BACKGROUND: Adrenal neuroendocrine plays an important role in asthma. The activity of the sympathoadrenal system could be altered by early life events. The effects of maternal asthma during pregnancy on the adrenal medulla of offspring remain unknown. METHODOLOGY/PRINCIPAL FINDINGS: This study aims to explore the influence of maternal asthma during pregnancy on the development and function of adrenal medulla in offspring from postnatal day 3 (P3) to postnatal day 60 (P60). Asthmatic pregnant rats (AP), nerve growth factor (NGF)-treated pregnant rats (NP) and NGF antibody-treated pregnant rats (ANP) were sensitized and challenged with ovalbumin (OVA); NP and ANP were treated with NGF and NGF antibody respectively. Offspring rats from the maternal group were divided into four groups: offspring from control pregnant rats (OCP), offspring from AP (OAP), offspring from NP (ONP), and offspring from ANP (OANP). The expressions of phenylethanolamine N-methyltransferase (PNMT) protein in adrenal medulla were analyzed. The concentrations of epinephrine (EPI), corticosterone and NGF in serum were measured. Adrenal medulla chromaffin cells (AMCC) were prone to differentiate into sympathetic nerve cells in OAP and ONP. Both EPI and PNMT were decreased in OAP from P3 to P14, and then reached normal level gradually from P30 to P60, which were lower from birth to adulthood in ONP. Corticosterone concentration increased significantly in OAP and ONP. CONCLUSION/SIGNIFICANCE: Asthma pregnancy may promote AMCC to differentiate into sympathetic neurons in offspring rats and inhibit the synthesis of EPI, resulting in dysfunction of bronchial relaxation.
BACKGROUND: Adrenal neuroendocrine plays an important role in asthma. The activity of the sympathoadrenal system could be altered by early life events. The effects of maternal asthma during pregnancy on the adrenal medulla of offspring remain unknown. METHODOLOGY/PRINCIPAL FINDINGS: This study aims to explore the influence of maternal asthma during pregnancy on the development and function of adrenal medulla in offspring from postnatal day 3 (P3) to postnatal day 60 (P60). Asthmatic pregnant rats (AP), nerve growth factor (NGF)-treated pregnant rats (NP) and NGF antibody-treated pregnant rats (ANP) were sensitized and challenged with ovalbumin (OVA); NP and ANP were treated with NGF and NGF antibody respectively. Offspring rats from the maternal group were divided into four groups: offspring from control pregnant rats (OCP), offspring from AP (OAP), offspring from NP (ONP), and offspring from ANP (OANP). The expressions of phenylethanolamine N-methyltransferase (PNMT) protein in adrenal medulla were analyzed. The concentrations of epinephrine (EPI), corticosterone and NGF in serum were measured. Adrenal medulla chromaffin cells (AMCC) were prone to differentiate into sympathetic nerve cells in OAP and ONP. Both EPI and PNMT were decreased in OAP from P3 to P14, and then reached normal level gradually from P30 to P60, which were lower from birth to adulthood in ONP. Corticosterone concentration increased significantly in OAP and ONP. CONCLUSION/SIGNIFICANCE: Asthma pregnancy may promote AMCC to differentiate into sympathetic neurons in offspring rats and inhibit the synthesis of EPI, resulting in dysfunction of bronchial relaxation.
Asthma is a disease with its origins in early life. Maternal asthma is a risk factor
for asthma in children [1]. Study demonstrated that some components in uterus or
early postnatal environment might cause increase of asthma susceptibility in
offspring [2].
