30 March 2020 - Alcohol consumption by fathers before conception could negatively impact child development (and choline supplementation in pregnancy reduces similar brain damage from maternal alcohol consumption)
Iqbal Pittalwala, University of California - Riverside
FAB RESEARCH COMMENT:
Mothers-to-be are already advised to avoid drinking alcohol during pregnancy owing to its damaging effects on the unborn child. However, those negative effects can start even before conception, via so-called 'epigenetic' effects (environmental factors that can have long-term effects on gene expression, while not changing the genes themselves).
Recent animal studies have shown that damaging effects on children yet to be conceived - let alone born - also apply to fathers' alcohol consumption, not just to mothers' drinking.
As always, it is important to emphasise that findings from animal studies don't always generalise to humans. But they often do. And of course, controlled studies like these can never be done in humans for obvious ethical reasons.
Very importantly, another new study - also reported in this news release - shows that supplementing the diet of pregnant mothers with choline - an essential nutrient consumed in sub-optimal quantities by most people - reduces the damaging effects of their alcohol consumption on their unborn children's brain development.
For some reason, this rather more important finding was not even mentioned in the headline.
In practice, the vast majority of so-called 'fetal alcohol spectrum disorders' are likely to go undetected, unless maternal alcohol consumption is extreme enough to be on record (and to date, the father's alcohol consumption has never yet been considered).
However, symptoms in the resulting children can include difficulties with mood, behaviour and learning that often resemble ADHD, learning disabilities, dyspraxia, conduct disorder, or other kinds of neurodevelopmental and mental health disorders.
Similar neurodevelopmental problems - including schizophrenia - have long been known to be more common after maternal viral infections such as influenza(flu) during pregnancy.
And last year, researchers found that among the 40% of human mothers who suffered viral infections early in pregnancy, higher choline levels appeared to protect against such negative outcomes for their children. See:
Choline is a B-vitamin like substance that plays key roles in 'methylation' - a process key to gene expression and regulation, and in the normal structure and function of brain and nerve cell membranes, among many other functions.
Humans can make at least some choline - but rarely enough to meet requirements. In the US, 3 in 4 pregnant women consumes less choline than recommended (450 mg/day) - but while American (and European) public health authorities do at least acknowledge the importance of choline, this vital nutrient remains almost completely ignored in the UK, and is not included in most prenatal supplements, dietary guidelines or even nutrient databases, as flagged in an excellent recent review BMJ Nutrition and Preventative Health:
The best dietary sources of choline are liver, red meat and eggs - so (as usual) vegan and vegetarian diets are most likely to be deficient - but most people would do well to ensure their diets really do provide enough, as a lack of choline in both children and adults is associated with memory and other cognitive problems, including dementia.
For details of the new study showing prevention of alcohol-related brain damage following choline supplementation in pregnancy, see:
For more articles on the importance of choline for brain function at all ages, see:
In a paper published in Alcoholism: Clinical and Experimental Research, the researchers report that when alcohol-exposed male mice mated with alcohol-naïve females, the offspring displayed significant deficits in brain development.
Specifically, the neocortex, the most complex part of the mammalian brain responsible for complex cognitive and behavioral function, had patterning deficits where abnormal gene expression led to miswiring of connections.
Although neither these mice nor their mothers had ever been exposed to alcohol, their brains showed changes consistent with a mouse model of Fetal Alcohol Spectrum Disorders, or FASD.
"People have known about the dangers of maternal drinking during pregnancy for years; however, the safety of paternal drinking while trying to conceive has barely been considered," said Kelly Huffman, an associate professor of psychology who led the study and whose lab generated the FASD mouse model.
"Our research shows that fathers' exposure to alcohol leading up to conception can have deleterious effects on the child's brain and behavioral development."
In a second paper, published in Neuropharmacology, Huffman's team reports that when female mice were given choline, an essential nutrient, along with alcohol during their pregnancies, the negative outcomes associated with prenatal alcohol exposure, such as smaller body weight, brain weight, and abnormalities in the anatomy of the neocortex, were reduced in the offspring.
This suggests choline supplementation could prevent the adverse outcomes associated with prenatal alcohol exposure.
"Our work shows that prenatal choline supplementation, when administered at the time of prenatal alcohol exposure, improves abnormal brain and behavioral development in offspring," Huffman said. "It rescues some of the phenotypes associated with FASD."
Sins of the father
In the first study, male mice consumed alcohol for approximately two-three weeks before mating with alcohol-naïve females. Huffman's team found this preconceptual paternal alcohol exposure altered neocortical gene expression and connectivity in their offspring. The offspring also demonstrated atypical features such as increased anxiety or hyperactivity and reduced motor function, consistent with some documented behavior patterns of children born to alcoholic fathers.
"Fathers who consistently consume moderate to high amounts of alcohol leading up to conception may negatively impact offspring development due to the exposure to the paternal sperm," Huffman said.
"In our previous study, we described how the paternal germ line specifically can transmit heritable changes through multiple generations after a single prenatal alcohol exposure. Clearly, the paternal environment before conception is critical for healthy offspring development."
Additionally, the team found male offspring generally seem to be more adversely affected than female offspring by paternal alcohol exposure in terms of increased hyperactivity, impaired coordination, and impaired short-term motor learning abilities.
The study is the first to examine the effects of preconceptual paternal alcohol exposure on the gross anatomical development of the neocortex, including genetic patterning and circuit development, coupled with extensive behavioral analyses in the affected offspring. Huffman's team plans to extend the mouse study to investigate whether the effects of paternal alcohol consumption on the offspring are transmitted to subsequent generations.
Huffman was joined in the research by graduate students Kathleen E. Conner and Riley T. Bottom.
Nutrient to the rescue
Depending on maternal age, up to 18% of
pregnant women in the United States report alcohol consumption during their pregnancies. Gestational or prenatal alcohol exposure can produce problematic deficits in
In mice, prenatal alcohol exposure, via maternal drinking, results in gross developmental abnormalities, including decreased body weight, brain weight, and brain size. Also, the exposure causes profound abnormalities in the patterning of an infant's neocortex and the resulting circuitry, or connections, necessary for precise function.
In the second study, Huffman's team exposed pregnant mice to 25% alcohol, the usual dose for the FASD model, as well as about 640 milligrams per liter of choline chloride supplement throughout the pregnancy. Her team's goal was to test potential rescue effects of choline supplementation on abnormal neocortical and behavioral development induced by prenatal alcohol exposure.
Choline, a vitamin-like essential nutrient, is a methyl group donor and is crucial for proper brain development as it generates the methyl group that attaches to DNA and affects gene expression. Given the transgenerational effects of prenatal alcohol consumption discovered by the Huffman lab, Huffman's team believed co-administration of choline with alcohol could mitigate the deleterious effects of the exposure.
"Our findings suggest that providing methyl group donors, such as choline, to alcoholic women during pregnancy could be effective in reducing the extent of the damage that prenatal alcohol exposure can cause," said Bottom, the first author of the research paper.
"This could possibly reduce the multigenerational transmission of FASD in our prenatal alcohol exposure model."
Huffman and Bottom were joined in the study by Charles W. Abbott III, a former graduate student in Huffman's lab. This work is a major component of Bottom's dissertation research.