The effect of prenatal fumonisin B exposure on bone innervation in newborn Wistar rats
Publié en ligne: 09 oct. 2024
Pages: 633 - 642
Reçu: 24 avr. 2024
Accepté: 23 sept. 2024
DOI: https://doi.org/10.2478/jvetres-2024-0056
Mots clés
© 2024 Ewa Tomaszewska et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Cereals, integral to both human and animal diets, are susceptible to fungal contamination, leading to mycotoxin production that persists in food despite processing (6, 7). Fumonisins (FUM), notably type B (FB1 and FB2), are naturally occurring, prevalent and highly toxic, with FB1 exhibiting slightly greater toxicity than FB2 (depending on the dose of the exposure) and being found naturally in a proportion of about 3:1 to FB2 (23). These mycotoxins are natural byproducts primarily of the metabolism of
Different regulations govern the permissible presence of FB1 and FB2 in food and animal feed (8). The clinical consequences of FB exposure in animals are influenced by the route of FB administration and sex and age of the animals, and differ among animal species, with heightened sensitivity being noted in horses, pigs and rodents (7, 13, 27). Non-species-specific symptoms include renal or hepatic toxicity and even hepatocarcinogenic effects. Species-specific symptoms manifest in target organs, such as the brain in horses, the lungs or oesophagus in pigs (4), and the kidneys in rats, rabbits and sheep (7). The bioavailability and toxicity of FUM are relatively low in ruminants and poultry compared to other species (4, 7). In broiler chickens, clinical toxicity can arise from doses of up to 300 mg/kg feed (7). Fumonisins B disrupt the integrity of the intestinal barrier in poultry at a dose of 1.0 mg/kg body weight (7, 34). Humans exposed to FB risk immunosuppression or neurotoxicity (5, 9, 32). Fumonisin intoxication in humans also results in oesophageal cancers and hepatocarcinoma (14), idiopathic congestive cardiopathy (2, 33) and neural tube defects (NTDs) (18). High incidences of NTDs occur in some regions of the world where substantial consumption of fumonisins has been documented or plausibly suggested (Guatemala, South Africa and China); furthermore, a recent study of NTDs in the border counties of Texas found a significant association between them and consumption of tortillas during the first trimester (19).
The impact on animals due to maternal exposure to FB encompasses disrupted bone homeostasis, altered organ weights and developmental disparities in offspring (38). Maternal FB exposure in rodents results in disturbances in bone metabolic processes, imbalances in the receptor activation of nuclear factor kappa-ß ligand (RANKL)/RANK/osteoprotegerin (OPG) and the osteocalcin (OC)/leptin systems (35, 36, 37), or a dose-dependent disturbed erythropoiesis (38). Furthermore, it causes degenerative morphological and structural alterations in the liver and inflammation in striated muscles like the heart and biceps brachii, hormonal imbalances linked with disruptions in the levels of intestinal ghrelin, leptin and their receptors, as well as alterations in the morphology and chemical coding of the enteric nervous system (15, 38). Fumonisins cross the blood-brain barrier and the placental barrier just as other mycotoxins do (5). However, it is believed that their adverse embryonic and foetal effects arise more secondarily from their maternal toxicity (10). They are responsible for genotoxicity, embryotoxicity and neurotoxicity as a result of the disturbance of sphingolipid synthesis and diverse cell-signalling pathways (10, 41), and the neurotoxicity which is peripheral can affect bone innervation. Skeletal development involves coordinated neural infiltration during gestation, with both sensory and autonomic nerve fibres contributing to the established pattern (12). Considering the fundamental mechanism of FUM action, it is noteworthy that sphingolipids form the phospholipid bilayer membrane of neurons and that the lipid composition in the central and peripheral nervous systems is remarkably similar, except for higher levels of sphingomyelin in the peripheral myelin sheath (32).