Epigenetic studies suggested that environmental factors exposed to pregnant mothers
were closely related to the childhood asthmatic phenotypes, especially after the
birth [3], [4]. However,
the pathogenesis is complex and not entirely understood.Adrenal neuroendocrine played an important role in the regulation of bronchial
diastole by secreting epinephrine (EPI) [5]. Recent reports
demonstrated that the activity of the sympathoadrenal system could be altered by
early life event; Sympathetic adrenal cells, derived from embryonic neural crest
stem cells, could migrate and locate into adrenal gland during the development [6]. After the lost
of neurons features, those cells differentiate into adrenal medulla chromaffin cells
(AMCC) with endocrine function [7]. However, experimental study indicated that AMCC have
redundant functions in the setting of abnormal physiological functions, including
loss of endocrine phenotype and acquisition of neuronal properties [8], [9]. Studies indicated
that continuous infusion of nerve growth factor (NGF) into 17 days pregnant rats
enhanced the transformation of AMCC into sympathetic neurons, which then infiltrated
into adrenal cortex and medulla and altered their structures [10].The alteration in the early
sympathetic-adrenal system activity, development, and maturation partly attribute to
environmental stimulation during uterus and after birth[11], [12]. The development and
maintenance of AMCC are critically dependent NGF. Circulating NGF levels are
increased in humans with allergic diseases and asthma [13]. Investigation recently found
that increased NGF in asthma could induce functional redundancy of ratAMCC, which
resulting in transforming them into sympathetic neurons, and significantly reduced
the synthesis and release of EPI, unbalancing bronchial contraction and
relaxation[14],
[15].Exposure to
high level of NGF in the intrauterine environment may play an important role in the
process of neural stem cell growth, migration and development and the
differentiation of AMCC into sympathetic neurons, interfering with the synthesis,
storage, release of EPI, even participating in adult bronchial asthma. So far, the
influence of intrauterine environment during asthma attack on the development and
redundant function of the adrenal medulla which adjust bronchial diastole by EPI has
not been reported. We presume that the incidence of asthma during pregnancy alter
the differentiation of AMCC and initiate the redundant functions of AMCC in
offspring rats.To test this hypothesis, we observed the structure and function of adrenal medulla in
offspring rat in different period (birth, early youth, adolescence, adulthood), to
detect the effect of maternal asthma during pregnancy on the development of adrenal
medulla in their offspring.
Results
Airway responsiveness to histamine
With the increasing concentration of histamine, airway resistance (RL) was
gradually increased in each group. The RL was significantly increased in AP and
NP group compared with CP group when the concentration of histamine reached 0.08
mg/ml and above (P<0.05 ).ANP group were decreased in RL
compared with AP group (P<0.05 )(Figure 1A).
Figure 1
The changes of airway resistance (RL) and the cell counts in the BALF
of maternal rats.
A: RL in maternal rats. B: The total cell
counts in the BALF of maternal rats. C: The number of neutrophils and
eosinophils in BALF of maternal rats. The values are means ± SEM
(n = 8); * P<0.05 vs. CP,
▴<0.05 vs. AP.
The changes of airway resistance (RL) and the cell counts in the BALF
of maternal rats.
A: RL in maternal rats. B: The total cell
counts in the BALF of maternal rats. C: The number of neutrophils and
eosinophils in BALF of maternal rats. The values are means ± SEM
(n = 8); * P<0.05 vs. CP,
▴<0.05 vs. AP.
Total and differential white cell counts of BALF
Total cell counts were significantly increased in AP and NP group compared with
the CP group (P<0.05). There is significant decrease in ANPrats compared to
AP group (P<0.05) (Figure
1B) The AP and NP group also have significantly greater numbers of
neutrophils and eosinophils in the BALF than the CP group
(P<0.05 ). There is significant decrease in ANPrats
compared to AP group(P<0.05) (Figure 1C).
Lung tissue morphology of maternal rats
Under microscope, the airway structure was undamaged in CP rats, and the
infiltration of inflammatory cell was not appeared around bronchia and vessel.
While bronchial epithelial shedding, increased mucus plug, eosinophils and
neutrophils infiltration surrounding airway were found in AP rats. The
inflammatory cell infiltration is more obvious in bronchial wall in NP group
compared with AP group, while such pathological changes in lung tissue
significantly relieved in ANP group. (Figure 2)
Figure 2
Histopathology examination of lung in each maternal group.
No obvious lesions of airway structure were appeared in CP rats.
Bronchial epithelial shedding, eosinophil and neutrophils infiltration
surrounding airway were found in AP rats, and these pathological changes
were aggravated in NP rats and alleviated in ANP rats. (The
magnification of the image is 100 ×).
Histopathology examination of lung in each maternal group.
No obvious lesions of airway structure were appeared in CP rats.
Bronchial epithelial shedding, eosinophil and neutrophils infiltration
surrounding airway were found in AP rats, and these pathological changes
were aggravated in NPrats and alleviated in ANPrats. (The
magnification of the image is 100 ×).
