Chewing is one of the essential functions of the oral cavity, given that it breaks the food eaten to promote digestion. The maturation of this motor function occurs during a critical period of development of the central nervous system concomitant with the morphological and functional maturation of the craniofacial complex( Reference Westneat and Hall 1 , Reference Gojo, Abe and Ide 2 ). During this period, changes in food intake patterns are also observed( Reference Westneat and Hall 1 ). Initially, the mammalian newborns acquire all the necessary nutrients for survival through suckling movements. However, in mature mammals, suckling gives rise to mastication. In rats, the first chewing movements are observed around the 12th postnatal day, and mature chewing is established at about 18–21 d( Reference Westneat and Hall 1 ).
The circuits controlling the basic pattern of jaw movements during mastication are confined within a small region of the brainstem defined rostrally by the trigeminal motor nucleus and caudally by the facial nucleus (NVII)( Reference Kogo, Funk and Chandler 3 – Reference Tanaka, Kogo and Chandler 5 ). This area includes the trigeminal main sensory nucleus (NVsnpr), the dorsal part of which is thought to be involved in the control of the masticatory rhythm( Reference Tsuboi, Kolta and Chen 6 ). It receives stimuli from the cortical masticatory area and from the trigeminal sensory afferents, and its neurons project directly to the Vth, VIIth and XIIth motor nuclei( Reference Tsuboi, Kolta and Chen 6 – Reference Li, Takada and Mizuno 8 ), which control the major muscle groups involved in chewing and other oral motor behaviours. About one-third of the neurons in the dorsal NVsnpr fire rhythmically in phase with the trigeminal motoneurons during fictive mastication( Reference Tsuboi, Kolta and Chen 6 ), and the expression of c-fos protein increases in these neurons after induction of several bouts of fictive mastication( Reference Athanassiadis, Olsson and Kolta 9 ).
Membrane properties of neurons located in the dorsal part of the NVsnpr undergo changes in the first 3 weeks of postnatal life( Reference Brocard, Verdier and Arsenault 10 ), precisely the period in which the transition from suckling to chewing behaviour occurs( Reference Westneat and Hall 1 ). During this phase, there is also a change in the neuronal firing pattern( Reference Brocard, Verdier and Arsenault 10 ). Immature cells tend to adapt quickly, and the ability to fire repeatedly appears during the first 2 weeks of postnatal life( Reference Brocard, Verdier and Arsenault 10 ). The incidence of rhythmic bursts is rare or absent before the 12th postnatal day – the age at which the first masticatory movements appear – but increases gradually in the following week to stabilise at about 18 d of age( Reference Brocard, Verdier and Arsenault 10 ).
Moreover, before birth and during the early postnatal life, the skeletal muscles also undergo rapid changes in the composition of their contractile, regulatory and energetic systems( Reference Perry 11 ). The most important modifications observed in masticatory muscles occur after birth( Reference Shida, Abe and Sakiyama 12 ) when the pattern of food intake changes from suction for chewing. During this period, the number of fast fibre type (type IIB) increases to rapidly adapt to these functional changes( Reference Shida, Abe and Sakiyama 12 ) and other daily activities( Reference Langenbach, van Wessel and Brugman 13 ).
Proper nutrition is essential for normal growth and development of different organs and body systems( Reference Lucas, Fewtrell and Cole 14 ). Thus, early undernutrition may induce lasting or permanent consequences in different structures and functions of the body( Reference Lucas 15 , Reference Tuchscherer, Otten and Kanitz 16 ). Studies report that prenatal and/or postnatal undernutrition in rats can influence brain growth( Reference Resnick, Miller and Forbes 17 ), feeding behaviour( Reference Lopes de Souza, Orozco-Solis and Grit 18 ), the mechanical properties of skeletal muscles and locomotor activity( Reference Toscano, Manhaes-de-Castro and Canon 19 ). Studies of the muscles of the locomotor system have shown that neonatal undernutrition can irreversibly damage the muscle structure( Reference Park, Kim and Kim 20 ), and reduce cell multiplication and the number of muscle fibres and nuclei in the offspring( Reference Toscano, Manhaes-de-Castro and Canon 19 – Reference Bayol, Jones and Goldspink 21 ). In relation to the masticatory system, experimental studies suggest that perinatal undernutrition results in delayed craniofacial maturation and changes in the size of the jaws and of their biomechanical properties( Reference Alippi, Meta and Olivera 22 , Reference Bozzini, Barcelo and Alippi 23 ). Also observed are changes in teeth, including delayed tooth eruption, size and morphology, as well as increased susceptibility to decay( Reference Menaker and Navia 24 ). However, there are no reports in the literature regarding the masticatory muscles.
Thus, the present study aimed to analyse the effects of neonatal low-protein diet on the masticatory efficiency in rats, through (1) the behavioural assessment of mandibular movements during mastication; (2) the electrophysiological analysis of intrinsic membrane properties and firing patterns of neurons in the dorsal part of NVsnpr; and (3) the analysis of the proportion of fibre types of the superficial masseter muscle, as well as the area and perimeter of each fibre type. Our hypothesis is that offspring of mothers fed a low-protein diet during the period of lactation have reduced chewing efficiency, being evidenced by the reduction in the amount of mandibular movements performed during mastication, together with changes in the firing patterns of neurons in the dorsal NVsnpr and morphological modifications of the superficial bundles of the masseter muscle.
Methods
Animals and nutritional manipulation
All surgical and experimental procedures conformed to guidelines of the Canadian Institutes of Health Research and were approved by the University Animal Care and Use Committee (protocol number: 10–165) and the Committee of Ethics in Animal Experimentation of the Federal University of Pernambuco (protocol number: 23076.001483/2010-61).
