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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2012.1217</article-id>
<article-id pub-id-type="publisher-id">ijmm-31-02-0307</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Forced mastication increases survival of adult neural stem cells in the hippocampal dentate gyrus</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>AKAZAWA</surname><given-names>YUKI</given-names></name><xref rid="af1-ijmm-31-02-0307" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>KITAMURA</surname><given-names>TAKAMASA</given-names></name><xref rid="af2-ijmm-31-02-0307" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>FUJIHARA</surname><given-names>YURI</given-names></name><xref rid="af1-ijmm-31-02-0307" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>YOSHIMURA</surname><given-names>YOSHITAKA</given-names></name><xref rid="af3-ijmm-31-02-0307" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>MITOME</surname><given-names>MASATO</given-names></name><xref rid="af1-ijmm-31-02-0307" ref-type="aff"><sup>1</sup></xref><xref rid="af2-ijmm-31-02-0307" ref-type="aff"><sup>2</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>HASEGAWA</surname><given-names>TOMOKAZU</given-names></name><xref rid="af1-ijmm-31-02-0307" ref-type="aff"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-ijmm-31-02-0307"/></contrib></contrib-group>
<aff id="af1-ijmm-31-02-0307">
<label>1</label>Department of Pediatric Dentistry, Tokushima University Hospital; Tokushima 770-8504;</aff>
<aff id="af2-ijmm-31-02-0307">
<label>2</label>Department of Pediatric Dentistry, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima 770-8504;</aff>
<aff id="af3-ijmm-31-02-0307">
<label>3</label>Department of Molecular Cell Pharmacology, Division of Oral Pathological Science, Hokkaido University Graduate School of Dental Medicine, Sapporo 060-8586, 
<country>Japan</country></aff>
<author-notes>
<corresp id="c1-ijmm-31-02-0307">Correspondence to: Dr Tomokazu Hasegawa, Department of Pediatric Dentistry, Tokushima University Hospital, 3-18-15 Kuramoto, Tokushima 770-8504, Japan, E-mail: <email>hasegawa@dent.tokushima-u.ac.jp</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>2</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>12</month>
<year>2012</year></pub-date>
<volume>31</volume>
<issue>2</issue>
<fpage>307</fpage>
<lpage>314</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>09</month>
<year>2012</year></date>
<date date-type="accepted">
<day>12</day>
<month>11</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>In this study, we examined the effect of forced mastication on neurogenesis in the hippocampal dentate gyrus (DG) of adult mice. Six-week-old mice were subjected to either a hard or normal diet for 13 weeks. They received a daily injection of bromodeoxyuridine (BrdU) for 12 consecutive days beginning at 14 weeks of age. The number of BrdU-positive cells in the DG was counted 1 day after and 5 weeks after the final BrdU injection. The number of BrdU-positive cells 1 day after injection did not differ between the 2 diet groups. However, the number of BrdU-positive cells in the group fed the hard diet was significantly increased 5 weeks after BrdU injection compared to the group fed the normal diet. The results of the Morris water maze test showed that mice fed a hard diet required significantly less time to reach the platform than the control mice when tested at 10 days. Moreover, mice in the group fed the hard diet spent significantly more time in the former platform area than the group fed the normal diet, indicating that hard diet feeding improved spatial memory compared to normal diet feeding. Real-time PCR analysis showed that the expression of glutamate receptor 1 mRNA was significantly increased in the group fed the hard diet compared with the group fed the normal diet. These results suggest that mastication increases the survival of adult neural stem cells in the hippocampal DG.</p></abstract>
<kwd-group>
<kwd>induced mastication</kwd>
<kwd>neural stem cell</kwd>
<kwd>survival</kwd>
<kwd>proliferation</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The generation of neurons in the mammalian central nervous system (CNS) was traditionally believed to end by early postnatal life. However, it has been shown that the adult mammalian brain contains self-renewable, multipotent neural stem cells (NSCs) that are responsible for neurogenesis and plasticity in specific regions of the adult brain (<xref ref-type="bibr" rid="b1-ijmm-31-02-0307">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-31-02-0307">2</xref>). In the hippocampus, newly generated neurons originate from stem cells in the subgranular zone of the dentate gyrus (DG), and neurogenesis continues throughout adult life (<xref ref-type="bibr" rid="b3-ijmm-31-02-0307">3</xref>,<xref ref-type="bibr" rid="b4-ijmm-31-02-0307">4</xref>). Although the mechanisms by which neurons are generated from stem cells are not yet well known, studies have indicated that the number of newly generated hippocampal neurons in adults is influenced specifically by enriched environments, learning, and voluntary exercise (<xref ref-type="bibr" rid="b5-ijmm-31-02-0307">5</xref>,<xref ref-type="bibr" rid="b6-ijmm-31-02-0307">6</xref>).</p>
