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ABSTRACT
Adult neurogenesis, a complex process by which stem cells in the hippocampal brain region differentiate and proliferate into new neurons and
other resident brain cells, is known to be affected by many intrinsic and extrinsic factors, including diet. Neurogenesis plays a critical role in neural
plasticity, brain homeostasis, and maintenance in the central nervous system and is a crucial factor in preserving the cognitive function and repair
of damaged brain cells affected by aging and brain disorders. Intrinsic factors such as aging, neuroinflammation, oxidative stress, and brain injury,
as well as lifestyle factors such as high-fat and high-sugar diets and alcohol and opioid addiction, negatively affect adult neurogenesis.
Conversely, many dietary components such as curcumin, resveratrol, blueberry polyphenols, sulforaphane, salvionic acid, polyunsaturated fatty
acids (PUFAs), and diets enriched with polyphenols and PUFAs, as well as caloric restriction, physical exercise, and learning, have been shown to
induce neurogenesis in adult brains. Although many of the underlying mechanisms by which nutrients and dietary factors affect adult
neurogenesis have yet to be determined, nutritional approaches provide promising prospects to stimulate adult neurogenesis and combat
neurodegenerative diseases and cognitive decline. In this review, we summarize the evidence supporting the role of nutritional factors in
modifying adult neurogenesis and their potential to preserve cognitive function during aging. Adv Nutr 2017;8:804–11.
Keywords: hippocampal neurogenesis, stem cells, cognition, polyphenols, neurodegeneration, aging brain
804 ã2017 American Society for Nutrition. Adv Nutr 2017;8:804–11; doi: https://doi.org/10.3945/an.117.016261.
sex hormones (12), growth factors (13), excitatory neuro- reduce oxidative stress and neuroinflammation, enhance cell
transmission (14), learning (15), physical exercise (16), signaling, activate autophagy, and affect growth factors (34).
stress (17), and diet (18). The prospect of continuous gene- Many of these compounds have been shown to improve
sis and proliferation of new neurons and glial cells and the learning and memory by affecting specifically the hippo-
plastic nature of adult mammalian brains has vast therapeu- campal brain region. Dietary compounds also have been
tic potential in combating the exponential rise in the inci- shown to induce adaptive stress–response molecules and al-
dence of neurodegenerative diseases. ter the specific microenvironments in which adult progeni-
Age-related decline in cognitive function has been char- tor cells reside (34). These compounds enhance the ability of
acterized by compromised neuronal plasticity, decreased the brain to resist more severe stress in the event of larger
neurogenesis, and neuronal death (19). Impaired adult neu- insults by promoting cell repair and survival, via inducing
rogenesis also has been well characterized in patients with and activating trophic factors, antioxidant and DNA-repair
neurological diseases, including Alzheimer disease (AD), enzymes, and proteins involved in mitochondrial biogenesis
Parkinson disease, Huntington disease, epilepsy, ischemia, (20, 28–34). Although the potential roles of adult neurogen-
autism spectrum disorders, and prion diseases, leading to esis have been widely established in neurophysiologic pro-
continuous loss of neurons and subsequent cognitive and cesses such as motor function, learning and memory,
motor disabilities (20). Aberrant neurogenesis appears to olfaction, and the regulation of the hypothalamus-pituitary-
be a common hallmark for most neurodegenerative diseases, adrenal axis (35), its therapeutic applications have been lim-
even though distinct proteins are responsible for different ited because it is a complex multistep process, and accurate
diseases and cause the loss of different neural populations biomarkers to establish each of these steps are still being
in different regions of the brain. Adult hippocampal neuro- discovered.
genesis has a direct effect on cognitive function, because the Although the individual effects of dietary compounds on
hippocampal formation has been widely linked to memory adult neurogenesis are not yet fully understood, evidence
storage and processing (21) and, in most neuropathologies, supports the notion that some of the bioactive compounds
the hippocampal region has been shown to be the brain re- from fruits and vegetables can modulate brain structure
gion that is the most affected (22). It has been shown that and function, as well as cognitive ability, throughout the life-
neurogenesis can be induced in the SVZ and hippocampus span of an organism. In this review, we focus primarily on
in response to neuronal death (23). Moreover, some neuro- studies that have investigated the effects of dietary factors
nal precursors reach these degeneration-prone areas and in that influence hippocampal neurogenesis and brain plastic-
some cases replace dead neurons (24). Treatment of neuro- ity in the context of cognitive function, aging, and neurode-
logic diseases using endogenous neurogenesis is limited by generative disease.
the continuous decline in number and capacity of NSCs
as a result of the disease process and aging (6, 23). Regener- Factors Negatively Affecting Adult
ation of damaged neurons with site-specific transplantation Neurogenesis
of NSCs also has limitations because the transplanted NSCs Aging negatively affects the proliferation of neural progeni-
sometimes are unable to differentiate into specific types of tor cells and the survival of immature neurons, thus reduc-
neurons and because of the increased risk of malignant ing neurogenesis (36–39). Proposed mechanisms include
transformation and immune rejection after NSC transplan- the modulation of inflammation and hormonal concentra-
tation (6). Therefore, determination of a clear mechanism in tions, as well as structural changes to brain vasculature.
the development and activation of endogenous neurogenesis Although the functional consequences of a decline in
may be an ideal approach to the prevention and treatment of neurogenesis are not understood fully, performance on
neurological diseases. hippocampus-dependent learning and memory tasks is
Many exogenous modulators of neural activity such as closely linked to the amount of hippocampal neurogenesis
physical activity, enriched environment (e.g., containing in adult rodents (24, 36, 40–43).
tunnels, platforms, toys, and running wheels), caloric re- The aging process, and to a greater degree neurodegener-
striction, and vitamin E have been shown to regulate and ative disorders such as AD, are characterized by a proinflam-
stimulate adult progenitor cells and neurogenesis (25–27). matory state [(44–46), as reviewed in (47, 48)]. In rodent
Furthermore, dietary phytochemicals, which are known to models, injection of LPS to induce systemic inflammation
possess many neurogenic properties, play a beneficial role results in a decrease in hippocampal neurogenesis (49, 50).
in brain aging and neurodegenerative disease. Compounds Activation of microglia and the release of proinflammatory
such as curcumin, resveratrol, blueberry polyphenols, sul- cytokines such as TNF-a, IL-1b, and IL-6 can inhibit neu-
foraphanes, salvionic acids, PUFAs (e.g., omega-3 and rogenic differentiation of neural progenitor cells (51).
DHA), the LMN diet (a patented diet by the company With aging, blood vessels become more permeable for pro-
La Morella Nuts enriched with polyphenols and PUFAs), teins that normally would be blocked by the blood-brain
and flours rich in soluble fibers have been shown to induce barrier, potentially initiating an inflammatory response
neurogenesis in the adult brain (20, 28–33). Although the (52, 53). The role of inflammation in adult neurogenesis is
molecular mechanisms by which these compounds influ- complex; however, there is evidence that microglia, depend-
ence neurogenesis have yet be established, these compounds ing on the phenotype or state of activation, may be beneficial
Synergy Acknowledgments
As in other areas of nutritional research, an emerging line of All authors read and approved the final manuscript.
inquiry is whether the combination of specific foods or their
constituent compounds can produce a synergistic effect
when combined in the diet or through supplementation. References
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