<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aging Neurosci.</journal-id>
<journal-title>Frontiers in Aging Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aging Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1663-4365</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnagi.2014.00220</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>n-3 polyunsaturated fatty acids supplementation enhances hippocampal functionality in aged mice</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Cutuli</surname> <given-names>Debora</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/113382"/>
</contrib>
<contrib contrib-type="author">
<name><surname>De Bartolo</surname> <given-names>Paola</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/156834"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Caporali</surname> <given-names>Paola</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/143080"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Laricchiuta</surname> <given-names>Daniela</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/112113"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Foti</surname> <given-names>Francesca</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/156838"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ronci</surname> <given-names>Maurizio</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/131741"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Rossi</surname> <given-names>Claudia</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/177680"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Neri</surname> <given-names>Cristina</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/177557"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Spalletta</surname> <given-names>Gianfranco</given-names></name>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/92479"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Caltagirone</surname> <given-names>Carlo</given-names></name>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/113537"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Farioli-Vecchioli</surname> <given-names>Stefano</given-names></name>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/54016"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Petrosini</surname> <given-names>Laura</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://community.frontiersin.org/people/u/112002"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Psychology, University Sapienza of Rome</institution> <country>Rome, Italy</country></aff>
<aff id="aff2"><sup>2</sup><institution>Lab of Experimental and Behavioral Neurophysiology, Santa Lucia Foundation</institution> <country>Rome, Italy</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Experimental and Clinical Sciences, University &#x0201C;G. D&#x00027;Annunzio&#x0201D;</institution> <country>Chieti, Pescara, Italy</country></aff>
<aff id="aff4"><sup>4</sup><institution>Division of Information Technology, Engineering and the Environment, Mawson Institute, University of South Australia</institution> <country>Mawson Lakes, SA, Australia</country></aff>
<aff id="aff5"><sup>5</sup><institution>Lab of Proteomic and metabonomic, Santa Lucia Foundation</institution> <country>Rome, Italy</country></aff>
<aff id="aff6"><sup>6</sup><institution>Department of Experimental Medicine and Surgery, University Tor Vergata of Rome</institution> <country>Rome, Italy</country></aff>
<aff id="aff7"><sup>7</sup><institution>Lab of Clinical and Behavioral Neurology, Santa Lucia Foundation</institution> <country>Rome, Italy</country></aff>
<aff id="aff8"><sup>8</sup><institution>Department of Neuroscience, University Tor Vergata of Rome</institution> <country>Rome, Italy</country></aff>
<aff id="aff9"><sup>9</sup><institution>Institute of Cell Biology and Neurobiology, National Research Council, Santa Lucia Foundation</institution> <country>Rome, Italy</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: P. Hemachandra Reddy, Oregen Health and Science University, USA</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Juan Manuel Encinas, Ikerbasque, The Basque Foundation for Science/University of the Basque Country (UPV/EHU), Spain; Gemma Calamandrei, Istituto Superiore di Sanit&#x000E0; - National Health Institute, Italy</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Debora Cutuli, Lab of Experimental and Behavioral Neurophysiology, Santa Lucia Foundation, Via del Fosso di Fiorano 64, 00143 Rome, Italy; Department of Psychology, University Sapienza of Rome, Via dei Marsi 78, 00185 Rome, Italy e-mail: <email>debora.cutuli&#x00040;uniroma1.it</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to the journal Frontiers in Aging Neuroscience.</p></fn>
<fn fn-type="present-address" id="fn003"><p>&#x02020;Stefano Farioli-Vecchioli and Laura Petrosini contributed equally to this work.</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>08</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection">
<year>2014</year>
</pub-date>
<volume>6</volume>
<elocation-id>220</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>06</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>08</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014 Cutuli, De Bartolo, Caporali, Laricchiuta, Foti, Ronci, Rossi, Neri, Spalletta, Caltagirone, Farioli-Vecchioli and Petrosini.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract><p>As major components of neuronal membranes, omega-3 polyunsaturated acids (n-3 PUFA) exhibit a wide range of regulatory functions, modulating from synaptic plasticity to neuroinflammation, from oxidative stress to neuroprotection. Recent human and animal studies indicated the n-3 PUFA neuroprotective properties in aging, with a clear negative correlation between n-3 PUFA levels and hippocampal deficits. The present multidimensional study was aimed at associating cognition, hippocampal neurogenesis, volume, neurodegeneration and metabolic correlates to verify n-3 PUFA neuroprotective effects in aging. To this aim 19 month-old mice were given n-3 PUFA mixture, or olive oil or no dietary supplement for 8 weeks during which hippocampal-dependent mnesic functions were tested. At the end of behavioral testing morphological and metabolic correlates were analyzed. n-3 PUFA supplemented aged mice exhibited better object recognition memory, spatial and localizatory memory, and aversive response retention, without modifications in anxiety levels in comparison to controls. These improved hippocampal cognitive functions occurred in the context of an enhanced cellular plasticity and a reduced neurodegeneration. In fact, n-3 PUFA supplementation increased hippocampal neurogenesis and dendritic arborization of newborn neurons, volume, neuronal density and microglial cell number, while it decreased apoptosis, astrocytosis and lipofuscin accumulation in the hippocampus. The increased levels of some metabolic correlates (blood Acetyl-L-Carnitine and brain n-3 PUFA concentrations) found in n-3 PUFA supplemented mice also pointed toward an effective neuroprotection. On the basis of the present results n-3 PUFA supplementation appears to be a useful tool in health promotion and cognitive decline prevention during aging.</p></abstract>
<kwd-group>
<kwd>aging</kwd>
<kwd>omega-3 fatty acids</kwd>
<kwd>cognitive decline</kwd>
<kwd>hippocampus</kwd>
<kwd>neuroprotection</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="84"/>
<page-count count="17"/>
<word-count count="12658"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction" id="s1">
<title>Introduction</title>
<p>The rise of life expectancy has amplified the interest in the prevention and improvement of age-related brain dysfunctions. In fact, cognitive deficits are hallmarks not only of pathological aging, as occurring in Alzheimer&#x00027;s disease and vascular dementia, but also of non-pathological aging processes (Kobayashi et al., <xref ref-type="bibr" rid="B42">2010</xref>). Age-related cognitive decline is due to a progressive impairment of the underlying brain cell processes due to neuroinflammation, oxidative stress, reduced synaptic plasticity and neurogenesis, thus leading to a consequent and irreversible neuronal loss of gray and white matter volume (Driscoll et al., <xref ref-type="bibr" rid="B18">2006</xref>; Masliah et al., <xref ref-type="bibr" rid="B53">2006</xref>; Brown, <xref ref-type="bibr" rid="B6">2009</xref>). As recently advanced, some of these neurodegenerative processes may be influenced by a targeted diet (Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>; Maruszak et al., <xref ref-type="bibr" rid="B52">2014</xref>). Nutritional research indicates that Western diets do not provide the aged brain with an optimal supply of omega-3 polyunsaturated fatty acids (n-3 PUFA) (Woo, <xref ref-type="bibr" rid="B81">2011</xref>). In fact, aging is associated to reduced cerebral n-3 PUFA levels due to reduced absorption, reduced n-3 PUFA capacity to cross the blood-brain barrier, reduced capacity to convert shorter chained fatty acids to longer fatty acids, and increased oxidative stress (Yehuda, <xref ref-type="bibr" rid="B82">2012</xref>).</p>
<p>Although epidemiological studies suggested that high n-3 PUFA dietary intake slows the age-related cognitive decline (Fotuhi et al., <xref ref-type="bibr" rid="B27">2009</xref>; Solfrizzi et al., <xref ref-type="bibr" rid="B71">2010</xref>; Karr et al., <xref ref-type="bibr" rid="B37">2011</xref>; Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>), confounding factors, as socio-economical status or healthy habits, make it difficult to isolate the specific protective impact of n-3 PUFA-enriched diet on cognitive function (Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>). Actually, the n-3 PUFA action in preventing age-related cognitive decline has been usefully addressed by using animal models that offer better possibilities of controlling over confounding factors and dietary manipulations (Luchtman and Song, <xref ref-type="bibr" rid="B48">2013</xref>). Namely, in rodents n-3 PUFA deficiency may be associated with memory deficits and hippocampal plasticity reduction, while n-3 PUFA supplementation may improve learning and memory abilities, and neurogenic and synaptogenic functions (Fedorova and Salem, <xref ref-type="bibr" rid="B23">2006</xref>; Hooijmans et al., <xref ref-type="bibr" rid="B33">2012</xref>; Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>; Luchtman and Song, <xref ref-type="bibr" rid="B48">2013</xref>).</p>
<p>Within the sparse literature on the cognitive enhancement by n-3 PUFA in aging, no study has definitively detailed the associations among cognition, hippocampal neurogenesis and volumes, and metabolic correlates in the same non-pathological aged animals. Thus, we investigated whether n-3 PUFA supplementation in aged mice was able to counteract or at least mitigate age-related cognitive decline and neurodegenerative processes, to enhance hippocampal neurogenesis, volume and neuronal density, and to ameliorate metabolic functions and lipid membrane composition. To this aim aged mice were given n-3 PUFA mixture, or olive oil or no dietary supplement for 8 weeks during which learning and memory abilities were investigated by means of a battery of behavioral tests assessing different facets of hippocampal-dependent functions. n-3 PUFA supplementation effects on hippocampal neurogenesis, volume, neuronal density, glial reactivity, and lipofuscin accumulation were analyzed. Amino acids and carnitines levels in the peripheral blood, as well as brain lipid concentrations were also measured.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Animals</title>
<p>Male aged C57B6/J mice (19 month-old at the onset of study; 33.7 &#x000B1; 0.3 g) were used in the present research (Charles River Laboratories, Italy). The animals were group-housed (three-four mice/cage) with temperature (22&#x02013;23&#x000B0;C) and humidity controlled (60 &#x000B1; 5%), under a 12:12 h light/dark cycle with free access to food and water. Animals were divided in three groups: (1) mice supplemented with an n-3 PUFA mixture (440 mg/kg) by daily gavage for 8 weeks (5 day/week) (Group name: n-3 PUFA; <italic>n</italic> &#x0003D; 12); (2) mice supplemented with olive oil (440 mg/kg) by daily gavage for the same period used as controls of an iso-caloric intake, as reported in previous studies (Kotani et al., <xref ref-type="bibr" rid="B43">2006</xref>; Oarada et al., <xref ref-type="bibr" rid="B57">2008</xref>; Nakamoto et al., <xref ref-type="bibr" rid="B56">2010</xref>; Sinn et al., <xref ref-type="bibr" rid="B69">2010</xref>; Danthiir et al., <xref ref-type="bibr" rid="B14">2011</xref>; Vinot et al., <xref ref-type="bibr" rid="B78">2011</xref>) (Group name: OLIVE OIL; <italic>n</italic> &#x0003D; 13); (3) no supplemented mice used as controls of eventual forced feeding effects (Group name: NA&#x000CF;VE; <italic>n</italic> &#x0003D; 12) (Figure <xref ref-type="fig" rid="F1">1</xref>). Animals&#x00027; weight was recorded weekly throughout the study. No significant differences among groups were found during the 8 treatment weeks [ANOVA (group &#x000D7; week): group: <italic>F</italic><sub>(2, 34)</sub> &#x0003D; 2.92, <italic>p</italic> &#x0003D; 0.07; week: <italic>F</italic><sub>(7, 238)</sub> &#x0003D; 2.53, <italic>p</italic> &#x0003D; 0.01; interaction: <italic>F</italic><sub>(14, 238)</sub> &#x0003D; 0.62, <italic>p</italic> &#x0003D; 0.85]. All efforts were made to minimize animal suffering and to reduce their number in accordance with the European Union Directive of September 22, 2010 (2010/63/EU). All procedures were approved by the Italian Ministry of Health.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>Global timing of the experimental procedure</bold>. Experimental groups of aged mice (n-3 PUFA, OLIVE OIL, and NA&#x000CF;VE), type of dietary supplementation (duration: 8 weeks), behavioral testing (EPM, Elevated Plus Maze; SYM, Spatial Y-Maze; MWM, Morris Water Maze; ORT, Object Recognition Maze; CFC, Contextual Fear Conditioning), morphological analyses (hippocampal volumes, cell density, caspase-3 levels, astroglia and microglial cells, lipofuscin concentrations, neurogenesis) and metabolic correlates (blood amino acids and carnitines levels; brain n-3 PUFA levels) are indicated.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0001.tif"/>
</fig>
</sec>
<sec>
<title>Food supplements</title>
<p>Food supplementation was performed by daily gavage to ensure that all cagemates received the same controlled amount of dietary supplements regardless of social hierarchy or appetitive drive.</p>
<p>n-3 PUFA group was supplemented with a mixture of fatty acids (Pfizer, Italy) containing high levels of n-3 PUFA, especially eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA) and docosapentaenoic acid (DPA) (Table <xref ref-type="table" rid="T1">1</xref>). OLIVE OIL group was supplemented with olive oil (Trasimeno, Italy) (Table <xref ref-type="table" rid="T1">1</xref>). The three groups of animals were fed <italic>ad libitum</italic> with standard food pellets (Mucedola 4RF21 standard diet GLP complete feed for mice and rats; Mucedola, Italy) (Table <xref ref-type="table" rid="T1">1</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p><bold>Fatty acid composition of the dietary supplements (n-3 PUFA, olive oil) and standard diet</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"><bold>Fatty acids</bold></th>
<th align="left"><bold>Percentage</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" colspan="2"><bold>n-3 PUFA MIXTURE</bold></td>
</tr>
<tr>
<td align="left">SFA</td>
<td align="right">2.4</td>
</tr>
<tr>
<td align="left">MUFA</td>
<td align="right">8.0</td>
</tr>
<tr>
<td align="left">PUFA</td>
<td align="right">89.6</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;Of which n-3 PUFA:</td>
<td align="right"><bold>82.5</bold></td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;EPA</td>