Understanding the consequences of FUM exposure during pregnancy is crucial for addressing the health challenges in newborn animals and weaned offspring. Taking into consideration the FUM-induced disturbances in the development and function of the enteric nervous system, it would be logical to direct research towards understanding the effects of FUM on peripheral innervation – exploring if and how FUM might disrupt the bone nervous system network. Given the already established negative effects of FUM on bone homeostasis (bone weakening and loss), research should extend beyond basal bone histomorphometry and turnover of protein in the matrix and should focus on investigating potential disruptions in the bone nervous system caused by FUM.
In line with the hypothesis of the prenatal origin of health and disease (foetal programming) (22), it has been proposed that prenatal exposure to FUM not only influences bone metabolism and microstructure but also has the potential to alter the chemical coding of bone nerves, leading to compromised bone homeostasis and development. Therefore, this study aimed to assess how maternal oral FB exposure affects bone innervation in newborn rat offspring. In particular, this investigation focused on alterations in sympathetic, parasympathetic and sensory bone innervation. These analyses are of paramount importance to deepen our understanding of the effects of FB exposure during pregnancy on compromised postnatal bone development.
The FB utilised in this study were generated
The study involved eighteen pregnant, six-week-old Wistar rat dams. The dams were individually housed in polypropylene cages at a temperature of 21 ± 3°C, in relative humidity of 55 ± 5% and a 12h/12h light/dark cycle. The rats were randomly assigned to one of three groups (n = 6 each): to a control group (group I) not treated with FB, or to one of two groups intoxicated with FB, either at a dose of 60 mg FB/kg body weight (b.w.) (group II) or 90 mg FB/kg b.w. (group III). A dose of 60 mg FB/kg b.w., an equivalent to 1/15 of the established LD50, has been shown not to lead to clinical or subclinical symptoms in adolescent rats, while a dose of 90 mg FB/kg b.w., constituting 1/10 of the LD50, has been shown to induce subclinical intoxication in adolescent rats (26). Fumonisins B were administered
After fixation, paraffin-embedded, 4-μm-thick sections were rehydrated and treated with proteinase K for 30 min at room temperature (RT) to retrieve antigens. A 3% H2O2 solution was applied for 5 min to inhibit the endogenous peroxidase activity. To reduce nonspecific binding, sections were blocked for 30 min using UltraCruz Blocking Reagent (sc-516214; Santa Cruz Biotechnology, Dallas, TX, USA). For visualising the bone nervous system, a wide range of primary antibodies was used. For the general bone innervation pattern, it was protein gene product 9.5 (PGP9.5) monoclonal rabbit antibody (ab108986; Abcam, Cambridge, UK, at 1:1,000 dilution); for sympathetic bone innervation it was tyrosine hydroxylase (TH) monoclonal mouse antibody (22941; ImmunoStar, Hudson, WI, USA, at 1:1,000 dilution); for parasympathetic bone innervation the reagents were choline acetyltransferase (ChAT) monoclonal rabbit antibody (abl78850; Abcam, at 1:1,000 dilution) and vasoactive intestinal peptide (VIP) polyclonal rabbit antibody (ab22736; Abcam, at 1:1,200 dilution); the antibodies for sensory bone innervation were substance P (SP) monoclonal mouse (ab14184; Abcam, at 1: 1,000 dilution) and galanin (GAL) monoclonal rabbit immunoglobulins (ab254556; Abcam, at 1:4,000 dilution); and the CART-positive bone innervation antibody was a cocaine- and amphetamine-regulated transcript (CART) polyclonal rabbit product (H-003-61; Phoenix Pharmaceuticals, Burlingame, CA, USA, at 1:10,000 dilution). Immunohistochemical staining was performed overnight at 4°C. After primary antibody incubation, the sections were treated at RT with a polyclonal horseradish peroxidase goat anti-mouse/rabbit immunoglobulin G detection system (DPVB110HRP; Immunologic WellMed, Duiven, the Netherlands). Visualisation was achieved with a 3,3′-diaminobenzidine (DAB) chromogen (D5905; Sigma-Aldrich, St. Louis, MO, USA) followed by haematoxylin counterstaining (MHS32; Sigma-Aldrich).
