Dendritic spine pathology in infants with severe protein-calorie malnutrition

L Benítez-Bribiesca1, I De la Rosa-Alvarez, A Mansilla-Olivares

  • 1Unidad de Investigación Médica en Enfermedades Oncológicas, Hospital de Oncología, Centro Médico Nacional S-XXI, IMSS, México, Distrito Federal, M|xico. lbenitez@starnet.net.mx

Pediatrics
|August 3, 1999
PubMed

Insights

Severe infant malnutrition stunts brain development, causing shorter dendrites and fewer, abnormal dendritic spines. These structural changes in the brain may explain cognitive deficits in affected children.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pediatric Pathology

Background:

  • Experimental undernutrition in animals retards brain growth and causes neuronal abnormalities, particularly in the dendritic synaptic apparatus, leading to poor neurointegrative development.
  • Severe malnutrition in early human postnatal life is associated with neurointegrative disorders and mental retardation.
  • Limited studies exist on the morphology of the dendritic apparatus in infants with severe malnutrition.

Purpose of the Study:

  • To investigate the density and morphology of dendritic spines in cortical neurons of infants who succumbed to severe malnutrition.
  • To compare neuronal dendritic structures between infants with severe malnutrition and healthy controls.

Main Methods:

  • Utilized the rapid Golgi method to examine brain sections from the somatosensory, motor, and occipital cortical areas.
  • Analyzed apical dendritic spines from fifth cortical layer neurons in 13 infants with severe malnutrition and 7 eutrophic controls.

Main Results:

  • Malnourished infants exhibited significantly shorter apical dendrites compared to controls (581.54 ± 54.32 µm vs. 846.3 µm).
  • A significant reduction in dendritic spines per dendrite was observed in malnourished infants (185.3 ± 36.1 vs. 374.3 ± 41.6).
  • Marked morphologic abnormalities, classified as dysplastic, were noted in the dendritic spines of infants with severe malnutrition.

Conclusions:

  • Severe infant malnutrition is characterized by shorter apical dendrites, reduced dendritic spine density, and abnormal dendritic spine morphology.
  • These anatomical anomalies in neuronal structure are potential contributors to the neuropsychological deficits observed in children with severe malnutrition.
Abstract