A total of twenty-three albino female rats were divided randomly into two experimental groups according to the diet they were subjected to during the lactation period (nourished (N), n 13 and undernourished (U), n 10). Within 24 h of birth, litters were adjusted to eight male newborns from mothers that were chosen at random. The rats were divided into two groups. The N group (n 104) consisted of thirteen litters with eight newborn males whose mothers were fed 17 % protein (AIN-93G( Reference Reeves, Nielsen and Fahey 25 )), whereas the U group (n 80) consisted of ten litters with eight newborn males whose mothers were fed 8 % protein (see Table 1 for diet composition). Animals of the different experimental groups (N and U) used for behavioural, electrophysiological and morphological analyses were randomly distributed. Eleven litters were used for the analysis of chewing mandibular movements and muscle phenotype, from which seven litters were attributed randomly to the N group, whereas the four remaining litters were attributed randomly to the U group. Twelve litters were selected randomly for the electrophysiological experiments and equally distributed between both experimental groups. The calculation of sample size was based on a power test of 90 %; 0·05 significance level; maximum deviation of 0·2 (20 %); and 0·5 (50 %) expected difference between the groups( Reference Scheibe 26 ).
* The vitamin mixture contained (mg/kg of diet): retinol 12, cholecalciferol 0·125, thiamine 40, riboflavin 30, pantothenic acid 140, pyridoxine 20, inositol 300, cyanocobalamin 0·1, menadione 80, nicotinic acid 200, choline 2720, folic acid 10, p-aminobenzoic acid 100, biotin 0·6.
† The mineral mixture contained (mg/kg of diet): CaHPO4 17 200, KCl 4000, NaCl 4000, MgO 420, MgSO4 2000, Fe2O2 120, FeSO4.7H2O 200, trace elements 400 (MnSO4.H2O 98, CuSO4.5H2O 20, ZnSO4.7H2O 80, CoSO4.7H2O 0·16, KI 0·32, sufficient starch to bring to 40 g/kg of diet).
The animals were kept in a controlled environment with a temperature of 23 (sem 1) °C and a constant cycle of light (6.00–18.00 hours) and darkness (18.00–6.00 hours). After weaning (22 d of age), the animals had free access to filtered water and standard animal chow (Labina), containing 23 % protein.
Offspring body weight
The animals were weighed on a digital electronic scale (Marte AS 1000C). Body weight of animals was measured at P3, 8, 14, 15, 16, 17, 18, 19, 20 and 21 d of age during lactation.
Analysis of the jaw movements during mastication
Masticatory jaw movement recordings were performed in 17-, 19- and 21-d-old rats from fifty-six rats attributed randomly to the N group and thirty-two rats attributed randomly to the U group. For each age group, this analysis was performed on about nine to thirteen animals in the N group and on eight to eleven animals in the U group.
After a period of 3 h of food deprivation (from 14.00 to 17.00 hours), the animals were placed in a transparent acrylic cage where they showed no signs of discomfort. They were offered the diet for each experimental group and filmed using a video camera with infrared system for 10 min. All the animals were video-taped during the dark cycle, as it is the period of greatest feeding activity for rats. To ensure the reliability of the analysis of the different parameters related to jaw movements during mastication, the recordings were analysed at least twice (test–re-test) by a qualified and trained evaluator, blindly – that is, the evaluator had no knowledge of which experimental group the tested animal belonged to. There were no disagreements in the test–re-test evaluations.
Each animal could readily ingest the food when the food was presented in front of the rat’s mouth. The pups were offered 30 g of 17 % casein (N group) and 8 % casein (U group), with a solid and hard consistency (the same food that was offered to the mothers of the different experimental groups). However, because of the ages at which the masticatory analyses were performed and to minimise possible difficulties in implementing the masticatory jaw movements made by each animal as a result of food properties, adjustments were made to the size of the pellets offered to the pups. The large pellets of about 20 g (4 cm long, 3·5 cm wide and 1 cm thick), normally offered to the mothers, were fragmented into smaller pellets of about 0·6 g (0·8 cm long, 0·6 cm wide and 0·5 cm thick).
The masticatory sequence began with the rat opening its jaw widely to ingest the food. The animal held an adequate amount of food between its forefeet, then stabilised its head in the upright position for further food processing. The sequence was divided into a period of food intake followed by a period of chewing movements (Fig. 1(a)). The masticatory sequence always started with food preparation and incision followed by chewing. In the incision or food intake period, also called the preparatory period, the food is taken by the incisors and transported to the occlusal surface. This period was characterised by several cycles of simple open–close movements with irregular cycle duration following the initial jaw-opening. However, in the rhythmic-chewing period, also known as masticatory cycles, the food is chewed by the opposing molars. During this period, the animal began to crush and grind the food between the upper and lower molars when the food was transferred to the posterior part of the mouth. During masticatory cycles, the animals also performed a series of stable jaw-opening and jaw-closing movements. At the end of a masticatory sequence, the jaw lowered as seen in the beginning of the sequence for food intake( Reference Mostafeezur, Zakir and Yamada 27 ).
Thus, the following parameters were assessed in 1 min periods of uninterrupted recordings: number of incisions (amount of movements of the food incision); duration of the food intake phase per sequence (duration of movements of the food incision); number of masticatory sequences (amount of chewing movements made since the incision until the swallowing of food); duration of masticatory sequence (duration of chewing movements made since the incision until the swallowing of food); number of masticatory cycles (amount of closing and opening jaw movements per masticatory sequence); duration of the chewing phase per sequence (duration of closing and opening jaw movements per masticatory sequence); and the frequency of masticatory cycles (amount of closing and opening jaw movements per second) (adapted from Mostafeezur et al. ( Reference Mostafeezur, Zakir and Yamada 27 )).
Electrophysiological recordings
The intrinsic membrane properties of neurons located in the dorsal part of the NVsnpr were assessed using whole-cell patch-clamp recordings in in vitro brainstem slice preparations from 14- to 21-d-old rats (N, n 48 animals; U, n 48 animals) chosen randomly. For each age group, electrophysiological recordings were attempted in brain slices from 6 animals in both experimental groups.
