A large body of epidemiological evidence indicates that malnutrition during in utero and/or neonatal development results in long-lasting learning deficits and a high risk of developing neurological and psychiatric disorders in later life

Early malnutrition is a risk factor for depression and schizophrenia. Since the offspring of malnourished dams exhibit increased brain levels of serotonin (5-HT), a tryptophan-derived neurotransmitter involved in the pathophysiology of these mental disorders, it is believed that the deleterious effects of early malnutrition on brain function are due in large part to altered serotoninergic neurotransmission resulting from impaired tryptophan (Trp) metabolism. However, tryptophan is also metabolized through the kynurenine (KYN) pathway yielding several neuroactive compounds including kynurenic (KA), quinolinic (QA) and xanthurenic (XA) acids. Nevertheless, the impact of perinatal malnutrition on brain kynurenine pathway metabolism has not been examined to date. Here, we used ultra-performance liquid chromatography-tandem mass spectrometry for the simultaneous quantification of tryptophan and a set of seven compounds spanning its metabolism through the serotonin and kynurenine pathways, in the brain of embryos and adult offspring of rat dams fed a proteinrestricted (PR) diet. Protein-restricted embryos showed reduced brain levels of Trp, serotonin and KA, but not of KYN, XA, or QA. In contrast, PR adult rats exhibited enhanced levels of Trp in the brainstem and cortex along with increased concentrations of 5-HT, kynurenine and XA. The levels of XA and KA were also increased in the hippocampus of adult PR rats. These results show that early protein deficiency induces selective and long-lasting changes in brain kynurenine metabolism. Given the regulatory role of KYN pathway metabolites on brain development and function, these changes might contribute to the risk of developing psychiatric disorders induced by early malnutrition.

[1]  J. Veenstra-VanderWeele,et al.  The serotonin system in autism spectrum disorder: From biomarker to animal models , 2016, Neuroscience.

[2]  E. Seifritz,et al.  Mouse chronic social stress increases blood and brain kynurenine pathway activity and fear behaviour: Both effects are reversed by inhibition of indoleamine 2,3-dioxygenase , 2016, Brain, Behavior, and Immunity.

[3]  D. Marazziti,et al.  Depression, Serotonin and Tryptophan. , 2016, Current pharmaceutical design.

[4]  P. Petrikis,et al.  A review of genetic alterations in the serotonin pathway and their correlation with psychotic diseases and response to atypical antipsychotics , 2016, Schizophrenia Research.

[5]  P. Girardi,et al.  Xanthurenic Acid Activates mGlu2/3 Metabotropic Glutamate Receptors and is a Potential Trait Marker for Schizophrenia , 2015, Scientific Reports.

[6]  Huali Lin,et al.  Common variants of HTR1A and SLC6A4 confer the increasing risk of Schizophrenia susceptibility: A population‐based association and epistasis analysis , 2015, American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics.

[7]  A. Badawy Tryptophan metabolism, disposition and utilization in pregnancy , 2015, Bioscience reports.

[8]  A. Carvalho,et al.  Kynurenine pathway dysfunction in the pathophysiology and treatment of depression: Evidences from animal and human studies. , 2015, Journal of psychiatric research.

[9]  O. Stiedl,et al.  The role of the serotonin receptor subtypes 5-HT1A and 5-HT7 and its interaction in emotional learning and memory , 2015, Front. Pharmacol..

[10]  Teresa A. Victor,et al.  Reduction of kynurenic acid to quinolinic acid ratio in both the depressed and remitted phases of major depressive disorder , 2015, Brain, Behavior, and Immunity.

[11]  F. Giorgini,et al.  The kynurenine pathway and neurodegenerative disease. , 2015, Seminars in cell & developmental biology.

[12]  R. Schwarcz,et al.  Elevated levels of kynurenic acid during gestation produce neurochemical, morphological, and cognitive deficits in adulthood: Implications for schizophrenia , 2015, Neuropharmacology.