Adrenal medulla alteration in maternal rats
Under microscope, the shape of adrenal medullar cell was regular, and no obvious
pathological changes were found in CP rats. The increase of vacuolar
degeneration and lipid were observed in AP rats adrenal medulla cells, NGF
intervention aggravated while NGF antibody intervention alleviated those lesions
(Figure 3).
Figure 3
Histopathology examination of adrenal medulla in maternal
rats.
The shape of adrenal medullar cell was regular, and damaged structure was
not observed in CP rats. Adrenal medulla vacuolar degeneration and lipid
increases were observed in AP rats, which was aggravated in NP rats and
alleviated in ANP rats. (The magnification of the image is 400
×).
Histopathology examination of adrenal medulla in maternal
rats.
The shape of adrenal medullar cell was regular, and damaged structure was
not observed in CP rats. Adrenal medulla vacuolar degeneration and lipid
increases were observed in AP rats, which was aggravated in NPrats and
alleviated in ANPrats. (The magnification of the image is 400
×).Electron microscopy indicated that AMCC lined up tightly in order,contained round
nucleus, abundant chromaffin granules, mitochondrion with clear structures in CP
rats. AMCC presented signs of lesions: swelling mitochondrion, increased lipid,
decreased chromaffin granules in AP and NPrats. Interestingly, cytoplasm
lamellar-like structure was found in NPrats; NGF antibody treatment improved
such pathological changes, promoted the deposition of collagen tissue, which
divided adrenal medulla cells into island (Figure 4).
Figure 4
Electron micrograph of adrenal medulla in maternal rats.
AMCC lined up tightly in order, containing round nucleus, abundant
chromatin granules, and mitochondrion with clear structures in CP rats.
Mitochondrion swelled, lipid increased and chromaffin granules decreased
in AP and NP rats (thin arrow). Cytoplasm lamellar-like structure
appeared in NP rats (hollow arrow); Lesions were alleviated and appeared
more collagen tissue, which divided adrenal medulla into island in AP
rats (thick arrow). (The magnification of the image is 10000
×).
Electron micrograph of adrenal medulla in maternal rats.
AMCC lined up tightly in order, containing round nucleus, abundant
chromatin granules, and mitochondrion with clear structures in CP rats.
Mitochondrion swelled, lipid increased and chromaffin granules decreased
in AP and NPrats (thin arrow). Cytoplasm lamellar-like structure
appeared in NPrats (hollow arrow); Lesions were alleviated and appeared
more collagen tissue, which divided adrenal medulla into island in AP
rats (thick arrow). (The magnification of the image is 10000
×).
Adrenal medulla changes in offspring rats
On P3: adrenal medulla cells scattered in zona reticularis and cytoplasm
increased gradually in OCPrats, and electron micrograph revealed clear
chromaffin granules (mainly adrenaline cells), rich lysosomes, mitochondria and
sympathetic ganglion. OAP and ONPrats showed vacuolar degeneration,
mitochondrial edema, and fiber outgrowth, decreased or lost of EPIchromaffin
granules in adrenal medulla cells. In OANP rats, the numbers of medulla
chromaffin cells were significantly decreased, but their organelles were still
abundant (Figure 5, Figure 6).
Figure 5
Histopathology examination of adrenal medulla in offspring
rat.
P3:postnatal day 3;P7:postnatal day 7; P14:postnatal day 14;
P30:postnatal day 30; P60:postnatal day 60; Adrenal medulla cells showed
cytoplasm edema, some spindle shape chromaffin cells with decreased
particles and a small amount of connective tissue in OAP and ONP rats
from P3 to P60. AMCC decreased and a large number of connective tissues
separated medulla from P3 to P60 in OANP rats. (The magnification of the
image is 400 ×).
Figure 6
Electron micrograph of adrenal medulla in offspring rat.
The adrenal medulla cells of OAP and ONP rats showed edema of cytoplasm
and mitochondrial, vacuolar degeneration, deceased EPI secretory
granule. chromaffin cells appeared fiber outgrowth and changed into
spindle shape with long fusiform nucleus from P3 to P14(thin arrow).
From P30 to P60, vacuolar degeneration showed decreased and the PEI
secretory granule become increasing. At the same time, nerve fibers of
ONP rats were rich in density, myelinated and unmyelinated nerve fibers
can be seen (hollow arrow). There were mitochondrial edema and decreased
chromaffin with enriched EPI granules in OANP rats. More collagen
emerged and divided adrenal medulla into island from P30 to P60 (thick
arrow). (The magnification of the image is 10000 ×).