Rats were decapitated and their brains were quickly removed and placed in cold (4°C) sucrose-based artificial cerebrospinal fluid (ACSF, composition in mm: 225 sucrose, 3 KCl, 1·25 KH2PO4, 4 MgSO4, 0·2 CaCl2, 20 NaHCO3 and 10 d-glucose) bubbled with 95 % O2–5 % CO2, pH 7·4. In the same medium, transverse slices (320 μm thick) through the NVsnpr were prepared using a Vibratome (VT1000 S; Leica). Slices were incubated at room temperature (21–24°C) in a holding chamber filled with normal ACSF (in mm: 125 NaCl, 3 KCl, 1·25 KH2PO4, 1·3 MgSO4, 2·4 CaCl2, 26 NaHCO3 and 25 d-glucose). The slices were transferred to an immersion chamber, perfused with normal ACSF at a rate of approximately 2 ml/min and allowed to stand ≥1 h before the experiment was started.
Neurons were visualised using a fixed-stage microscope (Eclipse E600FN; Nikon), coupled with a 40× water-immersion lens. The image was enhanced with an infrared-sensitive CCD camera and displayed on a video monitor. Whole-cell patch-clamp recordings in current-clamp mode were performed from visually identified cells located in the dorsal part of the NVsnpr using an axoclamp 2B amplifier (Axon Instruments). Patch electrodes (6–9 MΩ) were pulled from borosilicate glass capillaries (1·5 mm OD, 1·12 mm ID; World Precision Instruments) on a Sutter P–97 puller (Sutter Instruments) and filled with a K-gluconate-based solution (in mm: 140 K-gluconate, 5 NaCl, 2 MgCl2, 10 HEPES, 0·5 EGTA, 2 ATP and 0·4 GTP). Rhythmic firing was induced by local application of N-methyl-d-aspartate (NMDA) (2 mm) while applying a small hyperpolarising current.
Data acquisition
Electrophysiological data were acquired through a Digidata 1322A interface and analysed using Clampex 9 software (Axon Instruments). Only data from neurons with stable resting membrane potential (RMP) equivalent or more negative than −45 mV and which had overshooting action potentials (AP) were analysed. Passive membrane properties of cells, as their input resistance, were measured by injecting small hyperpolarising current pulses to avoid the activation of voltage-sensitive currents. Bursts were defined as a series of three AP or more overriding plateau potentials. They were considered as rhythmic when they recurred regularly and were separated by silent periods without firing (see examples in Fig. 4(a), right insets, and Fig. 5(a–c)).
Histochemical and morphometric analysis of the masseter muscle
At 25 d of age, some of the rats (N, n 4 animals; U, n 5 animals) that underwent jaw movement analysis during mastication were chosen randomly for anatomical examination of the masseter muscles. Histochemical and morphometric analysis of the masseter muscle was determined by counting 600 fibres per animal from each experimental group. A total of 2400 muscle fibres were evaluated in the N group and 3000 muscle fibres in the U group.
The rats were killed by decapitation, and from a longitudinal incision in the anterior neck their superficial masseter muscles were dissected, immersed in n-hexane at low temperature and stored at −80°C until histological analysis. Serial cross-sections (10 µm) were cut using a cryostat maintained at −20°C and stained for myofibrillar ATPase( Reference Brooke and Kaiser 28 ). The sections were incubated for 30 min at room temperature in a glycine buffer (pH 9·4) containing 20 mm-CaCl2 and 2·9 mm-ATP disodium salt. They were washed in 1 % CaCl2 (2×3 min), immersed in 2 % CoCl2 for 3 min and washed in distilled water (3×30 s) before being exposed to 1 % yellow ammonium sulphide for 1 min; the samples were washed again in distilled water (3×30 s) and mounted in Entellan.
The sections were analysed using a light microscope (Olympus Optical U-CMAD-2; 109 objective lens) connected to a computer (TV Tuner Application – TelSignal Company Limited, image capture software). The images of the histological cross-sections of the superficial masseter were captured for further analysis. Muscle fibres were labelled with respect to the three major types (I, IIA and IIB) of fibres on the basis of differences in the staining intensity for ATPase after acid pre-incubation (pH 4·4 and 4·7). According to the different staining intensities, the following classification was used for masseter: pH 4·4 (type I, darkest and type II, lightest) and pH 4·7 (type I, darkest, type IIA, lightest and type IIB, grey). Histochemical analysis was performed using computerised image analysis from Mesurim PRO 3.2 software (developed by Jean-François Madre-Amiens). The muscle fibre type composition was determined by counting approximately 600 fibres in ten fields that were equally distributed over the 4·7 sample. To evaluate the cross-sectional area and perimeter of the muscle cells, microscope fields from each section were analysed under the optical microscope (Leica, 40× objective). Images of fifty muscle cells per animal were taken from each preparation for later analysis with Scion Image Beta 4.0.2 software.
Statistical analysis
Results are presented as means with their standard errors and as proportions (%). A two-way ANOVA was performed for body weight analysis, the analysis of the masticatory movements and the muscle histochemical and morphometric analysis. In addition, a post hoc Bonferroni t test was used. Unpaired Student’s t tests and the Mann–Whitney rank sum tests were performed for the electrophysiological membrane and bursting properties of neurons located in the dorsal part of the NVsnpr. χ 2 tests were used for the comparison of percentages. Statistical significance was defined as P<0·05 in all cases. Data analysis was performed using the statistical program Graphpad Sigma Stat 3.5.
Results
Offspring body weight
The body weight of both nourished and undernourished animals increased linearly with age, but in a biphasic manner with a steeper relationship in the first two postnatal weeks. A clear difference appeared between the nourished and the undernourished at P14 (two-way ANOVA, Bonferroni t test; P<0·05) and was maintained until P21 (two-way ANOVA, Bonferroni t test; P<0·05) at which point the experiment ended (Fig. 2).
Analysis of the jaw movements during mastication
Stable and reliable masticatory jaw movement recordings were obtained from thirty-two of the fifty-six rats tested in the N group and from twenty-eight of the thirty-two rats tested in the U group (N, n 32; U, n 28). Analysis of the jaw movements during mastication showed that the pups whose mothers were subjected to neonatal protein undernutrition had significantly fewer masticatory sequences than their nourished counterparts (Table 2; two-way ANOVA, Bonferroni t test, P=0·049). Within these sequences, the greatest differences between the two groups appeared mainly in the chewing phase. There was no significant difference in the number of incisions per sequence (Table 2; two-way ANOVA, Bonferroni t test, P=0·053) and in the duration of the food intake phase per sequence (Table 2; two-way ANOVA, Bonferroni t test, P=0·855) as both groups performed about 10 incisions/min during a period of about 4 s (Table 2).