[13]  M. Ross,et al.  Epigenomics, gestational programming and risk of metabolic syndrome , 2015, International Journal of Obesity.

[14]  Travis P. Todd,et al.  Exposure to Kynurenic Acid during Adolescence Increases Sign-Tracking and Impairs Long-Term Potentiation in Adulthood , 2015, Front. Behav. Neurosci..

[15]  D. Darmaun,et al.  Maternal and fetal tryptophan metabolism in gestating rats: effects of intrauterine growth restriction , 2015, Amino Acids.

[16]  P. Albert,et al.  Serotonin-prefrontal cortical circuitry in anxiety and depression phenotypes: pivotal role of pre- and post-synaptic 5-HT1A receptor expression , 2014, Front. Behav. Neurosci..

[17]  C.-J. Yang,et al.  The developmental disruptions of serotonin signaling may involved in autism during early brain development , 2014, Neuroscience.

[18]  R. Schwarcz,et al.  Continuous kynurenine administration during the prenatal period, but not during adolescence, causes learning and memory deficits in adult rats , 2014, Psychopharmacology.

[19]  Yong-Ku Kim,et al.  Network beyond IDO in psychiatric disorders: Revisiting neurodegeneration hypothesis , 2014, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[20]  D. Bucci,et al.  The effect of transient increases in kynurenic acid and quinolinic acid levels early in life on behavior in adulthood: Implications for schizophrenia , 2013, Schizophrenia Research.

[21]  H. Ball,et al.  Indoleamine 2,3-dioxygenase 2 (IDO2) and the kynurenine pathway: characteristics and potential roles in health and disease , 2013, Amino Acids.

[22]  M. E. Olvera-Cortés,et al.  Serotonergic modulation of hippocampal theta activity in relation to hippocampal information processing , 2013, Experimental Brain Research.

[23]  P. Blier,et al.  Monoamine neurocircuitry in depression and strategies for new treatments , 2013, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[24]  B. Kaeffer,et al.  Long-Lasting Effect of Perinatal Exposure to L-tryptophan on Circadian Clock of Primary Cell Lines Established from Male Offspring Born from Mothers Fed on Dietary Protein Restriction , 2013, PloS one.

[25]  Guangji Wang,et al.  Quantitative analysis of neurochemical panel in rat brain and plasma by liquid chromatography-tandem mass spectrometry. , 2012, Analytical chemistry.

[26]  D. Bucci,et al.  Exposure to kynurenic acid during adolescence produces memory deficits in adulthood. , 2012, Schizophrenia bulletin.

[27]  R. Schwarcz,et al.  Pre‐ and postnatal exposure to kynurenine causes cognitive deficits in adulthood , 2012, The European journal of neuroscience.

[28]  D. Bucci,et al.  Administration of kynurenine during adolescence, but not during adulthood, impairs social behavior in rats , 2011, Schizophrenia Research.

[29]  P. Levitt,et al.  Fetal, maternal, and placental sources of serotonin and new implications for developmental programming of the brain , 2011, Neuroscience.

[30]  R. Schwarcz,et al.  Impaired kynurenine pathway metabolism in the prefrontal cortex of individuals with schizophrenia. , 2011, Schizophrenia bulletin.

[31]  E. Deneris,et al.  A transient placental source of serotonin for the fetal forebrain , 2011, Nature.

[32]  P. Sham,et al.  Prenatal malnutrition and adult schizophrenia: further evidence from the 1959-1961 Chinese famine. , 2009, Schizophrenia bulletin.

[33]  Z. Qin,et al.  Molecular mechanisms of excitotoxicity and their relevance to pathogenesis of neurodegenerative diseases , 2009, Acta Pharmacologica Sinica.

[34]  P. Nguyen,et al.  Perinatal undernutrition-induced obesity is independent of the developmental programming of feeding , 2009, Physiology & Behavior.

[35]  E. Susser,et al.  Prenatal nutritional deficiency and risk of adult schizophrenia. , 2008, Schizophrenia bulletin.

