto et al., 1997 ) and tomato
(lycopene; Sharoni et al., 1997 ) can have some antitumor properties.
More relevant to brain aging, research has shown that the CNS may show
an enhanced vulnerability to OS, since it is deficient in free radical
protection and uses 20% of the total body oxygen (Olanow, 1992 ), and
this vulnerability may increase further in aging (Joseph et al., 1996 ).
These OS increases in vulnerability may be the result of increases in
the ratio of oxidized to total glutathione (Olanow, 1992 ), significant
lipofuscin accumulation with bcl-2 increases, increases in membrane
lipid peroxidation (Migheli et al., 1994 ; Yu, 1994 ), reduced glutamine
synthetase (Carney et al., 1994 ), or alterations in membrane lipids
(Denisova et al., 1998 ).
Several studies have suggested that these increases in OS vulnerability
and the resulting behavioral deficits in aging can be reduced through
dietary supplementation with ginkgo biloba. For example, memory
impairment (Rai et al., 1991 ), difficulties in concentration (Kleijnen
and Knipschild, 1992a ,b ), and calcium-induced increases in oxidative
metabolism (Oyama et al., 1993 , 1994 ) can be reduced by this
supplement. It has been shown that it might be possible to reduce the
deleterious effects of AD through dietary supplementation with ginkgo
biloba (Kanowski et al., 1996 ), which has potent antioxidant activity.
In addition, recent studies have also suggested that garlic extract can
prevent brain atrophy (Moriguchi et al., 1997 ), as well as learning and
memory impairments (Nishiyama et al., 1997 ) in the
senescence-accelerated mouse.
Moreover, findings from our laboratories have suggested that fruit and
vegetable extracts high in both flavonoid levels (spinach and
strawberries) as well as total antioxidant activity, as assessed via
the ORAC assay (Cao et al., 1995 , 1996 ; Wang et al., 1996 ), prevented the onset of the deleterious effects of aging on both neuronal and cognitive behavioral functions (Joseph et al., 1998 ).
However, as far as we can determine, this is the first study that has
shown that dietary supplementation with fruit or vegetable extracts
that are high in phytonutrient antioxidants can actually reverse some
of the age-related neuronal/behavioral dysfunctions that had been shown
previously (Joseph et al., 1998 ; Shukitt-Hale et al., 1998b ) to exhibit
decrements by 15 months of age. With respect to the functional neuronal
indices, the blueberry-supplemented animals showed the greatest
increases in carbachol-stimulated GTPase activity,
oxotremorine-enhanced K+-ERDA, and
45Ca2+-recovery.
Thus, it appears that blueberry supplementation may be effective in
reversing the deleterious effects of aging on calcium homeostasis that
have been reported previously (Landfield and Eldridge, 1994 ).
The spinach- and strawberry-supplemented groups were less effective in
reversing age deficits in these parameters. Spinach and strawberry
supplementation primarily increased striatal muscarinic receptor
sensitivity, and this appeared to be reflected in the reversal of
cognitive behavioral deficits, where all of the diets, including the
blueberry-supplemented diet, decreased the latency to find the platform
and distance to the platform. In this regard there are numerous papers
that suggest that the striatum is involved in mediating cognitive
performance (Graybiel, 1998 ; Shear et al., 1998 ; Tanila et al., 1998 ).
It could be suggested then, that dietary enhancement of striatal
muscarinic receptor sensitivity in the striatum ultimately may be
expressed as improved cognitive performance.
However, it also appears that strawberry supplementation was not
effective with respect to GTPase activity, spinach supplementation was
only minimally effective, and neither showed any efficacy in altering
striatal
45Ca2+
recovery. As pointed out above, blueberry supplementation showed significantly greater effects than the other supplemented groups. Therefore, with respect to motor behavior, it may be that greater efficacy is needed on a variety of parameters to see significant reversals in motor behavior. The blueberry-supplemented animals were
the only group to show reversals in motor behavioral deficits. It is
well known that age-related decrements in motor behavior involving
alterations in balance and coordination as reflected in the tests we
have used in this experiment have been very resistant to reversal.