* P<0·05, nourished v. undernourished.
† Rats (17-, 19- and 21-d-old) were subjected to nutritional manipulation (nourished, n 32 or undernourished, n 28) during the lactation period.
‡ A two-way ANOVA for multiple comparisons was used to identify differences between factors (nutritional manipulation and age) and the Bonferroni corrected t test applied to determine where differences occurred.
However, in the chewing phase of the masticatory sequences, pups whose mothers were subjected to neonatal protein undernutrition had a significantly lower number of masticatory cycles (Table 2; two-way ANOVA, Bonferroni t test, P=0·045), which occurred at a significantly lower frequency (Table 2; two-way ANOVA, Bonferroni t test, P=0·004). The number of cycles per sequence varied between two and eight in undernourished animals and between one and thirteen in nourished animals.
Electrophysiological properties of trigeminal main sensory nucleus neurons
Forty-three neurons recorded in the dorsal part of the NVsnpr in brains slices from twenty-four of the forty-eight rats included in the normally N group fulfilled the inclusion criteria. Their basic electrophysiological characteristics are summarised in Table 3. None of their membrane properties (RMP, firing threshold and input resistance) seemed to evolve with age for the time period tested as shown by the scatter of their averaged values for each day of age (Fig. 3(a1–a3), black circles and lines). In all, 72 % of these neurons were spontaneously active as shown in Fig. 3(b1–b3). The average values of their AP and after hyperpolarisation (AHP) amplitude and duration are given in Table 3. In 23 % of the cells, a monopahsic AHP as in Fig. 3(c1) (left trace) followed the AP, whereas the great majority showed a biphasic AHP (Fig. 3(c2) and (c3)). From the four spike parameters included in Table 3, only the duration of the AP was significantly correlated with age (Fig. 3(d2); linear regression, r 0·82, P=0·001). All the recorded neurons showed a depolarising sag (Fig. 3(e1) and (e2)) upon strong membrane hyperpolarisation that gave rise to a rebound AP (Fig. 3(e1) and (e3)) at the end of the hyperpolarising pulse in twenty-eight (65 %) of these cells.
AHP, after hyperpolarisation.
* P<0·05, nourished v. undernourished.
† Assessed using whole-cell patch recordings in in vitro brainstem slice preparations (nourished, n 43; undernourished, n 39) from 14- to 21-d-old rats. Rats were subjected to nutritional manipulation (nourished, n 24 or undernourished, n 23) during the lactation period.
‡ P values were obtained from the Mann–Whitney rank sum test comparing the differences between the treatment groups.
§ P values were obtained from the unpaired Student’s t test comparing the differences between the treatment groups.
|| P values were obtained from the χ 2 test comparing the differences between the treatment groups.
Thirty-nine neurons recorded in the dorsal part of the NVsnpr in brain slices from twenty-three of the forty-eight animals included in the U group fulfilled the inclusion criteria. The RMP, the firing threshold and the input resistance of these neurons did not seem significantly different from those of the neurons of the normally N group (Table 3). Averaged values for each day of age for these three membrane properties show no obvious demarcation between both groups and, as in the normally N group, no clear tendency for an age-related progression could be seen (Fig. 3(a1–a3)). However, a significantly lower proportion (Fig. 3(b2); Table 3; χ 2 test, P<0.001) of the recorded cells in the U group showed spontaneous firing of AP as shown in Fig. 3(b1), although no difference could be found in the frequency (Fig. 3(b3); Table 3) of the spontaneous firing. The AP parameters did not differ significantly from those of the normally N group (Table 3), and no clear demarcation appeared in the scatter of the averaged values by day of age in any of these parameters between both the groups (Fig. 3(d1–d4)). However, the age-related decrease of spike duration that has been observed in the normally N group was NS for the U group (see Fig. 3(d2)). Moreover, significantly lower proportions of the recorded cells in the U group showed a depolarising sag and rebound AP firing upon and at the offset of membrane hyperpolarisation, respectively (Fig. 3(e1–e3); Table 3; χ 2 tests, P<0·001 for the depolarising sag and P=0·005 for the rebound excitation).
N-methyl-d-aspartate-induced bursting in trigeminal main sensory nucleus neurons
Previous studies have shown that electrical stimulation of the trigeminal tract can elicit rhythmical bursting in NVsnpr neurons( Reference Bernier, Arsenault and Lund 29 , Reference Morquette, Verdier and Kadala 30 ). These bursts are Na persistent current (INaP)-dependent as they can be abolished by pharmacological blockade of this current( Reference Morquette, Verdier and Kadala 30 , Reference Morquette, Lavoie and Fhima 31 ). NMDA locally applied near NVsnpr neurons can also induce rhythmic bursting as shown in Fig. 4(a) (top traces, right inset), but only if the recorded cell is hyperpolarised with current injection (Fig. 4(a), bottom trace) to maintain its membrane potential within the INaP activation range. Using a similar approach to test whether the difference in diet alters the bursting ability of NVsnpr neurons, we found that local NMDA applications elicited bursting in 67 % (Fig. 4(b1)) of the neurons that were recorded in the dorsal part of the NVsnpr from the normally nourished rats v. 49 % (Fig. 4(b2)) from the U group. The bursting cells of the normally N group were distributed all along the age period tested, whereas >60 % of the bursting cells in the U group appeared after P18 (Fig. 4(c)), suggesting a delayed maturation in the U group, as it has already been documented that the propensity to burst in NVsnpr neurons is developmentally regulated during the second and third postnatal weeks in rats( Reference Brocard, Verdier and Arsenault 10 ). The percentage of bursting cells in relation to age between both groups was significantly different (Fig. 4(c); χ 2 test, P=0·002). Surprisingly, the bursts were triggered at potentials more hyperpolarised than the firing threshold, at approximately −61 (sem 0·7) mV and were of three different types (Fig. 5). In the normally N group, bursting in most cases (sixteen