Evaluation of changes in neuronal morphology and their spatial distribution was carried out with image material and was based on the methodology described by Marques

A diagram showing the graphical analysis steps for image segmentation and bone neuronal net analysis. Red arrows indicate an example of an identified neuronal element in subsequent processes of image transformation
The comprehensive image analysis approach allowed the quantification of critical parameters relevant to studies on neural morphology, connectivity or the studied substances’ toxicity to neuronal structures. The first parameter was the spatial distribution of neurons (%): a quantitative assessment of the spatial distribution of all elements of neurons within the studied region and insights into the arrangement, clustering or dispersion of these neurons in the bone. The second was the mean cross-sectional area of neuronal protrusions (μm²): a quantitative assessment of the cross-sectional area occupied by neuronal bodies and their protrusions including dendrites and axons. The cross-sectional density of neuronal protrusions (per mm²) was the next parameter: the number of intersected or cut neuronal protrusion cross-sections within a defined area. The mean length of the neuronal tree (μm) was also calculated: the mean length of the dendritic and axonal arbours, collectively referred to as “neuronal trees” in neurons. The final parameter was the mean number of branches (per neuron): the average count of branches in individual neurons, quantifying the branching complexity of neurons.
Analyses were conducted using GraphPad Prism software v. 10.0.2 (GraphPad Software, San Diego, CA, USA). A Shapiro–Wilk test validated that the data were normally distributed, and variance homogeneity was confirmed using the Brown–Forsythe test. A one-way analysis of variance was employed, with post-hoc analysis by Tukey’s honest significant difference test. Statistical significance was established at P-value < 0.05.
No changes in the behaviour or basal health state of the pregnant dams were observed during assessments by a veterinarian. Food and water consumption remained consistent across all groups of dams regardless of the treatment they received. In the current study, a decrease in the body weight of dams was only observed after exposure to 90 mg FB/kg b.w. (Fig. 2a). Both FB doses led to a reduction in the liver weight of dams (Fig. 2b and c) and an increase in the activity of AST (Fig. 2d), a non-organ-specific enzyme commonly associated with skeletal and heart muscles as well as with the liver. No FB effect on litter size (Fig. 2f) or sex ratio in the litter (Fig. 2g) was observed, but the terminal body weight of offspring of both sexes was reduced in the FB-administrated groups (Fig. 2h–j).

Effects of fumonisin exposure on Wistar rat dams. a – post-parturition body weight; b – liver weight; c – relative liver weight (percentage of total body weight); d – serum aspartate aminotransferase (AST) activity; e – serum alanine aminotransferase (ALT) activity; f – litter size (number of live pups); (g) – offspring sex ratio (female-to-male); h – average pup body weight; i – female pup body weight; j – male pup body weight. Group I – control group; Group II – dams intoxicated with 60 fumonisins B (FB)/kg b.w. during gestation; Group III – dams intoxicated with 90 FB/kg b.w. during gestation. The data are presented as mean values ± standard error of the mean (n = 6), except for (f), where the line indicates the median, the box represents the interquartile range, and the whiskers show minimum and maximum value ranges. * – statistical significance at P-value < 0.05; ** – P-value < 0.01; *** – P-value < 0.001
Protein gene product 9.5 was used to quantify the complete bone neuronal network, which innervates the periosteum, cortical and trabecular bones, and bone marrow. The network underwent a significant change in its spatial distribution (Fig. 3). Exposure to the lower dose of FB led to a significant extension of the spatial distribution of the neuronal network compared to that in both the control and higher-dose groups.

