Age and Anterior Basal Forebrain Volume Predict the Cholinergic Deficit in Patients with Mild Cognitive Impairment due to Alzheimer’s Disease

Background: Early and severe neuronal loss in the cholinergic basal forebrain is observed in Alzheimer’s disease (AD). To date, cholinomimetics play a central role in the symptomatic treatment of AD dementia. Although basic research indicates that a cholinergic deficit is present in AD before dementia, the efficacy of cholinomimetics in mild cognitive impairment (MCI) remains controversial. Predictors of cholinergic impairment could guide individualized therapy. Objective: To investigate if the extent of the cholinergic deficit, measured using positron emission tomography (PET) and the tracer 11C-N-methyl-4-piperidyl acetate (MP4A), could be predicted from the volume of cholinergic basal forebrain nuclei in non-demented AD patients. Methods: Seventeen patients with a high likelihood of MCI due to AD and 18 age-matched cognitively healthy adults underwent MRI-scanning. Basal forebrain volume was assessed using voxel-based morphometry and a cytoarchitectonic atlas of cholinergic nuclei. Cortical acetylcholinesterase (AChE) activity was measured using MP4A-PET. Results: Cortical AChE activity and nucleus basalis of Meynert (Ch4 area) volume were significantly decreased in MCI. The extent of the cholinergic deficit varied considerably across patients. Greater volumes of anterior basal forebrain nuclei (Ch1/2 area) and younger age (Spearman’s rho (17)  = –0.596, 95% -CI [–0.905, –0.119] and 0.593, 95% -CI [0.092, 0.863])) were associated with a greater cholinergic deficit. Conclusion: Data suggest that less atrophy of the Ch1/2 area and younger age are associated with a more significant cholinergic deficit in MCI due to AD. Further investigations are warranted to determine if the individual response to cholinomimetics can be inferred from these measures.

Requirement of digestible calcium at different dietary concentrations of digestible phosphorus for broiler chickens. 1. Broiler starters (d 1 to 10 post-hatch)

An experiment was conducted to determine the digestible calcium (Ca) and digestible phosphorous (P) requirements of 10-day-old broiler chickens. Fifteen corn-soybean meal-based diets containing 3.3, 3.9, 4.4, 5.0, and 5.5 g/kg standardized ileal digestible (SID) Ca and 4.0, 5.0, and 6.0 g/kg SID P was fed to broilers from d 1 to 10. Each experimental diet was randomly allocated to 6 replicate cages (12 birds per cage). Body weight and feed intake were recorded at the start and end of the experiment and the feed conversion ratio was calculated. On d 10, birds were euthanized to collect ileal digesta, toes and tibia for the determination of digestible Ca and P, toe ash concentration and the concentrations of ash, Ca, and P in tibia. Titanium dioxide (5 g/kg) was included in all diets as an indigestible indicator for apparent ileal digestibility measurements. Total excreta were collected from d 1 to 10 for the measurement of total tract retention of Ca and P. Fixed effects of the experiment were dietary concentrations of SID Ca and SID P and their interaction. If the interaction or main effects were significant (P < 0.05), the parameter estimates for second-order response surface model were determined using General Linear Model procedure of SAS software. The growth performance, bone mineralization and mineral utilization of broiler starters were found to be optimized at 5 g/kg SID P concentration. Required SID Ca for maximum weight gain and bone mineralization was determined to be 3.32 and 4.36 to 4.78 g/kg, respectively, at 5 g/kg SID P concentration, which correspond to SID Ca to SID P ratios of 0.66 and 0.87 to 0.96, respectively. The estimated SID Ca requirement for weight gain is lower than the current Ca recommendation (9.6 g/kg total Ca or 4.4 g/kg SID Ca) for broiler starters. However, bone mineralization is maximized around the current total Ca recommendation at 8.9 to 9.8 g/kg (4.36-4.78 g/kg SID Ca) and indicates that bone mineralization requires more Ca than growth performance.

