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孕期维生素D治疗可预防母体免疫激活小鼠模型中与自闭症相关的表型。

Vitamin D treatment during pregnancy prevents autism-related phenotypes in a mouse model of maternal immune activation.

作者信息

Vuillermot Stephanie, Luan Wei, Meyer Urs, Eyles Darryl

机构信息

Swiss Federal Institute of Technology (ETH) Zurich, 8603 Schwerzenbach, Switzerland.

Queensland Brain Institute, The University of Queensland, Brisbane, 4072 Queensland Australia.

出版信息

Mol Autism. 2017 Mar 7;8:9. doi: 10.1186/s13229-017-0125-0. eCollection 2017.

Abstract

BACKGROUND

Prenatal exposure to infection is a recognized environmental risk factor for neuropsychiatric disorders of developmental origins such as autism or schizophrenia. Experimental work in animals indicates that this link is mediated by maternal immune activation (MIA) involving interactions between cytokine-associated inflammatory events, oxidative stress, and other pathophysiological processes such as hypoferremia and zinc deficiency. Maternal administration of the viral mimic polyriboinosinic-polyribocytidylic acid (poly(I:C)) in mice produces several behavioral phenotypes in adult offspring of relevance to autism spectrum disorder (ASD) and other neurodevelopmental disorders.

METHODS

Here, we investigated whether some of these phenotypes might also present in juveniles. In addition, given the known immunomodulatory and neuroprotective effects of vitamin D, we also investigated whether the co-administration of vitamin D could block MIA-induced ASD-related behaviors. We co-administered the hormonally active form of vitamin D, 1α,25 dihydroxy vitamin D3 (1,25OHD), simultaneously with poly(I:C) and examined (i) social interaction, stereotyped behavior, emotional learning and memory, and innate anxiety-like behavior in juveniles and (ii) the levels of the pro-inflammatory cytokines IL-1β, IL-6 and TNF-α in maternal plasma and fetal brains.

RESULTS

We show that like adult offspring that were exposed to MIA, juveniles display similar deficits in social approach behavior. Juvenile MIA offspring also show abnormal stereotyped digging and impaired acquisition and expression of tone-cued fear conditioning. Importantly, our study reveals that prenatal administration of 1,25OHD abolishes all these behavioral deficits in poly(I:C)-treated juveniles. However, prenatal administration of vitamin D had no effect on pro-inflammatory cytokine levels in dams or in fetal brains suggesting the anti-inflammatory actions of vitamin D are not the critical mechanism for its preventive actions in this ASD animal model.

CONCLUSIONS

This work raises the possibility that early dietary supplementation with vitamin D may open new avenues for a successful attenuation or even prevention of neurodevelopmental disorders following maternal inflammation during pregnancy.

摘要

背景

产前暴露于感染是自闭症或精神分裂症等发育起源的神经精神疾病公认的环境风险因素。动物实验研究表明,这种联系是由母体免疫激活(MIA)介导的,涉及细胞因子相关的炎症事件、氧化应激以及其他病理生理过程,如低铁血症和锌缺乏之间的相互作用。在小鼠中母体给予病毒模拟物聚肌苷酸-聚胞苷酸(poly(I:C))会在成年后代中产生几种与自闭症谱系障碍(ASD)和其他神经发育障碍相关的行为表型。

方法

在此,我们研究了其中一些表型是否也会出现在幼崽中。此外,鉴于维生素D已知的免疫调节和神经保护作用,我们还研究了维生素D的共同给药是否可以阻断MIA诱导的与ASD相关的行为。我们将激素活性形式的维生素D,即1α,25二羟基维生素D₃(1,25OHD)与poly(I:C)同时给药,并检查了(i)幼崽的社交互动、刻板行为、情绪学习和记忆以及先天性焦虑样行为,以及(ii)母体血浆和胎儿大脑中促炎细胞因子白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的水平。

结果

我们发现,与暴露于MIA的成年后代一样,幼崽在社交接近行为方面也表现出类似的缺陷。幼年MIA后代还表现出异常的刻板挖掘行为,以及音调提示恐惧条件反射的习得和表达受损。重要的是,我们的研究表明,产前给予1,25OHD可消除poly(I:C)处理的幼崽中的所有这些行为缺陷。然而,产前给予维生素D对母鼠或胎儿大脑中的促炎细胞因子水平没有影响,这表明维生素D的抗炎作用不是其在这种ASD动物模型中预防作用的关键机制。

结论

这项研究提出了一种可能性,即孕期母体炎症后,早期通过饮食补充维生素D可能为成功减轻甚至预防神经发育障碍开辟新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a8e/5351212/dec45b7391a6/13229_2017_125_Fig1_HTML.jpg

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