Effects of prenatal fumonisins exposure on general bone innervation: A – representative photomicrographs showing protein gene product 9.5 (PGP9.5)-positive neuronal nets (arrowheads) in compact bone, trabecular bone and bone marrow; B – general bone innervation pattern quantified by morphology of the PGP9.5-positive neurons: i – spatial distribution of PGP9.5-positive neurons; ii – average cross-sectional area of PGP9.5-positive neuronal protrusions; iii – neuronal protrusion cross-sectional density of PGP9.5-positive neurons; iv – average length of neuronal trees in PGP9.5-positive neurons; v – mean number of branches in PGP9.5-positive neurons. Group I – control group; Group II – newborns from dams intoxicated with 60 fumonisins B (FB)/kg b.w. during gestation; Group III – newborns from dams intoxicated with 90 FB/kg b.w. during gestation. The data are presented as mean values ± standard error of the mean (n = 6); * – statistical significance at P-value < 0.05; ** – P-value < 0.01; *** – P-value < 0.001; scale bars – 20 μm
The mean cross-sectional area of the protrusions throughout the network expanded after exposure to FB, regardless of dose. However, the cross-sectional density of neuronal processes showed a nuanced response, decreasing after exposure to the lower dose and increasing after exposure to the higher dose. After exposure to the lower dose of FB, neuronal morphology and the mean length of neuronal trees and number of branches per neuron significantly increased compared to both the control and the higher-dose exposure groups.
Analysis of the TH-positive neuronal network (Fig. 4A), as demonstrated by the spatial distribution of TH-positive neurons, showed a significant reduction in TH-positive neurons in the femora of pups exposed to the higher dose of FB compared to the femora of control group pups and those of the group exposed to the lower dose. The smaller mean cross-sectional area of protrusions and shorter mean length of neuronal trees within the TH-positive neuronal network after exposure to either dose of FB indicated a diminished impact area on the bone tissue overall. The cross-sectional thickness of the TH-positive cell protrusions showed intricate regulatory mechanisms. Exposure to the higher dose of FB increased the cross-sectional density, in contrast to the control and lower-dose groups. The density was lower in the lower-dose group than in the control group. Similarly, there were fewer branches on average per TH-positive neuron in the bones of pups exposed to the higher dose of FB, implying a narrow impact zone.

Effects of prenatal fumonisin exposure on bone innervation: A – sympathetic and B and C – parasympathetic patterns quantified by morphology of the immunoreactive (IR) neurons. A – tyrosine hydroxylase (TH)-positive; B – choline acetyltransferase (ChAT)-positive; C – vasoactive intestinal peptide (VIP)-positive neurons: i – spatial distribution of IR neurons; ii – average cross-sectional area of IR neuronal protrusions; iii – neuronal protrusion cross-sectional density of IR neurons; iv – average length of neuronal trees in IR neurons; v – mean number of branches in IR neurons. Group I – control group; Group II – newborns from dams intoxicated with 60 fumonisins B (FB)/kg b.w. during gestation; Group III – newborns from dams intoxicated with 90 FB/kg b.w. during gestation. The data are presented as mean values ± standard error of the mean (n = 6); * – statistical significance at P-value < 0.05; ** – P-value < 0.01; *** – P-value < 0.001
The parasympathetic bone neuronal network was evaluated using ChAT (Fig. 4B) and VIP (Fig. 4C). The spatial distribution of ChAT-positive neurons in the higher-dose exposure group exceeded that of both the control group and the lower-dose exposure group, and this difference was considered statistically significant. The presence of more ChAT-positive neurons suggests amplified parasympathetic influence on bone regulation. Examination of ChAT-positive neuronal network parameters revealed a greater mean cross-sectional area of protrusions, length of neuronal trees and number of branches per neuron after the higher FB dose. Several parameters related to the VIP-positive neuronal network were lower because of exposure to FB, including the average area of VIP-positive neuronal protrusions, length of neuronal trees in the VIP-positive neuronal network and number of branches per VIP-positive neuron, which was accompanied by a rise in the crosssectional density of neuronal protrusions.