In previous studies in which the effects of fruit and vegetable diets
have been examined in assessments of cancer or cardiovascular disease,
the delineation of the relevant phytochemicals present in these foods,
their particular classes, and most effective sites of action has been
difficult. One important class that has been recognized is the
flavonoids. The flavonoids include, among others: allium compounds
(diallyl sulfide, allyl methyl trisulfide) and carotenoids
( -carotene, -carotene, lutein, lycopene). They make up an
important part of a human diet high in fruits and vegetables (Kuhnau,
1976 ), with daily flavonoid intake estimated to be as high as 1 gm/d.
However, even among the flavonoids it has been difficult to determine
which are the most effective, because indices such as antioxidant
activity can vary greatly (Cao et al., 1997 ). It may be that it is the
interactions of the flavonoids and other phytochemicals present in
these fruits and vegetables that is responsible for their beneficial
effects. There may also be differences among the various phytonutrients
contained in these diets with respect to their brain localization.
These are being investigated.
In addition, the phytochemicals contained in spinach, strawberries, and
blueberries may produce effects other than antioxidant protection. It
is known, for example, that flavonoids can increase membrane fluidity
(Ramassamy et al., 1993 ; Stoll et al., 1996 ; Halder and Bhaduri, 1998 ),
and a previous experiment has shown (Joseph et al., 1995 ) that
experimental decreases in membrane rigidity (via
S-adenosyl-L-methionine) can
ameliorate deficits in oxotremorine-enhanced
K+-ERDA in striatal slices from old
animals. As the data with respect to the striatum clearly show, there
were no differences in GSH levels as a function of diet, and DCF
fluorescence was only modestly reduced by the diets. These changes did
not reflect the dramatic reversals in both motor behavioral and
neuronal function observed in these experiments. Therefore, the
reversals seen in these experiments could have been the result of
flavonoid-induced alterations in membrane biophysical properties.
Phytonutrients (e.g., anthocyanins and other flavonoids) contained in
the fruits and vegetable used in the present study have also been shown
to antagonize arachidonic acid transport (Krischer et al., 1997 ),
suppress the 5-lipoxygenase pathway (Mirzoeva and Calder, 1996 ), and
subsequently reduce inflammatory responses.
Thus, it could be that even though the antioxidant levels as determined
by ORAC were similar in the diets, these other properties may act in
concert with them to produce these differential effects. Additionally,
as can be seen from Figure 5A, the striatal DCF values of
the various diets differed slightly between spinach and the other
diets, possibly indicating the actual tissue antioxidant levels were
not equivalent. For example, recent data indicate that dietary vitamin
E is not taken up equally in all brain areas (Martin et al., 1999 ). In
fact, the uptake of vitamin E in the striatum is lower than in other
brain areas examined. Therefore, there may be differences among the
various phytonutrients contained in these diets with respect to their
brain localization.
We are currently attempting to investigate these and other mechanistic
properties of these fruits and vegetables and their principal
phytochemicals. However, the findings from this research suggest that
nutritional intervention with fruits and vegetables may play an
important role in reversing the deleterious effects of aging on
neuronal function and behavior.
 |
FOOTNOTES |
Received April 16, 1999; revised June 18, 1999; accepted July 1, 1999.
This work was supported by the United States Department of Agriculture.
Correspondence should be addressed to Dr. J. A. Joseph, United
States Department of Agriculture, Human Nutrition Research Center on
Aging, Tufts University, Room 919, 711 Washington Street, Boston, MA 02111.
 |
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M. Zhu, S. Rajamani, J. Kaylor, S. Han, F. Zhou, and A. L. Fink
The Flavonoid Baicalein Inhibits Fibrillation of {alpha}-Synuclein and Disaggregates Existing Fibrils
J. Biol. Chem.,
June 25, 2004;
279(26):
26846 - 26857.