<p>Mastication is a behavior that is closely related with CNS activities. Chewing causes regional increases in cerebral blood flow and neuronal activity in the human brain (<xref ref-type="bibr" rid="b7-ijmm-31-02-0307">7</xref>,<xref ref-type="bibr" rid="b8-ijmm-31-02-0307">8</xref>). By contrast, it has been shown that reduced mastication and occlusal disharmony impair spatial memory and promote the degeneration of hippocampal neurons (<xref ref-type="bibr" rid="b9-ijmm-31-02-0307">9</xref>,<xref ref-type="bibr" rid="b10-ijmm-31-02-0307">10</xref>). We, as well as others, have also previously demonstrated that reducing mastication by feeding mice a soft diet inhibits the survival of newly generated neurons in the DG (<xref ref-type="bibr" rid="b11-ijmm-31-02-0307">11</xref>,<xref ref-type="bibr" rid="b12-ijmm-31-02-0307">12</xref>). However, it remains unknown whether the induction of mastication affects the differentiation, proliferation, or survival of newly generated cells in the adult DG. In this study, we aimed to investigate the effects of forced mastication by hard diet feeding on the differentiation and survival of NSCs in the adult DG.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Animals</title>
<p>Six-week-old C57BL/6 mice were housed in standard cages. Room conditions were kept at a 12:12-h light/dark cycle and an ambient temperature of 22&#x000B1;2&#x000B0;C. Animals were allowed free access to food and water. All animal procedures were performed in accordance with the guidelines for the Care and Use of Laboratory Animals of Tokushima University Graduate School of Dentistry.</p></sec>
<sec>
<title>Diet</title>
<p>Mice were fed a standard laboratory diet, MF (Oriental Yeast, Tokyo, Japan). To create a hard diet, MF chow was autoclaved. The hardness of the MF chow was significantly increased by 1.5-fold by autoclave treatment (<xref rid="f1-ijmm-31-02-0307" ref-type="fig">Fig. 1</xref>). Therefore, autoclaved normal diet chow was used as the hard diet to enforce mastication in this study.</p></sec>
<sec>
<title>Experimental conditions</title>
<p>The time schedule of this experiment is shown in <xref rid="f2-ijmm-31-02-0307" ref-type="fig">Fig. 2</xref>. At 6 post-natal weeks, the animals were placed in standard cages (4 or 5 animals/cage). Control mice were allowed free access to the standard pellet (<xref rid="f2-ijmm-31-02-0307" ref-type="fig">Fig. 2A</xref>). Mice in the experimental group were given free access to a hard diet (autoclaved normal diet) (<xref rid="f2-ijmm-31-02-0307" ref-type="fig">Fig. 2B</xref>). The animals were maintained in each experimental condition for 8 weeks and then received bromodeoxyuridine (BrdU; Sigma-Aldrich, St. Louis, MO, USA) injections (50 mg/g body weight) intraperitoneally once a day for 12 consecutive days. One day after the last BrdU injection, half the mice in each group were given an overdose of anesthetic and perfused transcardially with cold 4&#x00025; paraformaldehyde in 0.1 M phosphate-buffered saline (PBS) (<xref ref-type="bibr" rid="b11-ijmm-31-02-0307">11</xref>). The remaining animals in each group were kept in their respective experimental conditions for 5 additional weeks and were perfused in a similar manner.</p></sec>
<sec>
<title>Body weight measurement</title>
<p>Throughout the experiment, the nutritional status of the mice was monitored by weighing the mice regularly once a week until the day of sacrifice.</p></sec>
<sec>
<title>Immunohistochemistry</title>
<p>Mice were sacrificed and perfused transcardially with cold 4&#x00025; paraformaldehyde in 0.1 M PBS as previously described (<xref ref-type="bibr" rid="b11-ijmm-31-02-0307">11</xref>). The brains were removed from the skulls and immersed in the same fixative for 5 h at 4&#x000B0;C with constant rotation followed by washing with PBS overnight at 4&#x000B0;C. Coronal 50-<italic>&#x003BC;</italic>m hippocampal sections were made using a vibratome and stored at &#x02212;10&#x000B0;C in cryoprotectant reagent (30&#x00025; sucrose, 30&#x00025; ethylene glycol and 0.25 mM polyvinylpyrrolidone in PBS) (<xref ref-type="bibr" rid="b11-ijmm-31-02-0307">11</xref>). Vibratome sections were rinsed in 1X Tris-buffered saline (TBS), blocked with 10&#x00025; normal goat serum (NGS), 1X Triton X-100 in TBS for 1 h, followed by incubation with primary antibodies overnight. The following primary