Histopathology examination of adrenal medulla in offspring
rat.
P3:postnatal day 3;P7:postnatal day 7; P14:postnatal day 14;
P30:postnatal day 30; P60:postnatal day 60; Adrenal medulla cells showed
cytoplasm edema, some spindle shape chromaffin cells with decreased
particles and a small amount of connective tissue in OAP and ONPrats
from P3 to P60. AMCC decreased and a large number of connective tissues
separated medulla from P3 to P60 in OANP rats. (The magnification of the
image is 400 ×).
Electron micrograph of adrenal medulla in offspring rat.
The adrenal medulla cells of OAP and ONPrats showed edema of cytoplasm
and mitochondrial, vacuolar degeneration, deceased EPI secretory
granule. chromaffin cells appeared fiber outgrowth and changed into
spindle shape with long fusiform nucleus from P3 to P14(thin arrow).
From P30 to P60, vacuolar degeneration showed decreased and the PEI
secretory granule become increasing. At the same time, nerve fibers of
ONPrats were rich in density, myelinated and unmyelinated nerve fibers
can be seen (hollow arrow). There were mitochondrial edema and decreased
chromaffin with enriched EPI granules in OANP rats. More collagen
emerged and divided adrenal medulla into island from P30 to P60 (thick
arrow). (The magnification of the image is 10000 ×).From P7 to P14:The development of adrenal medulla in OCPrats has become matured,
showing a small amount of connective tissue, blood vessels and a few sympathetic
ganglion cells and medulla chromaffin cells, which were arranged in groups or
cords. The adrenal medulla cells of OAP and ONPrats still indicated edema of
cytoplasm and mitochondrion, vacuolar degeneration and decreased or lost of EPI
secretory granule with lightly stained color. Some spindle shape chromaffin
cells with long fusiform nucleus as well as a small amount of connective tissue
were found in OAP and ONPrats (Figure 5, Figure
6).From P30 to P60: OAP and ONPrats showed EPI secretory granule in medulla
chromaffin cells become increasing. There also exist small amounts of connective
tissue. ONPrats demonstrated more sympathetic ganglion cells and nerve fibers
in adrenal medulla, where myelinated and unmyelinated nerve fibers could be
observed. Adrenal medulla also appeared mitochondrial edema and decreased
chromaffin cells with enriched EPI granules in OANP rats while more collagen
emerged and divided adrenal medulla into island (Figure 5, Figure 6).
The levels of serum EPI in maternal rats and their offspring
Compared with CP group, serum EPI levels in AP rats were not significantly
increased, while serum EPI level in NPrats was further deceased compared to CP
rats(P<0.05). After anti-NGF treatment, serum levels of EPI increased
slightly in ANPrats (Figure 7
A).
Figure 7
Serum levels of EPI, NGF and corticosterone in rats.
A: Serum levels of EPI decreased significantly in NP rats
compared to CP rats. B: Serum levels of EPI decreased in
OAP rats from P3 to P14 compared to OCP rats and regained normal level
from P30 to P60; however, in ONP rats, from P3 to P60, serum levels of
EPI were lower than those in OCP rats; there is significant increase in
OANP rats compared to OAP rats from P3 to P14. C: Serum
levels of NGF were significantly increased in AP and NP rats compared to
CP rats. Serum NGF levels decreased in ANP rats compared with OAP rats.
D: Compared to OCP rats, serum levels of NGF increased
from P3 to P7 in OAP and ONP rats and regained normal level from P14 to
P60. Compared with OAP rats, serum NGF levels in OANP rats were lower
from P3 to P7 and no significant difference from P14 to P60.
E: Serum levels corticosterone increased in AP and NP
rats compared to CP rats, while ANP rats showed a decline tendency
compared to AP rats. F: Serum levels of corticosterone in
OAP and ONP rats increased significantly compared to OCP rats from P3 to
P60, while those in OANP rats were lower compared to OAP. Values are
expressed as mean ±SEM(n = 8); *
P<0.05 vs CP/OCP, ▴P<0.05 vs AP/OAP.
Serum levels of EPI, NGF and corticosterone in rats.