[Abstract]
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J. P. E. Spencer, C. Rice-Evans, and R. J. Williams
Modulation of Pro-survival Akt/Protein Kinase B and ERK1/2 Signaling Cascades by Quercetin and Its in Vivo Metabolites Underlie Their Action on Neuronal Viability
J. Biol. Chem.,
September 12, 2003;
278(37):
34783 - 34793.
[Abstract]
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H. Carlsen, M. C. W. Myhrstad, M. Thoresen, J. O. Moskaug, and R. Blomhoff
Berry Intake Increases the Activity of the {gamma}-Glutamylcysteine Synthetase Promoter in Transgenic Reporter Mice
J. Nutr.,
July 1, 2003;
133(7):
2137 - 2140.
[Abstract]
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Y. Levites, T. Amit, M. B. H. Youdim, and S. Mandel
Involvement of Protein Kinase C Activation and Cell Survival/ Cell Cycle Genes in Green Tea Polyphenol (-)-Epigallocatechin 3-Gallate Neuroprotective Action
J. Biol. Chem.,
August 16, 2002;
277(34):
30574 - 30580.
[Abstract]
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M. C. Cartford, C. Gemma, and P. C. Bickford
Eighteen-Month-Old Fischer 344 Rats Fed a Spinach-Enriched Diet Show Improved Delay Classical Eyeblink Conditioning and Reduced Expression of Tumor Necrosis Factor alpha (TNFalpha ) and TNFbeta in the Cerebellum
J. Neurosci.,
July 15, 2002;
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5813 - 5816.
[Abstract]
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C. Gemma, M. H. Mesches, B. Sepesi, K. Choo, D. B. Holmes, and P. C. Bickford
Diets Enriched in Foods with High Antioxidant Activity Reverse Age-Induced Decreases in Cerebellar beta -Adrenergic Function and Increases in Proinflammatory Cytokines
J. Neurosci.,
July 15, 2002;
22(14):
6114 - 6120.
[Abstract]
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M. P. Mattson, S. L. Chan, and W. Duan
Modification of Brain Aging and Neurodegenerative Disorders by Genes, Diet, and Behavior
Physiol Rev,
July 1, 2002;
82(3):
637 - 672.
[Abstract]
[Full Text]
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M. A. McDaniel, S. F. Maier, and G. O. Einstein
"Brain-Specific" Nutrients: A Memory Cure?
Psychological Science in the Public Interest,
May 1, 2002;
3(1):
12 - 38.
[Abstract]
[PDF]
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D. A. Clayton, D. R. Grosshans, and M. D. Browning
Aging and Surface Expression of Hippocampal NMDA Receptors
J. Biol. Chem.,
April 19, 2002;
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[Abstract]
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J. Liu, E. Head, A. M. Gharib, W. Yuan, R. T. Ingersoll, T. M. Hagen, C. W. Cotman, and B. N. Ames
Memory loss in old rats is associated with brain mitochondrial decay and RNA/DNA oxidation: Partial reversal by feeding acetyl-L-carnitine and/or R-alpha -lipoic acid
PNAS,
February 19, 2002;
99(4):
2356 - 2361.
[Abstract]
[Full Text]
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J. Curran-Celentano, B. R Hammond Jr, T. A Ciulla, D. A Cooper, L. M Pratt, and R. B Danis
Relation between dietary intake, serum concentrations, and retinal concentrations of lutein and zeaxanthin in adults in a Midwest population
Am. J. Clinical Nutrition,
December 1, 2001;
74(6):
796 - 802.
[Abstract]
[Full Text]
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A. P. Simopoulos
The Mediterranean Diets: What Is So Special about the Diet of Greece? The Scientific Evidence
J. Nutr.,
November 1, 2001;
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[Abstract]
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