<td align="right">51.8</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;DHA</td>
<td align="right">21.2</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;DPA</td>
<td align="right">3.3</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;SDA</td>
<td align="right">2.4</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;ETA</td>
<td align="right">1.4</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;HPA</td>
<td align="right">1.2</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;ALA</td>
<td align="right">1.2</td>
</tr>
<tr>
<td align="left" colspan="2"><bold>OLIVE OIL</bold></td>
</tr>
<tr>
<td align="left">SFA</td>
<td align="right">15.0</td>
</tr>
<tr>
<td align="left">MUFA</td>
<td align="right">75.0</td>
</tr>
<tr>
<td align="left">PUFA<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td align="right">10.0</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;Of which n-3 PUFA:</td>
<td align="right"><bold>1.0</bold></td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;ALA</td>
<td align="right">1.0</td>
</tr>
<tr>
<td align="left"><bold>Nutrients</bold></td>
<td align="left"><bold>Percentage</bold></td>
</tr>
<tr>
<td align="left" colspan="2"><bold>STANDARD DIET</bold></td>
</tr>
<tr>
<td align="left">Cereals</td>
<td align="right">66.5</td>
</tr>
<tr>
<td align="left">Animal proteins</td>
<td align="right">3.5</td>
</tr>
<tr>
<td align="left">Vegetable proteins</td>
<td align="right">18.2</td>
</tr>
<tr>
<td align="left">Amino acids</td>
<td align="right">0.1</td>
</tr>
<tr>
<td align="left">Fodders</td>
<td align="right">7.5</td>
</tr>
<tr>
<td align="left">Vitamin and mineral mixtures</td>
<td align="right">3.2</td>
</tr>
<tr>
<td align="left">Fatty acids</td>
<td align="right">0.4</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;Of which SFA</td>
<td align="right">21.3</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;MUFA</td>
<td align="right">22.0</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;PUFA<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;</sup></xref></td>
<td align="right">56.7</td>
</tr>
<tr>
<td align="left">&#x000A0;&#x000A0;&#x000A0;&#x000A0;Of which n-3 PUFA:</td>
<td align="right"><bold>8.6</bold></td>
</tr>
<tr>
<td align="left">other nutrients</td>
<td align="right">0.6</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>The fish-oil-based n-3 PUFA mixture contains mostly (&#x02248;83%) n-3 PUFA (EPA, eicosapentaenoic acid, 20:5 n-3; DHA, docosahexaenoic acid, 22:6 n-3; DPA, docosapentaenoic acid, 22:5 n-3; SDA, stearidonic acid, 18:4 n-3; ETA, eicosatetraenoic acid, 20:4 n-3; HPA, heneicosapentaenoic acid, 21:5; n-3 ALA, &#x003B1;-linolenic acid, 18:3 n-3) and low levels of MUFA. The n-3 PUFA mixture dose corresponds to &#x02248;360 mg/kg of n-3 PUFA (Calviello et al., <xref ref-type="bibr" rid="B7">1997</xref>). Conversely, olive oil contains mostly MUFA and has low levels of n-3 PUFA (1%).</italic></p>
<fn id="TN1">
<label>&#x0002A;</label>
<p><italic>Indicates no presence of EPA, DHA and DPA. Abbreviations: SFA, saturated fatty acids; MUFA, monounsaturated fatty acids; PUFA, polyunsaturated fatty acids.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>Experimental procedures</title>
<p>After 4 weeks of dietary supplementation, mice were tested in the following validated behavioral tasks tapping distinct hippocampal-dependent abilities: Spatial Y-Maze (SYM) to assess spatial memory; Morris Water Maze (MWM) to evaluate short- and long-term localizatory memory; Object Recognition Test (ORT) to analyze novelty recognition memory; and lastly Contextual Fear Conditioning (CFC), to assess aversive associative learning. Furthermore, mice were tested in the Elevated Plus Maze (EPM) to measure anxiety levels.</p>
<p>After behavioral testing, a sample of 4 mice of each group received intraperitoneal (i.p.) BrdU injections daily for 6 days. Other 5 animals of each group were used to collect peripheral blood from the tail. At the end of these procedures, the animals were transcardially perfused and their brains were removed and cryopreserved at &#x02212;80&#x000B0;C to perform immunocytochemistry and metabolic analyses.</p>
</sec>
<sec>
<title>Behavioral testing</title>
<sec>
<title>Elevated Plus Maze (EPM)</title>
<p>The maze was formed by a wooden structure in the shape of a cross with a central platform and four 35 &#x000D7; 6 cm arms raised 100 cm above the ground. The north and south arms were open, the east and west arms were enclosed by walls 20 cm high. During a 5-min trial the mouse was placed in the central platform and allowed to freely explore the maze. Since mice avoid open areas by confining movements to enclosed spaces or to the edges of a bounded space, a typical mouse tends to spend the majority of trial time in the closed arms. The entire apparatus was cleaned after each trial to remove olfactory cues. Trials were recorded by a ceiling-mounted camera and analyzed by a video analyzer (Ethovision XT, Noldus, The Netherlands). To evaluate anxiety level the following EPM parameters were measured: <italic>total entries</italic> and <italic>total time</italic> spent in the open and closed arms, <italic>defecations</italic> (Ruehle et al., <xref ref-type="bibr" rid="B65">2013</xref>).</p>
</sec>
<sec>
<title>Spatial Y-Maze test (SYM)</title>
<p>The Y-maze apparatus made of gray Plexiglas consisted of three identical arms (8 &#x000D7; 30 &#x000D7; 15 cm) with a 120&#x000B0; angle between adjacent arms. The three arms were designated as: start arm (always open), in which the mouse started to explore the maze; familiar arm (always open); novel arm, blocked during the first trial and opened during the second trial (Ma et al., <xref ref-type="bibr" rid="B49">2007</xref>). Several visual cues were placed on the inner walls of the maze. Y-maze test was performed in a dimly lighted room and consisted of two trials separated by a 1 h inter-trial interval (ITI). During the first trial (training phase) lasting 10 min the mouse was allowed to explore two arms (the start arm and familiar arm) with the novel arm being blocked. During the second trial (retention phase) lasting 5 min the three arms were opened and the mouse placed in the start arm was allowed to freely explore all three arms. Maze floor and walls were cleaned after each trial to remove olfactory cues. Trials were recorded by a ceiling-mounted camera and analyzed by a video analyzer (Ethovision XT, Noldus, The Netherlands). To evaluate the preference for the novel arm (novelty) the following parameters of retention phase were analyzed: <italic>first entry</italic> in the novel arm, <italic>total entries, total distances</italic> and <italic>time</italic> spent in the familiar vs. novel arm.</p>
</sec>
<sec>
<title>Morris Water Maze (MWM)</title>
<p>The mouse was placed in a circular white pool (diameter 140 cm) filled with 24&#x000B0;C water made opaque by the addition of atoxic acrylic white color (Giotto, Italy) (Carri&#x000E9; et al., <xref ref-type="bibr" rid="B8">2002</xref>). An escape platform (diameter 5 cm) with a rough surface was placed in the middle of the NW quadrant 20 cm from the side walls. It was submerged 0.5 cm the water level. The pool located in a room uniformly lighted by four lamps (25 W each) was surrounded by several extra-maze cues. The water maze was surmounted by a video camera whose signal was relayed to a monitor and to the image analyzer (Ethovision XT, Noldus, The Netherlands). The protocol consisted of two phases. During the Place phase, mice were submitted to five consecutive sessions of three 60 s-trials, with 30 s-ITI for a total of 15 trials. Inter-session interval was 15 min during which mice were put in their home cages. At the beginning of each trial, mice were gently released into the water from pseudo-randomly varied starting points and were allowed to swim around to find the hidden platform. Mice that did not locate the platform within 60 s, were guided there by the experimenter. After the animals climbed to the platform, they were allowed to remain on it for 30 s. After 24 h, mice were submitted to the Probe phase, in which the platform was removed and the mice were allowed to search for it for 30 s.</p>
<p>To evaluate localizatory memory the following MWM parameters were analyzed: <italic>latency</italic> to reach the platform, mean <italic>swimming velocity</italic>, percentage of <italic>time</italic> spent in each of the four quadrants during Probe phase.</p>
</sec>
<sec>
<title>Object Recognition Task (ORT)</title>
<p>The apparatus consisted in a parallelepiped chamber made of transparent Plexiglas (56 &#x000D7; 42 &#x000D7; 21 cm). The task consisted of three trials, habituation, pre-test and test (De Bruin and Pouzet, <xref ref-type="bibr" rid="B15">2006</xref>; Arsenault et al., <xref ref-type="bibr" rid="B3">2011</xref>). During habituation, mice were introduced in the empty chamber and left to freely explore it for 10 min. Afterwards, they were put in their home cages for 5 min during which two identical objects (A1 and A2: 8 cm-diameter white Plexiglas disk vertically fixed to a white rectangular base) were placed in the chamber. During the pre-test, mice were allowed exploring the objects for 5 min. After a 1 h-ITI, animals were placed again for 5 min in the chamber, where one of the original objects was replaced by a novel one (B: 8 cm-diameter gray plastic sphere mounted on a squared transparent base). A video camera connected to a monitor and to the image analyzer (Ethovision XT, Noldus, The Netherlands) was placed on top of the apparatus. To evaluate the spontaneous tendency to contact the novel object (novelty) the following ORT parameters were analyzed: <italic>contact time</italic> with objects, <italic>distance</italic> traveled in the arena, mean <italic>velocit</italic>y, <italic>rearings, grooming, defecation</italic>s. A discrimination index was calculated: contact time with the novel object (T<sub>no</sub>) <italic>minus</italic> contact time with the familiar one (T<sub>fo</sub>)/total contact time with objects, <inline-formula><mml:math id="M1"><mml:mrow><mml:mfrac><mml:mrow><mml:msub><mml:mi>T</mml:mi><mml:mrow><mml:mtext>no</mml:mtext></mml:mrow></mml:msub><mml:mo>&#x02212;</mml:mo><mml:msub><mml:mi>T</mml:mi><mml:mrow><mml:mtext>fo</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>T</mml:mi><mml:mrow><mml:mtext>no</mml:mtext></mml:mrow></mml:msub><mml:mo>+</mml:mo><mml:msub><mml:mi>T</mml:mi><mml:mrow><mml:mtext>fo</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow></mml:math></inline-formula>.</p>
</sec>
<sec>
<title>Contextual Fear Conditioning (CFC)</title>
<p>The apparatus consisted of a conditioning chamber (49 &#x000D7; 21 &#x000D7; 21 cm; Mod. 7532, Ugo Basile, Italy) with walls made of gray Plexiglas and ceiling made of transparent Plexiglas to allow video-recording. The grid-floor (steels spaced by 1.5 cm) was connected to a shock generator scrambler (conditioner 7531, Ugo Basile, Italy) (Cutuli et al., <xref ref-type="bibr" rid="B13">2013</xref>).</p>
<p>CFC encompassed three sessions: baseline, training and context test. After a 3-min acclimation to the conditioning apparatus (baseline), the mouse received three foot-shocks (0.5 mA; 2 s) delivered with 60 s-ITI (training). After 24 h, it was placed again in the chamber for 6 min receiving no foot-shock (context test) (Crawley, <xref ref-type="bibr" rid="B11">1999</xref>). Animals&#x00027; behavior was recorded by a ceiling-mounted video camera and then analyzed through an image analyzer (Ethovision XT, Noldus, The Netherlands). To evaluate aversive learning the following CFC parameters were analyzed: <italic>freezing duration</italic> (considered as behavioral immobility, except for respiration movements) and <italic>defecations</italic>.</p>
</sec>
</sec>
<sec>
<title>Morphological analyses</title>
<sec>
<title>BrdU treatment and immunocytochemistry</title>
<p>Four mice per group received daily i.p. injections of BrdU at a dose of 50 mg/kg BrdU dissolved in saline (0.9% NaCl adjusted to pH 7.2 with NaOH) for 6 days. One day after the final injection the animals were sacrificed and transcardially perfused, under deep anesthesia with chloral hydrate with 4% paraformaldehyde in 0.1 M phosphate buffer (PBS). The brains were removed and kept overnight in 4% paraformaldehyde (PFA). Afterwards, brains were equilibrated in 30% sucrose and cryopreserved at &#x02212;80&#x000B0;C.</p>
<p>The hippocampus from brains embedded in Tissue-Tek OCT (Sakura, USA) was cut by cryostat at &#x02212;25&#x000B0;C in 40 &#x003BC;m coronal serial free-floating sections. To perform BrdU detection, DNA was denaturated with 2N HCl for 40 min at 37&#x000B0;C to facilitate antibody access, followed by 0.1 M borate buffer pH 8.5 for 20 min. Sections were incubated overnight at 4&#x000B0;C with a primary antibody rat anti-BrdU (AbD Serotec Cat&#x00023; MCA2060 RRID:AB_323427) diluted 1:300 in TBS containing 0.1% Triton, 0.1% Tween 20 and 3% normal donkey serum (blocking solution). For immunofluorescence analysis, sections were then stained for multiple labeling by using fluorescent methods. After permeabilization with 0.3% Triton X-100 in PBS, the sections were incubated with 3% normal donkey serum in PBS for 16&#x02013;18 h with the following primary antibodies: 1:200 goat polyclonal antibodies against Doublecortin (DCX) (Santa Cruz Biotechnology, Inc. Cat&#x00023; sc-8066 RRID:AB_2088494), 1:300 rabbit polyclonal antibodies against Glial Fibrillary Acidic Protein (Promega Cat&#x00023; G5601 RRID:AB_430855), 1:150 rabbit monoclonal antibody against Ki67 (Lab Vision Cat&#x00023; RM-9106-S RRID:AB_149707); 1:100 rabbit polyclonal antibody against Iba-1 (Wako Chemicals USA, Inc. Cat&#x00023; 019-19741 RRID:AB_839504), 1:100 goat polyclonal antibody against Iba-1 (Abcam Cat&#x00023; ab5076 RRID:AB_2224402); 1:100 rabbit polyclonal antibody against cleaved Caspase-3 (Cell Signaling Technology Cat&#x00023; 9661S RRID:AB_331440). Secondary antibodies used to visualize the antigen were 1:200 donkey anti-rat Cy3-conjugated (Jackson ImmunoResearch; BrdU) 1:100, donkey anti-rabbit Cy2-conjugated (Jackson ImmunoResearch; Ki67, Iba-1), 1:100 donkey anti-goat Cy2-conjugated (Jackson ImmunoResearch Cat&#x00023; 705-225-147 RRID:AB_2307341; DCX, Iba-1), 1:200 anti-rabbit Cy3-conjugated (Jackson ImmunoResearch; GFAP, Caspase-3).</p>
<p>Images of the immunostained sections were obtained by laser scanning confocal microscopy by using a TCS SP5 microscope (Leica Microsystem; Germany).</p>
<p>Analyses were performed in sequential scanning mode to rule out cross-bleeding between channels.</p>
</sec>
<sec>
<title>Quantification of cell numbers</title>
<p>Quantitative analysis of hippocampal cell populations was performed by means of design-based (assumption-free, unbiased) stereology. Slices were collected using systematic random sampling. The brain was coronally sliced in rostro-caudal direction, thus including the entire hippocampus. Approximately 40 coronal sections of 40 &#x003BC;m were obtained from each brain; about 1-in-6 series of sections (each slice thus spaced 240 &#x003BC;m apart from the next) were analyzed by confocal microscopy and (by unbiased stereological method) used to count the number of cells expressing the indicated markers throughout the rostro-caudal extent of the whole hippocampus. The total estimated number of cells positive for each of the indicated markers within the dentate gyrus (DG), CA1 and CA3 areas was obtained by multiplying the average number of positive cells per section by the total number of 40 &#x003BC;m sections comprising the entire DG, CA1 and CA3 (spaced 240 &#x003BC;m) (Jessberger et al., <xref ref-type="bibr" rid="B35">2005</xref>; Kee et al., <xref ref-type="bibr" rid="B39">2007</xref>; Farioli-Vecchioli et al., <xref ref-type="bibr" rid="B22">2008</xref>).</p>
