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DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY REVIEW
An early version of this paper was presented at the Early Intervention in Light of the ICF-CY Meeting held in Groningen, the Netherlands, 7–9 April 2016.
Studies examining the influence of experience on brain events. Neurons that are active together increase their con-
development originally assumed that it would require large nections, whereas those that are not coincidentally active
changes in experience, such as being raised in darkness, to weaken their connections. Experience-expectant plasticity
influence brain development. We now know that an unex- occurs mostly during early postnatal development. For
pectedly large range of experiences alter brain development instance, a child raised hearing Korean will thus be
and that even fairly innocuous-appearing experiences can exposed to different speech sounds than a child raised in
profoundly affect brain development. We will summarize an English-speaking environment. Early in life, infants can
some of the most extensively studied effects, with an discriminate the speech sounds of all languages, but over
emphasis on studies of laboratory animals, and also include the first year the auditory system begins to change such
effects on functions such as language that are uniquely that the infant becomes expert in discriminating sounds in
human. We will not review the effects of early brain injury, its language environment but loses the ability to discrimi-
which we have reviewed elsewhere.1 nate sounds that are not experienced.2 Experience-depen-
Four special features of developmental plasticity are dent plasticity, a process whereby the connections of
especially important. The first feature is found in the cells ensembles of neurons are modified by experience, begins
lining the subventricular zone of the lateral ventricles and in early postnatal life and continues for a lifetime. One
cells in the hilus of the dentate gyrus. Both regions contain common example is seen in the effects of so-called ‘en-
stem cells that remain active throughout life. The cells in riched experiences’.
the subventricular zone produce both glial and neural pro- A third special feature is the speed at which dendrites,
genitor cells that can migrate into cerebral grey or white and especially dendritic spines, can modify their structure
matter, even in adulthood. In humans, the subventricular to form or delete synapses in response to experience, possi-
zone cells appear mostly quiescent but can become acti- bly in a matter of minutes.
vated, largely in response to cerebral perturbations. Stem A fourth special feature is the presence of critical peri-
cells in the dentate gyrus generate new neurons at a slow ods, especially for experience-expectant plasticity. One of
but steady pace throughout life in both rodents and the best studied models was first described by Wiesel &
humans, although there is a decline with ageing. The func- Hubel3 in which they showed that if one eye of a kitten is
tional role of these cells is not totally understood, but they kept closed after birth, the open eye expands its territory
do integrate with the existing neurons and likely play a at the expense of the closed eye. When the closed eye is
role in the formation of new memories. eventually opened after a few months, its vision is compro-
A second special feature is that three types of plasticity mised, resulting in an enduring loss of spatial vision (am-
can be distinguished in the developing brain: experience- blyopia). Recent work has shown that the critical period
independent, experience-expectant, and experience-depen- results from an appropriate balance of excitatory and inhi-
dent. Experience-independent plasticity results from the bitory inputs (Fig. 1). The maturation of inhibitory c-ami-
fact that the genome generates a rough approximation of nobutryic acidergic circuits underlies the timing of onset
connectivity that is modified by both internal and external of the critical periods, which vary across brain regions.
E–I balance
(PV circuits)
Molecular
brakes
Cortical maturation
PSA-NCAM
Critical period
Off
Age
Off
On
Figure 1: Proposed mechanism for turning on and off critical periods. Plasticity is blocked initially by factors such as polysialic acid (PSA) on neural
cell adhesion molecule (NCAM), thus limiting the parvalbumin system (PV). Critical period closes as molecular brakes (e.g. perineuronal nets) emerge to
dampen plasticity (adapted from Takesian and Hensch).4 E-I balance, balance between excitation and inhibition; GABA, c-aminobutyric acid. [Colour
figure can be viewed at wileyonlinelibrary.com].