antibodies were used: mouse monoclonal antibodies against neuronal nuclei (NeuN; 1:1,000; Millipore) and neuronal nitric oxide synthase (nNOS; 1:1,000; Santa Cruz Biotechnology, Inc.), rat-monoclonal antibodies against BrdU (1:20; Funakoshi), rabbit-polyclonal antibodies for c-Fos (1:10,000; Santa Cruz Biotechnology, Inc.). For evaluation of the changes in neural proliferation and survival in the DG, the BrdU <italic>in vivo</italic> labeling protocol was used. BrdU is incorporated only in the cells that are dividing and is integrated in the synthesized DNA enabling them to be detected immunohistochemically. The free-floating brain slices were initially treated with denatured solution (12 N HCl &#x0002B; 1X TBS) and incubated for 30 min at 37&#x000B0;C. After washing in TBS, the sections were incubated for 1 h at room temperature with the appropriate secondary antibodies: anti-mouse Alexa 594 (1:1,000) and anti-rabbit Alexa 488 (1:1,000). Finally, nuclei were stained with 4&#x02032;,6-diamidino-2-phenylindole (DAPI). Slices were mounted, coverslipped in ProLong<sup>&#x000AE;</sup> antifade reagent (Invitrogen Life Technologies, Carlsbad, CA, USA) and examined under an epifluorescence microscope.</p></sec>
<sec>
<title>Volume measurement of the granular cell layer of the DG</title>
<p>Brain slices stained with anti-NeuN antibody were examined and images of the 12 sections were acquired using an epifluorescence microscope. To calculate the DG volume, the area of the granular cell layer was measured using ImageJ software and multiplied by the thickness of the sections (50 <italic>&#x003BC;</italic>m) according to Cavalieri&#x02019;s principle (<xref ref-type="bibr" rid="b13-ijmm-31-02-0307">13</xref>).</p></sec>
<sec>
<title>Cell count</title>
<p>The DG was examined under a conventional epifluorescence microscope after the slices were immunohistochemically treated with specific antibodies. A total of 60 slices of 50-<italic>&#x003BC;</italic>m coronal sections were originally stored in 5 separated tubes containing 12 slices in each tube. Sections from every 200 <italic>&#x003BC;</italic>m across the whole hippocampus were selected (12 sections from anterior to posterior). BrdU, c-Fos and nNOS labeled cells were manually counted in each section by a blinded observer. A &#x000D7;20 objective lens was used for all counting (<xref ref-type="bibr" rid="b11-ijmm-31-02-0307">11</xref>). The labeled cells within the DG were examined for both the group fed the normal diet and the group fed the hard diet.</p></sec>
<sec>
<title>Morris water maze</title>
<p>The Morris water maze task was preformed to test spatial learning. The task used a circular pool filled with water containing white ink. A platform was placed in the pool so that it was invisible at water level. The experiment was carried out after the 5 weeks following BrdU injection. Tasks were conducted between 09:00 and 15:00 during the light cycle. After training, mice underwent 3 trials/day for 10 consecutive days. During testing, mice were required to locate the platform, and escape latency time was recorded. Once mice located the platform, they were permitted to remain on it for 10 sec. If mice did not locate the platform within 90 sec, they were placed on the platform for 10 sec and then removed from the pool, as previously described (<xref ref-type="bibr" rid="b14-ijmm-31-02-0307">14</xref>,<xref ref-type="bibr" rid="b15-ijmm-31-02-0307">15</xref>).</p></sec>
<sec>
<title>Probe test</title>
<p>Mice were trained in the water maze as described above and then were subjected to a probe test. Each mouse was subjected to a probe test immediately after the final training trial on the 10th day. Before beginning the probe test, the platform was removed from the pool. Mice were released from the quadrant opposite to the previous platform quadrant, and the swimming was tracked for 90 sec, as previously described (<xref ref-type="bibr" rid="b16-ijmm-31-02-0307">16</xref>,<xref ref-type="bibr" rid="b17-ijmm-31-02-0307">17</xref>).</p></sec>
<sec>
<title>Real-time PCR</title>
<p>Total RNA was isolated from 21-week-old mice. Mice were sacrificed by an overdose of anesthetic and the hippocampus was dissected in RNAlater (Sigma). Total RNA of hippocampal cells was isolated using the TRIzol reagent (Invitrogen Life Technologies) according to the manufacturer&#x02019;s instructions. RNA (1 <italic>&#x003BC;</italic>g) was reverse- transcribed to first-strand cDNA using a PrimeScript&#x02122; RT reagent kit (Takara Bio, Inc., Shiga, Japan) according to the manufacturer&#x02019;s instructions. A Thermal Cycler Dice real-time system (Takara Bio, Inc.) was used for real-time PCR (<xref ref-type="bibr" rid="b18-ijmm-31-02-0307">18</xref>&#x02013;<xref ref-type="bibr" rid="b20-ijmm-31-02-0307">20</xref>). The cDNAs were amplified with