<p>Cells with lipofuscin deposits were recognized by their characteristic appearance and fluorescence of similar intensity in all three channels investigated (Kempermann et al., <xref ref-type="bibr" rid="B41">2002</xref>). We counted only heavily loaded cells, in which the deposits obscured more than half of the nucleus.</p>
<p>An investigator blind to the experimental specimen performed cell count and proportional analyses. Cell number quantification was performed in at least 3 animals per group.</p>
</sec>
<sec>
<title>Volumetric measurements</title>
<p>Volumes of the DG, Ammon horn CA1 and CA3 and whole hippocampus were estimated by quantitative light microscopy using the Cavalieri&#x00027;s method (Pakkenberg and Gundersen, <xref ref-type="bibr" rid="B59">1997</xref>). In brief, rostro-caudal sections from hippocampus of each animal (taking every sixth serial section) were mounted onto glass slide and stained with 4&#x02032;,6-diamidino-2-phenylindole (DAPI) for 1 min. Stained sections were viewed at low magnification using Olympus BX53 digital photomicroscope. Digital images were then captured electronically and displayed on a computer screen. For each animal, DG, Ammon horn and whole hippocampus volumes were subsequently derived by multiplying the calculated mean surface area by the section thickness (40 &#x003BC;m) and the total actual number of sections in which the hippocampus was present.</p>
</sec>
<sec>
<title>Neuronal density measurements</title>
<p>Areal neuronal density values (number of neurons/mm<sup>2</sup>) were calculated within each of the hippocampal subfields (DG, CA3, and CA1) in the same tissue sections (stained with DAPI) that underwent the quantitative image analysis described elsewhere (Tandrup, <xref ref-type="bibr" rid="B76">2004</xref>). Cells were counted within a rectangular area on a computer monitor, ranging in size from 1989 &#x003BC;m<sup>2</sup> (60 &#x000D7; 35.15 &#x003BC;m) to 2270 &#x003BC;m<sup>2</sup> (58.4 &#x000D7; 38.9 &#x003BC;m), and the rectangular area was superimposed onto the pyramidal cells of CA1 and CA3 areas and onto the granule cells of DG. The results were expressed as the cell density per mm<sup>2</sup>.</p>
</sec>
<sec>
<title>Dendritic growth of DCX<sup>&#x0002B;</sup> neurons</title>
<p>Dendritic analysis of DCX<sup>&#x0002B;</sup> neurons was performed by acquiring z-series of 15&#x02013;25 optical sections at 1&#x02013;1.5 lm of interval with a 40X oil lens, with the confocal system TCS SP5 (Leica Microsystem). Two-dimensional projections at maximum intensity of each z-series were generated with the LAS AF software platform (Leica Microsystem) in the TIFF format, and files were imported in the I.A.S. software (Delta Systems) to measure dendritic length. The number of branching points was counted manually in the same images. For each data point, 20&#x02013;30 cells from 3 mice were analyzed (Farioli-Vecchioli et al., <xref ref-type="bibr" rid="B22">2008</xref>).</p>
</sec>
</sec>
<sec>
<title>Metabolic correlates</title>
<sec>
<title>Analysis of amino acids and carnitines by direct infusion mass spectrometry (DIMS)</title>
<p>Whole blood taken from the tail was collected on filter paper as dried blood spot (DBS), which is particularly suitable for small volume samples. The determination of amino acids (proline, valine, leucine/isoleucine/hydroxyproline, ornithine, methionine, phenylalanine, arginine, citrulline, tyrosine, glycine, alanine, serine, threonine, asparagine, aspartate, lysine/glicine, glutamate, histidine) and carnitines (free carnitine, acetylcarnitine, propionylcarnitine, butyrylcarnitine, isovalerylcarnitine, 3-hydroxybutyrylcarnitine/malonylcarnitine, 3-hydroxyisovalerylcarnitine/methylmalonylcarnitine, glutarylcarnitine/3-hydroxyhexanoylcarnitine, adipylcarnitine, tetra-decenoylcarnitine, myristoylcarnitine, hexadecenoylcarnitine, palmitoylcarnitine, linoleylcarnitine, oleylcarnitine, stearoylcarnitine) was performed on filter paper card DBS samples by direct infusion mass spectrometry (DIMS) following a standardized high-throughput screening method as described elsewhere (Chace et al., <xref ref-type="bibr" rid="B9">2002</xref>; Rossi et al., <xref ref-type="bibr" rid="B64">2011</xref>). The analysis was performed in DBS samples by adding isotopically labeled internal standards, according to the principle of isotope dilution internal standardization. Briefly, filter paper disks containing approximately 3&#x02013;3.2 &#x003BC;L of whole blood, were punched out from DBS samples and from the quality controls (QCs) using an automatic puncher, into a polypropylene microliter plate. 100 &#x003BC;L of the extraction solution containing the internal standards were added to each paper disk, and the plate was shaken in a thermo mixer (700 rpm, 45&#x000B0;C, 50 min). The internal standards as well as the extraction solution and the QCs were from the NeoBase Non-derivatized MSMS Kit (Perkin Elmer Life and Analytical Sciences, Finland) (Ostrup and Wallac, <xref ref-type="bibr" rid="B58">1994</xref>; Food and Drug Administration, <xref ref-type="bibr" rid="B26">2004</xref>). 75 &#x003BC;L from the content of each well were transferred to a new microliter plate. The plate was placed in the autosampler for analysis. Low and high blood spot QCs were run in replicate in each plate, before and after the real samples. The DIMS analysis for the evaluation of metabolite profile in DBS samples was performed using a Liquid Chromatography-tandem Mass Spectrometry (LC/MS/MS) system consisting of an Alliance HT 2795 HPLC Separation Module coupled to a Quattro Ultima Pt ESI tandem quadrupole mass spectrometer (Waters Corporation, USA) (Sirolli et al., <xref ref-type="bibr" rid="B70">2012</xref>; Bonomini et al., <xref ref-type="bibr" rid="B5">2013</xref>; Rizza et al., <xref ref-type="bibr" rid="B62">2014</xref>). The instrument was operated in positive electrospray ionization mode, using MassLynx V4.0 Software (Waters) with auto data processing by NeoLynx (Waters Corporation, USA). The 30 &#x003BC;L injections were made directly into the ion source through a narrow peek tube with a total run time (injection-to-injection) of 1.8 min. The mass spectrometer ionization source settings were optimized for maximum ion yields for every analyte. The capillary voltage was set to 3.25 kV, the source and desolvation temperature were 120&#x000B0;C and 350&#x000B0;C respectively, and the collision cell gas pressure was 3&#x02013;3.5 e-3 mbar Argon (Sirolli et al., <xref ref-type="bibr" rid="B70">2012</xref>; Bonomini et al., <xref ref-type="bibr" rid="B5">2013</xref>; Rizza et al., <xref ref-type="bibr" rid="B62">2014</xref>).</p>
</sec>
<sec>
<title>Analysis of fatty acids by GC/MS</title>
<p>Fatty acids were extracted using the method reported by Folch (Folch et al., <xref ref-type="bibr" rid="B25">1957</xref>) with slight modifications. Briefly, brains were homogenized in CHCl<sub>3</sub>/MeOH (2:1 v/v) to a final dilution of 20-fold of the original sample volume, assuming that the tissue has the same specific gravity of water. Heptadecanoic acid was used as internal standard. The resulting organic phase was evaporated to dryness in a speed-vac at room temperature and then derivatized with BSTFA-TMCS 99:1 v/v (Sigma-Aldrich, Italy) for 1 h at 60&#x000B0;C. Derivatized samples were transferred in the injection vial and added with 20% v/v of Acetone. GC/MS analyses were performed using a Focus GC (Thermo Scientific, USA) equipped with 30 m &#x000D7; 0.25 mm fused silica capillary column SLB&#x02122;-5MS (Supelco) and connected to a PolarisQ mass spectrometer (Thermo Scientific, USA). 2 &#x003BC;L of samples were injected in split mode (1:10 ratio), the injector temperature was set at 200&#x000B0;C; the carrier gas was Helium and the flow rate was maintained constant at 1 ml/min. The initial oven temperature of 100&#x000B0;C was held for 1 min and then raised to 250&#x000B0; C at 10&#x000B0;C/min and maintained for 6 min. After then the oven temperature was increased up to 310&#x000B0;C at 20&#x000B0;C/min and held for 5 min. Mass transfer line was maintained at 280&#x000B0;C and the ion source at 200&#x000B0;C. Analyses were performed in Selected Ion Monitoring (SIM) mode and fatty acids were identified by comparison with commercial standards.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>All data were tested for normality (Shapiro-Wilk&#x00027;s test) and homoscedasticity (Levene&#x00027;s test) and presented as mean &#x000B1; s.e.m. Behavioral data and metabolic correlates were analyzed by using one- and Two-Way ANOVAs (with group as between-factor and arm/session/quadrant as within-factor) followed by Newman-Keuls&#x00027;s tests. When parametric assumptions were not fully met, non-parametric analyses of variance (&#x003C7;<sup>2</sup> and Mann-Whitney <italic>U</italic>-tests) were used. Morphological data were analyzed by using Student&#x00027;s <italic>T</italic>-test. Values of <italic>p</italic> &#x0003C; 0.05 were considered significant (Statistica 7, Statsoft).</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>Behavioral testing</title>
<sec>
<title>Elevated Plus Maze (EPM)</title>
<p>As indicated by One-Way ANOVAs on entry frequencies [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 0.41, <italic>p</italic> &#x0003D; 0.67], time spent in the close vs. open arms [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 3.08, <italic>p</italic> &#x0003D; 0.06] and defecations [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 1.02, <italic>p</italic> &#x0003D; 0.37], the anxiety levels resulted similar for the three experimental groups, regardless of the food supplementation type.</p>
</sec>
<sec>
<title>Spatial Y-Maze (SYM)</title>
<p>When allowed to choose between the novel and familiar arm, n-3 PUFA mice showed better discrimination abilities of spatial novelty as indicated by the higher number of animals first entering the novel arm and by the total entries in the novel arm. No motivational differences were observed among groups, given their similar total entries. Namely, analyses on frequency of first entry in the novel arm revealed that only n-3 PUFA mice showed a significant preference for it (&#x003C7;<sup>2</sup><sub>1</sub> &#x0003D; 8.33, <italic>p</italic> &#x0003D; 0.004), while OLIVE OIL (&#x003C7;<sup>2</sup><sub>1</sub> &#x0003D; 0.07, <italic>p</italic> &#x0003D; 0.78) and na&#x000EF;ve (&#x003C7;<sup>2</sup><sub>1</sub> &#x0003D; 0.69, <italic>p</italic> &#x0003D; 0.41) mice chose an arm by chance (Figure <xref ref-type="fig" rid="F2">2A</xref>). A Two-Way ANOVA (group x arm) on total entries revealed significant arm effect [<italic>F</italic><sub>(1, 35)</sub> &#x0003D; 32.05, <italic>p</italic> &#x0003C; 0.0001] and interaction [<italic>F</italic><sub>(2, 35)</sub> &#x0003D; 4.82, <italic>p</italic> &#x0003D; 0.01], while group effect was not significant [<italic>F</italic><sub>(2, 35)</sub> &#x0003D; 0.14, <italic>p</italic> &#x0003D; 0.87]. <italic>Post-hoc</italic> comparisons on interaction demonstrated that only n-3 PUFA group entered more the novel arm (<italic>p</italic> &#x0003D; 0.0001), while OLIVE OIL (<italic>p</italic> &#x0003D; 0.13) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.09) groups equally entered the novel and the familiar arm (Figure <xref ref-type="fig" rid="F2">2B</xref>). No significant differences among groups were found on time spent in each arm [group: <italic>F</italic><sub>(2, 35)</sub> &#x0003D; 2.79, <italic>p</italic> &#x0003D; 0.07; arm: <italic>F</italic><sub>(1, 35)</sub> &#x0003D; 0.44, <italic>p</italic> &#x0003D; 0.51; interaction: <italic>F</italic><sub>(2, 35)</sub> &#x0003D; 2.56, <italic>p</italic> &#x0003D; 0.09] and total distances [group: <italic>F</italic><sub>(2, 35)</sub> &#x0003D; 1.04, <italic>p</italic> &#x0003D; 0.36; arm: <italic>F</italic><sub>(1, 35)</sub> &#x0003D; 11.07, <italic>p</italic> &#x0003D; 0.002; interaction: <italic>F</italic><sub>(2, 35)</sub> &#x0003D; 2.43, <italic>p</italic> &#x0003D; 0.10].</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>n-3 PUFA effects on behavioral performances. (A,B)</bold> First entry <bold>(A)</bold> and total entries <bold>(B)</bold> in the familiar <bold>(F)</bold> and novel (N) arm displayed by the three experimental groups in Spatial Y-Maze (SYM). <bold>(C,D)</bold> Mean escape latency to reach the hidden platform during Place phase of Morris Water Maze (MWM) <bold>(C)</bold> and time spent in the rewarded quadrant during Probe trial <bold>(D)</bold>. <bold>(E)</bold> Discrimination index in Object Recognition Test (ORT). <bold>(F)</bold> Mean freezing time exhibited during Baseline, Training (Inter-Trial Intervals: ITI) and Context Test of Contextual Fear Conditioning (CFC). Asterisks inside the graphs indicate the significance of comparisons between groups: <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05, <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x02264; 0.01, or <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x02264; 0.001.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0002.tif"/>
</fig>
</sec>
<sec>
<title>Morris Water Maze (MWM)</title>
<p>Regardless of the experimental conditions, all mice learned to localize the hidden platform as the Place sessions went by, as revealed by a Two-Way ANOVA (group &#x000D7; session) on latency values [group: <italic>F</italic><sub>(2, 34)</sub> &#x0003D; 2.68, <italic>p</italic> &#x0003D; 0.08; session: <italic>F</italic><sub>(4, 136)</sub> &#x0003D; 10.76, <italic>p</italic> &#x0003C; 0.0001; interaction: <italic>F</italic><sub>(8, 136)</sub> &#x0003D; 0.94, <italic>p</italic> &#x0003D; 0.49] (Figure <xref ref-type="fig" rid="F2">2C</xref>). Furthermore, no differences in mean swimming velocity among groups were found [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 0.28, <italic>p</italic> &#x0003D; 0.76]. A Two-Way ANOVA (group &#x000D7; quadrant) performed on time spent in the four quadrants during the Probe trial (24 h after Place phase) revealed significant quadrant effect [<italic>F</italic><sub>(3, 102)</sub> &#x0003D; 11.05, <italic>p</italic> &#x0003C; 0.0001] and interaction [<italic>F</italic><sub>(6, 102)</sub> &#x0003D; 7.07, <italic>p</italic> &#x0003C; 0.0001], while group effect [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 0.26, <italic>p</italic> &#x0003D; 0.77] was not significant. Interestingly, <italic>post-hoc</italic> comparisons revealed that only n-3 PUFA group swam significantly longer in the quadrant previously rewarded by the presence of the platform (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.01; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.001; OLIVE OIL vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.15) (Figure <xref ref-type="fig" rid="F2">2D</xref>). Time spent in the previously rewarded quadrant was significantly higher than the time spent in the other quadrants only in n-3 PUFA group (always <italic>p</italic> &#x0003C; 0.001).</p>
</sec>
<sec>
<title>Object Recognition Task (ORT)</title>
<p>As indicated by the discrimination index (Figure <xref ref-type="fig" rid="F2">2E</xref>), n-3 PUFA group better recognized object novelty in comparison to both NA&#x000CF;VE (Mann-Whitney U, <italic>Z</italic> &#x0003D; &#x02212;2.40, <italic>p</italic> &#x0003D; 0.01) and OLIVE OIL (Mann-Whitney U, <italic>Z</italic> &#x0003D; &#x02212;2.81, <italic>p</italic> &#x0003D; 0.004) groups. No significant differences among groups were found in emotional (grooming and defecations) as well as in explorative (distance, velocity and rearing) indices.</p>
</sec>
<sec>
<title>Contextual Fear Conditioning (CFC)</title>