A: Serum levels of EPI decreased significantly in NPrats
compared to CP rats. B: Serum levels of EPI decreased in
OAPrats from P3 to P14 compared to OCPrats and regained normal level
from P30 to P60; however, in ONPrats, from P3 to P60, serum levels of
EPI were lower than those in OCPrats; there is significant increase in
OANP rats compared to OAPrats from P3 to P14. C: Serum
levels of NGF were significantly increased in AP and NPrats compared to
CP rats. Serum NGF levels decreased in ANPrats compared with OAPrats.
D: Compared to OCPrats, serum levels of NGF increased
from P3 to P7 in OAP and ONPrats and regained normal level from P14 to
P60. Compared with OAPrats, serum NGF levels in OANP rats were lower
from P3 to P7 and no significant difference from P14 to P60.
E: Serum levels corticosterone increased in AP and NPrats compared to CP rats, while ANPrats showed a decline tendency
compared to AP rats. F: Serum levels of corticosterone in
OAP and ONPrats increased significantly compared to OCPrats from P3 to
P60, while those in OANP rats were lower compared to OAP. Values are
expressed as mean ±SEM(n = 8); *
P<0.05 vs CP/OCP, ▴P<0.05 vs AP/OAP.Serum EPI levels were dramatically decreased in OAP and ONPrats from P3 to P14
compared to OCPrats(P<0.05), but then increased gradually from P30 to P60 in
OAPrats, reaching value approaching those of OCPrats. However, serum EPI
levels were lower in ONPrats at all developmental stages. There is significant
increase in OANP rats compared to OAPrats from P3 to P14 (P<0.05) (Figure 7B).
The levels of serum NGF in maternal rats and their offspring
Serum NGF levels were significantly increased in AP and NPrats compared with CP
rats(P<0.05). Serum NGF levels decreased slightly in ANPrats after injecting
anti-NGF, but it didn't recover to normal level (Figure 7C).Serum NGF levels were increased from P3 to P7 in OAP and ONPrats compared with
OCPrats (<0.05).NGF levels became restoration from P14 to P60. Compared with
OAPrats, serum NGF levels in OANP rats were lower from P3 to P7(P<0.05) and
no significant difference from P14 to P60. (Figure 7D).
The levels of serum corticosterone in maternal rats and their
offspring
Results showed that serum corticosterone levels increased in AP and NPrats
compared with CP rats (P<0.05), while serum corticosterone levels decreased
slightly in ANPrats (Figure
7E).From P3 to P60, serum corticosterone levels in OAP and ONPrats increased
significantly compared to OCPrats (P<0.05), while those in OANP rats were
lower compared to OAPrats (P<0.05) (Figure 7F).
The expression of PNMT in adrenal medulla
In this study, immunohistochemistry results showed that the expressions of PNMT
in NPrats decrease significantly compared with CP rats (P<0.05) (Figure 8). In the development
of offspring, the expressions of PNMT protein in the OAPrats adrenal medulla
decreased significantly when compared with OCPrats from P3 to P14 (P<0.05).
The expressions of PNMT protein gradually increased gradually in OAPrats from
P30 to P60; there was a trend towards a lower expression in ONPrats. However,
the expressions of PNMT protein in OANP were increased from P3 to P14
(P<0.05) and showed no significant difference compared with OAPrats from P30
to P60 (Figure 9).
Figure 8
PNMT immunochemistry in adrenal medulla of maternal rats.
The expression of PNMT decreased in NP rats significantly compared with
CP rats. IOD values are expressed as mean
±SEM(n = 8); * P<0.05 vs CP. (The
magnification of the image is 400 ×).
Figure 9
PNMT immunochemistry in adrenal medulla of offspring rats.
The expression of PNMT protein in the OAP and ONP rats adrenal medulla
decreased significantly compared to OCP rats from P3 to P14 and
gradually increased in OAP rats from P 30 to P60, there was a trend
towards a lower expression in ONP rats. The expressions of PNMT protein
in OANP rats increased from P3 to P14 and showed no significant
difference compared with OAP rats from P30 to P60. IOD values are
expressed as mean ±SEM(n = 8); *
P<0.05 vs. OCP, ▴<0.05 vs. OAP. (The
magnification of the image is 400 ×).
PNMT immunochemistry in adrenal medulla of maternal rats.
The expression of PNMT decreased in NPrats significantly compared with
CP rats. IOD values are expressed as mean
±SEM(n = 8); * P<0.05 vs CP. (The
magnification of the image is 400 ×).