[36]  A. Paolini,et al.  Anxiety-like behaviour in adult rats perinatally exposed to maternal calorie restriction , 2008, Behavioural Brain Research.

[37]  D. Bucci,et al.  Elevations of endogenous kynurenic acid produce spatial working memory deficits. , 2007, Schizophrenia bulletin.

[38]  A. Erkanli,et al.  Prediction from low birth weight to female adolescent depression: a test of competing hypotheses. , 2007, Archives of general psychiatry.

[39]  H. Steinbusch,et al.  Kynurenine pathway in major depression: evidence of impaired neuroprotection. , 2007, Journal of affective disorders.

[40]  A. Carlsson,et al.  A dopaminergic deficit hypothesis of schizophrenia: the path to discovery , 2006, Dialogues in clinical neuroscience.

[41]  F. Lechin,et al.  Noradrenergic hypothesis of schizophrenia , 2005, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[42]  D. Walker,et al.  Identification of kynurenine pathway enzyme mRNAs and metabolites in human placenta: up-regulation by inflammatory stimuli and with clinical infection. , 2005, American journal of obstetrics and gynecology.

[43]  A. Sherman,et al.  l-Kynurenine Its synthesis and possible regulatory function in brain , 1980, Neurochemical Research.

[44]  P. Gaspar,et al.  The developmental role of serotonin: news from mouse molecular genetics , 2003, Nature Reviews Neuroscience.

[45]  Paul J. Harrison,et al.  Long‐term behavioural, molecular and morphological effects of neonatal NMDA receptor antagonism , 2003, The European journal of neuroscience.

[46]  D. Fuchs,et al.  Longitudinal study of tryptophan degradation during and after pregnancy. , 2003, Life sciences.

[47]  G. Gutiérrez-Ospina,et al.  Neither increased nor decreased availability of cortical serotonin (5HT) disturbs barrel field formation in isocaloric undernourished rat pups , 2002, International Journal of Developmental Neuroscience.

[48]  R. Schwarcz,et al.  Manipulation of Brain Kynurenines: Glial Targets, Neuronal Effects, and Clinical Opportunities , 2002, Journal of Pharmacology and Experimental Therapeutics.

[49]  S. S. Almeida,et al.  Early postnatal protein malnutrition affects learning and memory in the distal but not in the proximal cue version of the Morris water maze , 2002, Behavioural Brain Research.

[50]  G. Gutiérrez-Ospina,et al.  Prenatal protein malnutrition decreases mossy fibers-CA3 thorny excrescences asymmetrical synapses in adult rats , 2002, Brain Research.

[51]  Thomas D. Schmittgen,et al.  Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. , 2001, Methods.

[52]  K. Blennow,et al.  Kynurenic acid levels are elevated in the cerebrospinal fluid of patients with schizophrenia , 2001, Neuroscience Letters.

[53]  R. Schwarcz,et al.  Increased cortical kynurenate content in schizophrenia , 2001, Biological Psychiatry.

[54]  R. Schwarcz,et al.  The Brain Metabolite Kynurenic Acid Inhibits α7 Nicotinic Receptor Activity and Increases Non-α7 Nicotinic Receptor Expression: Physiopathological Implications , 2001, The Journal of Neuroscience.

[55]  E. Susser,et al.  Further evidence of relation between prenatal famine and major affective disorder. , 2000, The American journal of psychiatry.

[56]  S. Puglisi‐Allegra,et al.  Serotonin Depletion and Barrel Cortex Development : Impact of Growth Impairment vs . Serotonin Effects on Thalamocortical Endings , 2022 .

[57]  J. Bronzino,et al.  The effects of median raphé electrical stimulation on serotonin release in the dorsal hippocampal formation of prenatally protein malnourished rats , 1999, Brain Research.

[58]  J. Galler,et al.  Influence of prenatal protein malnutrition on behavioral reactivity to stress in adult rats. , 1999, Stress.

