Bilirubin as a determinant for altered neurogenesis, neuritogenesis, and synaptogenesis

Adelaide Fernandes1, Ana Sofia Falcão, Elsa Abranches

  • 1Faculdade de Farmácia, Centro de Patogénese Molecular-iMed.UL, University of Lisbon, Lisbon, Portugal.

Insights

High levels of unconjugated bilirubin (UCB) during neonatal jaundice harm developing brain cells. This study shows UCB exposure impairs neural precursor viability and neuronal development, potentially causing long-term neurological issues.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Toxicology

Background:

  • Elevated serum unconjugated bilirubin (UCB) in neonates is linked to potential long-term neurologic impairment.
  • Previous research demonstrated UCB-induced neuritic atrophy and cell death in developing neurons under conditions mimicking neonatal jaundice.

Purpose of the Study:

  • To investigate the specific effects of UCB on neural precursor cell viability and differentiation.
  • To analyze UCB's impact on hippocampal neuron development, including dendritic and axonal growth, growth cone morphology, and synapse formation.

Main Methods:

  • Exposure of undifferentiated neural precursor cells and developing hippocampal neurons to UCB.
  • Assessment of neural precursor viability, neurogenesis, and astrogliogenesis.
  • Evaluation of neuronal differentiation markers, dendritic and axonal branching, growth cone morphology, and synaptic density at various in vitro time points (3, 9, and 21 days in vitro).

Main Results:

  • UCB significantly reduced the viability of proliferating neural precursors.
  • Neurogenesis was decreased by UCB exposure, while astrogliogenesis remained unaffected.
  • UCB exposure led to reduced dendritic and axonal branching, smaller axonal growth cone area, and decreased dendritic spine and synapse density in developing neurons.

Conclusions:

  • UCB exerts deleterious effects on neural precursor cell viability and neuronal differentiation.
  • UCB impairs crucial aspects of neuronal development, including neurite outgrowth and synapse formation.
  • These findings suggest that UCB's detrimental effects on neuronal development may negatively impact brain function later in life.