<p>n-3 PUFA supplementation enhanced associative memory between aversive stimulus and environmental context, as indicated by the higher freezing behavior of n-3 PUFA group, a readout of increased memory. Namely, a Two-Way ANOVA (group &#x000D7; session) on freezing duration revealed significant group [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 6.93, <italic>p</italic> &#x0003D; 0.003] and session [<italic>F</italic><sub>(2, 68)</sub> &#x0003D; 191.07, <italic>p</italic> &#x0003C; 0.0001] effects. Also the interaction [<italic>F</italic><sub>(2, 68)</sub> &#x0003D; 3.39, <italic>p</italic> &#x0003D; 0.01] was significant. <italic>Post-hoc</italic> comparisons on interaction revealed that while during baseline and training all animals exhibited similar freezing levels, during context test n-3 PUFA group exhibited significantly higher freezing levels in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.02) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.0001) groups (Figure <xref ref-type="fig" rid="F2">2F</xref>). Defecations did not differ among groups throughout the test [<italic>F</italic><sub>(2, 34)</sub> &#x0003D; 0.69, <italic>p</italic> &#x0003D; 0.51].</p>
</sec>
</sec>
<sec>
<title>Morphological analyses</title>
<sec>
<title>Hippocampal volume and neuronal density</title>
<p>n-3 PUFA mice showed a total hippocampal volume significantly increased in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.03) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.04) groups (Figure <xref ref-type="fig" rid="F3">3</xref>). To thoroughly analyze n-3 PUFA effect on hippocampal subfields, the volumes of Ammon Horn (CA &#x0003D; CA1 &#x0002B; CA3) and dentate gyrus (DG) were measured. In n-3 PUFA group CA volume significantly increased in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.0004) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.0004) groups. Even in DG n-3 PUFA group exhibited enhanced volume in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.04) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.04) groups.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>n-3 PUFA effects on hippocampal volumes and cell density</bold>. Volumes of whole hippocampus, Ammon Horn (CA1&#x0002B;CA3) and Dentate Gyrus resulted significantly enhanced in n-3 PUFA group in comparison to NA&#x000CF;VE and OLIVE OIL groups. Also cell density was significantly increased in Dentate Gyrus, CA3 and CA1 of n-3 PUFA group in comparison to both control groups. <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05, <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.01, or <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001; Student&#x00027;s <italic>T</italic> test.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0003.tif"/>
</fig>
<p>To evaluate whether the volumetric differences were related to changes in neuronal density DAPI-stained nuclei were counted in DG, CA3, and CA1 hippocampal subfields (Figure <xref ref-type="fig" rid="F3">3</xref>). In DG n-3 PUFA supplementation resulted in a significant increase of granule cell density in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.005) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.0001) groups. Even in CA3 pyramidal neuron density significantly increased in n-3 PUFA group in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.03) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.03) groups. Finally, in CA1 n-3 PUFA group showed a significant increment in the pyramidal neuron density in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.0007) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.0008) groups. All together, these data indicate that the n-3 PUFA-induced increase of hippocampal volumes was due to a decreased neuronal loss, as revealed by the increased neuronal density observed in the n-3 PUFA-treated aged mice.</p>
</sec>
<sec>
<title>Hippocampal apoptotic cell death</title>
<p>To verify whether the increased cell density observed in n-3 PUFA group was linked to a decrease of apoptotic cell death, the apoptotic marker activated caspase-3 was measured in DG, CA1, and CA3. The number of caspase-3<sup>&#x0002B;</sup> cells was very low in the three hippocampal subfields, without any difference among groups. By contrast, several caspase-3<sup>&#x0002B;</sup> cellular debris were scattered throughout DG, CA1 and especially CA3 subfields in all groups, with a marked reduction was observed in n-3 PUFA group (Figure <xref ref-type="fig" rid="F4">4A</xref>).</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>n-3 PUFA effects on hippocampal glial populations and lipofuscin deposits. (A)</bold> Representative fluorescence images of confocal optical sections of Dentate Gyrus, CA3 and CA1 in NA&#x000CF;VE and n-3 PUFA groups, showing Iba-1<sup>&#x0002B;</sup> (green, arrows) and caspase-3<sup>&#x0002B;</sup> (red) cells. Scale bar 50 &#x003BC;m. In the central small panels, the higher magnifications (square boxes) show the neuronal caspase-3<sup>&#x0002B;</sup> debris (red, arrowheads) phagocytated by the microglial cells (green, arrowheads). Scale bar 25 &#x003BC;m. The histograms on the right show the Iba1<sup>&#x0002B;</sup> cell number of the Dentate Gyrus, CA3 and CA1 in n-3 PUFA, NA&#x000CF;VE and OLIVE OIL groups. <bold>(B)</bold> Representative fluorescence images of confocal optical sections representing GFAP<sup>&#x0002B;</sup> cells (red) in Dentate Gyrus, CA3, and CA1 of NA&#x000CF;VE and n-3 PUFA groups, showing decreased astrocytosis in the n-3 PUFA group in Dentate gyrus and CA3 but not in CA1. Scale bar 50 &#x003BC;m. The histograms on the right show the GFAP<sup>&#x0002B;</sup> cell number of the Dentate Gyrus, CA3, and CA1 in n-3 PUFA, NA&#x000CF;VE, and OLIVE OIL groups. <bold>(C)</bold> Representative fluorescence images of confocal optical sections representing lipofuscin autofluorescent cells in the Dentate Gyrus of n-3 PUFA group (arrowhead). Scale bar 50 &#x003BC;m. The bottom histograms show quantitative analysis of the lipofuscin-loaded cells in Dentate Gyrus, CA3 and CA1. <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05, <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x02264; 0.01, or <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x02264; 0.001; Student&#x00027;s <italic>T</italic> test.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0004.tif"/>
</fig>
</sec>
<sec>
<title>Hippocampal microglia</title>
<p>Microglial cells are responsible for maintaining the extracellular environment of the brain, by regulating uptake and degradation of non-functional or apoptotic material. Reduced microglia self-renewal capacity and impaired clearance functions are reported in aging (Sierra et al., <xref ref-type="bibr" rid="B68">2010</xref>; Gemma and Bachstetter, <xref ref-type="bibr" rid="B29">2013</xref>). n-3 PUFA group displayed a significant increase in the number of microglial Iba1<sup>&#x0002B;</sup> cells in comparison to both control groups in DG (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.01; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.0007), in CA3 (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003C; 0.0001; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.0002), and in CA1 (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.03; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.007) (Figure <xref ref-type="fig" rid="F4">4A</xref>). More specifically, we observed in n-3 PUFA group an increase of the microglial cells phagocytosing apoptotic caspase-3<sup>&#x0002B;</sup> neuronal debris in DG (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.03; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.04) and CA1 (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.03; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.01) when compared with the other experimental group (Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">1</xref> and Figure <xref ref-type="fig" rid="F4">4A</xref>, square boxes). These results suggest that n-3 PUFA supplementation increases the phagocytosing microglial population, likely providing a protective mechanism during aging.</p>
</sec>
<sec>
<title>Hippocampal astroglia reactivity</title>
<p>A typical biomarker of the aging brain is the astrocyte hypertrophy with increased GFAP expression (Salminen et al., <xref ref-type="bibr" rid="B66">2011</xref>). In n-3 PUFA group, GFAP immunoreactivity was significantly reduced in comparison to both control groups in DG (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.0002; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.0002) and CA3 (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.002; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.001), but not in CA1 (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.43; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.70) (Figure <xref ref-type="fig" rid="F4">4B</xref>). These results indicate that n-3 PUFA supplementation markedly reduced astrocytosis.</p>
</sec>
<sec>
<title>Hippocampal lipofuscin deposits</title>
<p>The non-specific lipofuscin deposits in neurons are a prominent sign of aging and their low levels are considered a measure of &#x0201C;cellular health&#x0201D; (Kempermann et al., <xref ref-type="bibr" rid="B41">2002</xref>). In n-3 PUFA group the number of lipofuscin autofluorescent cells was significantly reduced in all hippocampal subfields in comparison to both control groups (DG: n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.04; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.01; CA3: n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.009; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.0009; CA1: n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.0006; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003D; 0.0007) (Figure <xref ref-type="fig" rid="F4">4C</xref>). These data indicate that n-3 PUFA supplementation resulted in ameliorated neuronal status promoting a decreased cellular degeneration and consequent neuronal loss.</p>
</sec>
<sec>
<title>Hippocampal neurogenesis</title>
<p><bold><italic>Cell proliferation.</italic></bold> The subgranular zone (SGZ) of the hippocampal DG constitutes one of the two neurogenic niches of the adult brain along with the subventricular zone (SVZ) (Eriksson et al., <xref ref-type="bibr" rid="B21">1998</xref>). In SGZ, newborn cells proliferate from neural stem cells and give rise to immature neurons which migrate into the inner part of granule cell layer, where they mature and integrate into the pre-existing circuitry by receiving inputs from the entorhinal cortex, and extending projections into the CA3 (Zainuddin and Thuret, <xref ref-type="bibr" rid="B83">2012</xref>). In order to evaluate the effect of n-PUFA administration on the hippocampal neurogenesis of aged mice we investigated the proliferation and differentiation of newborn neurons in the three experimental groups. In the n-3 PUFA group the number of BrdU<sup>&#x0002B;</sup> cells was significantly increased in comparison to both control groups (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.004; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003C; 0.0001), while no significant difference was evident between OLIVE OIL and NA&#x000CF;VE groups (Figure <xref ref-type="fig" rid="F5">5A</xref>). Similarly, a significantly higher number of Ki67<sup>&#x0002B;</sup> cells (Scholzen and Gerdes, <xref ref-type="bibr" rid="B67">2000</xref>) was found in n-3 PUFA group compared to both control groups (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003C; 0.0001; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003C; 0.0001). The number of Ki67<sup>&#x0002B;</sup> cells found in OLIVE OIL and NA&#x000CF;VE mice was not significantly different (Figure <xref ref-type="fig" rid="F5">5A</xref>). These data demonstrate that in the DG the n-3 PUFA supplementation was effective in strongly increasing the cellular proliferation rate of newly-generated neurons that was conversely barely detectable in NA&#x000CF;VE and OLIVE OIL mice.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p><bold>n-3 PUFA effects on hippocampal neurogenesis. (A)</bold> Representative images showing the increase of the Ki67<sup>&#x0002B;</sup> cells in the dentate gyrus of the mice treated with n-3 PUFA, when compared with NA&#x000CF;VE group. At higher magnification (square boxes) the presence of a cluster of Ki67<sup>&#x0002B;</sup> cells, which is a sign of intense proliferative activity can be noted for the n-3 PUFA treated mice (right panel), but not for the NA&#x000CF;VE mice (left panel). Scale bars 50 &#x003BC;m and 25 &#x003BC;m. The histograms show the increase of BrdU<sup>&#x000B1;</sup>, Ki67<sup>&#x0002B;</sup> and DCX<sup>&#x0002B;</sup> cells in the n-3 PUFA mice, when compared with NA&#x000CF;VE and OLIVE OIL mice. <bold>(B)</bold> Representative morphology of DCX cells, analyzed from NA&#x000CF;VE and n-3 PUFA experimental groups, showing an increase of dendritic complexity in the n-3 PUFA neuronal progenitors. Scale bar 50 &#x003BC;m. Quantification of dendritic length and dendritic branching points measured in NA&#x000CF;VE, OLIVE OIL, and n-3 PUFA experimental groups. <sup>&#x0002A;&#x0002A;</sup><italic>p</italic> &#x02264; 0.01, or <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x02264; 0.001; Student&#x00027;s <italic>T</italic> test.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0005.tif"/>
</fig>
<p><bold><italic>Cell differentiation.</italic></bold> In n-3 PUFA group an increased number of DCX<sup>&#x0002B;</sup> cells in the SGZ of DG was found in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.001) and NA&#x000CF;VE (<italic>p</italic> &#x0003C; 0.0001) groups, while no statistical difference was found between OLIVE OIL and NA&#x000CF;VE groups (<italic>p</italic> &#x0003D; 0.48) (Figure <xref ref-type="fig" rid="F5">5A</xref>). To investigate whether n-3 PUFA supplementation resulted in altered morphology of early-differentiated DCX<sup>&#x0002B;</sup> neuroblasts, in term of dendritic length and branching points, two-dimensional projections of confocal z-series obtained from DCX<sup>&#x0002B;</sup> cells were analyzed. In n-3 PUFA group a significant increase of dendritic length (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.001; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003C; 0.0001) and branching points (n-3 PUFA vs. OLIVE OIL: <italic>p</italic> &#x0003D; 0.001; n-3 PUFA vs. NA&#x000CF;VE: <italic>p</italic> &#x0003C; 0.0001) was observed (Figure <xref ref-type="fig" rid="F5">5B</xref>). These data indicate that the n-3 PUFA supplementation significantly stimulated neuroblast differentiation leading to major dendritic complexity.</p>
</sec>
</sec>
<sec>
<title>Metabolic correlates</title>
<sec>
<title>Free amino acids and carnitines</title>
<p>Blood levels of amino acids and carnitines are reported in Table <xref ref-type="table" rid="T2">2</xref>. Supervised and Unsupervised Principal Component Analysis did not reveal any significant difference among the experimental groups. However, One-Way ANOVA on the acetylcarnitine (ALC) levels revealed a significant difference [<italic>F</italic><sub>(2, 12)</sub> &#x0003D; 5.52, <italic>p</italic> &#x0003D; 0.02] among groups. <italic>Post-hoc</italic> comparisons indicated that ALC blood levels were significantly higher in n-3 PUFA group in comparison to OLIVE OIL (<italic>p</italic> &#x0003D; 0.03) and NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.02) (Figure <xref ref-type="fig" rid="F6">6A</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p><bold>Blood concentrations of amino acids and carnitines for each experimental group are indicated</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"><bold>Amino acids concentrations</bold></th>
<th align="center"><bold>NA&#x000CF;VE</bold></th>
<th align="center"><bold>OLIVE OIL</bold></th>
<th align="center"><bold>n-3 PUFA</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Proline</td>
<td align="center">86.81 &#x000B1; 6.42</td>
<td align="center">81.85 &#x000B1; 6.41</td>
<td align="center">91.75 &#x000B1; 13.28</td>
</tr>
<tr>
<td align="left">Valine</td>
<td align="center">79.68 &#x000B1; 5.86</td>
<td align="center">100.56 &#x000B1; 2.13</td>
<td align="center">86.24 &#x000B1; 13.23</td>
</tr>
<tr>
<td align="left">Leucine/Isoleucine/Hydroxyproline</td>
<td align="center">132.01 &#x000B1; 9.76</td>
