Behavioural Brain Research 168 (2006) 56–63
Research report
C-section birth per se or followed by acute global asphyxia
altered emotional behaviour in neonate and adult rats
Aldina Venerosi, Debora Cutuli, Flavia Chiarotti, Gemma Calamandrei
∗
Section of Behavioural Neuroscience, Department of Cell Biology and Neuroscience, Istituto Superiore di Sanit` a,
Viale Regina Elena 299, I-00161 Rome, Italy
Received 16 September 2005; received in revised form 14 October 2005; accepted 18 October 2005
Available online 28 November 2005
Abstract
Birth complications such as perinatal asphyxia are considered risk factors for later neurobehavioural disorders. Behavioural analysis of animal
models may help to clarify the contribution of particular patterns of early hypoxia and their combination to psychiatric morbidity. Wistar rats
underwent caesarean section (c-section) alone or c-section followed by asphyxia, the latter induced by placing pups still in uterus horns into
a water bath at 37
◦
C for 20min. Vaginally delivered pups were used as controls. Frequency of ultrasound emissions was analysed following
isolation at a lower temperature than that of the home nest (23 ± 0.5
◦
C) and reunion with their mother (3 min) on postnatal day (PND) 13 (maternal
potentiation test). A sex-dependent effect of hypoxia was observed, with higher production of ultrasounds in hypoxic males. Caesarean-delivered
pups produced significantly more ultrasounds than those vaginally delivered. At adolescence (PND 35) rats underwent a 25 min social interaction
test with a conspecific of the same sex and age. Significant alterations in investigative behaviour (inclusive of: nose, anogenital, body sniffing,
and following) were evident in caesarean-delivered rats of both sexes, but not in rats experiencing perinatal asphyxia. At adulthood, auditory,
and context conditioned responses, analysed in a fear conditioning test, were not markedly affected either by c-section or c-section plus hypoxia.
However, hypoxic rats emitted significantly more 22kHz ultrasounds than c-section or vaginally delivered rats during the training session. In
conclusion, differential effects appear to be brought about by c-section and by hypoxia mainly related to emotional/anxious responses.
© 2005 Elsevier B.V. All rights reserved.
Keywords: Perinatal asphyxia; Caesarean birth; Ultrasound vocalisation; Social behaviour; Fear conditioning; Rat
1. Introduction
Obstetric complications and in particular foetal and perina-
tal asphyxia have been associated with the onset of neurobe-
havioural and neuropsychiatric pathologies such as attention
deficit hyperactivity disorder (ADHD), autism or schizophre-
nia [18,19,48,53]. In a recent historical meta-analytic review,
Cannon et al. [13] reported that among obstetric complications,
alongside asphyxia, emergency caesarean section was signifi-
cantly associated with schizophrenia. Though conclusive data
are still lacking on a direct causal link between schizophrenia
and complications of labour and delivery, hypoxia at birth is
likely to play a role in increasing vulnerability to a wide spec-
trum of neurodevelopmental disorders. The damage produced by
asphyxia is almost proportional to the duration and severity of the
∗
Corresponding author. Tel.: +39 06 49902106; fax: +30 06 4957821.
E-mail address: gemma.calamandrei@iss.it (G. Calamandrei).
hypoxic episode, inducing true encephalopathy with moderate
or severe neonatal symptoms [49], or mild or absent pathological
signs at birth, which might become evident later in life [2,44].
It is namely in the latter condition that subtle insults – target-
ing selectively structure and/or maturational CNS processes –
could interact with individual factors such as environmental and
genetic vulnerability favouring later development of CNS dis-
order [13,32,43,59].
In such context, the use of animal models of birth complica-
tions may help to clarify the relative contribution of particular
patterns of early hypoxia, and their combination, to changes in
brain and behaviour functioning, that may predispose to neu-
robehavioural disorders of varying degree of severity. Several
studies have been carried out on a rodent model of global peri-
natal hypoxia [3] in order to elucidate the consequences of early
hypoxic insult on CNS functioning [21]. This model, exposing
foetuses in utero to global asphyxia after c-section, appears to
mimic properly human complications at birth, where the entire
organism is involved in the hypoxic condition as well as in
0166-4328/$ – see front matter © 2005 Elsevier B.V. All rights reserved.
doi:10.1016/j.bbr.2005.10.010