PNMT immunochemistry in adrenal medulla of offspring rats.
The expression of PNMT protein in the OAP and ONPrats adrenal medulla
decreased significantly compared to OCPrats from P3 to P14 and
gradually increased in OAPrats from P 30 to P60, there was a trend
towards a lower expression in ONPrats. The expressions of PNMT protein
in OANP rats increased from P3 to P14 and showed no significant
difference compared with OAPrats from P30 to P60. IOD values are
expressed as mean ±SEM(n = 8); *
P<0.05 vs. OCP, ▴<0.05 vs. OAP. (The
magnification of the image is 400 ×).
The expression of NGF in adrenal medulla
The expressions of NGF protein were found both in cytoplasm and nucleus in
adrenal medulla cells. Compared with the CP rats, NGF expression increased
significantly in AP and NPrats (P<0.05). Serum NGF levels decreased in ANPrats compared with AP rats (P<0.05) (Figure 10).
Figure 10
NGF immunochemistry in adrenal medulla of maternal rats.
NGF protein in AP and NP rats were significantly higher than that in CP
rats. NGF expression decreased in ANP rats compared with AP rats. IOD
values are expressed as mean ±SEM(n = 8);
* P<0.05 vs CP, ▴P<0.05 vs AP. (The
magnification of the image is 400 ×).
NGF immunochemistry in adrenal medulla of maternal rats.
NGF protein in AP and NPrats were significantly higher than that in CP
rats. NGF expression decreased in ANPrats compared with AP rats. IOD
values are expressed as mean ±SEM(n = 8);
* P<0.05 vs CP, ▴P<0.05 vs AP. (The
magnification of the image is 400 ×).NGF immunoreactivity increased in OAP and ONPrats adrenal medulla compared to
OCPrats from P3 to P14 (P<0.05)and remained normal level from P30 to P60.
The expressions of NGF protein in OANP decreased from P3 to P14 compared to OAPrats (P<0.05) and no distinction between OANP rats and OAPrats from P30 to
P60 (Figure 11).
Figure 11
NGF immunochemistry in adrenal medulla of offspring rats.
The expression of NGF increased in OAP and ONP rats adrenal medulla
compared to OCP rats from P3 to P14 and return to normal level from P30
to P60. The expressions of NGF protein in OANP rats decreased from P3 to
P14 compared to OAP. IOD values are expressed as mean
±SEM(n = 8); * P<0.05 vs. OCP,
▴<0.05 vs OAP. (The magnification of the image
is 400 ×).
NGF immunochemistry in adrenal medulla of offspring rats.
The expression of NGF increased in OAP and ONPrats adrenal medulla
compared to OCPrats from P3 to P14 and return to normal level from P30
to P60. The expressions of NGF protein in OANP rats decreased from P3 to
P14 compared to OAP. IOD values are expressed as mean
±SEM(n = 8); * P<0.05 vs. OCP,
▴<0.05 vs OAP. (The magnification of the image
is 400 ×).
Discussion
The notion of fetal origins of adult disease hypothesis (FOAD) was presented through
a series of epidemiological studies [16], [17]. The mechanisms may include early lesions in intrauterine
that altered fetal organs permanently or procedurally during growth-sensitive period
[18], [19], various
hormone axis reset, which increased its susceptibility to various chronic diseases
[20]. Recent
report also proved that prenatal environmental exposures could induce respiratory
disease associated systemic and airway immune changes in the adult offspring [21].In our present studies, the structure and function of adrenal medulla in offspring
rats from maternal asthmarats during pregnancy differed from normal maternal rats,
including swelling AMCC, vacuolar degeneration, and the prone development of AMCC
into sympathetic nerve cells:(1) increased cell size and spindle shape with long
fusiform nucleus; (2) ultra structure of neurological type (fiber outgrowth)
appeared, EPI secretary granules decreased and even disappeared, density and
morphology changed; (3) lack of PNMT immunoreactivity and dysfunction of epinephrine
synthesis and release; (4) adrenal medulla cells repaired in the form of progressive
fibrosis with the growth of offspring. Environmental stimulation in uterus and after
birth could alter the development and maturation of the early sympathetic-adrenal
system [22]. It
is well-known that AMCC possessing redundancy function could transform into the
sympathetic adrenal nerve cells [23]. We speculated that the
intrauterine environment with asthma attack could have an influence on the
differentiation of AMCC into adrenal sympathetic nerve cells in offspring.Studies demonstrated that NGF could be associated with asthma attack [24], [25]. Investigation
recently found that increased NGF in asthma could induce functional redundancy of
ratAMCC, which resulting in transforming them into sympathetic neurons, and
