Neurodevelopment and cognitive impairment in parents and progeny of perinatal dietary protein deficiency models

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Study Justification:
– The study aimed to investigate the effect of protein deficiency during gestation and lactation on neurological functions of subsequent generations.
– The study aimed to establish a mechanistic association between protein deficiency and neurodevelopmental impairments.
– The study aimed to provide insights into the long-term consequences of early life protein deficiency on brain function.
Study Highlights:
– The study found significantly altered neurobehavior in rats exposed to protein deficiency, including reduced reflex response and postural reaction score.
– The study found transgenerational cognitive impairment in the offspring of protein-deficient rats, as shown by impaired spatial memory and cognition.
– The study observed changes in key neurotransmitters (dopamine and serotonin) and brain oxidative stress in the protein-deficient groups.
Recommendations for Lay Reader:
– Adequate nutrition during pregnancy and lactation is crucial for proper neurodevelopment in offspring.
– Early life protein deficiency can have long-term effects on brain function and cognitive abilities.
– Ensuring a balanced and nutritious diet during critical periods of development is essential for optimal brain health.
Recommendations for Policy Maker:
– Policies should be implemented to promote and support proper nutrition during pregnancy and lactation.
– Education and awareness programs should be developed to highlight the importance of adequate nutrition for neurodevelopment.
– Further research is needed to explore interventions and strategies to mitigate the long-term effects of early life protein deficiency on brain function.
Key Role Players:
– Researchers and scientists specializing in nutrition, neurodevelopment, and cognitive impairments.
– Health professionals, including doctors, nutritionists, and pediatricians.
– Policy makers and government officials responsible for public health and nutrition programs.
– Non-governmental organizations (NGOs) focused on maternal and child health.
Cost Items for Planning Recommendations:
– Research funding for further studies and interventions.
– Development and implementation of educational programs and campaigns.
– Training and capacity building for health professionals.
– Monitoring and evaluation of nutrition programs and interventions.
– Collaboration and coordination between different stakeholders and organizations.

The strength of evidence for this abstract is 7 out of 10.
The evidence in the abstract is rated 7 because it provides detailed information about the study design, methods, and results. However, it lacks information about sample size, statistical analysis, and potential limitations. To improve the evidence, the abstract could include these missing details and also provide a clear conclusion or implication of the findings.

There is an absolute dependence of the concept of development on supply of adequately balanced nutrients especially during the perinatal age which is critical to development. Therefore, an upgraded nutrition is specially required during gestation and lactation, as this is the critical period of neurodevelopment. This study sought to investigate the effect of protein deficiency during gestation (F0) and lactation through to adolescence on neurological functions of subsequent (F1 and F2) generations, establishing the possible consequential mechanistic association. Rats in four groups were fed different rations of protein diets (PD) as formulated: 21% PD, 10% PD, 5% PD and control diet (standard rat chow, containing 16–18% protein), from adolescent through to gestation and lactation, next generations were weaned to the maternal diet group. Neurobehavioral studies (which include; Surface righting reflex, Negative geotaxis, Learning and Memory tests), brain oxidative stress and quantification of serotonin and dopamine levels in the brain were conducted. Result shows significantly altered neurobehavior, reflected in the reduction of reflex response and postural reaction score at P ≤ 0.05. There was also a transgenerational cognitive impairment of brain function in the F-generations, following perinatal protein malnutrition as shown in the Y-maze result, measuring spatial memory and Morris water maze result (cognition), providing a background for the observed sensorimotor response. The significant increase in dopamine level, decrease in the antioxidant capacity of the protein deficient brain groups are consistent with significantly altered serotonin system, critical to neurodevelopment and functional activities of learning and memory. Therefore, persistent early life protein deficiency mediates dysfunction in neurodevelopment and this involves life-long changes in key neurotransmitters and the brain redox status underlying the neurobehavioral display.