SYBR<sup>&#x000AE;</sup> Premix Ex Taq and specific primer pairs for fibroblast growth factor (FGF)-1 (<xref ref-type="bibr" rid="b21-ijmm-31-02-0307">21</xref>), FGF-2 (<xref ref-type="bibr" rid="b22-ijmm-31-02-0307">22</xref>), epidermal growth factor (EGF) (<xref ref-type="bibr" rid="b23-ijmm-31-02-0307">23</xref>), vascular endothelial growth factor (VEGF) (<xref ref-type="bibr" rid="b24-ijmm-31-02-0307">24</xref>,<xref ref-type="bibr" rid="b25-ijmm-31-02-0307">25</xref>), insulin-like growth factor-1 (IGF-1) (<xref ref-type="bibr" rid="b26-ijmm-31-02-0307">26</xref>), nerve growth factor (NGF), neurotrophin-3 (NT-3), brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotrophic factor (GDNF), neuropeptide Y, &#x003B2;-tubulin III, 2&#x02032;,3&#x02032;-cyclic-nucleotide phosphodiesterase (CNPase), microtubule-associated protein 2 (Map2), glial fibrillary acidic protein (GFAP), nestin, glutamate receptor 1 (GluR1) (<xref ref-type="bibr" rid="b27-ijmm-31-02-0307">27</xref>), glutamate receptor 2 (GluR2) (<xref ref-type="bibr" rid="b27-ijmm-31-02-0307">27</xref>), glutamate receptor 3 (GluR3) (<xref ref-type="bibr" rid="b27-ijmm-31-02-0307">27</xref>), glutamate receptor 4 (GluR4) (<xref ref-type="bibr" rid="b27-ijmm-31-02-0307">27</xref>), N-methyl D-aspartate receptor subtype 2B (NR2B) (<xref ref-type="bibr" rid="b28-ijmm-31-02-0307">28</xref>) and glyceraldehyde 3-phosphate dehydrogenase (GAPDH). Primers for NGF, NT-3, GDNF, &#x003B2;-tubulin III, CNPase, Map2, GFAP, nestin and GAPDH were designed with Perfect Real-Time Primer Design software (Takara Bio, Inc.). The primers used in this study are listed in <xref rid="t1-ijmm-31-02-0307" ref-type="table">Table I</xref>. The PCR conditions were as follows: 10 sec at 95&#x000B0;C, followed by 40 cycles of 95&#x000B0;C for 5 sec and 60&#x000B0;C for 30 sec, and finally, 15 sec at 95&#x000B0;C and 30 sec at 60&#x000B0;C.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The results are presented as the means &#x000B1; SEM. For statistical analysis of the results, the Student&#x02019;s t-test and ANOVA (Scheffe&#x02019;s post hoc test) were used to compare the group fed the normal diet with the group fed the hard diet.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of different food textures on mouse growth and dietary intake</title>
<p>Mice fed a normal diet between the ages of 6 and 20 weeks showed a significant difference in body weight compared to the mice fed a hard diet at 11 weeks (<xref rid="f3-ijmm-31-02-0307" ref-type="fig">Fig. 3A</xref>) (P&#x0003C;0.01). However, at all other time-points, the difference in body weight between the groups was not statistically significant. Similarly, the amount of food intake between the group fed the normal diet and the group fed the hard diet showed no significant differences (<xref rid="f3-ijmm-31-02-0307" ref-type="fig">Fig. 3B</xref>).</p></sec>
<sec>
<title>Proliferation of newly generated cells in the DG</title>
<p>Representative images of BrdU-positive cells in the hippocampus 1 day after the BrdU injection are shown in <xref rid="f4-ijmm-31-02-0307" ref-type="fig">Fig. 4</xref> for the group fed the normal diet (<xref rid="f4-ijmm-31-02-0307" ref-type="fig">Fig. 4A</xref>) and group fed the hard diet (<xref rid="f4-ijmm-31-02-0307" ref-type="fig">Fig. 4B</xref>). The number of BrdU-positive cells in the DG 1 day after the BrdU injection was not significantly different between the groups (<xref rid="f4-ijmm-31-02-0307" ref-type="fig">Fig. 4C</xref>).</p></sec>
<sec>
<title>Survival of newly generated cells in the DG</title>
<p>Representative images of BrdU-positive cells in the hippocampus 5 weeks after BrdU injections are shown for the group fed the normal diet (<xref rid="f5-ijmm-31-02-0307" ref-type="fig">Fig. 5A</xref>) and the group fed the hard diet (<xref rid="f5-ijmm-31-02-0307" ref-type="fig">Fig. 5B</xref>). There was a significantly larger number of BrdU-positive cells in the group fed the hard diet compared to the group fed the normal diet 5 weeks after BrdU injection (P&#x0003C;0.001) (<xref rid="f5-ijmm-31-02-0307" ref-type="fig">Fig. 5C</xref>).</p></sec>
<sec>
<title>Hippocampal volume in mice fed the hard or normal diet</title>
<p>As shown in <xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6A</xref>, the hippocampal volume of the mice fed the hard diet was significantly larger than the hippocampal volume of the mice fed the normal diet when measured 5 weeks after BrdU injection (P&#x0003C;0.05).</p></sec>
<sec>
<title>Immunostaining of c-Fos and nNOS in the DG</title>
<p>The number of c-Fos-positive cells in the group fed the hard diet was greater than that in the group fed the normal diet 5 weeks after BrdU injection (<xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6B</xref>) (P&#x0003C;0.05). Similarly, the number of nNOS-positive cells in the DG was significantly increased in the group fed the hard diet compared to the group fed the normal diet 5 weeks after BrdU injection (<xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6C</xref>) (P&#x0003C;0.01).</p></sec>
