Vitamin A Deficiency Induces Autistic-Like Behaviors in Rats by Regulating the RAR?-CD38-Oxytocin Axis in the Hypothalamus.

Lai X1,2, Wu X1,2, Hou N1,2, Liu S1,2, Li Q1,2, Yang T1,2, Miao J2,3, Dong Z2,4, Chen J1,2, Li T1,2,4.

Abstract

SCOPE:

Vitamin A (VA) is an essential nutrient for the development of the brain. We previously found that children with autism spectrum disorder (ASD) have a significant rate of VA deficiency (VAD). In the current study, we aim to determine whether VAD is a risk factor for the generation of autistic-like behaviors via the transcription factor retinoic acid receptor beta (RAR?)-regulated cluster of differentiation 38 (CD38)-oxytocin (OXT) axis.

METHODS AND RESULTS:

Gestational VAD or VA supplementation (VAS) rat models were established, and the autistic-like behaviors in the offspring rats were investigated. The different expression levels of RAR? and CD38 in hypothalamic tissue and serum retinol and OXT concentration were tested. Primary cultured rat hypothalamic neurons were treated with all trans retinoic acid (atRA) and recombinant adenoviruses carrying the rat RAR? (AdRAR?) or RNA interference virus RAR?-siRNA (siRAR?) were used to infect neurons to change RAR? signal. Western blotting, chromatin immunoprecipitation (ChIP) and intracellular Ca2+ detections were used to investigate the primary regulatory mechanism of RAR? in the CD38-OXT signaling pathway. We found that gestational VAD increased autistic-like behaviors and decreased the expression levels of hypothalamic RAR? and CD38 and serum OXT levels in the offspring. VAS ameliorated these autistic-like behaviors and increased the expression levels of RAR?, CD38 and OXT in the gestational VAD pups. In vitro, atRA increased the Ca2+ excitability of neurons, which might further promote the release of OXT. Different CD38 levels were induced in the neurons by infection with different RAR? adenoviruses. Furthermore, atRA enhanced the binding of RAR? to the proximal promoter of CD38, indicating a potential up-regulation of CD38 transcriptional activity by RAR?.

CONCLUSIONS:

Gestational VAD might be a risk factor for autistic-like behaviors due to the RAR? signal suppression of CD38 expression in the hypothalamus of the offspring, which improved with VAS during the early-life period. The nutritional status during pregnancy and the early-life period is important in rats. This article is protected by copyright. All rights reserved.

KEYWORDS:

Vitamin A; autism; oxytocin; retinoic acid receptor beta