This study was carried out in accordance with the guidelines of health research Act 2004, for standard care and use of laboratory animal models. Ethical approval was given by the Health Research Ethics Committee (HREC) of College of Medicine University of Lagos (REC 11), Nigeria. Forty virgin female Sprague Dawley rats (aged 6–8 weeks) were obtained from the animal house of the College of Medicine University of Lagos, Lagos Nigeria (Figure 1). Following the ethics of the standard care of animal models in research, rats were kept in groups in clean and capacious plastic cages (seven per cage) under standard laboratory conditions including well aerated room, good lighting, with suitable temperature (30° ± 2°C) in a neat environment and at a 12-h light/dark cycle. The animals were divided into four (4) groups and acclimatized for 2 weeks, where they had access to standard rat chow and water ad libitum. Experimental Timeline of the events, from the study initiation to termination. PND, Postnatal days. The grouping was based on the diet received by the rat. Grouped rats received ad libitum formulated diets which include either of these diet formulations: 21% PD (protein diet), 10% PDD (Protein deficient diet 1), 5% PDD (Protein deficient diet 2), and CP (standard rat chow, containing 16–18% protein) throughout gestation and lactation, forming Groups 1 2, 3 and 4, respectively, and pups were weaned to maternal diet. The varying protein quality diet for rat was formulated using local materials such as: Maize, SBM, GNC, Fish meal cassava starch, oil etc., all in varying percentages toward the attainment of the desired percentage of protein in the diet. This feed was formulated by the help of some experts at federal institute of industrial research Oshodi (FIIRO). Formulated feeds were given to the rats. Vaginal cytology was evaluated 3 weeks pre-breed period, and the rats were time-mated with a certified reproductive male in each treatment group, the confirmed pregnant rats were separated to produce F1 generation, this process was repeated for F1 generation to produce F2 generation, while the different diet group feeding continues. Presence of spermatozoa in vagina smear confirms day 1 of pregnancy. Weaning was done at postnatal day 21–28. The test was evaluated on postnatal day 2 through to 6. This test was carried out to measure the motor function and coordination by placing pups in a supine position and the time taken to adopt normal position was recorded, scored within cut-off time of 0–3 s (Naik et al., 2015). The vestibular and proprioceptive functions were evaluated in rats (postnatal day 2–14, every other day) were placed head down on an inclined board (about 45°), the time it took the animal to show a postural reaction by turning upright normally was recorded and scaled to score (Naik et al., 2015). At six (6 weeks), offspring were randomly selected (n = 5) for different neurobehavioral trainings and trials. The test was conducted as a modified method described by Yarube et al. (2016), The number and the sequence of arms entered were also recorded. The parameters were activity, defined as the number of arms entered, and percent alternation, calculated as the number of alternations or triads. A wide plastic cylindrical tank of about 120 cm width, that is surrounded by a wall (45 cm) and filled with water that was made opaque to reduce light penetration (25°C) was set up for the experiment. A rescue platform, 10 cm high was hidden at the center of the tank, below water level. Rats were given three swimming sessions on each of five consecutive days. At trial, the time taken to locate the platform (escape latency) was measured (Wang et al., 2017). The brain serotonin and dopamine concentration in the rat were determined using high performance liquid chromatography (HPLC), Agilent 100 series with VWD detector degasser, Quat Pump, Col Com and a manual injector system. Striatum tissues in the brain were collected, homogenized, deproteinized by chilled acetonitrile and filtered using syringe filter in preparation for injection. Serotonin and dopamine contents were determined by comparing the peak height ratios of the standards (5-HT and dopamine) used as calibrators and the chromatogram of unknown (Ebuehi and Abey, 2016). The brain antioxidant capacity was measured using the following biomarkers. The reduced glutathione level was determined based on the yellow color formed after reacting with 5,5’dithiobis- 2-nitrobenzoic acid (DTNB), which is then read at 412 nm (Ellman, 1978). The activity of the enzyme catalase was analyzed by measuring the initial rate of hydrogen peroxide (50 mM) decomposition, where one unit is the amount of enzyme that hydrolyses 1 mol. of H2O2 per minute, following method described by Cohen et al. (1996). The super oxide dismutase (SOD) activity was determined according to the modified method of Sun and Zigman (1978), determined by the ability of SOD to inhibit the autoxidation of epinephrine, taken as the difference between superoxide anion production and decomposition, measured by the increase in absorbance at 320 nm. Malondialdehyde is red specie absorbing at 535 nm (Buege and Aust, 1978). It is formed from the breakdown of polyunsaturated fatty acids, serving as a convenient index for determining the extent of lipid peroxidation that reacts with thiobarbituric acid. Absorbance taken at 535 nm, corresponds to the concentration of MDA per mg protein. Nitric Oxide was assayed by the Griess reaction method (Bryan and Grisham, 2007). 0.2 ml of the Griess reagent mixed with 3 ml of the sample and incubated at room temperature for 10 min. Absorbance was read using the spectrophotometer at 540 nm. This procedure is not stoichiometric and thus, a standard curve of sodium nitrite was plotted in order to extrapolate the values for unknown samples. All data were analyzed with maternal and weaning diets as factors. Results are presented as the mean ± SEM. Statistical analysis was performed using GraphPad Prism 7.0 for analysis of variance (ANOVA) followed by post hoc Turkey’s test, when appropriate; P ≤ 0.05 is considered significant.

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Based on the provided description, it seems that the study is focused on investigating the effects of protein deficiency during gestation and lactation on neurological functions in subsequent generations. The study involves conducting neurobehavioral studies, measuring brain oxidative stress, and quantifying serotonin and dopamine levels in the brain. The study also includes evaluating motor function and coordination, vestibular and proprioceptive functions, as well as spatial memory and cognition.

Based on this information, here are some potential innovations that could improve access to maternal health:

1. Nutritional interventions: Develop and implement targeted nutritional interventions during gestation and lactation to ensure pregnant women receive adequate protein and other essential nutrients for optimal neurodevelopment.

2. Education and awareness programs: Create educational programs to raise awareness among pregnant women about the importance of balanced nutrition during pregnancy and the potential long-term effects of protein deficiency on neurodevelopment.