Comparison of the apparent ileal calcium digestibility of limestone in broilers and layers

1. The apparent ileal calcium (Ca) digestibility coefficients of two limestone sources in growing broilers and layers were determined in two separate experiments.2. In each experiment, two maize-based diets were developed with two limestone sources (A, experiment 1 and B, experiment 2) to contain either 8.0 g/kg Ca for broilers or 40 g/kg Ca for layers. The two sources differed in particle size, with limestone A being finer and limestone B being coarser. Each experimental diet was randomly allotted to six replicate cages and offered for 3 days from 19 to 21-day post-hatch to broilers and during 40 weeks of age to layers. The total tract Ca retention was also measured using the indicator ratios in the diet and excreta.3. In both experiments, the apparent ileal Ca digestibility, gizzard pH and gizzard Ca concentration were higher (P < 0.05) in layers than in broilers. The apparent ileal digestibility coefficient of limestone A for broilers and layers was 0.50 and 0.62, respectively. The corresponding values for limestone B were 0.43 and 0.70, respectively. The apparent total tract retention of Ca was similar (P > 0.05) between broilers and layers in both experiments, and between the two sources.4. The data show that the layers are more efficient in absorbing Ca from limestone than broilers.

True ileal calcium digestibility in soybean meal and canola meal, and true ileal phosphorous digestibility in maize-soybean meal and maize-canola meal diets, without and with microbial phytase, for broiler growers and finishers

1. Published data on the ileal Ca digestibility in soybean meal (SBM) and canola meal (CM), and the effect of microbial phytase on the Ca digestibility of these ingredients are limited. Therefore, two experiments were conducted, with the primary objective of determining the true ileal digestibility of calcium (Ca) in SBM and CM, without and with microbial phytase, during broiler grower (Experiment 1) and finisher (Experiment 2) periods. A secondary objective was to investigate the influence of microbial phytase on the true ileal digestibility of phosphorus (P), apparent digestibility of nitrogen (N) and minerals, and phytate disappearance in maize-SBM and maize-CM diets. Six experimental diets based on SBM and CM, with three phytase doses (0, 500 and 2000 FTU/kg), were fed to broilers from day 18 to 21 (Experiment 1) or 39 to 42 (Experiment 2) post-hatch. A Ca- and P-free diet, with no added phytase, was also developed to determine the endogenous Ca and P losses. Titanium dioxide was incorporated in all diets as an indigestible indicator. Each experimental diet was randomly allocated to six replicate cages (eight birds per cage). Apparent ileal digestibility was calculated using the indicator method and the true ileal digestibility was calculated by correcting for endogenous losses. Apparent total tract retention (ATTR) of Ca and P was also measured.2. Ileal endogenous losses of Ca and P were determined to be 236 and 310 mg/kg of dry matter intake (DMI), respectively, in broiler growers and 29 and 130 mg/kg of DMI, respectively, in broiler finishers. True ileal Ca digestibility coefficients of SBM and CM, without added phytase, were determined to be 0.51 and 0.53, respectively, in broiler growers and 0.33 and 0.22, respectively, in broiler finishers. Increasing phytase doses increased (P < 0.05) the true ileal Ca digestibility of CM in both broiler growers and finishers, but Ca digestibility of SBM increased (P < 0.05) only at the superdose (2000 FTU/kg) in broiler finishers. The ATTR of Ca (P < 0.001) in growers was higher in CM than in SBM and was increased in both ingredients by increasing phytase doses. In finishers, the ATTR of Ca was increased (P < 0.001) by both phytase doses in CM, but only by the superdose in SBM, resulting in an ingredient × phytase interaction (P < 0.001).3. True ileal P digestibility coefficients of maize-SBM and maize-CM diets, without added phytase, were determined to be 0.89 and 0.66, respectively, in broiler growers and 0.82 and 0.57, respectively, in broiler finishers. Supplemental phytase increased (P < 0.05) the true ileal P digestibility of the maize-CM diet in both broiler growers and finishers. However, the P digestibility of the maize-SBM diet was increased (P < 0.05) in broiler finishers only at the superdose (2000 FTU/kg). The ATTR of P was higher (P < 0.001) in the maize-SBM diet during both periods.4. The apparent ileal digestibility of N, Mg, K and Mn was higher (P < 0.001) in the maize-SBM diet for broiler growers and finishers. Phytase addition had no effect (P > 0.05) on the apparent digestibility of N and minerals in growers and finishers.5. Increasing phytase doses increased IP6 disappearance in the maize-CM diet, but not in the maize-SBM diet, resulting in an ingredient × phytase interaction (P < 0.001) for growers and finishers.6. In conclusion, true ileal Ca digestibility coefficients of SBM and CM for broilers were determined in this study. The findings confirmed the influence of broiler age of Ca digestibility. Superdosing of phytase increased the digestibility and ATTR of Ca in CM and SBM by two-fold compared to the normal phytase dose.