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housing experience. The gestational experience increased and the prefrontal cortex. Studies of laboratory rodents
cortical thickness, thalamic volume, and spine density in have shown a decrease in the dendritic arborization and
cortical pyramidal neurons in both the control and lesion spine density in the medial prefrontal cortex (mPFC) but
animals.9 an increase in these measures in orbital frontal cortex
(OFC). There are also changes in mRNA gene expression
LANGUAGE, COGNITIVE EXPERIENCE, AND POVERTY in the mPFC, OFC, and hippocampus, with each region
Infants can discriminate the speech sounds of all languages showing a different pattern of altered gene expression.
over the first year, but the auditory system begins to Early stress predisposes individuals to a range of mal-
change such that the infant becomes expert in discriminat- adaptive behaviours and psychopathologies, including
ing sounds in its language environment but loses the ability schizophrenia, depression, and drug addiction (e.g. Anda
to discriminate sounds that are not experienced. Learning et al.14). Perinatal stress in laboratory rodents produces a
more than one language in development adds another range of behavioural abnormalities, including an elevated
dimension, and especially in learning how to switch rou- and prolonged stress response, increased anxiety, impaired
tinely between languages. This mental switching has a sig- learning and memory, deficits in attention, altered explora-
nificant impact on cognitive abilities, and especially in tory behaviour, altered social and play behaviour, and
enhancing attentional and executive functions, and in increased preference for alcohol. These effects vary both
increasing cognitive reserve in ageing, presumably by some with precise timing and the intensity.
type of plastic change in the frontal lobe.10 Evidence has accumulated to show that preconception
Although virtually all children learn a language, there stress in either parent may influence the offspring by altering
are large differences in rate of vocabulary acquisition. In a behaviour, brain morphology, and epigenetics in the adult
powerful study, Hart and Risley followed children for 2 offspring.13 For example, in our studies of the effects of pre-
and a half years (from the age of 7–9mo to 36mo) by conception paternal stress the offspring showed increased
observing the families at home for 1 hour each month.11 anxiety and impairment in a skilled reaching task, even with
Children could be grouped into those with large vocabu- the stress being over a single sperm generation cycle. Epige-
laries at 3 years of age (~1200 words) versus those with netic analysis showed significantly decreased methylation in
smaller vocabularies (~400–600 words). This difference was frontal cortex (mPFC and adjacent motor cortex) in female
related to the number of words that the children had been but not male offspring, and increased methylation in the
exposed to in the home, which was directly related to hippocampus. Furthermore, there were abnormalities in
socioeconomic status (SES). Thus, over 1 year, children of dendritic complexity and spine density that changed signifi-
high SES would have been exposed to about 11 million cantly across development. A parallel study showed that
words and children of low SES to about 3.2 million words. preconception maternal stress led to altered dendritic
By 4 years of age the average child of lower SES would complexity and spine density in two mPFC regions.13
have been exposed to about 30 million fewer words than Studies on the effects of gestational stress have generally
the child of higher SES. When the children were measured found that the offspring exhibit increased anxiety, altered
again at 9 to 10 years, the SES-related difference actually play behaviour, impaired skilled reaching, and slower spa-
grew larger, suggesting that school had a negligible effect tial learning.13 Postmortem analyses reveal decreases in
in erasing this deficit. overall brain, but not body, weight, and decreased spine
The SES-related difference in cognitive abilities is density in OFC, but increased spine density in mPFC cor-
related to developmental differences in cerebral cortex. related with changes in gene expression in these regions.
Noble et al.12 examined the relationship between SES and Although the anatomical pattern is different both from
cortical surface area in over 1000 participants between the preconception stress, the behavioural changes are similar.
age of 3 years and 20 years. Lower family income, inde- The effects of gestational stress in humans are being
pendent of ethnicity or sex, was associated with decreased studied in a prospective study on the effects of the Quebec,
cortical surface area in widespread regions of frontal, tem- Canada ice storm of 1998. The storm hit in midwinter and
poral, and parietal cortex, and this was correlated with power was knocked out for up to 6 weeks, affecting
poorer performance on tests of attention, memory, vocabu- approximately 2 million people, during the coldest month
lary, and reading. Thus, lower SES is associated with smal- of the year. Many females were pregnant at different stages
ler cortical surface area and poorer test outcomes. of gestation and had varying levels of hardship, ranging
from severe to none. The offspring of pregnant females
PRENATAL AND POSTNATAL STRESS have now been studied from the age of 2 years to 11 years
The effects of stress are not only dependent upon the 6 months. To date, the children of stressed mothers show
hypothalamic–pituitary–adrenal axis but involve a two-way cognitive, linguistic, motor, and play abnormalities, and at
communication between the brain and the cardiovascular, 11 years 6 months there are dramatic differences in gene
immune, and other systems via neural and endocrine expression (e.g. Cao-Le et al.15).