<sec>
<title>Water maze experiment</title>
<p>The results of the Morris water maze experiment are shown in <xref rid="f7-ijmm-31-02-0307" ref-type="fig">Fig. 7</xref>. The escape latency in each group decreased as the number of trials progressed. No significant difference in the escape latency was found between the group fed the hard diet and the group fed the normal diet from day 1 to 9 (<xref rid="f7-ijmm-31-02-0307" ref-type="fig">Fig. 7A</xref>). Ten days after the beginning of the experiment, we observed a significant difference between the groups (<xref rid="f7-ijmm-31-02-0307" ref-type="fig">Fig. 7A</xref>) (P&#x0003C;0.005). The results of the water maze probe test are shown in <xref rid="f7-ijmm-31-02-0307" ref-type="fig">Fig. 7B</xref>. After 10 days of water maze experiments, the probe test was performed. When mice fed the hard diet were allowed to search for the platform, the period during which the mice focally searched around the former platform location was significantly longer than searches in other locations (P&#x0003C;0.01). By contrast, when mice fed the normal diet were subjected to the probe test, the only difference observed in their searches was between the time spent around the former platform location and the left side of the arena (P&#x0003C;0.05).</p></sec>
<sec>
<title>Effect of hard diet feeding on mRNA expression of growth factors, neurotrophic factors, NSC markers and receptors in the hippocampus</title>
<p>As is shown in <xref rid="f8-ijmm-31-02-0307" ref-type="fig">Fig. 8</xref>, we analyzed the mRNA expression of growth factors, neurotrophic factors, NSC markers and receptors in the hippocampus between the group fed the hard diet and the group fed the normal diet at the end of the experiment. Real-time PCR analysis revealed that the mRNA expression of the growth factors, FGF-1, FGF-2, EGF, VEGF and IGF-1, was not affected by food texture (<xref rid="f8-ijmm-31-02-0307" ref-type="fig">Fig. 8A</xref>). In addition, the expression of neurotrophic factors (NGF, NT-3, BDNF, GDNF and neuropeptide Y) (<xref rid="f8-ijmm-31-02-0307" ref-type="fig">Fig. 8B</xref>) and NSC markers (&#x003B2;-tubulin III, CNPase, Map2, GFAP and nestin) (<xref rid="f8-ijmm-31-02-0307" ref-type="fig">Fig. 8C</xref>) did not differ between the group fed the hard diet and the group fed the normal diet. While the expression of the receptors, GluR2, GluR3, GluR4 and NR2B (<xref rid="f8-ijmm-31-02-0307" ref-type="fig">Fig. 8D</xref>), was not affected by food texture, GluR1 mRNA expression was significantly increased in the group fed the hard diet (P&#x0003C;0.01).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>To date, information as to how enforced mastication regulates NSC proliferation and survival in the hippocampus is lacking. To the best of our knowledge, this is the first report to demonstrate that the NSC survival in the hippocampus is increased and spatial memory is improved by forced mastication.</p>
<p>In this study, the normal diet was autoclaved to increase its hardness and thus force the mice to chew. With respect to body weight and food intake (<xref rid="f3-ijmm-31-02-0307" ref-type="fig">Fig. 3</xref>), the growth of the mice was not affected by the autoclaved diet. Therefore, we inferred that the major nutritional components were not markedly different between the normal and the autoclaved normal diet.</p>
<p>We assessed the proliferation of subgranular progenitor cells in the DG of adult mice immediately after consecutive injections of BrdU. We observed that neither the hard diet nor the normal diet caused a change in the number of BrdU-positive cells (<xref rid="f4-ijmm-31-02-0307" ref-type="fig">Fig. 4</xref>). These results indicated that the enforced mastication had no effect on the proliferation of progenitor cells as evaluated by BrdU labeling. Five weeks after the BrdU injections, a decrease in the number of BrdU-positive cells was observed not only in the group fed the normal diet but also in the group fed the hard diet (<xref rid="f5-ijmm-31-02-0307" ref-type="fig">Fig. 5</xref>). However, we found that the number of surviving BrdU-positive cells was significantly increased in the group fed the hard diet compared to the group fed the normal diet (<xref rid="f5-ijmm-31-02-0307" ref-type="fig">Fig. 5C</xref>). Therefore, these data suggest that forced mastication in the group fed the hard diet increased the survival rate of the newly generated cells in the DG.</p>
