Choline Improves Neonatal Hypoxia-Ischemia Induced Changes in Male but Not Female Rats

Tayo Adeyemo1, Ayodele Jaiyesimi1, Jill G Bumgardner1

  • 1Department of Pediatrics, University of Maryland School of Medicine, 655 W. Baltimore St., Baltimore, MD 21201, USA.

Insights

Choline supplementation benefits male rats after neonatal hypoxia-ischemia (HI), improving brain development and learning. However, it unexpectedly worsened outcomes in females, highlighting sex-specific effects of this essential nutrient.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Nutritional Science

Background:

  • Choline is vital for brain development and function, with early supplementation potentially offering lasting benefits.
  • Neonatal hypoxia-ischemia (HI) is a critical condition impacting brain development, necessitating effective therapeutic strategies.
  • Understanding sex-specific responses to interventions is crucial for targeted treatments.

Purpose of the Study:

  • To investigate the efficacy of choline supplementation in a rat model of neonatal hypoxia-ischemia (HI).
  • To determine the sex-specific effects of choline on brain development, tissue loss, and functional recovery after HI.
  • To assess choline's impact on neurite outgrowth, histological damage, and learning abilities in male and female rat pups.

Main Methods:

  • Utilized a postnatal day (PND) 10 rat model of neonatal HI.
  • Administered choline (100 mg/kg) or saline daily from the day after birth for 10 or 14 days.
  • Assessed neurite outgrowth in sex-specific cultured cerebellar granule cells, measured cerebral tissue loss at 72 hours and in adulthood, and evaluated motor and learning abilities using eyeblink conditioning.

Main Results:

  • Choline supplementation improved neurite outgrowth in male rats post-HI.
  • Histological measures showed short-term benefits of choline in males, with reduced tissue loss.
  • Male rats exhibited improved learning abilities following choline treatment, while females showed no benefit and exacerbated HI-induced changes.

Conclusions:

  • Choline demonstrates neuroprotective and functional benefits in male rats following neonatal HI.
  • Surprisingly, choline supplementation appears detrimental in female rats, exacerbating HI-induced brain damage and impairing recovery.
  • These findings underscore the critical importance of sex as a biological variable in evaluating therapeutic interventions for neonatal brain injury.

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