Evidence map›Paper›PMID 34697823›Full record

ArticleAlcoholism, clinical and experimental research2021

Prenatal choline supplementation during mouse pregnancy has differential effects in alcohol-exposed fetal organs.

Sze Ting Cecilia Kwan, Dane K Ricketts, Brandon H Presswood, Susan M Smith, Sandra M Mooney

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Sze Ting Cecilia KwanNutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.ORCID 0000-0002-5280-9253
Dane K RickettsNutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.
Brandon H PresswoodNutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.
Susan M SmithNutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.ORCID 0000-0003-4782-6857
Sandra M MooneyNutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, North Carolina, USA.ORCID 0000-0002-7387-2518
University of North Carolina at Chapel Hill · US

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 1999 to 2026
$31.6M
Craniofacial Morphogenesis in Prenatal Alcohol ExposureR01AA011085 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, SUSAN M. · 2001 to 2025
$6.3M
Nutrient combination to mitigate Fetal Alcohol Spectrum DisorderR01AA024980 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOONEY, SANDRA M · 2017 to 2021
$2.3M
Experimental Factors in Fetal Alcohol Spectrum DisorderR01AA022413 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOONEY, SANDRA M · 2014 to 2018
$1.7M
Prenatal alcohol exposure disrupts maternal-fetal iron metabolism in FASDR01AA022999 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KLING, PAMELA J, SMITH, SUSAN M. · 2014 to 2018
$1.6M
Maternal-fetal amino acid transfer across placenta in a mouse model of prenatal alcohol exposureF32AA027121 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KWAN, SZE TING · 2018 to 2021
$212k
CRANIOFACIAL MORPHOGENESIS IN PRENATAL ALCOHOL EXPOSURER29AA011085 · NIAAA · UNIVERSITY OF WISCONSIN MADISON · PI SMITH, SUSAN M. · 1996 to 2000
$100k
NIAAA NIH HHS F32 AA027121NIAAA NIH HHS R01 AA011085NIAAA NIH HHS R01 AA022413NIAAA NIH HHS R01 AA022999NIAAA NIH HHS R01 AA024980NIAAA NIH HHS R29 AA011085NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

backgroundFetal alcohol spectrum disorders (FASD) are preventable adverse outcomes consequent to prenatal alcohol exposure. Supplemental choline confers neuroprotection to the alcohol-exposed offspring, but its actions outside the brain are unclear. We previously reported that prenatal exposure of mice to 4.5 g/kg of alcohol decreased placental weight in females only, but decreased body weight and liver-to-body weight ratio and increased brain-to-body weight ratio in both sexes. Here we test the hypotheses that a lower alcohol dose will elicit similar outcomes, and that concurrent choline treatment will mitigate these outcomes.

methodsPregnant C57BL/6J mice were gavaged with alcohol (3 g/kg; Alc) or maltodextrin (MD) from embryonic day (E) 8.5-17.5. Some also received a subcutaneous injection of 100 mg/kg choline chloride (Alc + Cho, MD + Cho). Outcomes were evaluated on E17.5.

resultsAlc dams had lower gestational weight gain than MD; this was normalized by choline. In males, Alc decreased placental weight whereas choline increased placental efficiency, and Alc + Cho (vs. MD) tended to further reduce placental weight and increase efficiency. Despite no significant alcohol effects on these measures, choline increased fetal body weight but not brain weight, thus reducing brain-to-body weight ratio in both sexes. This ratio was also lower in the Alc + Cho (vs. MD) fetuses. Alc reduced liver weight and the liver-to-body weight ratio; choline did not improve these. Placental weight and efficiency correlated with litter size, whereas placental efficiency correlated with fetal morphometric measurements.

conclusionsCholine prevents an alcohol-induced reduction in gestational weight gain and fetal body weight and corrects fetal brain sparing, consistent with clinical findings of improvements in alcohol-exposed children born to mothers receiving choline supplementation. Importantly, we show that choline enhances placental efficiency in the alcohol-exposed offspring but does not normalize fetal liver growth. Our findings support choline supplementation during pregnancy to mitigate the severity of FASD and emphasize the need to examine choline's actions in different organ systems.

Indexed as

AnimalsAnimals, NewbornCholineDisease Models, AnimalFemaleFetal Alcohol Spectrum DisordersFetal DevelopmentMiceMice, Inbred C57BLNootropic AgentsPregnancyPrenatal Exposure Delayed EffectsPsychomotor PerformanceCholineNootropic Agentsfetal alcohol syndromefetal growthinterventionPlacentasex-specific effects

Identifiers

PMID34697823
PMCPMC8712461
OpenAlexW3209376348

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.