<p>Hippocampal volume in mice fed the hard diet was significantly increased compared to the mice fed the normal diet (<xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6A</xref>). Since a number of studies have shown that hippocampal volume affects memory functions (<xref ref-type="bibr" rid="b29-ijmm-31-02-0307">29</xref>), forced mastication due to a hard diet may be able to indirectly improve memory. For an assessment of neural activity after forced mastication, the expression of c-Fos in the DG of the group fed the hard diet and the group fed the normal diet was evaluated. It has been shown that the immunostaining of c-Fos is expressed in an activity-dependent manner and has been used as a marker for activated neurons in the DG (<xref ref-type="bibr" rid="b30-ijmm-31-02-0307">30</xref>,<xref ref-type="bibr" rid="b31-ijmm-31-02-0307">31</xref>). In this study, since c-Fos levels in the DG of the mice fed the hard diet significantly increased compared with the mice fed the normal diet (<xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6B</xref>), mastication does indeed appear to influence neural activity in the DG.</p>
<p>Nitric oxide (NO) is an intercellular signaling molecule that is involved in several physiological processes (<xref ref-type="bibr" rid="b32-ijmm-31-02-0307">32</xref>,<xref ref-type="bibr" rid="b33-ijmm-31-02-0307">33</xref>). At least 3 isoforms of NO synthase (NOS) have been identified in the CNS, including endothelial (eNOS), neuronal (nNOS) and inducible (iNOS) forms (<xref ref-type="bibr" rid="b32-ijmm-31-02-0307">32</xref>,<xref ref-type="bibr" rid="b33-ijmm-31-02-0307">33</xref>). It has been reported that nNOS-knockout increases the survival rate of neuronal cells in the hippocampus (<xref ref-type="bibr" rid="b34-ijmm-31-02-0307">34</xref>). However, our results showed that the number of nNOS-positive cells in the mice fed the hard diet was significantly increased (<xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6C</xref>), and that the number of BrdU-positive cells in the DG of the group fed the hard diet was greater than that in the group fed the normal diet (<xref rid="f5-ijmm-31-02-0307" ref-type="fig">Fig. 5C</xref>). Therefore, the survival of newborn cells during adult neurogenesis in the DG may depend upon other mechanisms in addition to nNOS signaling. For example, sensory-motor information taken from the oral cavity may reach the hippocampus, consequently affecting the neurogenesis rate. Another possibility is that the muscular contractions involved in mastication may increase cerebral blood flow, allowing an increase in the entry of growth factors into the DG that could affect the rate of neurogenesis.</p>
<p>The Morris water maze test was used to examine the effect of induced mastication on spatial learning ability, as previously described (<xref ref-type="bibr" rid="b35-ijmm-31-02-0307">35</xref>). Although the group fed the hard diet showed a significant decrease in escape latency only at 10 days compared with the group fed the normal diet (<xref rid="f7-ijmm-31-02-0307" ref-type="fig">Fig. 7A</xref>) (P&#x0003C;0.005), the latency on the probe test after 10 days differed between the group fed the hard diet and the group fed the normal diet (<xref rid="f7-ijmm-31-02-0307" ref-type="fig">Fig. 7B</xref>). This finding indicated that the group fed the hard diet spent significantly more time in the former location of the platform compared to all other locations. For this reason, we suggest that forced mastication can improve spatial learning ability.</p>
<p>We also assessed the effect of a hard diet on the mRNA expression of various growth factors, neurotrophic factors, neuronal stem cell markers, and receptors in the hippocampus by real-time PCR. Although several factors were examined, we observed a small but significant increase in the expression of GluR1 mRNA in the group fed the hard diet compared with the group fed the normal diet (P&#x0003C;0.01). GluRs are synaptic receptors located primarily on the membranes of neuronal cells (<xref ref-type="bibr" rid="b36-ijmm-31-02-0307">36</xref>). One of the major functions of GluRs appears to be the modulation of synaptic plasticity, memory and learning (<xref ref-type="bibr" rid="b36-ijmm-31-02-0307">36</xref>). Therefore, these changes in the group fed the hard diet may be attributed to the slight increase in GluR1 mRNA expression in the hippocampus (<xref rid="f8-ijmm-31-02-0307" ref-type="fig">Fig. 8D</xref>), as well as in hippocampal volume (<xref rid="f6-ijmm-31-02-0307" ref-type="fig">Fig. 6A</xref>) compared with the group fed the normal diet. However, since these results may be sensitive to the timing of experimentation, further experiments may be required to detect the critical periods of mRNA expression in the hippocampus.</p>
