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Insulin-Like Growth Factor-1 Supplementation Promotes Brain Maturation in Preterm Pigs

Christiansen, Line I. ; Holmqvist, Bo LU ; Pan, Xiaoyu ; Holgersen, Kristine ; Lindholm, Sandy E.H. ; Henriksen, Nicole L. ; Burrin, Douglas G. ; Ley, David LU ; Thymann, Thomas and Sangild, Per Torp , et al. (2023) In eNeuro 10(4).
Abstract

Very preterm infants show low levels of insulin-like growth factor-1 (IGF-1), which is associated with postnatal growth restriction and poor neurologic outcomes. It remains unknown whether supplemental IGF-1 may stimulate neurode-velopment in preterm neonates. Using cesarean-delivered preterm pigs as a model of preterm infants, we investi-gated the effects of supplemental IGF-1 on motor function and on regional and cellular brain development. Pigs were treated with 2.25 mg/kg/d recombinant human IGF-1/IGF binding protein-3 complex from birth until day 5 or 9 before the collection of brain samples for quantitative immunohistochemistry (IHC), RNA sequencing, and quantitative PCR analyses. Brain protein synthesis was measured using in vivo... (More)

Very preterm infants show low levels of insulin-like growth factor-1 (IGF-1), which is associated with postnatal growth restriction and poor neurologic outcomes. It remains unknown whether supplemental IGF-1 may stimulate neurode-velopment in preterm neonates. Using cesarean-delivered preterm pigs as a model of preterm infants, we investi-gated the effects of supplemental IGF-1 on motor function and on regional and cellular brain development. Pigs were treated with 2.25 mg/kg/d recombinant human IGF-1/IGF binding protein-3 complex from birth until day 5 or 9 before the collection of brain samples for quantitative immunohistochemistry (IHC), RNA sequencing, and quantitative PCR analyses. Brain protein synthesis was measured using in vivo labeling with [2H5] phenylalanine. We showed that the IGF-1 receptor was widely distributed in the brain and largely coexisted with immature neurons. Region-spe-cific quantification of IHC labeling showed that IGF-1 treatment promoted neuronal differentiation, increased subcorti-cal myelination, and attenuated synaptogenesis in a region-dependent and time-dependent manner. The expression levels of genes involved in neuronal and oligodendrocyte maturation, and angiogenic and transport functions were al-tered, reflecting enhanced brain maturation in response to IGF-1 treatment. Cerebellar protein synthesis was increased by 19% at day 5 and 14% at day 9 after IGF-1 treatment. Treatment had no effect on Iba1+ microglia or regional brain weights and did not affect motor development or the expression of genes related to IGF-1 signaling. In conclusion, the data show that supplemental IGF-1 promotes brain maturation in newborn preterm pigs. The results provide further support for IGF-1 supplementation therapy in the early postnatal period in preterm infants.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cortex, developing brain, hippocampus, IGF-1, IGF1R
in
eNeuro
volume
10
issue
4
article number
ENEURO.0430-22.2023
publisher
Society for Neuroscience
external identifiers
  • pmid:36973010
  • scopus:85152405731
ISSN
2373-2822
DOI
10.1523/ENEURO.0430-22.2023
language
English
LU publication?
yes
id
a45674e2-65e6-4266-b7c1-57da1cffa2b1
date added to LUP
2023-07-14 09:25:55
date last changed
2024-04-19 23:25:34
@article{a45674e2-65e6-4266-b7c1-57da1cffa2b1,
  abstract     = {{<p>Very preterm infants show low levels of insulin-like growth factor-1 (IGF-1), which is associated with postnatal growth restriction and poor neurologic outcomes. It remains unknown whether supplemental IGF-1 may stimulate neurode-velopment in preterm neonates. Using cesarean-delivered preterm pigs as a model of preterm infants, we investi-gated the effects of supplemental IGF-1 on motor function and on regional and cellular brain development. Pigs were treated with 2.25 mg/kg/d recombinant human IGF-1/IGF binding protein-3 complex from birth until day 5 or 9 before the collection of brain samples for quantitative immunohistochemistry (IHC), RNA sequencing, and quantitative PCR analyses. Brain protein synthesis was measured using in vivo labeling with [2H5] phenylalanine. We showed that the IGF-1 receptor was widely distributed in the brain and largely coexisted with immature neurons. Region-spe-cific quantification of IHC labeling showed that IGF-1 treatment promoted neuronal differentiation, increased subcorti-cal myelination, and attenuated synaptogenesis in a region-dependent and time-dependent manner. The expression levels of genes involved in neuronal and oligodendrocyte maturation, and angiogenic and transport functions were al-tered, reflecting enhanced brain maturation in response to IGF-1 treatment. Cerebellar protein synthesis was increased by 19% at day 5 and 14% at day 9 after IGF-1 treatment. Treatment had no effect on Iba1<sup>+</sup> microglia or regional brain weights and did not affect motor development or the expression of genes related to IGF-1 signaling. In conclusion, the data show that supplemental IGF-1 promotes brain maturation in newborn preterm pigs. The results provide further support for IGF-1 supplementation therapy in the early postnatal period in preterm infants.</p>}},
  author       = {{Christiansen, Line I. and Holmqvist, Bo and Pan, Xiaoyu and Holgersen, Kristine and Lindholm, Sandy E.H. and Henriksen, Nicole L. and Burrin, Douglas G. and Ley, David and Thymann, Thomas and Sangild, Per Torp and Pankratova, Stanislava}},
  issn         = {{2373-2822}},
  keywords     = {{cortex; developing brain; hippocampus; IGF-1; IGF1R}},
  language     = {{eng}},
  number       = {{4}},
  publisher    = {{Society for Neuroscience}},
  series       = {{eNeuro}},
  title        = {{Insulin-Like Growth Factor-1 Supplementation Promotes Brain Maturation in Preterm Pigs}},
  url          = {{http://dx.doi.org/10.1523/ENEURO.0430-22.2023}},
  doi          = {{10.1523/ENEURO.0430-22.2023}},
  volume       = {{10}},
  year         = {{2023}},
}