Evaluation of developmental neurotoxicity: some important issues focused on neurobehavioral development

Exposure of the developing organism to industrial chemicals and physical factors represents a serious risk factor for the development of neurobehavioral disorders, such as attention-deficit hyperactivity disorder, autism and mental retardation. Appropriate animal models are needed to test potentially harmful effects and mechanisms of developmental neurotoxicity of various chemical substances. However, there are significant human vs. rat differences in the brain developmental profile which should be taken into account in neurotoxicity studies. Subtle behavioral alterations are hard to detect by traditional developmental toxicity and teratogenicity studies, and in many cases they remain hidden. They can however be revealed by using special behavioral, endocrine and/or pharmacological challenges, such as repeated behavioral testing, exposure to single stressful stimulus or drugs. Further, current neurobehavioral test protocols recommend to test animals up to their adulthood. However some behavioral alterations, such as anxiety-like behavior or mental deficiency, may become manifest in later periods of development. Our experimental and scientific experiences are highly suggestive for a complex approach in testing potential developmental neurotoxicity. Strong emphasis should be given on repeated behavioral testing of animals up to senescence and on using proper pharmacological and/or stressful challenges.


Introduction
The central nervous system (CNS), especially the brain, is extremely sensitive during its whole ontogenesis to the action of various chemical substances and/or physical factors. The developing brain has unique characteristics and a different sensitivity to environmental insults compared to the adult already developed brain (O´Rahilly and Müller, 2008). Not only environmental factors but also drugs, stressful stimuli and other factors, such as hypoxia/ischemia, malnutrition, can interfere and/or interact with developmental processes of the brain. These in turn can finally result in subtle structural and/or functional alterations at the level of neurotransmitters and their receptors. Prenatal and perinatal insults, as e.g. developmental exposure to neuroactive drugs and environmental toxins can disturb oRIGINAL ARTICLe Interdisciplinary Toxicology. 2008; Vol. 1(3-4): [206][207][208][209][210] Copyright © 2010 Slovak Toxicology Society SETOX synaptogenesis, myelinogenesis, and development of neurotransmitter systems (Slikker and Chang, 1998;Tilson, 2000). One of the marked manifestations of CNS activity is a behavior which is defined as functional adaptation to the environment. Functional alterations of the CNS can occur as behavioral dysfunction in various manifestations. Werboff and Gottlieb (1963) were first to propose the notion of behavioral effects of developmental administration of chemical substances, as well as the term "behavioral teratology". The authors recognized the importance to use animal studies in evaluation of behaviorally disruptive effects of potential developmental insults (chemicals, drugs, hormones, different environmental impacts). It is actually very difficult to relate a behavioral deficit in children or in adults back to a drug taken by the mothers during pregnancy.

Developmental neurotoxicity tests
Developmental neurotoxicologists have elaborated several approaches, methods, batteries of special behavioral tests to detect possible behavioral disruptive effects of various factors. There are two basic developmental neurotoxicity (DNT) guidelines: Health Effects Test Guidelines OPPTS 870.6300 Developmental Neurotoxivity Study (EPA, 1998) and OECD Guideline for the Testing of Chemicals, Draft Proposal for a New Guideline 426, Developmental Neurotoxicity Study (OECD, 1995). DNT studies are based on developmental exposure to a substance tested followed by assessment of growth and developmental landmarks, motor and sensory behaviors, cognitive functions, neurohistopathology, and morphometrics. There are several behavioral test batteries in developmental neurotoxicology. Test batteries are designed mostly for rats. The Cincinnati Test Battery is an important screening instrument developed over a period of several years by Vorhees, Butcher and Brunner at the University of Cincinnati (Vorhees et al., 1981;1984). Adams, Buelke-Sam, Kimmel and their colleagues at the National Center for Toxicological research (NCTR) designed a test battery which is based on a large-scale Collaborative Behavioral Teratology Study (CBTS) performed by 6 different laboratories around US, including NCTR itself and Vorhees´s lab at Cincinnati Buelke-Sam et al., 1985). The CBTS test battery is summarized in Table 1. In Schwerzenbach, Switzerland, J. Elsner, along with his colleagues in Basel and Berlin, Germany, designed a study based on simplified manual tests conducted on young animals and complex automated test procedures performed on adults, known as European Collaborative Study (Elsner, 1986;Elsner et al., 1986). Fox (1965) performed the first complex investigation of reflex ontogeny and behavioral development in mice (Fox Battery). This study served as the basis for much of the subsequent works evaluating neurobehavioral effects of chemical substances in this species. Most recent behavioral test batteries in mice were elaborated by Petruzzi et al. (1995) and Rayburn et al. (1997), and these include social interaction tests as well.