Studies on the measurement of ileal calcium digestibility of calcium sources in broiler chickens

Results from 3 experiments relating to the measurement of ileal calcium (Ca) digestibility in 4 different Ca sources for broiler chickens are presented herein. The first experiment was conducted to determine the effect of basal diet composition on the true Ca digestibility of limestone, meat and bone meal (MBM), monocalcium phosphate (MCP), and dicalcium phosphate (DCP). Eight experimental diets were developed based on 2 basal diets (corn-based or corn starch-based) with each of the 4 Ca sources. Two Ca-free diets representing both basal diets were used to determine the endogenous Ca losses. Each diet was randomly allotted to 6 replicate cages (6 birds per cage) and fed from 21 to 24 D post-hatch. Calcium digestibility of corn-based diet was higher (P < 0.05) than the corn starch-based purified diet. The average true Ca digestibility coefficients of limestone, MBM, MCP, and DCP were determined to be 0.51, 0.41, 0.43, and 0.32, respectively. The second experiment was conducted to examine the effect of indicator type on the apparent Ca digestibility of limestone. Two experimental diets with either titanium dioxide or acid insoluble ash (Celite) were developed. Each diet was randomly allotted to 6 replicate cages (8 birds per cage) and fed from 21 to 24 D post-hatch. Total tract Ca retention was also measured using the indicator ratios. Indicator type had no influence (P > 0.05) on the digestibility measurements. Ca retention determined using acid insoluble ash was higher (P < 0.05) compared to that determined using titanium dioxide. The third experiment was conducted to determine the effect of dietary adaptation length on apparent Ca digestibility of limestone. The experimental diet was offered from day 21 to 6 replicates (6 birds per cage) each for 24, 72, 120, or 168 h and the ileal digesta were collected. Calcium digestibility at 24 h was higher (P < 0.05), and increasing the adaptation length from 72 to 120 h had no effect (P > 0.05) on the digestibility.

Sodium channel inhibition by anandamide and synthetic cannabimimetics in brain

Anandamide is a prominent member of the endocannabinoids, a group of diffusible lipid molecules which influences neuronal excitability. In this context, endocannabinoids are known to modulate certain presynaptic Ca(2+) and K(+) channels, either through cannabinoid (CB1) receptor stimulation and second messenger pathway activation or by direct action. We investigated the susceptibility of voltage-sensitive sodium channels to anandamide and other cannibimimetics using both biochemical and electrophysiological approaches. Here we report that anandamide, AM 404 and WIN 55,212-2 inhibit veratridine-dependent depolarization of synaptoneurosomes (IC(50)s, respectively 21.8, 9.3 and 21.1 microM) and veratridine-dependent release of L-glutamic acid and GABA from purified synaptosomes [IC(50)s: 5.1 microM (L-glu) and 16.5 microM (GABA) for anandamide; 1.6 microM (L-glu) and 3.3 microM (GABA) for AM 404, and 12.2 (L-glu) and 14.4 microM (GABA) for WIN 55,212-2]. The binding of [3H]batrachotoxinin A 20-alpha-benzoate to voltage-sensitive sodium channels was also inhibited by low to mid micromolar concentrations of anandamide, AM 404 and WIN 55,212-2. In addition, anandamide (10 microM), AM 404 (10 microM) and WIN 55,212-2 (1 microM) were found to markedly block TTX-sensitive sustained repetitive firing in cortical neurones without altering primary spikes, consistent with a state-dependent mechanism. None of the inhibitory effects we demonstrate on voltage-sensitive sodium channels are attenuated by the potent CB1 antagonist AM 251 (1-2 microM). Anandamide's action is reversible and its effects are enhanced by fatty acid amidohydrolase inhibition. We propose that voltage-sensitive sodium channels may participate in a novel signaling pathway involving anandamide. This mechanism has potential to depress synaptic transmission in brain by damping neuronal capacity to support action potentials and reducing evoked release of both excitatory and inhibitory transmitters.

