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      Malocclusion impairs cognitive behavior via AgRP signaling in adolescent mice

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          Abstract

          Introduction

          Occlusal disharmony induced by deteriorating oral health conditions, such as tooth loss and decreased masticatory muscle due to sarcopenia, is one of the causes of cognitive impairment. Chewing is an essential oral function for maintaining cognitive function not only in the elderly but also in young people. Malocclusion is an occlusal disharmony that commonly occurs in children. The connection between a decline in cognitive function and malocclusion in children has been shown with chronic mouth breathing, obstructive sleep apnea syndrome, and thumb/digit sucking habits. However, the mechanism of malocclusion-induced cognitive decline is not fully understood. We recently reported an association between feeding-related neuropeptides and cognitive decline in adolescent mice with activity-based anorexia. The aim of the present study was to assess the effects of malocclusion on cognitive behavior and clarify the connection between cognitive decline and hypothalamic feeding-related neuropeptides in adolescent mice with malocclusion.

          Methods

          Four-week-old mice were randomly assigned to the sham-operated solid diet-fed (Sham/solid), sham-operated powder diet-fed (Sham/powder), or malocclusion-operated powder diet-fed (Malocclusion/powder) group. We applied composite resin to the mandibular anterior teeth to simulate malocclusion. We evaluated cognitive behavior using a novel object recognition (NOR) test, measured hypothalamic feeding-related neuropeptide mRNA expression levels, and enumerated c-Fos-positive cells in the hypothalamus 1 month after surgery. We also evaluated the effects of central antibody administration on cognitive behavior impairment in the NOR test.

          Results

          The NOR indices were lower and the agouti-related peptide (AgRP) mRNA levels and number of c-Fos-positive cells were higher in the malocclusion/powder group than in the other groups. The c-Fos-positive cells were also AgRP-positive. We observed that the central administration of anti-AgRP antibody significantly increased the NOR indices.

          Discussion

          The present study suggests that elevated cerebral AgRP signaling contributes to malocclusion-induced cognitive decline in adolescents, and the suppression of AgRP signaling can be a new therapeutic target against cognitive decline in occlusal disharmony.

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          Most cited references58

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          Effects of stress throughout the lifespan on the brain, behaviour and cognition.

          Chronic exposure to stress hormones, whether it occurs during the prenatal period, infancy, childhood, adolescence, adulthood or aging, has an impact on brain structures involved in cognition and mental health. However, the specific effects on the brain, behaviour and cognition emerge as a function of the timing and the duration of the exposure, and some also depend on the interaction between gene effects and previous exposure to environmental adversity. Advances in animal and human studies have made it possible to synthesize these findings, and in this Review a model is developed to explain why different disorders emerge in individuals exposed to stress at different times in their lives.
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            The novel object recognition memory: neurobiology, test procedure, and its modifications

            Animal models of memory have been considered as the subject of many scientific publications at least since the beginning of the twentieth century. In humans, memory is often accessed through spoken or written language, while in animals, cognitive functions must be accessed through different kind of behaviors in many specific, experimental models of memory and learning. Among them, the novel object recognition test can be evaluated by the differences in the exploration time of novel and familiar objects. Its application is not limited to a field of research and enables that various issues can be studied, such as the memory and learning, the preference for novelty, the influence of different brain regions in the process of recognition, and even the study of different drugs and their effects. This paper describes the novel object recognition paradigms in animals, as a valuable measure of cognition. The purpose of this work was to review the neurobiology and methodological modifications of the test commonly used in behavioral pharmacology.
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              Psychosocial stress reversibly disrupts prefrontal processing and attentional control.

              Relatively little is known about the long-term neurobiological sequelae of chronic stress, which predisposes susceptible patients to neuropsychiatric conditions affecting the prefrontal cortex (PFC). Animal models and human neuroimaging experiments provide complementary insights, yet efforts to integrate the two are often complicated by limitations inherent in drawing comparisons between unrelated studies with disparate designs. Translating from a rodent model of chronic stress where we have shown reversible disruption of PFC function, we show that psychosocial stress induces long-lasting but reversible impairments in behavioral and functional magnetic resonance imaging (fMRI) measures of PFC function in humans. Twenty healthy adults, exposed to 1 month of psychosocial stress, confirmed by a validated rating scale, were scanned while performing a PFC-dependent attention-shifting task. One month later, they returned for a second scanning session after a period of reduced stress, and their performance was compared with a twice-scanned, matched group of low-stress controls. Psychosocial stress selectively impaired attentional control and disrupted functional connectivity within a frontoparietal network that mediates attention shifts. These effects were reversible: after one month of reduced stress, the same subjects showed no significant differences from controls. These results highlight the plasticity of PFC networks in healthy human subjects and suggest one mechanism by which disrupted plasticity may contribute to cognitive impairments characteristic of stress-related neuropsychiatric conditions in susceptible individuals.
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                Author and article information

                Contributors
                Journal
                Front Neurosci
                Front Neurosci
                Front. Neurosci.
                Frontiers in Neuroscience
                Frontiers Media S.A.
                1662-4548
                1662-453X
                24 April 2023
                2023
                : 17
                : 1156523
                Affiliations
                [1] 1Department of Orthodontics and Dentofacial Orthopedics, Field of Developmental Medicine, Health Research Course, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima, Japan
                [2] 2Laboratory of Medical Biochemistry, Kobe Pharmaceutical University , Kobe, Japan
                [3] 3Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima, Japan
                [4] 4Department of Oral Anatomy and Cell Biology, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima, Japan
                [5] 5Department of Orthodontics, Center of Developmental Dentistry, Kagoshima University Hospital , Kagoshima, Japan
                [6] 6Department of Orthodontics, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine , Okayama, Japan
                Author notes

                Edited by: Juei-Tang Cheng, Chang Jung Christian University, Taiwan

                Reviewed by: Hirobumi Tada, Shigakkan University, Japan; Akihito Yasuoka, Seitoku University, Japan

                *Correspondence: Koji Ataka, kataka@ 123456kobepharma-u.ac.jp

                These authors have contributed equally to this work

                Article
                10.3389/fnins.2023.1156523
                10164942
                37168929
                3faf1e63-3c7a-471f-89e6-516c23e0e3bc
                Copyright © 2023 Kusumoto, Ataka, Iwai, Oga, Yamagata, Marutani, Ishikawa, Asakawa and Miyawaki.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 01 February 2023
                : 03 April 2023
                Page count
                Figures: 5, Tables: 0, Equations: 0, References: 58, Pages: 12, Words: 8051
                Funding
                Funded by: Japan Society for the Promotion of Science, doi 10.13039/501100001691;
                Award ID: 18K09858
                Award ID: 18K09840
                Award ID: 17K11944
                Award ID: 19K24119
                Award ID: 21K10190
                Award ID: 20K10232
                This work was supported by Grants-in-Aid for Scientific Research from the Japan Society for the Promotion of Science (grant numbers: 18K09858, 18K09840, 17K11944, 19K24119, 21K10190, and 20K10232).
                Categories
                Neuroscience
                Original Research
                Custom metadata
                Neuroendocrine Science

                Neurosciences
                adolescent,agouti-related protein,arcuate nucleus of hypothalamus,cognitive dysfunction,malocclusion,novel object recognition test

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