Reversible and irreversible effects of protein-calorie deficiency on the central nervous system of animals and man

Overt and hidden forms of chronic malnutrition in the rat and their relevance to man

We have examined the physiological weight changes seen in rat dams and their offspring as sequelae of either an overt or a hidden form of chronic protein malnutrition. In the overt model, which was produced by feeding dams a very low protein diet (6% casein) starting 5 weeks prior to conception and continued through lactation, the females showed significant weight losses at all ages compared to dams maintained on a normal diet (25% casein). This caused the malnourished 6% dams to have offspring that were categorized as small-for-date at birth in terms of their weight indices and peripheral metabolic profiles. Also, the inadequate milk production of these dams resulted in their pups displaying the almost total failure of growth (greater than 60% decreases in body weights) and peripheral imbalances characteristic of infantile marasmus by day 8 of lactation. Consequently, at all times examined the 6% dams and pups showed most of the typical responses seen in the more severe forms of in utero and lactational malnutrition of mankind. In contrast, the hidden form of malnutrition produced by feeding dams a somewhat higher protein diet (8% casein) throughout the same time periods caused no marked weight losses by these females during their pregnancy compared to the normal dams. Although the 8% pups had the same birth weight indices as the normal offspring, previous data from our group have indicated that the 8% progeny show many metabolic imbalances at birth which are indicators of severe gestational malnutrition in humans. Moreover, while the 8% dams displayed lactational insufficiencies as noted by their pups retarded postnatal growth, nursing of these offspring by 25% dams allowed them to maintain a normal lactational growth curve. However, not only was this cross-fostering unable to rehabilitate most of the prenatally determined biochemical alterations affecting the 8% pups but, additionally, this form of malnutrition will remain undetected if weight indices alone are used as assessors of normalcy. Thus, it appears that the 8% rats may serve as a useful model for the hidden forms of malnutrition in man.

Postnatal differentiation and growth of skeletal muscle fibres in normal and undernourished rats. A histochemical and morphometric study

The postnatal differentiation and growth patterns of the different histochemical muscle fibre types were studied at frequent age intervals in the extensor digitorum longus (EDL) muscle of normal rats and animals subjected to pre- and postnatal protein-calorie undernutrition. Three stepwise changes were seen in the fibre type composition of the EDL muscle during maturation. In newborn normal rats 2 histochemically and morphometrically distinct fibre populations occurred: small foetal type (type F) fibres or myotubes (about 90%), with the staining characteristics of the so-called type 2C fibres, and larger type 1 fibres (10%). At 5 days of age the percentage of type F fibres had dropped to 50 simultaneously with the emergence of a new population (40%) of type 2B fibres, intermediate in cross-sectional area between the remaining type F fibres and type 1 fibres. Between 15 and 20 days the small type F fibres practically disappeared with the emergence of a corresponding percentage (40%) of type 2A fibres, smaller than both type 1 and type 2B fibres; Between 20 and 60 days the percentage of type 1 rose from 10 to almost 30, type 2B fibres correspondingly diminishing in number but growing at a faster rate than either type 1 or type 2A fibres. In the undernourished rats the histochemical differentiation was retarded at birth, all fibres or myotubes being of the foetal type; However, large type 1 and type 2B fibres were seen at the age of 5 days and the histochemical maturation proceeded almost normally at later stages. On the other hand, at all ages there was a proportional reduction in the cross-sectional area of all fibre types, amounting to about 50% at 180 dyas, and not fully restituted by nutritional rehabilitation. These observations suggest that type F (type 2C) fibres are the undifferentiated precursors of all mature muscle fibres, their stepwise histochemical transformation raising the question of maturational differences in the different types of motoneurones.

Twelve generations of marginal protein deficiency

1. Colonies of rats have been maintained for twleve generations on diets adequate (dietary protein energy: total metabolizable energy (NDp: E) 0-1) or marginally deficient in protein (NDp: E 0-068). 2. In the malnourished colony, the proportion of "small-for-gestational-age" offspring was ten times as high as amongst the well-nourished colony, growth was slow, sexual maturation delayed, especially in the females, and, when adult, both sexes were significantly lighter and shorter than adults of the well-nourished colony. Organs, other than the eye, weighed less than those of well-nourished "age" controls, but when expressed relative to body-weight, the brain, pituitary, thyroid, adrenals, testes, thymus and eyes were larger, the pancreas unchanged and the kidneys smaller than those of the well-nourished "age" controls. The relative weight of the liver showed little change, being slightly increased in the males and, like the ovaries, slightly reduced in the females. On a body-weight basis, the brains were about 50 percent heavier than normal, but in absolute terms were 5-5-5 percent lighter than those of the well-nourished animals, the cerebellum (10-5 percent lighter in males and 12-9 percent lighter in females) being more severely affected than the cerebrum (4 percent lighter). 3. The young malnourished rats showed increased exploratory activity, transient head tremors and an increased sensitivity to noises, the latter being long-lasting if not permanent. When adult, they showed marked differences in behaviour and learning patterns and it was difficult to attract and hold their attention. In situations demanding a choice the animals were very excited, emitted loud squeals and tried to escape from what was clearly a stressful situation. However, a casual examination of the malnourished adults revealed a rather small, badly groomed, excitable rat without gross abnormalities. 4. The findings are discussed in relation to changes found in malnourished human communities.

Concentrations of histamine in brain of guinea pig and rat during dietary protein malnutrition

Protein malnutrition produced marked elevations in brain contents of histamine in guinea pigs (+142%) and rats (+257%) in comparison with findings in the control adequately fed animals. Associated with accumulation of this biogenic amine in each set of animals was an increase of similar magnitude in brain content of free histidine. It was concluded that the elevated brain content of histamine in protein malnutrition was due mainly to increased availability of the precursor amino acid, and that such alterations in amounts of neurotransmitter amines in the central nervous system might underlie some of the behavioural abnormalities seen in malnourished animals.