Pomegranate Juice For Moms May Help Babies Resist Brain Injury

<http://www.sciencedaily.com/releases/2005/07/050701062536.htm>http://www.sciencedaily.com/releases/2005/07/050701062536.htm

ScienceDaily (July 1, 2005) ­ St. Louis, June 28, 
2005 -- Expectant mothers at risk of premature 
birth may want to consider drinking pomegranate 
juice to help their babies resist brain injuries 
from low oxygen and reduced blood flow, a new 
mouse study from Washington University School of 
Medicine in St. Louis suggests.

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See also:
Health & Medicine
    * Birth Defects
    * Infant's Health
Mind & Brain
    * Brain Injury
    * Child Development
Plants & Animals
    * Mice
    * Biology
Reference
    * Brain damage
    * Encephalopathy
    * Premature birth
    * Excitotoxicity and cell damage

In humans, decreased blood flow and oxygen to the 
infant brain is linked to premature birth and 
other irregularities during pregnancy, birth and 
early development. The phenomenon, which is 
called hypoxia ischemia, causes brain injury in 
approximately 2 of every 1,000 full-term human 
births and in a very high percentage of babies 
born before 34 weeks of gestation. Hypoxic 
ischemic brain injury can lead to seizures, a 
degenerative condition known as hypoxic ischemic 
encephalopathy, and mobility impairments including cerebral palsy.

When scientists temporarily lowered brain oxygen 
levels and brain blood flow in newborn mice whose 
mothers drank water mixed with pomegranate 
concentrate, their brain tissue loss was reduced 
by 60 percent in comparison to mice whose mothers 
drank sugar water or other fluids.

"Hypoxic ischemic brain injury in newborns is 
very difficult to treat, and right now there's 
very little we can do to stop or reverse its 
consequences," explains senior author David 
Holtzman, M.D., the Andrew B. and Gretchen P. 
Jones Professor and head of the Department of 
Neurology. "Most of our efforts focus on stopping 
it when it happens, but if we could treat 
everyone who's at risk preventively, we may be 
able to reduce the impacts of these kinds of injuries."

The study, which appears in the June issue of 
Pediatric Research, was conducted in 
collaboration with POM Wonderful, a U.S. producer 
of pomegranates and pomegranate juice, and 
scientists at the University of California, Los 
Angeles. Lead author David Loren, M.D., formerly 
a neonatal critical care fellow in the Department 
of Pediatrics, performed the research. He is now 
at the University of Washington in Seattle.

Holtzman's lab has been studying neonatal brain 
injury for more than a decade by temporarily 
reducing oxygen levels and blood flow in the 
brains of 7-day-old mouse and rat pups. The model 
produces brain injuries similar to those seen in 
human infants injured by hypoxia ischemia.

Pomegranates contain very high concentrations of 
polyphenols, substances also found in grapes, red 
wine, and berries that scientists have linked to 
potential neuroprotective and anti-aging effects.

Scientists gave pregnant female mice water with 
pomegranate juice, plain water, sugar water or 
vitamin C water to drink during the last third of 
pregnancy and while they suckled their pups for seven days after birth.

After performing the procedures that exposed 
mouse pups to low oxygen levels, scientists 
examined the brains, comparing damage to the 
cortex, hippocampus and the striatum. Researchers 
who conducted the examinations were unaware of 
what the pup's mother drank. Mice whose mothers 
drank pomegranate juice had brain injuries less 
than half the size of those found in other mice.

Much of the damage from hypoxia ischemia results 
when oxygen-starved brain cells self-destruct via 
a process known as apoptosis. Scientists found an 
enzyme linked to apoptosis, caspase-3, was 84 
percent less active in mice whose mothers drank pomegranate juice.

Holtzman says the results suggest the need for 
studies of pomegranate juice's effects in humans, 
but he cautions that because of the relative 
unpredictability of hypoxia ischemia in newborns, 
it would be difficult to assemble a sufficiently large study group.

Hypoxic ischemic brain damage is frequently 
associated with premature delivery. The lungs, 
brain and circulatory systems in some premature 
babies are insufficiently mature to supply the 
brain with enough nutrients and oxygen outside 
the womb. Scientists know some of the factors 
that increase risk of premature birth, including 
diabetes, low economic status, youthful mothers, 
weakness in the cervix and a personal or familial history of miscarriage.

"One might advise this group that studies in 
animals have suggested drinking pomegranate juice 
may reduce the risk of injury from hypoxia ischemia," he says.

Holtzman's findings and other research into the 
potentially beneficial effects of pomegranate 
juice, red wine, and other natural foods form a 
neurological parallel to chemoprevention, an area 
of oncology research focused on finding 
naturally-occurring substances in foods that 
reduce the chances of developing cancer.

"For pregnant women previously interested in the 
neuroprotective effects of red wine, these 
results suggest that pomegranate juice may 
provide an alternative during pregnancy, when 
alcohol consumption is unacceptable because it 
increases risk of birth defects," Holtzman says.

Holtzman's group is attempting to isolate the 
neuroprotective ingredients in pomegranate juice 
as a possible prelude to concentrating those 
ingredients and testing their ability to reduce 
brain injury. They also plan to investigate the 
possibility that polyphenols from pomegranates 
and other natural foods can slow other 
neurological disorders including Alzheimer's disease.
###

Loren DJ, Seeram NP, Schulman RN, Holtzman DM. 
Maternal dietary supplementation with pomegranate 
juice is neuroprotective in an animal model of 
neonatal hypoxic-ischemic brain injury. Pediatric 
Research, June 2005, 858-864.

Funding from the Stewart and Lynda Resnick 
Revocable Trust and the National Institutes of Health supported this research.

Washington University School of Medicine's 
full-time and volunteer faculty physicians also 
are the medical staff of Barnes-Jewish and St. 
Louis Children's hospitals. The School of 
Medicine is one of the leading medical research, 
teaching and patient care institutions in the 
nation, currently ranked third in the nation by 
U.S. News & World Report. Through its 
affiliations with Barnes-Jewish and St. Louis 
Children's hospitals, the School of Medicine is linked to BJC HealthCare.

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Adapted from materials provided by 
<http://medinfo.WUSTL.edu/>Washington University 
School of Medicine, via 
<http://www.eurekalert.org>EurekAlert!, a service of AAAS.

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