<p>In conclusion, forced mastication alters the survival rate and NSC activity in the DG. In addition, spatial memory was improved in the group fed the hard diet compared to the group fed the normal diet. These results suggest that mastication caused by daily food texture may improve or accelerate the recovery of spatial memory functions in the hippocampus, preventing senile dementia.</p></sec></body>
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<ack>
<p>This study was supported in part by the Grants-in-Aid for Scientific Research (no. 21390548 to M.M. and no. 22592296 to T.H.) from the Ministry of Education, Culture, Sports, Science and Technology of Japan (2010&#x02013;2014).</p></ack>
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<sec sec-type="display-objects">
<title>Figures and Table</title>
<fig id="f1-ijmm-31-02-0307" position="float">
<label>Figure 1.</label>
<caption>
<p>Hardness of normal diet (MF chow) and hard diet (autoclaved MF chow). The hardness of the diet used in this study is expressed as compressive strength (MPa). Autoclaved MF chow was significantly harder than untreated MF chow. Data represent the means &#x000B1; SEM; <sup>&#x0002A;</sup>P&#x0003C;0.01 indicates a statistically significant difference.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g00.tif"/></fig>
<fig id="f2-ijmm-31-02-0307" position="float">
<label>Figure 2.</label>
<caption>
<p>Time schedule of the experiment. Six-week-old mice were used in this study. Mice fed either (A) the normal diet or (B) the hard diet were maintained for 8 weeks and then injected with BrdU for 12 consecutive days. One day after the final BrdU injection, half the mice were perfused. The remaining animals in each group were maintained for 5 weeks and then perfused.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g01.tif"/></fig>
<fig id="f3-ijmm-31-02-0307" position="float">
<label>Figure 3.</label>
<caption>
<p>Weekly body weight and food intake of mice. (A) The change in body weight between the groups was not significantly different except when the mice reached 10 weeks of age. (A) However, body weight was only slightly different between the groups when the mice reached 10 weeks of age. (B) The amount of food intake between the groups was not significantly different. Data are presented as the means &#x000B1; SEM; <sup>&#x0002A;</sup>P&#x0003C;0.01 indicates a statistically significant difference.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g02.tif"/></fig>
<fig id="f4-ijmm-31-02-0307" position="float">
<label>Figure 4.</label>
<caption>
<p>Cell proliferation in the DG of mice 1 day after the final BrdU injection. Representative images of cells labeled with BrdU in the DG of mice fed (A) the normal diet and (B) the hard diet. (C) The number of BrdU-positive cells was not significantly different between the groups. Data are presented as the means &#x000B1; SEM. Red, BrdU; green, NeuN; bar, 250 <italic>&#x003BC;</italic>m.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g03.tif"/></fig>
<fig id="f5-ijmm-31-02-0307" position="float">
<label>Figure 5.</label>
<caption>
<p>Cell survival in the DG of mice 5 weeks after the final injection of BrdU. Representative images of cells labeled with BrdU in the DG of mice fed (A) the normal diet and (B) the hard diet. (C) The number of BrdU-positive cells in the group fed the hard diet was significantly larger than the group fed the normal diet. Data represent the means &#x000B1; SEM; <sup>&#x0002A;</sup>P&#x0003C;0.001 indicates a statistically significant difference. Red, BrdU; blue, DAPI; bar, 250 <italic>&#x003BC;</italic>m.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g04.tif"/></fig>
<fig id="f6-ijmm-31-02-0307" position="float">
<label>Figure 6.</label>
<caption>
<p>Hippocampal volume, c-Fos-positive cells, and nNOS-positive cells in the DG of mice 5 weeks after the final injection of BrdU. (A) Hippocampal volume in mice fed either the normal or the hard diet was evaluated. (B and C) The number of c-Fos-positive and nNOS-positive cells was determined via immunostaining. Data represent the means &#x000B1; SEM; (A and B) <sup>&#x0002A;</sup>P&#x0003C;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01 indicates a statistically significant difference.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g05.tif"/></fig>
<fig id="f7-ijmm-31-02-0307" position="float">
<label>Figure 7.</label>
<caption>
<p>Spatial learning in the Morris water maze test. (A) Results are expressed as the means &#x000B1; SEM from 3 trials/day. (B) Results of the probe test. (A) <sup>&#x0002A;</sup>P&#x0003C;0.05 and (B) <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01 indicates a statistically significant difference.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g06.tif"/></fig>
<fig id="f8-ijmm-31-02-0307" position="float">
<label>Figure 8.</label>
<caption>