3. Telemedicine and remote monitoring: Utilize telemedicine and remote monitoring technologies to provide access to maternal health services, including nutritional counseling and monitoring, to pregnant women in remote or underserved areas.

4. Mobile applications: Develop mobile applications that provide pregnant women with personalized nutrition plans, reminders for prenatal appointments, and access to educational resources on maternal health.

5. Community-based interventions: Implement community-based interventions that involve local healthcare providers, community health workers, and peer support groups to promote healthy nutrition practices during pregnancy and provide ongoing support and guidance.

6. Policy and advocacy: Advocate for policies that prioritize maternal health and nutrition, including the inclusion of nutritional support programs in healthcare systems and the integration of maternal health services into existing healthcare infrastructure.

It is important to note that these recommendations are based on the information provided and may need to be further tailored and evaluated in the context of specific populations and healthcare systems.
AI Innovations Description
Based on the description provided, the recommendation to improve access to maternal health would be to focus on implementing interventions that address the nutritional needs of pregnant and lactating women. Specifically, the study highlights the importance of adequate protein intake during gestation and lactation for optimal neurodevelopment in offspring.

Here are some potential innovations that could be developed based on this recommendation:

1. Nutrition education programs: Develop and implement educational programs that provide pregnant and lactating women with information on the importance of balanced nutrition, including the role of protein in neurodevelopment. These programs could be delivered through various channels, such as community health centers, antenatal clinics, and mobile health applications.

2. Nutritional supplementation: Explore the development of protein-rich supplements specifically designed for pregnant and lactating women. These supplements could be easily accessible and affordable, providing an additional source of protein to support neurodevelopment in offspring.

3. Community-based support groups: Establish community-based support groups for pregnant and lactating women, where they can receive guidance and support on proper nutrition. These groups could be facilitated by trained healthcare professionals or community health workers and provide a platform for women to share experiences and learn from each other.

4. Integration of nutrition services into existing maternal health programs: Ensure that nutrition services, including assessment and counseling on protein intake, are integrated into existing maternal health programs. This could be done through training healthcare providers on the importance of nutrition during pregnancy and lactation and equipping them with the necessary tools and resources to provide appropriate guidance to women.

5. Policy advocacy: Advocate for policies that prioritize maternal nutrition and promote access to affordable and nutritious food options. This could involve working with policymakers to develop and implement strategies that address food insecurity and improve the availability and affordability of protein-rich foods for pregnant and lactating women.

It is important to note that these recommendations should be tailored to the specific context and needs of the target population. Additionally, further research and evaluation may be needed to assess the effectiveness and feasibility of these innovations in improving access to maternal health.
AI Innovations Methodology
Based on the provided information, it seems that you are looking for innovations to improve access to maternal health. However, the description you provided is a scientific study on the effect of protein deficiency during gestation and lactation on neurological functions in rats. It does not directly relate to innovations for improving access to maternal health.

To provide recommendations for innovations to improve access to maternal health, it would be helpful to have more information on the specific challenges or areas of improvement you are interested in. Access to maternal health can encompass various aspects such as prenatal care, skilled birth attendance, postnatal care, and access to essential maternal health services.

Once you provide more specific information on the areas you are interested in, I can provide recommendations for innovations that can improve access to maternal health.

Regarding the methodology to simulate the impact of these recommendations on improving access to maternal health, it would depend on the specific recommendation and the context in which it is being implemented. However, a general methodology could include the following steps:

1. Define the objectives: Clearly define the objectives of the innovation and what outcomes you expect to achieve in terms of improving access to maternal health.

2. Identify the target population: Identify the specific population or group that will benefit from the innovation. This could include pregnant women, new mothers, healthcare providers, or policymakers.

3. Collect baseline data: Gather relevant data on the current state of access to maternal health in the target population. This could include data on maternal mortality rates, access to prenatal care, availability of skilled birth attendants, or other relevant indicators.

4. Design and implement the innovation: Develop and implement the innovation or intervention that aims to improve access to maternal health. This could involve developing new technologies, improving healthcare infrastructure, training healthcare providers, or implementing policy changes.

5. Monitor and evaluate: Continuously monitor and evaluate the impact of the innovation on improving access to maternal health. This could involve collecting data on key indicators, conducting surveys or interviews with the target population, or using other evaluation methods.

6. Analyze and interpret the data: Analyze the data collected to assess the impact of the innovation on improving access to maternal health. This could involve statistical analysis, comparing pre- and post-intervention data, or conducting qualitative analysis of feedback from the target population.

7. Adjust and refine the innovation: Based on the findings from the evaluation, make any necessary adjustments or refinements to the innovation to further improve access to maternal health.

8. Scale up and replicate: If the innovation proves to be effective, consider scaling up and replicating it in other settings or populations to further improve access to maternal health.

It is important to note that the specific methodology may vary depending on the nature of the innovation and the context in which it is being implemented.

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