Vitamin D metabolism in preterm infants: effect of a calcium load

Decrease in serum calcium level leading to hypocalcemia during the first week of life is a frequent finding in premature neonates. Eight premature neonates presenting with such an episode of hypocalcemia in the course of their first 4 days of life were studied. They were fed with a phosphate-enriched human milk and given vitamin D3 (2,100 IU/day per os). We have evaluated the effect of a 24-hour pharmacologic calcium infusion on the circulating levels of calcium, inorganic phosphate, magnesium, 25-hydroxycalciferol (25-OHD), 1 alpha,25-dihydroxycalciferol [1,25(OH)2D] and immunoreactive parathyroid hormone (iPTH). After the infusion, circulating iPTH and Pi levels dropped significantly (p less than 0.025 and p less than 0.005 respectively) whereas serum Ca and 25-OHD (p less than 0.005) increased. Mg and 1,25(OH)2D serum levels remained unchanged. Our data show that an increased calcium supply sustained for 24 h induces an appropriate response in iPTH secretion. Effects on circulating levels of 1,25(OH)2D were variable and probably reflected individual differences in half life of 1,25(OH)2D or in set points in the feedback mechanisms involved in the control of 1,25(OH)2D synthesis.

Vitamin D supplementation during pregnancy: effect on neonatal calcium homeostasis

We assessed whether modification of vitamin D nutritional status during the last trimester of pregnancy affects maternal and neonatal calcium homeostasis. At the end of the first trimester, 40 pregnant women were randomly assigned to either of two groups, and blood taken to assess the basal values of Ca, Pi, Mg, iPTH, 25-OHD, and 1,25(OH)2D. From the sixth month on, group 1 (+D) received 1000 IU vitamin D3 daily; group 2 (-D) served as control. At the time of delivery, maternal serum 25-OHD was higher in the +D group (P less than 0.0005). Ca, Pi, iPTH, and 1,25(OH)2D were not affected. At term, venous cord 25-OHD levels were also higher in the +D group (P less than 0.0005), and 1,25(OH)2D levels slightly lower (P less than 0.05), but neither Ca, Pi, nor iPTH differed between the two groups. Serum CaT dropped significantly (P less than 0.002) at 4 days of age in the infants from both groups, although to a lesser extent in these from the +D group (P less than 0.05). Circulating iPTH increased in both groups. Serum 25-OHD remained low in the -D group, and dropped slightly in the +D group; 1,25(OH)2D remained stable during the first 4 days of life in the -D group, and increased in the +D group (P less than 0.001). Our data demonstrate the importance of providing adequate maternal vitamin D stores to ensure better perinatal handling of calcium. This is of particular importance for populations at risk for hypovitaminosis D.

Vitamin D metabolism in preterm infants. Serial serum calcitriol values during the first four days of life

In order to evaluate after birth the changes in circulating vitamin D metabolite levels in preterm babies supplemented with vitamin D (2 100 I.U./d), the serum concentration of 25-hydroxyvitamin D [25-OHD] and 1 alpha,25-dihydroxyvitamin D [1,25(OH)2D] were measured in 22 infants (31 to 35 weeks of gestation) from birth up to 96 hours of age. Compared to cord blood levels, serum calcium decreased significantly during the first 24 hours of life (p less than 0.005) and remained low until day 4. Serum immunoreactive parathyroid hormone (iPTH) levels increased from birth to 24 hours and then plateaued. The 25-OHD levels at birth were 27.5 +/- 2.5 nmol/l and increased to 67.5 +/- 12.5 nmol/l (p less than 0.005) during the four days of the study. During the same period, the 1,25(OH)2D serum levels increased steadily from 84 less than 7 to 343 less than 105 pmol/l (p less than 0.005). At all times, there was a positive correlation between 25-OHD levels and those of 1,25(OH)2D. Our data demonstrate that in preterm infants after 31 weeks of gestation, absorption and activation of vitamin D is present as soon as 24 hours after birth and that early neonatal hypocalcemia is unlikely to be caused by an impairment of either PTH secretion or vitamin D activation.