Department of Physiology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Box 432, 405 30, Gothenburg, Sweden.
Department of Neurology, UCSF, San Francisco, CA, USA.
Transl Stroke Res. 2022 Jun;13(3):449-461. doi: 10.1007/s12975-021-00947-9. Epub 2021 Oct 21.
The fetus is strongly dependent on nutrients from the mother, including polyunsaturated fatty acids (PUFA). In adult animals, n-3 PUFA ameliorates stroke-mediated brain injury, but the modulatory effects of different PUFA content in maternal diet on focal arterial stroke in neonates are unknown. This study explored effects of maternal n-3 or n-6 enriched PUFA diets on neonatal stroke outcomes. Pregnant mice were assigned three isocaloric diets until offspring reached postnatal day (P) 10-13: standard, long-chain n-3 PUFA (n-3) or n-6 PUFA (n-6) enriched. Fatty acid profiles in plasma and brain of mothers and pups were determined by gas chromatography-mass spectrometry and cytokines/chemokines by multiplex protein analysis. Transient middle cerebral artery occlusion (tMCAO) was induced in P9-10 pups and cytokine and chemokine accumulation, caspase-3 and calpain-dependent spectrin cleavage and brain infarct volume were analyzed. The n-3 diet uniquely altered brain lipid profile in naïve pups. In contrast, cytokine and chemokine levels did not differ between n-3 and n-6 diet in naïve pups. tMCAO triggered accumulation of inflammatory cytokines and caspase-3-dependent and -independent cell death in ischemic-reperfused regions in pups regardless of diet, but magnitude of neuroinflammation and caspase-3 activation were attenuated in pups on n-3 diet, leading to protection against neonatal stroke. In conclusion, maternal/postnatal n-3 enriched diet markedly rearranges neonatal brain lipid composition and modulates the response to ischemia. While standard diet is sufficient to maintain low levels of inflammatory cytokines and chemokines under physiological conditions, n-3 PUFA enriched diet, but not standard diet, attenuates increases of inflammatory cytokines and chemokines in ischemic-reperfused regions and protects from neonatal stroke.
胎儿强烈依赖于来自母亲的营养物质,包括多不饱和脂肪酸(PUFA)。在成年动物中,n-3 PUFA 可改善中风介导的脑损伤,但母体饮食中不同 PUFA 含量对新生儿局灶性动脉性中风的调节作用尚不清楚。本研究探讨了母体 n-3 或 n-6 富含 PUFA 饮食对新生儿中风结局的影响。将怀孕的小鼠分为三组等热量饮食,直到后代达到出生后第 10-13 天:标准、长链 n-3 PUFA(n-3)或 n-6 PUFA(n-6)丰富。通过气相色谱-质谱法测定母亲和幼崽血浆和大脑中的脂肪酸谱,通过多重蛋白质分析测定细胞因子/趋化因子。在 P9-10 幼崽中诱导短暂性大脑中动脉闭塞(tMCAO),并分析细胞因子和趋化因子的积累、半胱天冬酶-3 和钙蛋白酶依赖性血影蛋白裂解以及脑梗死体积。n-3 饮食独特地改变了新生幼崽大脑的脂质谱。相比之下,n-3 和 n-6 饮食在新生幼崽中不会改变细胞因子和趋化因子的水平。tMCAO 触发了缺血再灌注区域中炎症细胞因子和半胱天冬酶-3 依赖性和非依赖性细胞死亡的积累,无论饮食如何,但 n-3 饮食的幼崽中神经炎症和半胱天冬酶-3 激活的程度减轻,从而防止了新生儿中风。总之,母体/产后 n-3 富含饮食显著改变了新生儿大脑的脂质组成,并调节了对缺血的反应。虽然标准饮食足以维持生理条件下低水平的炎症细胞因子和趋化因子,但 n-3 PUFA 丰富的饮食而不是标准饮食可减轻缺血再灌注区域中炎症细胞因子和趋化因子的增加,并防止新生儿中风。