Newborn humans and rats malnourished in utero: free plasmal-tryptophan, neutral amino acids and brain serotonin synthesis

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Abstract

In the present study we report results concerning 5-hydroxytryptamine (5-HT) metabolism in two groups of small for date (SFD) human babies (gestational age 36 and 3 weeks), who suffered intrauterine nutritional restriction. A complementary study in the brain of rat fetuses with two types of intrauterine deprivation, in which brainl-tryptophan (l-Trp), tryptophan-5-hydroxylase (T5-H) activity and 5-HT content were determined on days 17, 19 and 21 of gestation. The same parameters studied prenatally were followed in both species during the immediate postnatal period. In the SFD babies the results were: (a) the free fraction of plasmal-Trp was significantly elevated; (b) plasma neutral amino acids were not substantially modified; (c) the bound fraction ofl-Trp and plasma proteins were significantly low, as compared to controls. In the fetal brain of intrauterine malnourished rats,l-Trp, activity of T5-H and 5-HT content, were significantly elevated, since day 17, as related to normal littermates. These alterations in 5-HT metabolism persisted during the early postnatal period in both species. Elevation of the free fraction of plasmal-Trp in early malnourished SFD human babies suggest an increased transport of this amino acid to the brain with a possible enhancement of serotonin synthesis, during a critical period of brain differentiation.

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      The present results also corroborate what our group has previously reported. Malnourished offspring that were products of nutritional stress subjected to during pregnancy and lactation demonstrate an increase in 5-HT biosynthesis as a consequence of a chronic increase in the passage of free l-Trp to the brain and altered TPH activity (Hernández et al., 1989; Manjarrez et al., 1988, 1994, 1996, 1998). It is known that numerous metabolic, physical and psychological stressors produce a significant increase in the metabolism of serotonergic neurons and, consequently, cause an increase in the activity of TPH and release of 5-HT in distinct target regions of the brain (Boadle-Biber et al., 1989; Boadle-Biber, 1993; Chaouloff et al., 1999; Abumaria et al., 2006, 2007).

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      Moreover, serotonin depletion during synaptogenesis led to decreased synaptic density and deficits in spatial learning in the adult rat (Mazer et al., 1997). Others have reported increased 5-HT levels in the dorsal hippocampus as determined by in vivo microdialysis (Chen et al., 1992; Mokler et al., 2003, 1999) as well as in prefrontal cortex (Mokler et al., 2003) and in whole brain by biochemical assays (Alfaro-Rodrigez et al., 2006; Hernandez et al., 1989) after prenatal protein malnutrition. An elevated concentration of brain 5-HT and 5-hydroxyindoleacetic acid (5-HIAA) was observed in prenatal malnourished animals at different ages from birth to day 30 (Mokler et al., 2003).

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