significantly reduced the synthesis and release of EPI, unbalancing bronchial
contraction and relaxation[14], [15].Our works found that high NGF level in asthma maternal
serum and the morphology and function of AMCC in ONPrats were more worse
maintained,which revealed that high concentrations of NGF exposure during pregnancy
may initiate the transformation of AMCC into neurons in offspring rats. We concluded
that the conversion of AMCC to neurons may be markedly enhanced by NGF, a
neurite-promoting factor.Our results demonstrated that serum EPI levels of OAPrats were decreased in 2 weeks
after birth. As the development of puberty, serum EPI increased gradually, and
regained normal level. The expressions of PNMT protein in adrenal medulla showed the
same tendency. However, ONPrats showed lower levels of serum EPI and the
expressions of PNMT protein from birth to adulthood. The marker of AMCC is the
synthesis and secretion of a large number of EPI, glucocorticoid induced expressions
of synthetic enzyme PNMT that promoted the formation of EPI [26]–[28]. We presume that, although
there existed impaired factors in asthma maternal uterus, adrenal medulla of
offspring rats gradually were repaired during the development. We found that
OVA-induced stress in asthma maternal rats during pregnancy enhanced significantly
the serum levels of corticosterone in offspring rats from asthma and NGF maternal
group from birth to adulthood. It is proved that the high glucocorticoids(GCs)
concentrations in the adrenal medulla prevented the fiber outgrowth from medullary
chromaffin cells in vivo [29] and contributed to the decrease of transformation adrenal
cells into neurons [30], [31]. GCs could promote the expression of PNMT in adrenal
medulla that catalyzes the conversion of norepinephrine to epinephrine [32]–[34].Thus we inferred that high corticosterone level may lead
to the recovery of EPI level in offspring. However the increase of corticosterone
level could not completely antagonize the alteration of NGF on the adrenal medulla
that promoted chromaffin cells to differentiate into sympathetic nerve cells from
birth to puberty, and exogenous GCs supplement may be essential.Our results demonstrated that NGF antibody provided effects of repair on the adrenal
medulla of offspring rats, which attributes mainly to the form of connective tissue
that even divided adrenal medulla into island without influencing the alterations of
its essential function.In conclusion, our study partly suggested the fact that maternal asthma during
pregnancy may promote AMCC to differentiate into sympathetic neurons in offspring
rats, which inhibits the maturity of adrenal medulla, resulting in blocking EPI
synthesis.
Materials and Methods
Experimental animals and preparation
All animals used in this study were 6 to 8-week-old male Sprague-Dawley rats
(Experimental Animal Center of Central South University, Changsha, China) and
all procedures performed on the animals were in compliance with the Chinese
Council of Animal Care guidelines (approved by the Central South University
Animal Care Committee).Thirty-two pregnant rats were divided into four groups at random
(n = 8 per group): control pregnant
rats (CP), asthmatic pregnant rats (AP),NGF treated pregnant rats(NP),anti-NGF
treated pregnant rats (ANP). The rats were treated as follows:[35], [36] on days 0
and 7, AP,NP and ANPrats were sensitized with an intraperitoneal injection of
100 mg of chicken OVA (Sigma, USA), 200 mg of aluminum hydroxide (Sigma, USA)
and 6×109 heat-killed Bordetella pertussis (Wuhan Institute of
Biological Products, China) in 1 ml of sterile saline. The control rats were
treated with a sterile saline intraperitoneal injection for sham sensitization.
The sensitized rats were exposed to 30-minute of 1% OVA (wt/vol) aerosol
every day from day 14 to day 21, while the control rats received filtered air
only. NGF-7S (8 ng/kg, Sigma,USA, N0513) and its vehicle (PBS, 5 ml/kg) was
injected intraperitoneally in NPrats 30 min before inhaling 1% OVA
(wt/vol ) aerosol. Anti-NGF (1∶2,000 dilution, 4 ml/kg, Millipore, USA,
04-1119), and its vehicle (PBS, 4 ml/kg ) was injected intraperitoneally in ANPrats 30 min before inhaling 1% OVA (wt/vol) aerosol [13]. Male rats were select
from every pregnant group offspring at random and were divided into four
groups(n = 40 per group): offspring
from control pregnant rats (OCP), offspring from asthmatic pregnant rats
(OAP),offspring from NGF pregnant rats(ONP), offspring from anti-NGF pregnant
rats (OANP).
