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Serum cholinesterases in Down syndrome children before and after nutritional supplementation
K T Lakshmi1, R H Surekha, B Srikanth
1Institute of Genetics & Hospital for Genetic Diseases, Osmania University, Begumpet, Hyderabad 500016, Andhra Pradesh, India.
Insights
Nutritional supplementation, including zinc and vitamins, improved cholinesterase levels and cognitive skills in children with Down syndrome (DS). Early intervention may help reduce the severity of DS-related impairments.
Area of Science:
- Biochemistry
- Neuroscience
- Pediatrics
Background:
- Down syndrome (DS) is associated with developmental abnormalities and cognitive impairments.
- Cholinesterase dysfunction is implicated in the neurological deficits seen in DS.
- Currently, no effective biomedical treatments exist for DS-related central nervous system impairments.
Purpose of the Study:
- To evaluate the impact of nutritional supplementation on cholinesterase activity in DS children.
- To assess the effects of supplementation on cognitive skills and behavior in DS.
Main Methods:
- Serum acetylcholinesterase and butyrylcholinesterase activity were measured in 40 DS children and 40 controls.
- DS children received six months of nutritional supplementation (zinc, antioxidant vitamins, and minerals).
Main Results:
- DS children exhibited lower cholinesterase activity compared to controls.
- Supplementation significantly improved cholinesterase levels in DS children.
- Cognitive skills and behavioral patterns showed significant improvement post-supplementation.
Conclusions:
- Nutritional supplementation shows promise in ameliorating Down syndrome severity.
- Early intervention with specific nutrients may benefit DS children.
- Further research is warranted to confirm these findings.
Introduction:
Down syndrome (DS) children have different degrees of developmental abnormalities associated with mental retardation. A cascade of pathological changes triggering alterations in cholinesterase-mediated functions seems to be the cause of neuronal and muscular dysfunctions, such as memory loss, disturbed cognitive skills, and language impairment in virtually all DS individuals, but there are currently no efficacious biomedical treatments for these central nervous system-associated impairments. The present study aimed to evaluate the effects of nutritional supplementation on cholinesterases in serum of DS children.
Methods:
Activities of acetyl- and butyrylcholinesterase were analysed in the serum samples of 40 DS children, along with an equal number of age- and sex-matched controls under study.
Results:
The activities of serum acetyl- and butyrylcholinesterase were found to be low in DS children before nutritional supplementation, compared to controls, and showed considerable improvement after six months of supplementation of zinc in combination with antioxidant vitamins and minerals. A significant improvement was also observed in cognitive skills and behavioural patterns after nutritional supplementation.
Conclusion:
The present pilot study suggests the significance of early intervention with nutritional supplementation in DS children to ameliorate the severity of this disorder.
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