out of twenty-nine, 55 %) consisted in recurrent plateaus of short duration (85 (sem 11) ms) as shown in Fig. 5(a), over-ridden by trains of AP that occurred at an average frequency of 3 (sem 0.5) Hz. The plateaus reached an amplitude of 16 (sem 0·9) mV and, within the bursts, the spike shape remained nearly constant throughout the plateau duration and reached an average firing frequency of 152 (sem 14) Hz (see inset in Fig. 5(a)). These bursts, which appeared at approximately −60 (sem 0·9) mV, were classified as regular bursts (RB) because of their regular firing upon the plateaus. In 7 of the remaining cells, the bursts consisted of large plateau potentials (31 (sem 2) mV) upon which an adaptative spike firing could be observed (Fig. 5(b)). The amplitude of the intraburst spikes in these cases decreased progressively, whereas their duration increased until they became only wavelets on the plateau (see inset in Fig. 5(b)). These plateaus were triggered at approximately −62 (sem 2) mV and lasted significantly longer than those supporting the RB (491 (sem 91) ms v. 85 (sem 11) ms, Mann–Whitney rank sum test, P=0·002). These bursts recurred regularly at an average frequency of 1·3 (sem 0·5) Hz and were classified as adaptative bursts (AB). In the remaining six cells out of twenty-nine (21 %) that showed NMDA-induced bursts in the normally nourished animals, the bursts consisted of long-lasting plateau potentials (448 (sem 72) ms) that were subdivided into smaller plateaus overrode by small clusters of spikes (Fig. 5(c)). The amplitude of the main plateau was 17 (sem 2) mV. These bursts that have been classified as irregular bursts (IB) because of their irregular spiking upon the plateaus appeared at significantly more hyperpolarised potential than the RB (−63 (sem 1) mV v.−61 (sem 0·7) mV, unpaired Student’s t test, P=0.02) and recurred at an average frequency of 1·3 (sem 0·2) Hz.
The NMDA-induced bursts within the U group were triggered at the same potential compared with the bursts of the N group (−61 (sem 0·7) mV) and could also be classified into three different types. However, their relative distribution differed with the IB type dominating (nine out the nineteen cells) (Fig. 5(d)). These bursts occurred at a mean frequency of 1·5 (sem 0·3) Hz and their plateaus had an average amplitude and duration of 13 (sem 2) mV and 661 (sem 188) ms, respectively. The remaining bursts were divided into equal parts between the RB (n 5) and the AB (n 5) groups (Fig. 5(d)). The AB in the undernourished animal occurred at a mean frequency of 0·6 (sem 0·2) Hz, and the average amplitude and duration of their plateaus were 28 (sem 2) mV and 566 (sem 138) ms, respectively. The RB in the undernourished animals did not differ significantly from those of the N group, in either their burst frequency (1·6 (sem 0·5) Hz), duration (279 (sem 133) ms) or the plateau amplitude (11 (sem 1) mV). Only the firing frequency within the bursts differed significantly between both groups (89 (sem 31) v. 152 (sem 14) Hz, unpaired Student’s t test, P=0·047). The burst characteristics of NVsnpr neurons obtained from nourished and undernourished animals are summarised in Table 4. When all the bursts are pulled together, only the bursting frequency and plateau duration differed significantly between both the groups (Mann–Whitney rank sum tests, P<0·05).
RB, regular bursts.
* P<0·05, nourished v. undernourished.
† Assessed using whole-cell patch recordings in in vitro brainstem slice preparations (nourished, n 43; undernourished, n 39) from 14 to 21-day-old rats. Rats were subjected to nutritional manipulation (nourished, n 24 or undernourished, n 23) during the lactation period.
‡ P values were obtained from the χ 2 test comparing the differences between the treatment groups.
§ P values were obtained from the Mann–Whitney Rank Sum test comparing the differences between the treatment groups.
|| P values were obtained from the unpaired Student’s t test comparing the differences between the treatment groups.
Histochemical and morphometric analysis of the masseter muscle
Anatomical examination of the masseter muscle was performed for four and five animals in the N and U groups, respectively. Fig. 6(a) shows examples of two superficial masseter muscle sections stained for myofibrillar ATPase activity showing the variability in fibre type content between both experimental groups. Table 5 lists all the results regarding the numbers and areas of each type of fibre in both animal groups based on the histochemical and morphometric analysis of 600 fibre bundles from the surface of the masseter muscles. Low-protein diet offered during the lactation period significantly increased the total number of type IIA fibres (Table 5; two-way ANOVA, Bonferroni t test, P<0·001) and decreased the number of type IIB fibres (Table 5; two-way ANOVA, Bonferroni t test, P<0·001). These differences in number were also reflected in the different proportions of muscle fibre types. The undernourished animals had a significantly higher percentage of type IIA fibres compared with the N group (Table 5; χ 2 test, P=0·03). However, type IIB fibres of the U group showed a lower proportion (%) in relation to control animals (Table 5; χ 2 test, P=0·04).
* P<0·05, nourished v. undernourished.
† Rats (25 d old) were subjected to nutritional manipulation (nourished, n 4 or undernourished, n 5) during the lactation period.
‡ A two-way ANOVA for multiple comparisons was used to identify differences between factors (nutritional manipulation and fibre types) and the Bonferroni corrected t test applied to determine where differences occurred.
§ P values were obtained from the χ 2 test comparing the differences between the treatment groups.
The analysis of the number of muscle fibres per mm2 also showed that undernourished animals had a larger number of type IIA v. type IIB fibres compared with nourished animals (forty-eight type IIA and nineteen type IIB v. forty type IIA and twenty-six type IIB, respectively) (Fig. 6(b); two-way ANOVA, Bonferroni t test, P<0·01).
Moreover, protein undernutrition also affected morphometric parameters of the superficial masseter muscle. Both types II fibres (A and B) of undernourished animals showed lower cross-sectional area and perimeter than those of the N group (see Table 5; two-way ANOVA, Bonferroni t test, P<0·001).