[59]  J. Olney,et al.  Blockade of NMDA receptors and apoptotic neurodegeneration in the developing brain. , 1999, Science.

[60]  S. Ozanne,et al.  Ketosis resistance in the male offspring of protein-malnourished rat dams. , 1998, Metabolism: clinical and experimental.

[61]  E. Susser,et al.  The Dutch Famine and schizophrenia spectrum disorders , 1998, Social Psychiatry and Psychiatric Epidemiology.

[62]  G. Manjarrez,et al.  Free tryptophan as an indicator of brain serotonin synthesis in infants. , 1998, Pediatric neurology.

[63]  M Diksic,et al.  Differences between males and females in rates of serotonin synthesis in human brain. , 1997, Proceedings of the National Academy of Sciences of the United States of America.

[64]  J. Galler,et al.  Malnutrition and Reactivity to Drugs Acting in the Central Nervous System , 1996, Neuroscience & Biobehavioral Reviews.

[65]  T. Stone,et al.  Neuropharmacology of quinolinic and kynurenic acids. , 1993, Pharmacological reviews.

[66]  C. Laino,et al.  Perinatally protein-deprived rats and reactivity to anxiolytic drugs in the plus-maze test: An animal model for screening antipanic agents? , 1993, Pharmacology Biochemistry and Behavior.

[67]  T. Kemper,et al.  Effects of prenatal protein deprivation on postnatal development of granule cells in the fascia dentata , 1991, The Journal of comparative neurology.

[68]  R. Schwarcz,et al.  Blood–Brain Barrier Transport of Kynurenines: Implications for Brain Synthesis and Metabolism , 1991, Journal of neurochemistry.

[69]  J. Galler,et al.  Prenatal protein malnutrition and working memory performance in adult rats , 1990, Behavioural Brain Research.

[70]  J. Lauder Ontogeny of the Serotonergic System in the Rat: Serotonin as a Developmental Signal a , 1990, Annals of the New York Academy of Sciences.

[71]  R. Schwarcz,et al.  High-affinity uptake of L-kynurenine by a Na+-independent transporter of neutral amino acids in astrocytes , 1989, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[72]  G. Manjarrez,et al.  Newborn humans and rats malnourished in utero: free plasmal-tryptophan, neutral amino acids and brain serotonin synthesis , 1989, Brain Research.

[73]  A. Carlsson,et al.  A regional study of sex differences in rat brain serotonin , 1988, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[74]  I. Törk,et al.  Early development of serotonin‐containing neurons and pathways as seen in wholemount preparations of the fetal rat brain , 1988, The Journal of comparative neurology.

[75]  M. Molliver,et al.  Immunohistochemical study of the development of serotonergic neurons in the rat CNS , 1982, Brain Research Bulletin.

[76]  M. Hamon,et al.  Long lasting effects of intrauterine malnutrition on neurotransmitters metabolism in the brain of developing rats. , 1981, Progress in clinical and biological research.

[77]  Warren C. Stern,et al.  Tryptophan availability: Relation to elevated brain serotonin in developmentally protein-malnourished rats , 1977, Experimental Neurology.

[78]  P. Ramanamurthy Maternal and early postnatal malnutrition and transmitter amines in rat brain , 1977, Journal of neurochemistry.

[79]  Warren C. Stern,et al.  Ontogeny of the levels of biogenic amines in various parts of the brain and in peripheral tissues in normal and protein malnourished rats , 1975, Experimental Neurology.

[80]  G. Biggio,et al.  Free tryptophan in serum controls brain tryptophan level and serotonin synthesis. , 1973, Life sciences. Pt. 2: Biochemistry, general and molecular biology.

[81]  J. Leklem Quantitative aspects of tryptophan metabolism in humans and other species: a review. , 1971, The American journal of clinical nutrition.

[82]  J. Oncley,et al.  The specific binding of L-tryptophan to serum albumin. , 1958, The Journal of biological chemistry.