The neuronal network exhibiting SP-positive characteristics (Fig. 5A) was notably smaller in the lower-dosed group than in the control and higher-dosed groups. These findings indicated that the lower dose of FB resulted in a significant size reduction in the SP-positive neuronal network. The observed decrease implied a contraction of the affected area and emphasised the intricate relationship between bone cells and SP-positive neurons. The average cross-sectional area of SP-positive neuronal protrusions in the femora of the pups exposed to the higher dose of FB was larger than that in the femora of the pups exposed to the lower dose. The average length of the neuronal tree in the SP-positive neuronal network and the mean number of branches per SP-positive neuron were diminished following exposure to the lower dose of FB compared to this length and number following only saline solution administration. This, coupled with the absence of changes in cross-sectional density of neuronal protrusions, suggests a reduction in impact area. The components of the sensory bone neuron network were also examined using a GAL marker (Fig. 5B). The distribution of GAL-positive neurons in the spatial domain was sparser in the FB-exposed bones, irrespective of the administered dose. A decrease in GAL-innervation was observed as a simplification of the neuronal structure, which could have significant implications for the intricate relationship between GAL-positive neurons and bone cells. It is worth noting that the mean cross-sectional area of GAL-positive neuronal protrusions, mean length of neuronal trees in the GAL-positive neuronal network, and mean number of branches and end-points per GAL-positive neuron decreased after exposure to FB, with no observable dose dependency. Similarly to the SP-positive network, the GAL-positive neuronal network’s protrusion cross-sectional density was unaffected by exposure to FB, despite the simplified structure. These alterations suggest that the structure of GAL-innervation had been simplified, which could potentially impact the development and remodelling of the bone tissue. The present results demonstrated a very strong impact of FB on the GAL-positive network in the bones of newborn rats, irrespective of the dose used.

Effects of prenatal fumonisins exposure on bone innervation: A and B – sensory and C – cocaine- and amphetamine-regulated transcript (CART)-positive patterns quantified by morphology of the immunoreactive (IR) neurons. A – SP-positive; B – GAL-positive; C – CART-positive neurons; i – spatial distribution of IR neurons; ii – average cross-sectional area of IR neuronal protrusions; iii – neuronal protrusion cross-sectional density of IR neurons; iv – average length of neuronal trees in IR neurons; v – mean number of branches in IR neurons. Group I – control group; Group II – newborns from dams intoxicated with 60 fumonisins B (FB)/kg b.w. during gestation; Group III – newborns from dams intoxicated with 90 FB/kg b.w. during gestation. The data are presented as mean values ± standard error of the mean (n = 6); * – statistical significance at P-value < 0.05; ** – P-value < 0.01; *** – P-value < 0.001
In the present investigation of the neural network exhibiting CART-positivity (Fig. 5C), a notably smaller spatial distribution of CART-expressing neurons was observed in bones exposed to the lower dose of FB, compared to unexposed bones and bones exposed to the higher dose. The results indicated a greater impact on the bone region at the lower dose, as evidenced by a significant reduction in the average cross-sectional area of CART-positive neuronal protrusions, mean length of neuronal trees in the CART-positive neuronal network and mean number of branches in CART-positive neurons after exposure to a lower dose of FB than after exposure to none and to the higher dose. In contrast, the cross-sectional density of neuronal protrusions noted in the femora of the more intoxicated pups significantly exceeded the density in the femora of both the control pups and the less intoxicated pups.