Discussion
We investigated the effects of the neonatal low-protein diet on the masticatory efficiency in rats. The main finding of the present study is that neonatal undernutrition alters the number of masticatory sequences and cycles conducted before swallowing, modifies the firing pattern of neurons in the dorsal NVsnpr and leads to early changes in the phenotype of the fibres, as well as in the morphology of the superficial masseter muscle. These findings suggest that neonatal protein undernutrition reduces masticatory efficiency in rats by decreasing the time of oral food processing and decreasing the strength of chewing strokes required for grinding food during feeding behaviour.
Offspring body weight
We observed that undernutrition during the critical period of development reduces body weight. Our results support studies showing that protein undernutrition affect food intake and weight gain( Reference Kanarek, Schoenfeld and Morgane 32 – Reference Sasaki, Nakagawa and Kajimoto 34 ). This effect may be a consequence of the protein deficiency that was imposed on the mothers during the suckling period. The restriction of maternal proteins causes changes in the composition and volume of breast milk( Reference Crnic and Chase 35 ), and may be related to the body weight of their offspring( Reference Kwong and Barnes 33 , Reference Sasaki, Nakagawa and Kajimoto 34 , Reference Jansen and Chase 36 ). This deficiency in body weight gain may result, among other things, from the fact that, despite the increases in basal levels of growth hormone (GH) associated with undernutrition( Reference Kilic, Taskin and Ustundag 37 ), a decrease is observed in the expression and binding of GH receptors( Reference Kubicky, Wu and Kharitonenkov 38 ) causing insensitivity and resistance to GH( Reference Fazeli and Klibanski 39 ).
Analysis of the jaw movements during mastication
This study is the first to investigate the effect of neonatal low-protein diet on masticatory efficiency in rats. We first evaluated the effects of neonatal protein undernutrition on the jaw movements during mastication by analysing the jaw movements using the approach described by Mostafeezur et al. ( Reference Mostafeezur, Zakir and Yamada 27 ). Animals whose mothers were fed a low-protein diet during lactation had fewer masticatory sequences as well as fewer cycles per sequence. They also tended to have fewer incisions when compared with the N group, but this difference was NS. The reduction in cycle frequency correlates well with the reduction in bursting frequency, whereas the decrease in propensity to burst could be responsible for the fewer masticatory sequences. However, other factors may also explain the results obtained regarding the masticatory behaviour. According to a recent systematic review of the literature by Ferraz-Pereira et al. ( Reference Ferraz-Pereira, Toscano and Manhaes-de-Castro 40 ), perinatal low-protein and/or energy diet delays the growth of the mandible; reduces the synthesis of collagen as well as the deposit of calcium and protein content of the mandible; delays dental eruption; limits growth of the incisors and molars; and increases susceptibility to caries. All of these alterations can cause changes in the phases of food incision, crushing and pulverising, inducing modifications in the masticatory sequence and cycle.
Another important factor is the relationship between the number of chewing cycles and sequences, time of food oral processing and satiety. The efficiency of mastication, as evidenced by the number of chewing cycles and sequences, can influence the process of satiety by several mechanisms( Reference Sakata, Yoshimatsu and Masaki 41 ). Studies in rodents report that chewing has a direct effect on satiety through histaminergic activation of the ventromedial and paraventricular nucleus of the hypothalamus( Reference Sakata, Yoshimatsu and Masaki 41 , Reference Sakata, Yoshimatsu and Kurokawa 42 ). Chewing is also a key stimulus of the cephalic phase of digestion. Therefore, increasing the chewing effort before swallowing can increase the response of the cephalic phase of appetite-related hormones such as insulin, cholecystokinin and pancreatic polypeptide( Reference Teff 43 – Reference Wisen, Bjorvell and Cantor 45 ). Finally, the larger number of chewing cycles increases the time of oral processing, therefore reducing the appetite or food intake( Reference Cassady, Hollis and Fulford 46 – Reference Zijlstra, de Wijk and Mars 48 ). Studies indicate that the fast feed rate, great bite size or short duration of oral processing, which is related to a reduction in the number of chewing cycles and sequences, can promote over-eating( Reference Ruijschop, Zijlstra and Boelrijk 47 ), which is associated with high body weight or risk of weight gain( Reference Leong, Madden and Gray 49 ). In this regard, it is suggested that animals whose mothers were fed a low-protein diet during lactation performed fewer chewing cycles and sequences, or had a shorter oral food processing duration before swallowing, and hence delayed satiety. It is noteworthy that, although not the focus of this study, previous research from our laboratory showed delayed satiety as an effect of perinatal protein undernutrition( Reference Orozco-Solis, Lopes de Souza and Barbosa Matos 50 ). However, the mechanisms related to this delay are still being elucidated.