Basic procedures of neurobehavioral testing
The main principle of the tests is that the substance tested is administered to females during gestation and lactation and their offspring are randomly selected from litters for neurobehavioral evaluation. At least three dose levels and a concurrent control should be used. The substance tested or vehicle should be administered daily to pregnant females from the time of implantation (day 6 of gestation) throughout lactation up to postnatal day 21, so as to expose the offspring to the substance during their pre-and early postnatal development (OECD, 1995;EPA, 1998). Females are allowed to spontaneously deliver their pups. Before postnatal day 4, the size of each litter should be adjusted by eliminating extra pups by random selection ("culling") to yield a uniform litter size for all litters, usually 8 pups per litter (4 males and 4 females). Then neurobehavioral development of offspring is evaluated until adulthood, e.g. in the CBTS study, the last variable being tested on postnatal days 120-131. Specialized tests are used for assessment of neurobehavioral development based on ethological analysis of animal behavior. The following categories of neurobehavioral development are investigated: somatic growth and maturation, neuromotor and reflex development, sensory functions, activity and emotionality levels, memory and learning. Individual tests are performed at distinctly established age or time intervals. In some test batteries pharmacological challenge and social behavior evaluation are involved.  (Slikker & Chang, 1998)

Developmental landmarks
Upper and lower incisor eruption 7 -completion Eye opening 12 -completion

Sensorimotor function
Negative geotaxis 7-10 Olfactory orientation 9-11 Auditory startle response (habituation) 18-19, 57-58 The somatic growth and maturation category does not represent typical behavioral variables, their observation is nevertheless important to obtain a complex view on developmental processes during early postnatal period. These data are significant for correlation with other developmental landmarks, and in turn for correct interpretation of the results obtained. The following developmental landmarks of maturation are usually observed: body weight, unfolding of external ear, incisor eruption, ear and eye opening, vaginal opening, testes descent.

Activity and exploration
Neuromotor and reflex development tests serve for the evaluation of the level of motor development and its coordination and ability to maintain balance. The variables studied include the crossing of rods of different width, cliff avoidance, the ability so stay on a rotating rod, surface righting, negative geotaxis, dynamic air righting, pivoting and forelimb grip strength.
Sensory function tests serve to determine the presence or absence of sensorimotor reactions of the animal, such as olfactory orientation or acoustic startle response.
Activity and emotional reactivity level are mostly investigated in an open field test where intensity of motor activity (ambulation) and rearings is recorded by using various up-to-date techniques, such as video tracking or special infrared beams frames. Time spent in the central and/or peripheral parts of the open field arena and defecation rate are considered the measure of emotional reactivity to stressful stimuli in a new environment. Motor activity should be tested repeatedly to obtain more comprehensive information on animal exploratory behavior in novelty.
Repeated testing in open field enables also the evaluation of gradual habituation of animals in a new environment. Consequently, within-and between-sessions habituation processes could be analyzed and compared. Despite the fact that coping behavior in novelty could be a sensitive indicator of behavioral toxicity, complex habituation analyses are omitted in most of the neurotoxicity studies. In our previous studies, we thoroughly investigated habituation of exploratory behavior in neurobehavioral toxicities, and the results obtained are of relevance for evaluating behavioral processes in the open field in a more complex way (Dubovický et al., 1997a,b;1999a,b;2004).
Learning and memory processes testing involves the above mentioned non-associative type of learning, habituation, further classical conditioning, such as active and passive avoidance learning, as well as complex learning processes, such as water maze, radial arm maze learning or visual discrimination operant task.

