Kannan Sujatha, Saadani-Makki Fadoua, Balakrishnan Bindu, Dai Hui, Chakraborty Pulak K, Janisse James, Muzik Otto, Romero Roberto, Chugani Diane C
Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
J Cereb Blood Flow Metab. 2011 Feb;31(2):738-49. doi: 10.1038/jcbfm.2010.156. Epub 2010 Sep 8.
Maternal intrauterine inflammation is implicated in neurodevelopmental disorders in the offspring. Serotonin is crucial for regulating maturation in the developing brain, and maternal inflammation may result in disruption of the serotonergic system in the perinatal period. Saline or endotoxin was injected intrauterine in pregnant rabbits term. Newborn rabbits underwent positron emission tomography (PET) imaging with α[(11)C]methyl-L-tryptophan (AMT) to evaluate tryptophan metabolism in vivo. Decrease in standard uptake value for AMT and decrease in serotonin concentration was noted in the frontal and parietal cortices of endotoxin kits when compared with controls. In addition, a significant decrease in serotonin-immunoreactive fibers and decreased expression of serotonin transporter (5HTT) was measured in the somatosensory cortex. There was a three-fold increase in the number of apoptotic cells in the ventrobasal (VB) thalamus without loss of raphe serotonergic cell bodies in endotoxin kits when compared with controls. Glutamateric VB neurons projecting to somatosensory cortex transiently express 5HTT and store serotonin, regulating development of the somatosensory cortex. Intrauterine inflammation results in alterations in cortical serotonin and disruption of serotonin-regulated thalamocortical development in the newborn brain. This may be a common link in neurodevelopmental disorders resulting in impairment of the somatosensory system, such as cerebral palsy and autism.
母体子宫内炎症与后代的神经发育障碍有关。血清素对发育中大脑的成熟调节至关重要,母体炎症可能导致围产期血清素能系统的破坏。在足月妊娠的家兔子宫内注射生理盐水或内毒素。新生家兔接受用α[(11)C]甲基-L-色氨酸(AMT)进行的正电子发射断层扫描(PET)成像,以评估体内色氨酸代谢。与对照组相比,内毒素组家兔额叶和顶叶皮质中AMT的标准摄取值降低,血清素浓度降低。此外,在体感皮质中检测到血清素免疫反应性纤维显著减少,血清素转运体(5HTT)表达降低。与对照组相比,内毒素组家兔腹侧基底(VB)丘脑的凋亡细胞数量增加了三倍,而中缝血清素能细胞体未丢失。投射到体感皮质的谷氨酸能VB神经元短暂表达5HTT并储存血清素,调节体感皮质的发育。子宫内炎症导致新生儿大脑皮质血清素改变和血清素调节的丘脑皮质发育中断。这可能是导致体感系统受损的神经发育障碍(如脑瘫和自闭症)的一个共同环节。