Electrophysiological properties of trigeminal main sensory nucleus neurons
For a better understanding of the mechanisms underlying our behavioural findings, we next investigated the effects of neonatal protein deficiency on the part of the neuronal circuitry that controls mastication. We evaluated the effects of neonatal protein undernutrition on the membrane intrinsic properties and firing patterns of neurons in the dorsal part of NVsnpr, which are thought to form a part of the masticatory central pattern generator. Protein deficiency during lactation did not seem to have a major effect on the membrane properties of NVsnpr neurons recorded from animals aged 14 to 21 d. These data are in accordance with the study by Rushmore et al. ( Reference Rushmore, Luebke and Galler 51 ) who examined the effects of prenatal undernutrition on the intrinsic membrane properties and AP characteristics of dentate granule and CA1 pyramidal cells. The authors noted that the neuronal membrane properties and firing characteristics of hippocampal cells of rats submitted to protein undernutrition during gestation were unchanged compared with control animals( Reference Rushmore, Luebke and Galler 51 ). This lack of change in membrane properties is surprising, given the abundance of studies reporting an effect of protein undernutrition on morphological, biochemical and functional maturation of the central nervous system (for review( Reference Alamy and Bengelloun 52 , Reference Galler, Shumsky and Morgane 53 )). These numerous reports suggest that neurons could undergo important structural changes, which in turn could result in changes in membrane intrinsic properties, as electrophysiological parameters of neurons are partly inherent of their morphological characteristics. The absence of change in basic membrane properties in our study suggests that the morphology and integrity of NVsnpr neurons are both well preserved in undernourished rats. In this regard, Gressens et al. ( Reference Gressens, Muaku and Besse 54 ) reported that, in spite of the observation of numerous abnormalities in brain development, brain weight and cytoarchitecture in postnatal animals subjected to protein undernutrition during gestation were unchanged compared with control animals. This relative preservation of brain tissue integrity may result from a potential evolutionary mechanism that spares brain tissue during the critical period from insults that may compromise survival, at the expense of other body tissues, such as adipose tissue and muscle, which may suffer more significant alterations( Reference Navarrete, van Schaik and Isler 55 ). Even though most of the basic membrane properties of NVsnpr neurons did not change with undernutrition, these neurons seem nevertheless to show a slightly decreased excitability, as they show less spontaneous activity and a lower percentage of depolarising sag and rebound firing at the end of membrane hyperpolarisation. The depolarising sag is caused by I h, an inward current activated by membrane hyperpolarisation commonly observed in rhythmogenic neurons and that has been associated with pacemaker properties in a number of neurons (for review( Reference Robinson and Siegelbaum 56 )). Its depolarising effect often causes a rebound firing by activating Na and voltage-dependent channels. The decreased percentage of depolarising sag and associated rebound firing suggests that protein undernutrition may alter NVsnpr neurons’ bursting characteristics. Indeed, the number of cells that burst and their bursting frequency were reduced in offspring of mothers who suffered protein undernutrition during the period of lactation. These observations are in accordance with the study of Stern et al. ( Reference Stern, Pugh and Johnson 57 ) that reports a decrease in the incidence of spontaneous neuronal bursting activity in the forebrains of adult undernourished rats. Interestingly, these changes in rhythmic firing of NVsnpr neurons were paralleled with changes in the movement pattern. Indeed, undernourished animals had fewer chewing episodes and a slower chewing rhythm.
A previous study from our lab has shown that the plateau supporting bursting in NVsnpr neurons relies on a voltage-dependent INaP even when bursting is elicited by NMDA, because it can be blocked by Riluzole, a blocker of INaP channels( Reference Morquette, Verdier and Kadala 30 , Reference Morquette, Lavoie and Fhima 31 ). The voltage dependency of the plateau (between −60 and −50 mV) corresponds to the INaP activation range( Reference Brocard, Verdier and Arsenault 10 , Reference Crill 58 ). This explains why hyperpolarisation was required to induce bursting with NMDA to maintain the membrane potential within the INaP activation range. We have also shown that Ca2+-dependent K+ currents determined the duration of the plateau and are probably responsible for its termination. Burst parameters indicative of INaP characteristics, such as the amplitude of the plateau and the membrane potential at which they appear, were not different between the two groups. The two main differences in burst characteristics observed in this study are an increase in plateau duration and a decrease in bursting frequency in the U group. Both these changes were probably inter-related as their measures were altered by roughly a factor of two (i.e. the duration doubled while the frequency was reduced by half). The increase in plateau duration could reflect an alteration of the conductances responsible for burst termination or alternately a change in the extracellular ion concentration that could change the driving forces responsible for the plateau. Changes in extracellular ion concentration could result from an effect of undernutrition on astrocyte function. Several studies have shown that undernutrition and protein deficiency alter glial function and maturation( Reference Gressens, Muaku and Besse 54 , Reference Clos, Legrand and Legrand 59 – Reference Giuffrida, Hamberger and Serra 62 ). Although opposite effects were sometimes reported regarding maturation, an interesting observation is that changes in the level of the astrocytic protein S100β were observed in the tissue and in the cerebrospinal fluid( Reference Navarrete, van Schaik and Isler 55 ).
The effects of undernutrition on bursting in NVsnpr neurons may also result from alterations in neurotransmitter systems, as bursting involves an interplay between intrinsic membrane properties and synaptic connections. Indeed, undernutrition has been shown to alter the level of several neurotransmitters( Reference Chaudhary, Chugh and Darokhan 63 – Reference Wiggins, Fuller and Enna 68 ) as well as the number and distribution of their receptors and to alter their receptor number and distribution( Reference Almeida, Tonkiss and Galler 69 – Reference Steiger, Galler and Farb 72 ). With particular interest to our study where NMDA was used to simulate the activation of glutamatergic inputs to NVsnpr neurons and induce bursting, Rotta et al. ( Reference Rotta, Schmidt and Mello e Souza 66 ) reported that undernutrition induced changes in glutamate release and sensitivity of a sub-type of glutamatergic receptors that were accompanied by changes in biting but not in locomotion. Undernutrition has also been shown to affect the γ-aminobutyric acid (GABA)ergic system in several ways (i.e. in the number of GABAergic neurons( Reference Diaz-Cintra, Gonzalez-Maciel and Morales 73 ), the composition and sensitivity of GABAergic receptors( Reference Steiger, Alexander and Galler 67 , Reference Schweigert, de Oliveira and Scheibel 71 ) and the frequency of miniature inhibitory post-synaptic currents( Reference Luebke, St John and Galler 74 )). In a recent study, protein deficiency was associated with reduced sensory processing and a substantial increase in GAD65 neurons in the whisker barrel cortex( Reference Chaudhary, Chugh and Darokhan 63 ). In the locomotor system, agonists of GABAA and GABAB receptors have been shown to reduce the frequency of bursting, whereas GABA uptake blockers (nipecotic acid) and a benzodiazepine receptor agonist induced a pronounced slowing of the NMDA-induced fictive locomotion( Reference Tegner, Matsushima and el Manira 75 ). Thus, the reduced chewing frequency observed in our study may involve a similar effect of protein deficiency on the trigeminal GABAergic neurons.
Histochemical and morphologic analysis of muscle
Finally, in an attempt at understanding how undernutrition may affect masticatory efficiency, we examined its impact on the composition of masseteric muscle fibres and on the cross-sectional area and perimeter of each fibre bundle of the superficial masseter, which determines the strength of chewing strokes required for food grinding during feeding behaviour.