Measurement of bronchial responsiveness
In vivo airway responsiveness to histamine was measured 24 hours after the last
OVA challenge using whole-body plethysmography (model PLY 3211; Buxco
Electronics). Rats were treated for 2 minutes with aerosolized saline or
increasing doses of histamine generated by an ultrasonic nebulizer, and airway
resistance (RL) was measured. Histamine-induced bronchoconstriction was measured
as the index of percent increase in airway resistance when compared to the peak
of the reaction with baseline airway resistance.
Bronchoalveolar lavage
After determination of bronchial responsiveness, the right main-stem bronchus was
occluded with a clamp and the left lung was lavaged three times via a tracheal
cannula with 3 ml volume of sterile saline. The bronchoalveolar lavage fluid
(BALF) was recovered manually by gentle aspiration with a disposable syringe
after each infusion; the recovery of BALF was >70%. The total cell
numbers was estimated using a haemocytometer. The lavage fluid was centrifuged
(4°C, 1000 r/min, 10 minutes), then the cytospin preparations were stained
with May-Grunwald- Giemsa and differential cell counts were performed on a total
of 200 cells.
Transmission electron microscopy
Adrenal medullas were fixed with 2% glutaraldehyde in 0.1 M cacodylate
buffer, pH 7.2. After 3 hours, specimens were post-fixed in buffered 1%
OsO4 for 1 hour, dehydrated in ethanol, and embedded in Epon-Araldite. Ultrathin
sections were stained with uranyl acetate and lead citrate and finally examined
under a H-600 transmission electron microscope (Hitachi, Japan). The
ultrastructure changes were assessed by pathologists who were blind to the
treatment.
Enzyme linked immunosorbent assay (ELISA)
Epinephrine(EPI), NGF, corticosterone levels in serum were quantified using the
ELISA technique, utilizing commercially available antibodies, according to the
protocol provided by the supplier (NGF, BPB Biomedical, BT555; Epinephrine,
Serotec 0100-0009; corticosterone, Cayman, 500651-96). The reactions were read
using an ELISA reader at 450 nm.
Immunohistochemistry experiments
Rats were sacrificed by vertebral dislocation, and adrenal medulla was
immediately removed and embedding in paraffin at 4°C overnight, tissues were
sectioned (10 mm) and mounted on slides. Sections were then deparaffinized in
toluene and rehydrated in ethanol with increasing concentrations of water.
Quenching of endogenous peroxidase activity, incubation with antibodies and
peroxidase staining were performed according to the manufacturer's
instruction (ABC kit and NovaRED substrate kit, Zhongshang biologic company).
Tissue sections were exposed to anti-PNMT antibody (Millipore USA, AB110,
1∶2500), and anti-NGF antibody (Millipore, USA, 04-1119, 1∶500) at
4°C overnight. Detection was achieved using AEC (3-amino-9-ethy-carbazole)
kit as substrates, and nuclei were stained with Gill's hematoxylin.
Negative controls were incubated in the absence of primary antibody.
Statistics analysis
Values were expressed as mean ±SEM. At each age, the values for the
control and prenatal treatment groups were compared using one-way ANOVA,
followed by Fisher's protected least significant difference test. P value
of<0.05 was considered significant.
Authors: A de Vries; F Engels; P A J Henricks; T Leusink-Muis; G P McGregor; A Braun; D A Groneberg; M C Dessing; F P Nijkamp; A Fischer Journal: Clin Exp Allergy Date: 2006-09 Impact factor: 5.018
Authors: M Isidoro-García; I Dávila-González; M Pascual de Pedro; C Sanz-Lozano; F Lorente-Toledano Journal: Allergol Immunopathol (Madr) Date: 2007 Nov-Dec Impact factor: 1.667
Authors: Roberto Ronchetti; Milos Jesenak; Zuzana Rennerova; Mario Barreto; Francesco Ronchetti; Maria P Villa Journal: Allergy Asthma Proc Date: 2009 Jan-Feb Impact factor: 2.587