An experiment with a scope similar to that presented in this publication has not been conducted previously. Therefore, discussing and comparing results is challenging and at times even impossible. The only available information is regarding the impact of FUM on the central nervous system. One study showed dose- and region-dependent alterations in neurotransmitters (norepinephrine and dopamine) and their metabolites (39). Equine leukoencephalomalacia is a fatal degenerative disease and another example of FUM neurotoxicity affecting the central nervous system. This intoxication results in metabolic disturbances that lead to the softening and liquefaction of the white matter in the brain, which is rich in sphingomyelin (25). Thus, the hypothesised peripheral neurotoxicity of FB to bone appears to be in line, at least to some extent, with existing evidence. Kras
Fumonisins induce a range of adverse effects, the extent and nature of which are contingent upon factors such as dosage, duration of exposure and the specific stage of foetal development during which exposure occurs (3). Their maternal effects are currently under consideration by the European Food Safety Authority (6). The maternal, embryonic and foetal toxicity of FUM poisoning have been studied for decades. Collins
The sympathetic bone innervation pattern shows that sympathetic (TH) neurons make contact with various cell types, including osteoblasts, osteoclasts, hematopoietic cells and endothelial cells of blood vessels within the bone marrow
Additionally, detriment to bone integrity is caused by the alterations in bone non-collagenous protein composition caused by the function of osteoblasts becoming compromised because of alterations in the ChAT-positive neuronal network after prenatal FB exposure. These alterations translate into compromised mechanical and geometric properties, which have previously been described (26). The restricted availability of literature hinders a more comprehensive discussion of this aspect. Substance P has a significant impact on bone metabolism by promoting RANKL production by osteoblasts (29). The RANKL/RANK/OPG system is adversely affected by prenatal exposure to FUM (36, 37). The current study demonstrated a strong dose-dependent effect of FB on the SP-positive network, which is also involved in bone nociception, pain being felt differently in the case of bone fractures involving the periosteum, mechanical loading or bone tumours (21). The present study also focused on the CART network involving neuropeptides. These neuropeptide receptors have not yet been described; however, some data indicate that CART regulates bone resorption by enhancing RANKL (29). The present analysis included not only the neuronal network of bone tissue (compact and trabecular bone) with the periosteum but also the bone marrow, which is an important haematopoietic and lymphoid organ. The role of sympathetic innervation in myelopoiesis and platelet formation is well established and has an inhibitory effect opposite to that observed in haematopoiesis after parasympathetic stimulation. Substance P-positive nerves are also abundant in the bone marrow and influence blood flow, stem cell release, cytokine production and cell differentiation and proliferation of cells, indicating that this type of innervation plays a significant role in haematopoiesis (40). A previous study revealed changes in basal blood morphology (a fall in white blood cells and a rise in red blood cells) and a possible FB effect on haematopoietic cells in weaned rats prenatally exposed to the same doses of FB (38). Previous and current results have demonstrated the undeniable impact of FB on the processes involved in the production of various blood morphometric components. The findings of Tomaszewska
Nevertheless, pinpointing the primary causative factor for the observed alterations in bone innervation remains challenging. Specifically, it is unclear whether these effects stem from maternal toxicity or direct exposure to the embryo. Studies involving rodent models indicate that FUM can traverse the placenta during a specific embryonic period (ED 7.5–8.5) when the placenta is not fully developed (11). Effects during this period are considered direct impacts on the embryo, separate from maternal toxicity. Exposure at various stages may result in alterations in foetal tissue due to maternal toxicity. While the present study addressed this crucial period (albeit for 1.5 days) for direct effects and addressed the time when effects might be deemed indirect and due to maternal toxicity, further investigation is necessary. The study also has some limitations, such as the determination not having been made of FB in the livers of mothers and newborns or of the effects of fumonisins on sphingolipids in the mother and in the newborns.
This study unequivocally demonstrates neurotoxic effects following prenatal exposure to FB. Significant alterations in sympathetic, sensory and CART-positive fibres underscore the critical role of FB in modulating essential neuronal networks crucial for bone homeostasis. Although this study clearly establishes a dose-dependent effect of prenatal FB exposure on bone innervation in newborns, further research is essential to elucidate the underlying mechanisms and long-term implications of these changes, particularly at different doses not explored in this study.