Protein undernutrition during lactation increased the proportion of type IIA fibres and reduced the proportion of type IIB fibres in the superficial masseter muscle, suggesting a delay in phenotypical and morphological maturation of the masseter muscle. The surface region of the masseter muscle of mice is primarily composed of fast type II muscle fibres( Reference Eason, Schwartz and Pavlath 76 , Reference Tuxen and Kirkeby 77 ). In the first 2 weeks of life, the type IIA fast fibres of oxidative–glycolytic metabolism largely predominate, but with functional maturation and transition from suckling to chewing the distribution of the faster contraction and less fatigue-resistant type IIB fibres of glycolytic metabolism increases( Reference Langenbach, van Wessel and Brugman 13 ). Thus, we expected to observe a larger number of type IIB fibres, as our assessments were performed soon after weaning in 25-d-old animals. Our findings of fewer fast type IIB fibres in undernourished animals are in accordance with those obtained with another model of undernutrition, where the proportion of fast type II fibres was diminished to the level of type I fibres( Reference White, Cattaneo and Dauncey 78 ). The fewer fast type IIB fibres observed here may reflect a delay in the maturation of the masseter muscle, which may correspond to the delay in maturation of the bursting properties of NVsnpr neurons. The delayed maturation of the muscles may also result from the effects of protein undernutrition on testosterone levels. Studies have shown that neonatal low-protein diet may have a wide variety of effects on the endocrine system( Reference Console, Jurado and Oyhenart 79 , Reference Teixeira, Passos and Ramos 80 ). With respect to the reproductive system, food restriction reduces the level of protein of an androgen receptor in the testes of adult rats( Reference Santos, Ferraz and Teixeira 81 ), as well as decreases the weight of the testes, epididymis and prostate( Reference Santos, Ferraz and Teixeira 81 ). Undernutrition also causes decreased serum concentration of luteinizing hormone, follicle stimulating hormone and testosterone( Reference Santos, Ferraz and Teixeira 81 , Reference Young, Zirkin and Nelson 82 ). Regarding the relationship between testosterone levels and development of skeletal muscles, studies show that the proportions of muscle fibres of different phenotypes are androgen-mediated( Reference English and Schwartz 83 ). Indeed, in several species, the muscles of mastication are sexually dimorphic relatively to the proportions of fibres of different phenotypes( Reference Eason, Schwartz and Pavlath 76 , Reference English, Eason and Schwartz 84 – Reference Maxwell, Carlson and McNamara 86 ). The distinct fibre isoforms confer distinct contractibility properties to the muscle. Thus, through its effect on the endocrine system, undernutrition may affect muscle efficiency by changing its fibre composition.
Regarding morphometric parameters, we found that nutritional restriction led to a reduction in both the cross-sectional area and perimeter of the muscle fibres of type IIA and IIB. These results are in agreement with studies showing that perinatal undernutrition can induce muscle atrophy and may irreversibly change muscle morphology( Reference Park, Kim and Kim 20 , Reference Bayol, Jones and Goldspink 21 ). This may result from the fact that perinatal undernutrition consequent to changes in the composition and volume of breast milk after restriction of maternal protein( Reference Crnic and Chase 35 ) can reduce cell proliferation and compromise the number of muscle fibres and nuclei in the offspring( Reference Toscano, Manhaes-de-Castro and Canon 19 ).
The amount of strength that a muscle can produce depends not only on the type of myosin isoform but also on its cross-sectional area( Reference Maughan, Watson and Weir 87 ), which increases with the amount of resistance during contraction( Reference McCall, Byrnes and Dickinson 88 ). This suggests that the force of contraction of the superficial masseter should diminish in undernourished animals, as both fast fibres showed smaller cross-sectional areas.
Our study has some limitations. For instance, the method used for mastication behaviour analysis is still somewhat rudimentary, requiring computer tools in order to improve its assessment. In addition, it would have been interesting to cover a larger age range in order to get a sense of development and determine whether the observed effects of undernutrition are merely the result of a delayed maturation or represent a permanent shortfall that needs to be addressed. However, these limitations do not reduce the importance of our findings, as our study made it possible to demonstrate that neonatal protein deficiency affects masticatory efficiency by slowing, weakening and delaying maturation of the masticatory muscles and the associated neuronal circuitry.
Functional implications
In summary, behavioural, electrophysiological and morphological findings of the present study suggest that animals whose mothers were fed a low-protein diet during lactation have changes in masticatory function, leading to reduced masticatory efficiency. Impairment of mastication seems to lead to changes in the pattern of food intake, which may cause a deficit in nutrient intake, or even increase the likelihood of digestive diseases and reduce intestinal absorption( Reference N’Gom and Woda 89 ). Dysfunction in mastication can lead to inappropriate selection of food( Reference N’Gom and Woda 89 ) – that is, there is an increase in the consumption of soft and easy-to-chew food items and a decrease in the intake of hard foods such as vegetables and raw nuts, fibrous foods like meat and dry foods like breads( Reference Krall, Hayes and Garcia 90 ). Studies in humans with altered mastication report a preference for processed foods over natural foods( Reference N’Gom and Woda 89 ). This fact may favour the absorption of fat and markedly increased levels of cholesterol and saturated fatty acids. Given the above, there is a greater predisposition to obesity( Reference Ettinger 91 ). Thus, to obtain a proper nutrition, besides eating foods rich in essential nutrients, we need food to be degraded properly.
Acknowledgements
We are grateful to Arlette Kolta and Dorly Verdier for his collaboration, teaching and carrying out Patch-clamp experiments conducted at the Université de Montréal.
K. N. F. P. was the recipient of a doctoral fellowship from the Brazilian Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The present study was partially supported by the Programa de Doutorando no Brasil com Estágio no Exterior – PDEE (BEX 6770/10-0) and partially supported by a grant of the Canadian Institutes for Health Research (CIHR: grant number 14392). The funders had no role in the design and analysis of the study or in the writing of this article.
K. N. F. P., A. K. and R. M. d. C. conceived the study, designed the experiments, analysed the data and wrote the manuscript; R. d. S. A., D. V., D. C. L. and A. E. T. carried out some of the experiments and contributed to the writing of the manuscript. All the authors read and approved the final version of the manuscript.
There are no conflicts of interest to declare.