Most important issues to be taken into account in neurobehavioral testing
It is important to note that the above mentioned tests are only recommended, they are not mandatory. These tests are not standardized; every neurobehavioral laboratory uses its own test battery, approaching more or less the recommended guidelines of EPA and OECD, or generally used test batteries, such as CBTS. Selection of the tests depends on practical aspects, knowledge, and experience of the investigators, and also on the characteristics of the experiment. In developmental neurotoxicity studies, it is important also to acknowledge the human versus rodent differences, namely differences in developmental processes in the brain, and in social, reproductive and maternal behavior. Due to these differences, chemical substances, drugs and other factors, may interact and/or interfere with developmental processes in the rat brain differently compared to human brain ontogeny. In the following part we mention the most important issues which should be taken into account in developmental neurotoxicity studies.

Brain growth spurt
Unlike precocial mammals, which give birth to relatively mature and mobile pups, such as guinea pig, hare and most ungulates, the rat, mouse and rabbit belong to the group of altricial species giving birth to immature, immobile, helpless pups. In contrast to precocial species, in altricial mammals the period of intensive brain growth and maturation is shifted to the postnatal period, for rats with the peak on postnatal day 10 -12. In humans, this brain growth "spurt" peaks in the perinatal period around birth (Dobbing and Sands, 1964;West 1993). The developmental time shift in rats is therefore advantageous for studies of the immature brain. By using neonatal rat pups we can also assess direct effects of various insults on the developing brain, on elimination of the maternal organism. In rats, organogenesis and histogenesis of the brain is completed prenatally and neurogenesis and migration is completed by postnatal day 10. However, synaptogenesis, gliogenesis and myelination, which begin prenatally, continue to develop and they are not completed until maturity (Acuff and Vorhees, 1998). Generally, this fact is not taken into account in developmental neurotoxicity studies. Extension of the dosing period at least to postnatal day 21, when the brain maturation is markedly progressed, postural, locomotor and other skills are completed and pups are able to survive without maternal care and can be weaned (Tilson, 2000), appears to be a strongly substantiated suggestion.

Neuroendocrine system
The neuroendocrine system enables adaptation of the organism to an ever changing environment. It can be affected during the whole life by various factors. Excessive stressful stimuli can cause neuroendocrine and behavioral alterations in humans as well as in experimental animals (Dubovický et al., 1999b;Lanfumey et al., 2008). The developing neuroendocrine system is much more sensitive to prenatal and early postnatal insults. Neurotoxicants, intensive stressful stimuli and other factors can affect neuroendocrine and behavioral development in various ways. Alterations in the hypothalamic-pituitary-adrenal axis can be accompanied by long-term neurobehavioral changes. In our previous studies, we found gender-dependent changes in exploratory behavior and habituation in rats neonatally exposed to monosodium glutamate and stressful stimuli (Dubovický et al., 1997b;1999b). Sensitivity of the neuroendocrine system and its investigation from Interdisciplinary Toxicology. 2008; Vol. 1(3-4): [206][207][208][209][210] Copyright © 2010 Slovak Toxicology Society SETOX the developmental neurotoxicity point of view is mostly omitted. In many cases neuroendocrine changes could be hidden. Developmental changes can be revealed in reaction of the organism to special stimuli, such as pharmacological challenge or stressful stimuli. In our developmental study with phenytoin, we found an increased responsiveness of the neuroendocrine system in adult rats which were prenatally exposed to this drug. The mild stressful stimulus represented by one-min handling resulted in increased levels of adrenaline and noradrenaline (Makatsori et al., 2005). It is important to note that there is evidence that neuroendocrine alterations induced in early development can be associated with depression, anxiety and other stressrelated diseases in later life (Maccari et al., 2003;Wilcoxon and Redei, 2007). Within neurodevelopmental studies it is relevant to investigate the reactivity of the neuroendocrine system and neurobehavioral variables related to anxiety and depression, such as anxiety-and depression-like behavior of animals in elevated plus maze and test of behavioral despair, respectively.