<td align="center">130.61 &#x000B1; 14.02</td>
<td align="center">137.12 &#x000B1; 13.19</td>
</tr>
<tr>
<td align="left">Ornithine</td>
<td align="center">53.24 &#x000B1; 12.18</td>
<td align="center">44.29 &#x000B1; 4.62</td>
<td align="center">54.22 &#x000B1; 13.17</td>
</tr>
<tr>
<td align="left">Methionine</td>
<td align="center">26.14 &#x000B1; 6.23</td>
<td align="center">24.86 &#x000B1; 1.87</td>
<td align="center">24.55 &#x000B1; 2.19</td>
</tr>
<tr>
<td align="left">Phenylalanine</td>
<td align="center">40.94 &#x000B1; 3.29</td>
<td align="center">44.73 &#x000B1; 2.04</td>
<td align="center">42.79 &#x000B1; 3.69</td>
</tr>
<tr>
<td align="left">Arginine</td>
<td align="center">90.05 &#x000B1; 4.46</td>
<td align="center">77.80 &#x000B1; 0.85</td>
<td align="center">89.65 &#x000B1; 5.82</td>
</tr>
<tr>
<td align="left">Citrulline</td>
<td align="center">36.87 &#x000B1; 2.76</td>
<td align="center">34.86 &#x000B1; 4.87</td>
<td align="center">39.07 &#x000B1; 7.00</td>
</tr>
<tr>
<td align="left">Tyrosine</td>
<td align="center">44.46 &#x000B1; 7.96</td>
<td align="center">41.25 &#x000B1; 2.80</td>
<td align="center">40.84 &#x000B1; 3.59</td>
</tr>
<tr>
<td align="left">Glycine</td>
<td align="center">632.28 &#x000B1; 128.26</td>
<td align="center">609.72 &#x000B1; 112.52</td>
<td align="center">619.95 &#x000B1; 67.96</td>
</tr>
<tr>
<td align="left">Alanine</td>
<td align="center">57.92 &#x000B1; 9.73</td>
<td align="center">69.77 &#x000B1; 2.73</td>
<td align="center">74.46 &#x000B1; 8.89</td>
</tr>
<tr>
<td align="left">Serine</td>
<td align="center">7.35 &#x000B1; 0.74</td>
<td align="center">9.48 &#x000B1; 1.36</td>
<td align="center">8.29 &#x000B1; 2.62</td>
</tr>
<tr>
<td align="left">Threonine</td>
<td align="center">27.41 &#x000B1; 4.98</td>
<td align="center">26.54 &#x000B1; 2.39</td>
<td align="center">28.38 &#x000B1; 4.20</td>
</tr>
<tr>
<td align="left">Asparagine</td>
<td align="center">4.10 &#x000B1; 0.91</td>
<td align="center">3.42 &#x000B1; 0.32</td>
<td align="center">3.27 &#x000B1; 0.60</td>
</tr>
<tr>
<td align="left">Aspartate</td>
<td align="center">4.99 &#x000B1; 0.36</td>
<td align="center">4.75 &#x000B1; 0.61</td>
<td align="center">6.40 &#x000B1; 0.51</td>
</tr>
<tr>
<td align="left">Lysine/Glicine</td>
<td align="center">1592.42 &#x000B1; 285.89</td>
<td align="center">1583.62 &#x000B1; 200.26</td>
<td align="center">1710.13 &#x000B1; 136.14</td>
</tr>
<tr>
<td align="left">Glutamate</td>
<td align="center">34.97 &#x000B1; 3.25</td>
<td align="center">35.51 &#x000B1; 1.57</td>
<td align="center">31.40 &#x000B1; 1.59</td>
</tr>
<tr>
<td align="left">Histidine</td>
<td align="center">52.12 &#x000B1; 3.69</td>
<td align="center">53.23 &#x000B1; 1.10</td>
<td align="center">54.65 &#x000B1; 4.99</td>
</tr>
<tr>
<td align="left" colspan="4">t<bold>Carnitines concentrations</bold></td>
</tr>
<tr>
<td align="left">Carnitine free</td>
<td align="center">14.62 &#x000B1; 2.05</td>
<td align="center">17.97 &#x000B1; 1.11</td>
<td align="center">15.31 &#x000B1; 1.98</td>
</tr>
<tr>
<td align="left">Acetylcarnitine<xref ref-type="table-fn" rid="TN2"><sup>&#x0002A;</sup></xref></td>
<td align="center">15.32 &#x000B1; 1.38</td>
<td align="center">17.02 &#x000B1; 1.24</td>
<td align="center">22.76 &#x000B1; 2.19</td>
</tr>
<tr>
<td align="left">Propionylcarnitine</td>
<td align="center">0.86 &#x000B1; 0.08</td>
<td align="center">1.05 &#x000B1; 0.07</td>
<td align="center">0.92 &#x000B1; 0.08</td>
</tr>
<tr>
<td align="left">Butyrylcarnitine</td>
<td align="center">0.15 &#x000B1; 0.01</td>
<td align="center">0.11 &#x000B1; 0.03</td>
<td align="center">0.12 &#x000B1; 0.03</td>
</tr>
<tr>
<td align="left">Iovalerylcarnitine</td>
<td align="center">0.06 &#x000B1; 0.01</td>
<td align="center">0.07 &#x000B1; 0.01</td>
<td align="center">0.09 &#x000B1; 0.01</td>
</tr>
<tr>
<td align="left">3-Hydroxybutyrylcarnitine/ Malonylcarnitine</td>
<td align="center">0.13 &#x000B1; 0.02</td>
<td align="center">0.15 &#x000B1; 0.01</td>
<td align="center">0.23 &#x000B1; 0.07</td>
</tr>
<tr>
<td align="left">3-Hydroxyisovalerylcarnitine/ Methylmalonylcarnitine</td>
<td align="center">0.13 &#x000B1; 0.03</td>
<td align="center">0.15 &#x000B1; 0.01</td>
<td align="center">0.16 &#x000B1; 0.01</td>
</tr>
<tr>
<td align="left">Glutarylcarnitine/3-Hydroxyhexanoylcarnitine</td>
<td align="center">0.22 &#x000B1; 0.02</td>
<td align="center">0.2 &#x000B1; 0.03</td>
<td align="center">0.23 &#x000B1; 0.02</td>
</tr>
<tr>
<td align="left">Adipylcarnitine</td>
<td align="center">0.09 &#x000B1; 0.02</td>
<td align="center">0.09 &#x000B1; 0.01</td>
<td align="center">0.11 &#x000B1; 0.01</td>
</tr>
<tr>
<td align="left">Tetradecenoylcarnitine</td>
<td align="center">0.06 &#x000B1; 0.01</td>
<td align="center">0.07 &#x000B1; 0.01</td>
<td align="center">0.09 &#x000B1; 0.03</td>
</tr>
<tr>
<td align="left">Myristoylcarnitine</td>
<td align="center">0.17 &#x000B1; 0.03</td>
<td align="center">0.14 &#x000B1; 0.01</td>
<td align="center">0.17 &#x000B1; 0.03</td>
</tr>
<tr>
<td align="left">Hexadecenoylcarnitine</td>
<td align="center">0.13 &#x000B1; 0.02</td>
<td align="center">0.12 &#x000B1; 0.01</td>
<td align="center">0.15 &#x000B1; 0.04</td>
</tr>
<tr>
<td align="left">Palmitoylcarnitine</td>
<td align="center">1.09 &#x000B1; 0.07</td>
<td align="center">1.08 &#x000B1; 0.04</td>
<td align="center">1.19 &#x000B1; 0.07</td>
</tr>
<tr>
<td align="left">Linoleylcarnitine</td>
<td align="center">0.08 &#x000B1; 0.01</td>
<td align="center">0.08 &#x000B1; 0.01</td>
<td align="center">0.08 &#x000B1; 0.01</td>
</tr>
<tr>
<td align="left">Oleylcarnitine</td>
<td align="center">0.42 &#x000B1; 0.02</td>
<td align="center">0.49 &#x000B1; 0.02</td>
<td align="center">0.50 &#x000B1; 0.08</td>
</tr>
<tr>
<td align="left">Stearoylcarnitine</td>
<td align="center">0.21 &#x000B1; 0.01</td>
<td align="center">0.22 &#x000B1; 0.01</td>
<td align="center">0.24 &#x000B1; 0.01</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>Values represent mean &#x000B1; s.e.m.</italic></p>
<fn id="TN2">
<label>&#x0002A;</label>
<p><italic>p &#x0003C; 0.05.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p><bold>n-3 PUFA effects on metabolic correlates. (A)</bold> Average blood levels of acetylcarnitine (ALC) for the three experimental groups. <bold>(B)</bold> EPA brain levels. <bold>(C)</bold> DHA brain levels. <bold>(D)</bold> EPA&#x0002B;DHA&#x0002B;DPA/AA ratio. <sup>&#x0002A;</sup><italic>p</italic> &#x0003C; 0.05, or <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>p</italic> &#x0003C; 0.001.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0006.tif"/>
</fig>
<p>No significant differences were found for amino acids blood levels.</p>
</sec>
<sec>
<title>N-3 PUFA brain levels</title>
<p>EPA, DHA, and DPA were measured as the major n-3 PUFA components of brain cell membranes. Moreover, the EPA&#x0002B;DHA&#x0002B;DPA/Arachidonic Acid (AA) ratio was assessed due to its role in cognitive dysfunction and neuroinflammation (Rao et al., <xref ref-type="bibr" rid="B61">2007</xref>; Labrousse et al., <xref ref-type="bibr" rid="B44">2012</xref>). EPA and DHA, but not DPA, levels increased in n-3 PUFA group in comparison to NA&#x000CF;VE and OLIVE OIL groups, as revealed by one-way ANOVAs on EPA and DHA levels [EPA: <italic>F</italic><sub>(2, 12)</sub> &#x0003D; 26.77, <italic>p</italic> &#x0003C; 0.0001; DHA: <italic>F</italic><sub>(2, 12)</sub> &#x0003D; 6.21, <italic>p</italic> &#x0003D; 0.01; DPA: <italic>F</italic><sub>(2, 12)</sub> &#x0003D; 1.85, <italic>p</italic> &#x0003D; 0.20]. <italic>Post-hoc</italic> comparisons indicated that n-3 PUFA mice exhibited higher EPA (n-3 PUFA vs. NA&#x000CF;VE <italic>p</italic> &#x0003D; 0.0001; n-3 PUFA vs. OLIVE OIL <italic>p</italic> &#x0003C; 0.0001) and DHA (n-3 PUFA vs. NA&#x000CF;VE <italic>p</italic> &#x0003D; 0.04; n-3 PUFA vs. OLIVE OIL <italic>p</italic> &#x0003D; 0.02) levels (Figures <xref ref-type="fig" rid="F6">6B,C</xref>). No significant differences were found by comparing data of NA&#x000CF;VE and OLIVE OIL mice. Moreover, One-Way ANOVA on the EPA&#x0002B;DHA&#x0002B;DPA/AA ratio revealed significant differences among groups [<italic>F</italic><sub>(2, 12)</sub> &#x0003D; 17.54, <italic>p</italic> &#x0003D; 0.0003]. <italic>Post-hoc</italic> comparisons indicated a significant increase of EPA&#x0002B;DHA&#x0002B;DPA/AA ratio in n-3 PUFA group in comparison to NA&#x000CF;VE (<italic>p</italic> &#x0003D; 0.0005) and OLIVE OIL (<italic>p</italic> &#x0003D; 0.001) groups (Figure <xref ref-type="fig" rid="F6">6D</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>The present data consistently demonstrate the beneficial effects of n-3 PUFA supplementation on hippocampal resilience to aging. In particular, our study indicates that a mixture of n-3 PUFA containing EPA, DHA, and DPA may improve hippocampal functioning in C57B/6 aged mice. Interestingly, n-3 PUFA group exhibited improved performances in all tasks tapping hippocampal functions, as recognition memory (ORT), spatial performances (SYM, MWM), and aversive responses (CFC), without differences in anxiety levels (EPM) in comparison to OLIVE OIL and NA&#x000CF;VE groups. The marked improvement of hippocampal cognitive functions occurred in the context of an enhanced cellular plasticity. In fact, n-3 PUFA noticeably increased neurogenesis, dendritic arborization of DG newborn neurons, hippocampal volumes and cell density. These findings, well corroborated by the decrease in apoptosis, astrocytosis and lipofuscin deposits as well as the increase in microglial cells observed in n-3 PUFA group, demonstrate the specific neuroprotective effects of n-3 PUFA on hippocampal circuits. In accordance with the statement by Kempermann et al. (<xref ref-type="bibr" rid="B41">2002</xref>), n-3 PUFA group&#x00027;s hippocampus has thus to be considered as <italic>healthier</italic> for a general decrease in neurodegeneration (lipofuscin deposits, astroglia reactivity, caspase-3<sup>&#x0002B;</sup> cells) and an increase in regeneration (neurogenesis) and clearance (microglial cells). Importantly, also the increased levels of metabolic correlates (blood ALC, cerebral n-3 PUFA) of n-3 PUFA treated mice point toward an effective neuroprotective action of these fatty acids. Furthermore, we demonstrated that the signs of neuronal aging can be diminished by enhancing n-3 PUFA intake, even when the supplementation starts at late age. Thus, this category of fatty acids exerts not only an acute but also a sustained effect on brain plasticity.</p>
<p>An interesting distinctive feature of the present study is the use of commonly available supplements, as the easy-to-buy n-3 PUFA mixture and frequently used olive oil. This accounts for the ecological validity of the present results increasing their possibility of generalization.</p>
<p>A further strength point of this research is the analysis in the same aged animals of hippocampal mnesic functions, neurogenic and glial responses, volumetric changes, and metabolic correlates. Our findings expand those of the few animal studies addressing n-3 PUFA effects on cognitive functions during aging. Namely, it has been reported that EPA, DPA and/or DHA supplementation delays cognitive decline in n-3 PUFA deficient aged animals (Gamoh et al., <xref ref-type="bibr" rid="B28">2001</xref>; Carri&#x000E9; et al., <xref ref-type="bibr" rid="B8">2002</xref>), in senescence-accelerated prone 8 mice (Petursdottir et al., <xref ref-type="bibr" rid="B60">2008</xref>) and in aged rodents (Jiang et al., <xref ref-type="bibr" rid="B36">2009</xref>; Kelly et al., <xref ref-type="bibr" rid="B40">2011</xref>; Labrousse et al., <xref ref-type="bibr" rid="B44">2012</xref>). The present behavioral data nicely fit also with the few studies demonstrating the n-3 PUFA efficacy on slowing cognitive decline in older people (Danthiir et al., <xref ref-type="bibr" rid="B14">2011</xref>). However, this is the first research associating behavioral, neurochemical and neurogenic aspects in the general framework of the hippocampal functionality in the presence of n-3 PUFA supplementation during aging. Moreover, in the present study we report for the first time n-3 PUFA enhancing effects on dendritic length and branching complexity of newborn DG neurons. Interestingly, along with substantial improvements in behavioral performance, in n-3 PUFA group the proliferation rate of newly-generated DG cells was potentiated with a number of newborn neurons markedly higher than the control groups. Furthermore, the n-3 PUFA supplementation stimulated neuroblasts differentiation leading to major dendritic length and branching complexity of newborn DG neurons. These observations fully fit with reversal of decreased neurogenesis induced by n-3 PUFA treatment even at old age (Dyall et al., <xref ref-type="bibr" rid="B20">2007</xref>, <xref ref-type="bibr" rid="B19">2010</xref>) and also with the neurite enhancement (neuritogenesis) described in dorsal root ganglia of EPA or DHA supplemented aged rats (Robson et al., <xref ref-type="bibr" rid="B63">2010</xref>). The mechanisms of the n-3 PUFA neurogenic action have still not been conclusively described. n-3 PUFA supplementation might increase the neuronal differentiation and neuritogenesis through a reduction of inflammation. Such an anti-inflammatory activity could be exerted by a metabolization of n-3 PUFA to neuroprotective mediators, such as neuroprotectin D1. Furthermore, n-3 PUFA might increase the signaling factors involved in neurogenesis, such as BDNF, CREB, or CaMKII (Maruszak et al., <xref ref-type="bibr" rid="B52">2014</xref>), and the expression of genes involved in neurogenesis and neuritogenesis regulated at the transcriptional level (Dyall et al., <xref ref-type="bibr" rid="B19">2010</xref>). Finally, n-3 PUFA might exert their bioactivity even through syntaxin 3 that mediates membrane expansion at the growth cone given rise to neurite outgrowth (He et al., <xref ref-type="bibr" rid="B32">2009</xref>).</p>
<p>An important aspect of the increased n-3 PUFA-induced neurogenesis was its occurrence on the background of signs of decreased neurodegeneration, as indicated by the increased microglial phagocytosis and decreased astrocytosis and lipofuscin deposits. In fact, the recent focus on the interdependent processes linking microglia and neurogenesis evidenced, not only the microglia role in phagocytosing apoptotic cells, but also their ability in secreting factors that influence proliferation, differentiation, and survival of newborn cells, either by a direct instructive role or through secretion of neurotrophic factors (Gemma and Bachstetter, <xref ref-type="bibr" rid="B29">2013</xref>). Interestingly, n-3 PUFA, and mainly DHA, increase the level of BDNF, which is predominantly synthesized by hippocampal neurons (Jiang et al., <xref ref-type="bibr" rid="B36">2009</xref>). BDNF can activate synaptic proteins, such as synapsin-1 that increases the synthesis of synaptic membranes, and leads to elevated levels of phosphatides and specific pre- and post-synaptic proteins. Via this pathway n-3 PUFA increase the number of dendritic spines and possibly synapses on hippocampal neurons, particularly the excitatory glutamatergic synapses involved in learning and memory (Janssen and Kiliaan, <xref ref-type="bibr" rid="B34">2014</xref>).</p>
<p>Despite the vast literature on n-3 PUFA effects on brain structure and function, lipofuscin load has never been studied in n-3 PUFA supplemented subjects. The reduced lipofuscin deposits exhibited by n-3 PUFA group in the whole hippocampus indicated a decreased age-dependent degeneration, likely concurring to the sustained (even at old age) induction of neurogenesis by n-3 PUFA dietary enrichment. Analogously, caloric restriction, with its robust effects on longevity, potentiates hippocampal neurogenesis and reduces lipofuscin load (Moore et al., <xref ref-type="bibr" rid="B55">1995</xref>; Szweda et al., <xref ref-type="bibr" rid="B75">2003</xref>).</p>