<p>Gene expression analysis in the hippocampus by real-time PCR. mRNA expression of (A) growth factors, (B) neurotrophic factors, (C) neural stem cell markers and (D) receptors were evaluated 5 weeks after the final BrdU injection. Control values from mice fed the normal diet were normalized to 100&#x00025;. Data represent the means &#x000B1; SEM; <sup>&#x0002A;</sup>P&#x0003C;0.01 indicates a statistically significant difference.</p></caption>
<graphic xlink:href="IJMM-31-02-0307-g07.tif"/></fig>
<table-wrap id="t1-ijmm-31-02-0307" position="float">
<label>Table I.</label>
<caption>
<p>Primer list for real-time PCR (5&#x02032;&#x02192;3&#x02032;).</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Genes</th>
<th align="center" valign="middle">Primer sequences</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="2">GAPDH</td>
<td align="left" valign="top">F: AACTTTGGCATTGTGGAAGG</td></tr>
<tr>
<td align="left" valign="top">R: ACACATTGGGGGTAGGAACA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">FGF-1</td>
<td align="left" valign="top">F: AGAGTACCGAGACTGGCCAGTAC</td></tr>
<tr>
<td align="left" valign="top">R: TCTGGCCATAGTGAGTCCGAG</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">FGF-2</td>
<td align="left" valign="top">F: CCAACCGGTACCTTGCTATG</td></tr>
<tr>
<td align="left" valign="top">R: TATGGCCTTCTGTCCAGGTC</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">EGF</td>
<td align="left" valign="top">F: ACGGTTTGCCTCTTTTCCTT</td></tr>
<tr>
<td align="left" valign="top">R: GTTCCAAGCGTTCCTGAGAG</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">VEGF</td>
<td align="left" valign="top">F: GGAGATCCTTCGAGGAGCACTT</td></tr>
<tr>
<td align="left" valign="top">R: GGCGATTTAGCAGCAGATATAAGAA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">IGF-1</td>
<td align="left" valign="top">F: GTGTGGACCGAGGGGCTTTTACTTC</td></tr>
<tr>
<td align="left" valign="top">R: GCTTCAGTGGGGCACAGTACATCTC</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">NGF</td>
<td align="left" valign="top">F: CAGACCCGCAACATCACTGTA</td></tr>
<tr>
<td align="left" valign="top">R: CCATGGGCCTGGAAGTCTAG</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">NT-3</td>
<td align="left" valign="top">F: CATTCGGGGACACCAGGTC</td></tr>
<tr>
<td align="left" valign="top">R: TTTGCACTGAGAGTTCCAGTGTTT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">BDNF</td>
<td align="left" valign="top">F: GGTATCCAAAGGCCAACTGA</td></tr>
<tr>
<td align="left" valign="top">R: CTTATGAATCGCCAGCCAAT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GDNF</td>
<td align="left" valign="top">F: ACCCGCTTCCATAAGGCTTTA</td></tr>
<tr>
<td align="left" valign="top">R: CAGCCTTGTGCCGAAAGAC</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">Neuropeptide Y</td>
<td align="left" valign="top">F: GCAGAGGACATGGCCAGATAC</td></tr>
<tr>
<td align="left" valign="top">R: TGGATCTCTTGCCATATCTCTGTCT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">&#x003B2;-tubulin III</td>
<td align="left" valign="top">F: GGGCATTCCAACCTT</td></tr>
<tr>
<td align="left" valign="top">R: AGCTCGGCGCCCTCTGTGTAGT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">CNPase</td>
<td align="left" valign="top">F: CCTTAGCAACAGCCGAGTGGATA</td></tr>
<tr>
<td align="left" valign="top">R: GTTCCCAGATCACAAGCCAACA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">Map2</td>
<td align="left" valign="top">F: AATAGACCTAAGCCATGTGACATCC</td></tr>
<tr>
<td align="left" valign="top">R: AGAACCAACTTTAGCTTGGGCC</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GFAP</td>
<td align="left" valign="top">F: GTACCAGGACCTGCTCAATG</td></tr>
<tr>
<td align="left" valign="top">R: TGTGCTCCTGCTTGGACTCCTT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">Nestin</td>
<td align="left" valign="top">F: CTCCAAGAATGGAGGCTGTAGGAA</td></tr>
<tr>
<td align="left" valign="top">R: CCTATGAGATGGAGCAGGCAAGA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GluR1</td>
<td align="left" valign="top">F: ATGCTGGTTGCCTTAATCGAG</td></tr>
<tr>
<td align="left" valign="top">R: ATTGATGGATTGCTGTGGGAT</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GluR2</td>
<td align="left" valign="top">F: TTGAGTTCTGTTACAAGTCAAGGGC</td></tr>
<tr>
<td align="left" valign="top">R: AGGAAGATGGGTTAATATTCTGTGGA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GluR3</td>
<td align="left" valign="top">F: AACGCCTGTAAACCTTGCAGT</td></tr>
<tr>
<td align="left" valign="top">R: AGTCCTTGGCTCCACATTCC</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">GluR4</td>
<td align="left" valign="top">F: CCAGGGCAGAGGCGAAG</td></tr>
<tr>
<td align="left" valign="top">R: CGTTTTCTCCCACACTCCCA</td></tr>
<tr>
<td align="left" valign="top" rowspan="2">NR2B</td>
<td align="left" valign="top">F: TCCGCCGTGAGTCTTCTGTCTATG</td></tr>
<tr>
<td align="left" valign="top">R: CTGGGTGGTAAAGGGTGGGTTGTC</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-31-02-0307">
<p>F, forward; R, reverse.</p></fn></table-wrap-foot></table-wrap></sec></back></article>