mechanisms (for an extensive review of early stress effects, Postnatal stress also changes brain development. Short
see Kolb et al.13). One effect of stress in adults is a change periods of maternal separation alter the hypothalamic–pitu-
in the structure of neurons in the hippocampus, amygdala, itary–adrenal axis, making it more efficient allowing better
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vitamin and/or mineral supplements, and especially a com- Furthermore, there is evidence that immune system mole-
bination of nutrients that would work synergistically to cules, such as interleukin-17, cross the placenta and
enhance metabolic activity, and ultimately brain function- increase interleukin-17 receptor expression in the fetal
ing. One promising product is EmpowerPlus. This product brain, which, in turn, is suggested to be a risk factor in aut-
is a blend of 36 vitamins, minerals, and antioxidants, and ism. Finally, it appears that the Zika virus infects human
includes a proprietary blend of herbal supplements such as neural progenitor cells, leading to increased cell death and
gingko biloba and the amino-acid precursors for neuro- gene transcriptional dysregulation.
transmitters, choline, phenylalanine, glutamine, and
methionine. This product has been reported to improve CONCLUSIONS
mood and behaviour in children, and been shown to The developing brain is responsive to a wide range of fac-
decrease anger, activity levels, and social withdrawal in aut- tors that modulate its development beginning with precon-
ism while also increasing spontaneity.24 Rodent studies ception experiences of the parents, gestational experiences,
have shown that using this supplement during development and postnatal experiences. We have considered these fac-
leads to enhanced motor and cognitive functions and tors as though they are independent singular events, but as
increased dendritic arbour in mPFC. The mechanism of we go through life experiences interact to alter both beha-
dietary effects on neuronal structure may be epigenetic. viour and brain, a process often referred to as meta-plasti-
Dominguez-Salaz et al.25 studied gene methylation in the city. We have only just begun to understand how different
blood of infants conceived either in the Gambian dry or factors might interact with one another or how the effects
rainy season. The maternal diets are dramatically different of negative factors such as severe stress might be amelio-
in the two seasons and so was the pattern of gene methyla- rated by experiences such as tactile stimulation. We have
tion. focused here on changes in behaviour, neuronal morphol-
ogy, and epigenetics, but we certainly recognize that plas-
GUT BACTERIA tic changes in brain organization can be studied at many
Given that the microbiome interacts with the brain, Dinan other levels in both humans and laboratory animals.
et al.26 proposed that the use of bacteria to alter the micro- Finally, in our discussion we have given equal weight to
biome could be a novel class of psychotropic, which are each of the factors, but there are likely significant differ-
called psychobiotics. The idea is that manipulation of bac- ences in the magnitude of effects. The effects of early
teria in the gut could modify brain plasticity, a conclusion stress and psychoactive drugs are the most studied nega-
supported by several studies showing that normal gut tive effects and likely the most powerful. On the positive
microbiota can affect brain and behavioural development. side, early experiences such as tactile stimulation would
For example, manipulation of gut bacteria in newborn appear to be very influential and have the ability to reverse
mice influenced motor and anxiety behaviours.27 These some of the negative effects of stress and perhaps psy-
behavioural changes were correlated with changes in the choactive drugs.
turnover of noradrenaline, dopamine, and serotonin in the
striatum, as well as changes in the production of synaptic- A CK N O W L E D G E M E N T S
related proteins in cortex and striatum. We wish to thank both Natural Sciences and Engineering
Research Council of Canada and the Canadian Institute for
IMMUNE SYSTEM Advanced Research for their long-term support for the studies
Many proteins in the immune system are expressed in the related to our work discussed in this review. We also thank Cathy
developing brain and some appear essential for the develop- Carroll, Grazyna Gorny, Celeste Halliwell, Yilin Li, Fraser Mus-
ment and modifications of synapses. Although there is little tard, Richelle Mychasiuk, Arif Muhammad, and Kehe Xie for
direct evidence that the immune system can compromise their many contributions to the studies. An early version of this
brain development and plasticity, epidemiological evidence paper was presented at the Groningen Early Intervention Meet-
implicates maternal infection as risk factors in various ing, which was held in April 2016. The authors have stated that
neurodevelopmental disorders, including autism, attention- they had no interests which might be perceived as posing a con-
deficit–hyperactivity disorder, and schizophrenia.28 flict or bias.
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