Single vs. repeated testing of animals
A test of motor activity is recommended at the time around weaning and repeatedly in adulthood. The tests could be a single one-day session or repeated more-days sessions. As to single or repeated testing, the guidelines are ambiguous. On using these two different approaches, different (sometimes opposite) results can be obtained. In our current experimental practice we test animals repeatedly. Repeated testing in an open field test enables a more complex evaluation of the data obtained, such as habituation processes (Dubovický et al., 1997a(Dubovický et al., , 1999a. In a series of experiments in which we investigated the effect of neonatal anoxia on motor activity in the open field at the time around weaning (single anoxia induced on postnatal days 2, 3, 4 or 5 in duration of 10, 15, 20 or 25 min), we found a decrease in motor activity compared to controls in all time intervals. In the study of the effect of perinatal asphyxia on motor activity, we tested weaned rats repeatedly. We found a decrease of the activity on day 1 of testing compared to controls. During the following testing days, however, the activity had a tendency to increase (Dubovický et al., 2007). (Figures 1 and 2). These results highly suggest the necessity of repeated testing. A single test is inadequate, since some behavioral processes can be hidden and may become apparent at a later period of life.

Termination of the neurobehavioral study
Termination of neurobehavioral testing is recommended at the period when animals are sexually mature, in rats it is about postnatal day 60-62. In the CBTS study, figure eight activity before and after D-amphetamine, is scheduled on postnatal days 120-130 (Slikker and Chang, 1998). Prenatal and neonatal insults, however, could manifest themselves in many cases in a later period in adulthood or even senescence. Prenatally administered triethyltin was reported to cause spatial learning impairments at 2 years of age (Barone et al., 1995). Some consequences of perinatal asphyxia can appear in old rats, e.g. increased anxiety in senescent rats at the age of 18 months was found by Weitzdoerfer et al. (2002). Moreover, there is a relationship between early exposure and increased risk for neurodegenerative and other diseases at higher age (long-term and/or delayed effects). There are neurotoxicity studies confirming the role of developmental neurotoxicant exposure in the induction of neurodegenerative disorders, such as Parkinson´s disease (Barlow et al., 2007). Other factors, such as stressful stimuli, malnutrition or hypoxia can result in intrauterine growth restriction and in turn can lead to chronic diseases including psychiatric diseases, e.g. schizophrenia. This concept is known as "fetal origin of adult diseases" (FOAD) (Sayer et al., 1997;Bezek et al., 2008). There is therefore a strong suggestion to shift neurobehavioral testing up to the period of senescence. Although this approach requires life-time testing, the results obtained could yield a better perspective to understand the problem of neurodegenerative and other diseases in maturity and senescence.

Conclusions
In developmental neurotoxicity studies the different brain developmental profile of rats vs. humans should be taken into account. We would highly suggest to broaden neurotoxicity screening by investigation of the neuroendocrine system subjected to exposure to stressful stimuli in adult life. Evaluation of anxiety-and depression-like behavior appears also to be highly pertinent. In our experience, testing motor activity repeatedly is of utmost importance in order to obtain relevant data on habituation of animals in a new environment. Neurobehavioral tests are not to be terminated in adulthood. They should proceed to senescence so as to reveal potential long-term and/or delayed effects of chemical substances and other adverse factors.