<p>The diffuse astrocytosis occurring with age was markedly reduced in n-3 PUFA group, indicating that an efficient astroglial function should be maintained to prevent brain aging. Given the high DHA concentrations in their membranes, astrocytes are optimal targets of n-3 PUFA action in the brain. Interestingly, n-3 PUFA deficiency worsens age-induced hippocampal astrocytosis and promotes neuroinflammation (Lay&#x000E9;, <xref ref-type="bibr" rid="B46">2010</xref>; Latour et al., <xref ref-type="bibr" rid="B45">2013</xref>). On such a basis the reduction of astroglia reactivity by n-3 PUFA supplementation demonstrated here could lead to a reduction of pro-inflammatory cytokines.</p>
<p>Even if the restored neurogenesis could be related to the increased hippocampal volumes of n-3 PUFA group, such a factor, as far as markedly significant, does not appear to be enough to explain the whole hippocampal volumetric increase. In fact, the neurogenic proliferation is a specific prerogative of dentate gyrus, while the volumetric enlargement was found in all hippocampal subfields. The enhanced hippocampal volume may rather be related to a prevented neuronal loss linked to the n-3 PUFA neuroprotective properties. This hypothesis takes into account the reduction in apoptosis, glial degeneration and oxidative stress, and the parallel increase in neuronal and microglial density observed in the n-3 PUFA group. Many studies highlighted n-3 PUFA efficacy in preventing hippocampal neuronal loss in AD-like neurodegenerative models (Su, <xref ref-type="bibr" rid="B73">2010</xref>; Hooijmans et al., <xref ref-type="bibr" rid="B33">2012</xref>; Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>; Luchtman and Song, <xref ref-type="bibr" rid="B48">2013</xref>). In addition, the few human studies addressing the relations between n-3 PUFA intake and brain volumes converge on detrimental effects of n-3 PUFA deficiency and beneficial effects of their presence. Namely, in recurrent affective disorders, including unipolar and bipolar depression, the n-3 PUFA deficiency is associated with reduction of the gray matter volume in the prefrontal cortex inducing in turn alterations in cortico-limbic projections (McNamara, <xref ref-type="bibr" rid="B54">2010</xref>). Conversely, a positive association between n-3 PUFA intake and gray matter volumes in hippocampus, amygdala and anterior cingulate cortex were found in healthy subjects (Conklin et al., <xref ref-type="bibr" rid="B10">2007</xref>). More recently, EPA and DHA intake resulted positively correlated with gray and white matter volumes and cognitive performances in elderly subjects (Titova et al., <xref ref-type="bibr" rid="B77">2013</xref>; Virtanen et al., <xref ref-type="bibr" rid="B79">2013</xref>).</p>
<p>Ultimately, how may the morphological changes here observed be linked to the significant behavioral improvements induced by n-3 PUFA supplementation? The increase of hippocampal neuronal density induced by n-3 PUFA may be at least in part related to the increase of phagocytic microglial cells and to the concomitant reduction of astrogliosis, which in turn may favor the cellular homeostasis and the hippocampal functionality within the aged brain, thus finally improving mnesic abilities. Indeed, it has been shown that aging is associated with senescence, reduced self-renewal and impaired clearance functions of microglia, resulting in a progressive impairment of the brain cellular processes (Streit, <xref ref-type="bibr" rid="B72">2006</xref>; Sierra et al., <xref ref-type="bibr" rid="B68a">2007</xref>).</p>
<p>Neurogenesis is required for some types of learning and memory, and its rate decreases during aging in humans, non-human primates, and rodents (Maruszak et al., <xref ref-type="bibr" rid="B52">2014</xref>). Microglia are essential component of the neurogenic niche in the DG of the adult hippocampus (Gemma and Bachstetter, <xref ref-type="bibr" rid="B29">2013</xref>) and have an important function in phagocytosis of apoptotic cells during the first days of their life. Thus, they provide an essential pruning allowing a more efficient differentiation and integration of newborn neurons into the existing circuits (Sierra et al., <xref ref-type="bibr" rid="B68">2010</xref>). On such a basis, we hypothesize that the increase of microglia may concur to the increment of neurogenesis observed in the n-3 PUFA group (Figure <xref ref-type="fig" rid="F7">7</xref>).</p>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p><bold>Schematic representation of the cellular mechanisms underlying the beneficial effects of n-3 PUFA supplementation on hippocampal-dependent mnesic functions in aged mice</bold>.</p></caption>
<graphic xlink:href="fnagi-06-00220-g0007.tif"/>
</fig>
<p>Also with regards to metabolic findings we observed increased EPA and DHA brain levels and EPA&#x0002B;DHA&#x0002B;DPA/AA ratio in n-3 PUFA group, in line with Gamoh et al. (<xref ref-type="bibr" rid="B28">2001</xref>) and Labrousse et al. (<xref ref-type="bibr" rid="B44">2012</xref>). As known, EPA, DPA and especially DHA are key blocks for brain cell membrane synthesis and properties, including fluidity, flexibility, permeability and neurotransmission regulation (Crupi et al., <xref ref-type="bibr" rid="B12">2013</xref>). Moreover, in the brain DHA and AA are continuously released from membrane phospholipids and create a constant turn-over of PUFA between brain and plasma to be daily balanced by the diet (Luchtman and Song, <xref ref-type="bibr" rid="B48">2013</xref>). The n-3:n-6 PUFA ratio is important for essential neurobiological functions like neurotransmission, as well as for the equilibrium of the bioactive metabolites produced from n-3 PUFA that are involved in the oxidative stress and inflammatory response (Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>). Interestingly, the relative lack of n-3 PUFA featuring the Western diet results in a chronic n-3 PUFA deficit in brain membranes and overproduction of AA derivatives that favor the emergence of the a pro-inflammatory status characteristic of brain aging (Denis et al., <xref ref-type="bibr" rid="B16">2013</xref>). On such a basis, we hypothesize that the increase of EPA&#x0002B;DHA&#x0002B;DPA/AA ratio observed in the brain of n-3 PUFA group results in a reduction of the oxidative stress and inflammatory responses and in an enhancement of neurotransmission that in turn contribute in retaining better mnesic performances (Figure <xref ref-type="fig" rid="F7">7</xref>).</p>
<p>Finally, it has to be taken into account that the ameliorated mnesic performances of n-3 PUFA group were associated to high ALC blood levels, without differences in the other carnitines and amino acids analyzed. Crossing the blood-brain barrier, ALC shuttles acetyl groups and fatty acids into brain cell mitochondria for energy production and acts as direct anti-oxidant (Kobayashi et al., <xref ref-type="bibr" rid="B42">2010</xref>; Goo et al., <xref ref-type="bibr" rid="B31">2012</xref>). Remarkably, ALC improves cognitive deficits in aged or demented human subjects (Ames and Liu, <xref ref-type="bibr" rid="B2">2004</xref>; Mancuso et al., <xref ref-type="bibr" rid="B51">2007</xref>; Glade, <xref ref-type="bibr" rid="B30">2010</xref>; Malaguarnera, <xref ref-type="bibr" rid="B50">2012</xref>). Preclinical studies indicate that ALC counteracts cognitive decline even in the presence of &#x003B2;-amyloid toxicity (Kaur et al., <xref ref-type="bibr" rid="B38">2001</xref>; Dhitavat et al., <xref ref-type="bibr" rid="B17">2005</xref>; Abdul et al., <xref ref-type="bibr" rid="B1">2006</xref>; Barhwal et al., <xref ref-type="bibr" rid="B4">2009</xref>; Suchy et al., <xref ref-type="bibr" rid="B74">2009</xref>). Moreover, ALC improves mnesic capacities, restores serum, heart, muscle and brain carnitine levels, and improves the cholinergic neurotransmission dysregulated by aging (Kobayashi et al., <xref ref-type="bibr" rid="B42">2010</xref>). Notably, in animal studies also n-3 PUFA dietary supplementation improves cholinergic transmission in the brain (Willis et al., <xref ref-type="bibr" rid="B80">2009</xref>). Moreover, additive effects of ALC and PUFA supplementation in reducing age-related retinal degeneration (Feher et al., <xref ref-type="bibr" rid="B24">2005</xref>) and brain damages caused by oxidative stress (Liu et al., <xref ref-type="bibr" rid="B47">2002</xref>) have been reported. Thus, our findings indicating enhanced ALC levels following n-3 PUFA supplementation not only support the ALC neuroprotective efficacy, but for the first time demonstrate that an enhanced n-3 PUFA intake is able to increase ALC levels. This intriguing association may lead to the described cognitive improvement by improving mitochondrial functions and reducing oxidative stress but likely even by enhancing cholinergic transmission (Figure <xref ref-type="fig" rid="F7">7</xref>).</p>
<p>In conclusion, our study suggests that n-3 PUFA are able to get an aged hippocampus to be &#x0201C;younger&#x0201D; and more functional by multiple mechanisms, as summarized in Figure <xref ref-type="fig" rid="F7">7</xref>. Consequently, n-3 PUFA appear ideal candidates for cognition-enhancing nutritional interventions aimed to promote successful and healthy aging. This issue is of growing relevance, given the pressing question of how the elderly can maintain their cognitive functions in the Western population whose life expectancy increasingly raises.</p>
<p>Future studies investigating the cellular and molecular mechanisms through which PUFA supplementation acts will be useful for understanding its functional significance in counteracting brain aging.</p>
</sec>
<sec>
<title>Author contributions</title>
<p>Debora Cutuli, Gianfranco Spalletta, Carlo Caltagirone, Stefano Farioli-Vecchioli, and Laura Petrosini designed research; Debora Cutuli, Paola De Bartolo, Paola Caporali, Daniela Laricchiuta, Francesca Foti, Maurizio Ronci, Claudia Rossi, Cristina Neri, Stefano Farioli-Vecchioli, and Laura Petrosini performed research; Debora Cutuli, Paola De Bartolo, Paola Caporali, Maurizio Ronci, Cristina Neri, Stefano Farioli-Vecchioli and Laura Petrosini analyzed data; Debora Cutuli, Maurizio Ronci, Cristina Neri, Stefano Farioli-Vecchioli, and Laura Petrosini wrote the paper.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
</sec>
</body>
<back>
<ack>
<p>This work was supported by University &#x0201C;Sapienza&#x0201D; of Rome funds to Debora Cutuli and by Italian Ministry of Health Grants RC2010-2013 to Carlo Caltagirone.</p>
</ack>
<sec sec-type="supplementary material" id="s5">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="http://www.frontiersin.org/journal/10.3389/fnagi.2014.00220/abstract">http://www.frontiersin.org/journal/10.3389/fnagi.2014.00220/abstract</ext-link></p>
<supplementary-material xlink:href="Image1.TIF" id="SM1" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</label>
<caption><p><bold>The histograms show the phagocytosing Iba1<sup>&#x0002B;</sup> cell number of the Dentate Gyrus, CA3, and CA1 in n-3 PUFA, NA&#x000CF;VE, and OLIVE OIL groups</bold>.</p></caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdul</surname> <given-names>H. M.</given-names></name> <name><surname>Calabrese</surname> <given-names>V.</given-names></name> <name><surname>Calvani</surname> <given-names>M.</given-names></name> <name><surname>Butterfield</surname> <given-names>D. A.</given-names></name></person-group> (<year>2006</year>). <article-title>Acetyl-L-carnitine-induced up-regulation of heat shock proteins protects cortical neurons against amyloid-beta peptide 1-42-mediated oxidative stress and neurotoxicity: implications for Alzheimer&#x00027;s disease</article-title>. <source>J. Neurosci. Res</source>. <volume>84</volume>, <fpage>398</fpage>&#x02013;<lpage>408</lpage>. <pub-id pub-id-type="doi">10.1002/jnr.20877</pub-id></citation>
</ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ames</surname> <given-names>B. N.</given-names></name> <name><surname>Liu</surname> <given-names>J.</given-names></name></person-group> (<year>2004</year>). <article-title>Delaying the mitochondrial decay of aging with acetylcarnitine</article-title>. <source>Ann. N.Y. Acad. Sci</source>. <volume>1033</volume>, <fpage>108</fpage>&#x02013;<lpage>116</lpage>. <pub-id pub-id-type="doi">10.1196/annals.1320.010</pub-id><pub-id pub-id-type="pmid">15591008</pub-id></citation>
</ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arsenault</surname> <given-names>D.</given-names></name> <name><surname>Julien</surname> <given-names>C.</given-names></name> <name><surname>Tremblay</surname> <given-names>C.</given-names></name> <name><surname>Calon</surname> <given-names>F.</given-names></name></person-group> (<year>2011</year>). <article-title>DHA improves cognition and prevents dysfunction of entorhinal cortex neurons in 3xTg-AD mice</article-title>. <source>PLoS ONE</source> <volume>6</volume>:<fpage>e17397</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0017397</pub-id><pub-id pub-id-type="pmid">21383850</pub-id></citation>
</ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Barhwal</surname> <given-names>K.</given-names></name> <name><surname>Hota</surname> <given-names>S. K.</given-names></name> <name><surname>Jain</surname> <given-names>V.</given-names></name> <name><surname>Prasad</surname> <given-names>D.</given-names></name> <name><surname>Singh</surname> <given-names>S. B.</given-names></name> <name><surname>Ilavazhagan</surname> <given-names>G.</given-names></name></person-group> (<year>2009</year>). <article-title>Acetyl-l-carnitine (ALCAR) prevents hypobaric hypoxia-induced spatial memory impairment through extracellular related kinase-mediated nuclear factor erythroid 2-related factor 2 phosphorylation</article-title>. <source>Neuroscience</source> <volume>161</volume>, <fpage>501</fpage>&#x02013;<lpage>514</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroscience.2009.02.086</pub-id></citation>
</ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bonomini</surname> <given-names>M.</given-names></name> <name><surname>Di Liberato</surname> <given-names>L.</given-names></name> <name><surname>Del Rosso</surname> <given-names>G.</given-names></name> <name><surname>Stingone</surname> <given-names>A.</given-names></name> <name><surname>Marinangeli</surname> <given-names>G.</given-names></name> <name><surname>Consoli</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Effect of an L-Carnitine containing peritoneal dialysate on insulin sensitivity in patients treated with continuous ambulatory peritoneal dialysis: a 4-month prospective multicenter randomized trial</article-title>. <source>Am. J. Kidney Dis</source>. <volume>62</volume>, <fpage>929</fpage>&#x02013;<lpage>938</lpage>. <pub-id pub-id-type="doi">10.1053/j.ajkd.2013.04.007</pub-id></citation>
</ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname> <given-names>D. R.</given-names></name></person-group> (<year>2009</year>). <article-title>Role of microglia in age-related changes to the nervous system</article-title>. <source>Sci. World. J</source>. <volume>9</volume>, <fpage>1061</fpage>&#x02013;<lpage>1071</lpage>. <pub-id pub-id-type="doi">10.1100/tsw.2009.111</pub-id><pub-id pub-id-type="pmid">19802502</pub-id></citation>
</ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Calviello</surname> <given-names>G.</given-names></name> <name><surname>Palozza</surname> <given-names>P.</given-names></name> <name><surname>Franceschelli</surname> <given-names>P.</given-names></name> <name><surname>Bartoli</surname> <given-names>G. M.</given-names></name></person-group> (<year>1997</year>). <article-title>Low-dose eicosapentaenoic or docosahexaenoic acid administration modifies fatty acid composition and does not affect susceptibility to oxidative stress in rat erythrocytes and tissues</article-title>. <source>Lipids</source> <volume>32</volume>, <fpage>1075</fpage>&#x02013;<lpage>1083</lpage>. <pub-id pub-id-type="doi">10.1007/s11745-997-0139-4</pub-id></citation>
</ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carri&#x000E9;</surname> <given-names>I.</given-names></name> <name><surname>Smirnova</surname> <given-names>M.</given-names></name> <name><surname>Cl&#x000E9;ment</surname> <given-names>M.</given-names></name> <name><surname>DE</surname> <given-names>J. D.</given-names></name> <name><surname>Franc&#x000E8;s</surname> <given-names>H.</given-names></name> <name><surname>Bourre</surname> <given-names>J. M.</given-names></name></person-group> (<year>2002</year>). <article-title>Docosahexaenoic acid-rich phospholipid supplementation: effect on behavior, learning ability, and retinal function in control and n-3 polyunsaturated fatty acid deficient old mice</article-title>. <source>Nutr. Neurosci</source>. <volume>5</volume>, <fpage>43</fpage>&#x02013;<lpage>52</lpage>. <pub-id pub-id-type="doi">10.1080/10284150290007074</pub-id></citation>
</ref>
<ref id="B9">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chace</surname> <given-names>D. H.</given-names></name> <name><surname>Kalas</surname> <given-names>T. A.</given-names></name> <name><surname>Naylor</surname> <given-names>E. W.</given-names></name></person-group> (<year>2002</year>). <article-title>The application of tandem mass spectrometry to neonatal screening for inherited disorders of intermediary metabolism</article-title>. <source>Annu. Rev. Hum. Genet</source>. <volume>3</volume>, <fpage>17</fpage>&#x02013;<lpage>45</lpage>. <pub-id pub-id-type="doi">10.1146/annurev.genom.3.022502.103213</pub-id><pub-id pub-id-type="pmid">12142359</pub-id></citation>
</ref>
<ref id="B10">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Conklin</surname> <given-names>S. M.</given-names></name> <name><surname>Gianaros</surname> <given-names>P. J.</given-names></name> <name><surname>Brown</surname> <given-names>S. M.</given-names></name> <name><surname>Yao</surname> <given-names>J. K.</given-names></name> <name><surname>Hariri</surname> <given-names>A. R.</given-names></name> <name><surname>Manuck</surname> <given-names>S. B.</given-names></name> <etal/></person-group>. (<year>2007</year>). <article-title>Long-chain omega-3 fatty acid intake is associated positively with corticolimbic gray matter volume in healthy adults</article-title>. <source>Neurosci. Lett</source>. <volume>421</volume>, <fpage>209</fpage>&#x02013;<lpage>212</lpage>. <pub-id pub-id-type="doi">10.1016/j.neulet.2007.04.086</pub-id><pub-id pub-id-type="pmid">17574755</pub-id></citation>
</ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Crawley</surname> <given-names>J. N.</given-names></name></person-group> (<year>1999</year>). <article-title>Behavioral phenotyping of transgenic and knockout mice: experimental design and evaluation of general health, sensory functions, motor abilities, and specific behavioral tests</article-title>. <source>Brain Res</source>. <volume>835</volume>, <fpage>18</fpage>&#x02013;<lpage>26</lpage>. <pub-id pub-id-type="doi">10.1016/S0006-8993(98)01258-X</pub-id></citation>
</ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Crupi</surname> <given-names>R.</given-names></name> <name><surname>Marino</surname> <given-names>A.</given-names></name> <name><surname>Cuzzocrea</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>n-3 fatty acids: role in neurogenesis and neuroplasticity</article-title>. <source>Curr. Med. Chem</source>. <volume>20</volume>, <fpage>2953</fpage>&#x02013;<lpage>2963</lpage>. <pub-id pub-id-type="doi">10.2174/09298673113209990140</pub-id><pub-id pub-id-type="pmid">23746276</pub-id></citation>
</ref>
<ref id="B13">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cutuli</surname> <given-names>D.</given-names></name> <name><surname>De Bartolo</surname> <given-names>P.</given-names></name> <name><surname>Caporali</surname> <given-names>P.</given-names></name> <name><surname>Tartaglione</surname> <given-names>A. M.</given-names></name> <name><surname>Oddi</surname> <given-names>D.</given-names></name> <name><surname>D&#x00027;Amato</surname> <given-names>F. R.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Neuroprotective effects of donepezil against cholinergic depletion</article-title>. <source>Alzheimers Res. Ther</source>. <volume>5</volume>, <fpage>50</fpage>. <pub-id pub-id-type="doi">10.1186/alzrt215</pub-id><pub-id pub-id-type="pmid">24401551</pub-id></citation>
</ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Danthiir</surname> <given-names>V.</given-names></name> <name><surname>Burns</surname> <given-names>N. R.</given-names></name> <name><surname>Nettelbeck</surname> <given-names>T.</given-names></name> <name><surname>Wilson</surname> <given-names>C.</given-names></name> <name><surname>Wittert</surname> <given-names>G.</given-names></name></person-group> (<year>2011</year>). <article-title>The older people, omega-3, and cognitive health (EPOCH) trial design and methodology: a randomised, double-blind, controlled trial investigating the effect of long-chain omega-3 fatty acids on cognitive ageing and wellbeing in cognitively healthy older adults</article-title>. <source>Nutr. J</source>. <volume>10</volume>:<fpage>117</fpage>. <pub-id pub-id-type="doi">10.1186/1475-2891-10-117</pub-id></citation>
</ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>De Bruin</surname> <given-names>N.</given-names></name> <name><surname>Pouzet</surname> <given-names>B.</given-names></name></person-group> (<year>2006</year>). <article-title>Beneficial effects of galantamine on performance in the object recognition task in Swiss mice: deficits induced by scopolamine and by prolonging the retention interval</article-title>. <source>Pharmacol. Biochem. Behav</source>. <volume>85</volume>, <fpage>253</fpage>&#x02013;<lpage>260</lpage>. <pub-id pub-id-type="doi">10.1016/j.pbb.2006.08.007</pub-id><pub-id pub-id-type="pmid">16987546</pub-id></citation>
</ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Denis</surname> <given-names>I.</given-names></name> <name><surname>Potier</surname> <given-names>B.</given-names></name> <name><surname>Vancassel</surname> <given-names>S.</given-names></name> <name><surname>Heberden</surname> <given-names>C.</given-names></name> <name><surname>Lavialle</surname> <given-names>M.</given-names></name></person-group> (<year>2013</year>). <article-title>Omega-3 fatty acids and brain resistance to ageing and stress: body of evidence and possible mechanisms</article-title>. <source>Ageing Res. Rev</source>. <volume>12</volume>, <fpage>579</fpage>&#x02013;<lpage>594</lpage>. <pub-id pub-id-type="doi">10.1016/j.arr.2013.01.007</pub-id><pub-id pub-id-type="pmid">23395782</pub-id></citation>
</ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dhitavat</surname> <given-names>S.</given-names></name> <name><surname>Ortiz</surname> <given-names>D.</given-names></name> <name><surname>Rogers</surname> <given-names>E.</given-names></name> <name><surname>Rivera</surname> <given-names>E.</given-names></name> <name><surname>Shea</surname> <given-names>T. B.</given-names></name></person-group> (<year>2005</year>). <article-title>Folate, vitamin E, and acetyl-L-carnitine provide synergistic protection against oxidative stress resulting from exposure of human neuroblastoma cells to amyloid-beta</article-title>. <source>Brain Res</source>. <volume>1061</volume>, <fpage>114</fpage>&#x02013;<lpage>117</lpage>. <pub-id pub-id-type="doi">10.1016/j.brainres.2005.05.074</pub-id></citation>
</ref>
<ref id="B18">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Driscoll</surname> <given-names>I.</given-names></name> <name><surname>Howard</surname> <given-names>S. R.</given-names></name> <name><surname>Stone</surname> <given-names>J. C.</given-names></name> <name><surname>Monfils</surname> <given-names>M. H.</given-names></name> <name><surname>Tomanek</surname> <given-names>B.</given-names></name> <name><surname>Brooks</surname> <given-names>W. M.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>The aging hippocampus: a multi-level analysis in the rat</article-title>. <source>Neuroscience</source> <volume>139</volume>, <fpage>1173</fpage>&#x02013;<lpage>1185</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroscience.2006.01.040</pub-id><pub-id pub-id-type="pmid">16564634</pub-id></citation>
</ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dyall</surname> <given-names>S. C.</given-names></name> <name><surname>Michael</surname> <given-names>G. J.</given-names></name> <name><surname>Michael-Titus</surname> <given-names>A. T.</given-names></name></person-group> (<year>2010</year>). <article-title>Omega-3 fatty acids reverse age-related decreases in nuclear receptors and increase neurogenesis in old rats</article-title>. <source>J. Neurosci. Res</source>. <volume>88</volume>, <fpage>2091</fpage>&#x02013;<lpage>2102</lpage>. <pub-id pub-id-type="doi">10.1002/jnr.22390</pub-id><pub-id pub-id-type="pmid">20336774</pub-id></citation>
</ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dyall</surname> <given-names>S. C.</given-names></name> <name><surname>Michael</surname> <given-names>G. J.</given-names></name> <name><surname>Whelpton</surname> <given-names>R.</given-names></name> <name><surname>Scott</surname> <given-names>A. G.</given-names></name> <name><surname>Michael-Titus</surname> <given-names>A. T.</given-names></name></person-group> (<year>2007</year>). <article-title>Dietary enrichment with omega-3 polyunsaturated fatty acids reverses age-related decreases in the GluR2 and NR2B glutamate receptor subunits in rat forebrain</article-title>. <source>Neurobiol. Aging</source> <volume>28</volume>, <fpage>424</fpage>&#x02013;<lpage>439</lpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2006.01.002</pub-id><pub-id pub-id-type="pmid">16500747</pub-id></citation>
</ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Eriksson</surname> <given-names>P. S.</given-names></name> <name><surname>Perfilieva</surname> <given-names>E.</given-names></name> <name><surname>Bjork-Eriksson</surname> <given-names>T.</given-names></name> <name><surname>Alborn</surname> <given-names>A. M.</given-names></name> <name><surname>Nordborg</surname> <given-names>C.</given-names></name> <name><surname>Peterson</surname> <given-names>D. A.</given-names></name> <etal/></person-group>. (<year>1998</year>). <article-title>Neurogenesis in the adult human hippocampus</article-title>. <source>Nat. Med</source>. <volume>4</volume>, <fpage>1313</fpage>&#x02013;<lpage>1317</lpage>. <pub-id pub-id-type="doi">10.1038/3305</pub-id><pub-id pub-id-type="pmid">9809557</pub-id></citation>
</ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Farioli-Vecchioli</surname> <given-names>S.</given-names></name> <name><surname>Saraulli</surname> <given-names>D.</given-names></name> <name><surname>Costanzi</surname> <given-names>M.</given-names></name> <name><surname>Pacioni</surname> <given-names>S.</given-names></name> <name><surname>Cin&#x000E0;</surname> <given-names>I.</given-names></name> <name><surname>Aceti</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2008</year>). <article-title>The timing of differentiation of adult hippocampal neurons is crucial for spatial memory</article-title>. <source>PLoS Biol</source>. <volume>6</volume>:<fpage>e246</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pbio.0060246</pub-id><pub-id pub-id-type="pmid">18842068</pub-id></citation>
</ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fedorova</surname> <given-names>I.</given-names></name> <name><surname>Salem</surname> <given-names>N.</given-names></name></person-group> (<year>2006</year>). <article-title>Omega-3 fatty acids and rodent behavior</article-title>. <source>Prostaglandins Leukot. Essent. Fatty Acids</source> <volume>75</volume>, <fpage>271</fpage>&#x02013;<lpage>289</lpage>. <pub-id pub-id-type="doi">10.1016/j.plefa.2006.07.006</pub-id><pub-id pub-id-type="pmid">16973342</pub-id></citation>
</ref>
<ref id="B24">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Feher</surname> <given-names>J.</given-names></name> <name><surname>Kovacs</surname> <given-names>B.</given-names></name> <name><surname>Kovacs</surname> <given-names>I.</given-names></name> <name><surname>Schveoller</surname> <given-names>M.</given-names></name> <name><surname>Papale</surname> <given-names>A.</given-names></name> <name><surname>Balacco Gabrieli</surname> <given-names>C.</given-names></name></person-group> (<year>2005</year>). <article-title>Improvement of visual functions and fundus alterations in early age-related macular degeneration treated with a combination of acetyl-L-carnitine, n-3 fatty acids, and coenzyme Q10</article-title>. <source>Ophthalmologica</source> <volume>219</volume>, <fpage>154</fpage>&#x02013;<lpage>166</lpage>. <pub-id pub-id-type="doi">10.1159/000085248</pub-id><pub-id pub-id-type="pmid">15947501</pub-id></citation>
</ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Folch</surname> <given-names>J.</given-names></name> <name><surname>Lees</surname> <given-names>M.</given-names></name> <name><surname>Sloane Stanley</surname> <given-names>G. H.</given-names></name></person-group> (<year>1957</year>). <article-title>A simple method for the isolation and purification of total lipids from animal tissues</article-title>. <source>J. Biol. Chem</source>. <volume>226</volume>, <fpage>497</fpage>&#x02013;<lpage>509</lpage>.</citation>
</ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><collab>Food and Drug Administration, HHS.</collab></person-group> (<year>2004</year>). <article-title>Medical devices; clinical chemistry and clinical toxicology devices; classification of newborn screening test systems for aminoacids, free carnitine, and acylcarnitines using tandem mass spectrometry. Final rule</article-title>. <source>Fed. Regist</source>. <volume>69</volume>, <fpage>68254</fpage>&#x02013;<lpage>68255</lpage>. <pub-id pub-id-type="pmid">15562554</pub-id></citation>
</ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fotuhi</surname> <given-names>M.</given-names></name> <name><surname>Mohassel</surname> <given-names>P.</given-names></name> <name><surname>Yaffe</surname> <given-names>K.</given-names></name></person-group> (<year>2009</year>). <article-title>Fish consumption, long-chain omega-3 fatty acids and risk of cognitive decline or Alzheimer disease: a complex association</article-title>. <source>Nat. Clin. Pract. Neurol</source>. <volume>5</volume>, <fpage>140</fpage>&#x02013;<lpage>152</lpage>. <pub-id pub-id-type="doi">10.1038/ncpneuro1044</pub-id><pub-id pub-id-type="pmid">19262590</pub-id></citation>
</ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gamoh</surname> <given-names>S.</given-names></name> <name><surname>Hashimoto</surname> <given-names>M.</given-names></name> <name><surname>Hossain</surname> <given-names>S.</given-names></name> <name><surname>Masumura</surname> <given-names>S.</given-names></name></person-group> (<year>2001</year>). <article-title>Chronic administration of docosahexaenoic acid improves the performance of radial arm maze task in aged rats</article-title>. <source>Clin. Exp. Pharmacol. Physiol</source>. <volume>28</volume>, <fpage>266</fpage>&#x02013;<lpage>270</lpage>. <pub-id pub-id-type="doi">10.1046/j.1440-1681.2001.03437.x</pub-id><pub-id pub-id-type="pmid">11251638</pub-id></citation>
</ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gemma</surname> <given-names>C.</given-names></name> <name><surname>Bachstetter</surname> <given-names>A. D.</given-names></name></person-group> (<year>2013</year>). <article-title>The role of microglia in adult hippocampal neurogenesis</article-title>. <source>Front. Cell. Neurosci</source>. <fpage>7</fpage>:<volume>229</volume>. <pub-id pub-id-type="doi">10.3389/fncel.2013.00229</pub-id><pub-id pub-id-type="pmid">24319411</pub-id></citation>
</ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Glade</surname> <given-names>M. J.</given-names></name></person-group> (<year>2010</year>). <article-title>Oxidative stress and cognitive longevity</article-title>. <source>Nutrition</source> <volume>26</volume>, <fpage>595</fpage>&#x02013;<lpage>603</lpage>. <pub-id pub-id-type="doi">10.1016/j.nut.2009.09.014</pub-id><pub-id pub-id-type="pmid">20083385</pub-id></citation>
</ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Goo</surname> <given-names>M. J.</given-names></name> <name><surname>Choi</surname> <given-names>S. M.</given-names></name> <name><surname>Kim</surname> <given-names>S. H.</given-names></name> <name><surname>Ahn</surname> <given-names>B. O.</given-names></name></person-group> (<year>2012</year>). <article-title>Protective effects of acetyl-L-carnitine on neurodegenarative changes in chronic cerebral ischemia models and learning-memory impairment in aged rats</article-title>. <source>Arch. Pharm. Res</source>. <volume>35</volume>, <fpage>145</fpage>&#x02013;<lpage>154</lpage>. <pub-id pub-id-type="doi">10.1007/s12272-012-0116-9</pub-id><pub-id pub-id-type="pmid">22297753</pub-id></citation>
</ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>He</surname> <given-names>C.</given-names></name> <name><surname>Qu</surname> <given-names>X.</given-names></name> <name><surname>Cui</surname> <given-names>L.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Kang</surname> <given-names>J. X.</given-names></name></person-group> (<year>2009</year>). <article-title>Improved spatial learning performance of fat-1 mice is associated with enhanced neurogenesis and neuritogenesis by docosahexaenoic acid</article-title>. <source>Proc. Natl. Acad. Sci. U.S.A</source>. <volume>106</volume>, <fpage>11370</fpage>&#x02013;<lpage>11375</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.0904835106</pub-id><pub-id pub-id-type="pmid">19549874</pub-id></citation>
</ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hooijmans</surname> <given-names>C. R.</given-names></name> <name><surname>Pasker-de Jong</surname> <given-names>P. C.</given-names></name> <name><surname>de Vries</surname> <given-names>R. B.</given-names></name> <name><surname>Ritskes-Hoitinga</surname> <given-names>M.</given-names></name></person-group> (<year>2012</year>). <article-title>The effects of long-term omega-3 fatty acid supplementation on cognition and Alzheimer&#x00027;s pathology in animal models of Alzheimer&#x00027;s disease: a systematic review and meta-analysis</article-title>. <source>J. Alzheimers Dis</source>. <volume>28</volume>, <fpage>191</fpage>&#x02013;<lpage>209</lpage>. <pub-id pub-id-type="doi">10.3233/JAD-2011-111217</pub-id><pub-id pub-id-type="pmid">22002791</pub-id></citation>
</ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Janssen</surname> <given-names>C. I.</given-names></name> <name><surname>Kiliaan</surname> <given-names>A. J.</given-names></name></person-group> (<year>2014</year>). <article-title>Long-chain polyunsaturated fatty acids (LCPUFA) from genesis to senescence: the influence of LCPUFA on neural development, aging, and neurodegeneration</article-title>. <source>Prog. Lipid Res</source>. <volume>53</volume>, <fpage>1</fpage>&#x02013;<lpage>17</lpage>. <pub-id pub-id-type="doi">10.1016/j.plipres.2013.10.002</pub-id><pub-id pub-id-type="pmid">24334113</pub-id></citation>
</ref>
<ref id="B35">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jessberger</surname> <given-names>S.</given-names></name> <name><surname>Romer</surname> <given-names>B.</given-names></name> <name><surname>Babu</surname> <given-names>H.</given-names></name> <name><surname>Kempermann</surname> <given-names>G.</given-names></name></person-group> (<year>2005</year>). <article-title>Seizures induce proliferation and dispersion of doublecortin-positive hippocampal progenitor cells</article-title>. <source>Exp. Neurol</source>. <volume>196</volume>, <fpage>342e351</fpage>. <pub-id pub-id-type="doi">10.1016/j.expneurol.2005.08.010</pub-id><pub-id pub-id-type="pmid">16168988</pub-id></citation>
</ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jiang</surname> <given-names>L. H.</given-names></name> <name><surname>Shi</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>L. S.</given-names></name> <name><surname>Yang</surname> <given-names>Z. R.</given-names></name></person-group> (<year>2009</year>). <article-title>The influence of orally administered docosahexaenoic acid on cognitive ability in aged mice</article-title>. <source>J. Nutr. Biochem</source>. <volume>20</volume>, <fpage>735</fpage>&#x02013;<lpage>741</lpage>. <pub-id pub-id-type="doi">10.1016/j.jnutbio.2008.07.003</pub-id><pub-id pub-id-type="pmid">18829287</pub-id></citation>
</ref>
<ref id="B37">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Karr</surname> <given-names>J. E.</given-names></name> <name><surname>Alexander</surname> <given-names>J. E.</given-names></name> <name><surname>Winningham</surname> <given-names>R. G.</given-names></name></person-group> (<year>2011</year>). <article-title>Omega-3 polyunsaturated fatty acids and cognition throughout the lifespan: a review</article-title>. <source>Nutr. Neurosci</source>. <volume>14</volume>, <fpage>216</fpage>&#x02013;<lpage>225</lpage>. <pub-id pub-id-type="doi">10.1179/1476830511Y.0000000012</pub-id><pub-id pub-id-type="pmid">22005286</pub-id></citation>
</ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kaur</surname> <given-names>J.</given-names></name> <name><surname>Sharma</surname> <given-names>D.</given-names></name> <name><surname>Singh</surname> <given-names>R.</given-names></name></person-group> (<year>2001</year>). <article-title>Acetyl-L-carnitine enhances Na(&#x0002B;), K(&#x0002B;)-ATPase glutathione-S-transferase and multiple unit activity and reduces lipid peroxidation and lipofuscin concentration in aged rat brain regions</article-title>. <source>Neurosci. Lett</source>. <volume>301</volume>, <fpage>1</fpage>&#x02013;<lpage>4</lpage>. <pub-id pub-id-type="doi">10.1016/S0304-3940(01)01576-2</pub-id><pub-id pub-id-type="pmid">11239702</pub-id></citation>
</ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kee</surname> <given-names>N.</given-names></name> <name><surname>Teixeira</surname> <given-names>C. M.</given-names></name> <name><surname>Wang</surname> <given-names>A. H.</given-names></name> <name><surname>Frankland</surname> <given-names>P. W.</given-names></name></person-group> (<year>2007</year>). <article-title>Preferential incorporation of adult-generated granule cells into spatial memory networks in the dentate gyrus</article-title>. <source>Nat. Neurosci</source>. <volume>10</volume>, <fpage>355e362</fpage>. <pub-id pub-id-type="doi">10.1038/nn1847</pub-id><pub-id pub-id-type="pmid">17277773</pub-id></citation>
</ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kelly</surname> <given-names>L.</given-names></name> <name><surname>Grehan</surname> <given-names>B.</given-names></name> <name><surname>Chiesa</surname> <given-names>A. D.</given-names></name> <name><surname>O&#x00027;Mara</surname> <given-names>S. M.</given-names></name> <name><surname>Downer</surname> <given-names>E.</given-names></name> <name><surname>Sahyoun</surname> <given-names>G.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>The polyunsaturated fatty acids, EPA and DPA exert a protective effect in the hippocampus of the aged rat</article-title>. <source>Neurobiol. Aging</source> <volume>32</volume>, <fpage>2318.e1&#x02013;15</fpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2010.04.001</pub-id><pub-id pub-id-type="pmid">20570403</pub-id></citation>
</ref>
<ref id="B41">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kempermann</surname> <given-names>G.</given-names></name> <name><surname>Gast</surname> <given-names>D.</given-names></name> <name><surname>Gage</surname> <given-names>F. H.</given-names></name></person-group> (<year>2002</year>). <article-title>Neuroplasticity in old age: sustained fivefold induction of hippocampal neurogenesis by long-term environmental enrichment</article-title>. <source>Ann. Neurol</source>. <volume>52</volume>, <fpage>135</fpage>&#x02013;<lpage>143</lpage>. <pub-id pub-id-type="doi">10.1002/ana.10262</pub-id><pub-id pub-id-type="pmid">12210782</pub-id></citation>
</ref>
<ref id="B42">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kobayashi</surname> <given-names>S.</given-names></name> <name><surname>Iwamoto</surname> <given-names>M.</given-names></name> <name><surname>Kon</surname> <given-names>K.</given-names></name> <name><surname>Waki</surname> <given-names>H.</given-names></name> <name><surname>Ando</surname> <given-names>S.</given-names></name> <name><surname>Tanaka</surname> <given-names>Y.</given-names></name></person-group> (<year>2010</year>). <article-title>Acetyl-L-carnitine improves aged brain function</article-title>. <source>Geriatr. Gerontol. Int</source>. <volume>10</volume> <supplement>(Suppl. 1)</supplement>, <fpage>S99</fpage>&#x02013;<lpage>S106</lpage>. <pub-id pub-id-type="doi">10.1111/j.1447-0594.2010.00595.x</pub-id><pub-id pub-id-type="pmid">20590847</pub-id></citation>
</ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kotani</surname> <given-names>S.</given-names></name> <name><surname>Sakaguchi</surname> <given-names>E.</given-names></name> <name><surname>Warashina</surname> <given-names>S.</given-names></name> <name><surname>Matsukawa</surname> <given-names>N.</given-names></name> <name><surname>Ishikura</surname> <given-names>Y.</given-names></name> <name><surname>Kiso</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>Dietary supplementation of arachidonic and docosahexaenoic acids improves cognitive dysfunction</article-title>. <source>Neurosci. Res</source>. <volume>56</volume>, <fpage>159</fpage>&#x02013;<lpage>164</lpage>. <pub-id pub-id-type="doi">10.1016/j.neures.2006.06.010</pub-id><pub-id pub-id-type="pmid">16905216</pub-id></citation>
</ref>
<ref id="B44">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Labrousse</surname> <given-names>V. F.</given-names></name> <name><surname>Nadjar</surname> <given-names>A.</given-names></name> <name><surname>Joffre</surname> <given-names>C.</given-names></name> <name><surname>Costes</surname> <given-names>L.</given-names></name> <name><surname>Aubert</surname> <given-names>A.</given-names></name> <name><surname>Gr&#x000E9;goire</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Short-term long chain omega3 diet protects from neuroinflammatory processes and memory impairment in aged mice</article-title>. <source>PLoS ONE</source> <volume>7</volume>:<fpage>e36861</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0036861</pub-id><pub-id pub-id-type="pmid">22662127</pub-id></citation>
</ref>
<ref id="B45">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Latour</surname> <given-names>A.</given-names></name> <name><surname>Grintal</surname> <given-names>B.</given-names></name> <name><surname>Champeil-Potokar</surname> <given-names>G.</given-names></name> <name><surname>Hennebelle</surname> <given-names>M.</given-names></name> <name><surname>Lavialle</surname> <given-names>M.</given-names></name> <name><surname>Dutar</surname> <given-names>P.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Omega-3 fatty acids deficiency aggravates glutamatergic synapse and astroglial aging in the rat hippocampal CA1</article-title>. <source>Aging Cell</source>. <volume>12</volume>, <fpage>76</fpage>&#x02013;<lpage>84</lpage>. <pub-id pub-id-type="doi">10.1111/acel.12026</pub-id><pub-id pub-id-type="pmid">23113887</pub-id></citation>
</ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lay&#x000E9;</surname> <given-names>S.</given-names></name></person-group> (<year>2010</year>). <article-title>Polyunsaturated fatty acids, neuroinflammation and well being</article-title>. <source>Prostaglandins Leukot. Essent. Fatty Acids</source> <volume>82</volume>, <fpage>295</fpage>&#x02013;<lpage>303</lpage>. <pub-id pub-id-type="doi">10.1016/j.plefa.2010.02.006</pub-id><pub-id pub-id-type="pmid">20227866</pub-id></citation>
</ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>J.</given-names></name> <name><surname>Head</surname> <given-names>E.</given-names></name> <name><surname>Gharib</surname> <given-names>A. M.</given-names></name> <name><surname>Yuan</surname> <given-names>W.</given-names></name> <name><surname>Ingersoll</surname> <given-names>R. T.</given-names></name> <name><surname>Hagen</surname> <given-names>T. M.</given-names></name> <etal/></person-group>. (<year>2002</year>). <article-title>Memory loss in old rats is associated with brain mitochondrial decay and RNA/DNA oxidation: partial reversal by feeding acetyl-L-carnitine and/or R-alpha -lipoic acid</article-title>. <source>Proc. Natl. Acad. Sci. U.S.A</source>. <volume>99</volume>, <fpage>2356</fpage>&#x02013;<lpage>2361</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.261709299</pub-id><pub-id pub-id-type="pmid">11854529</pub-id></citation>
</ref>
<ref id="B48">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luchtman</surname> <given-names>D. W.</given-names></name> <name><surname>Song</surname> <given-names>C.</given-names></name></person-group> (<year>2013</year>). <article-title>Cognitive enhancement by omega-3 fatty acids from child-hood to old age: findings from animal and clinical studies</article-title>. <source>Neuropharmacology</source> <volume>64</volume>, <fpage>550</fpage>&#x02013;<lpage>565</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuropharm.2012.07.019</pub-id><pub-id pub-id-type="pmid">22841917</pub-id></citation>
</ref>
<ref id="B49">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>M. X.</given-names></name> <name><surname>Chen</surname> <given-names>Y. M.</given-names></name> <name><surname>He</surname> <given-names>J.</given-names></name> <name><surname>Zeng</surname> <given-names>T.</given-names></name> <name><surname>Wang</surname> <given-names>J. H.</given-names></name></person-group> (<year>2007</year>). <article-title>Effects of morphine and its withdrawal on Y-maze spatial recognition memory in mice</article-title>. <source>Neuroscience</source> <volume>147</volume>, <fpage>1059</fpage>&#x02013;<lpage>1065</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroscience.2007.05.020</pub-id><pub-id pub-id-type="pmid">17601672</pub-id></citation>
</ref>
<ref id="B50">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Malaguarnera</surname> <given-names>M.</given-names></name></person-group> (<year>2012</year>). <article-title>Carnitine derivatives: clinical usefulness</article-title>. <source>Curr. Opin. Gastroenterol</source>. <volume>28</volume>, <fpage>166</fpage>&#x02013;<lpage>176</lpage>. <pub-id pub-id-type="doi">10.1097/MOG.0b013e3283505a3b</pub-id><pub-id pub-id-type="pmid">22333562</pub-id></citation>
</ref>
<ref id="B51">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mancuso</surname> <given-names>C.</given-names></name> <name><surname>Bates</surname> <given-names>T. E.</given-names></name> <name><surname>Butterfield</surname> <given-names>D. A.</given-names></name> <name><surname>Calafato</surname> <given-names>S.</given-names></name> <name><surname>Cornelius</surname> <given-names>C.</given-names></name> <name><surname>De Lorenzo</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2007</year>). <article-title>Natural antioxidants in Alzheimer&#x00027;s disease</article-title>. <source>Expert. Opin. Investig. Drugs</source> <volume>16</volume>, <fpage>1921</fpage>&#x02013;<lpage>1931</lpage>. <pub-id pub-id-type="doi">10.1517/13543784.16.12.1921</pub-id><pub-id pub-id-type="pmid">18042001</pub-id></citation>
</ref>
<ref id="B52">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maruszak</surname> <given-names>A.</given-names></name> <name><surname>Pilarski</surname> <given-names>A.</given-names></name> <name><surname>Murphy</surname> <given-names>T.</given-names></name> <name><surname>Branch</surname> <given-names>N.</given-names></name> <name><surname>Thuret</surname> <given-names>S.</given-names></name></person-group> (<year>2014</year>). <article-title>Hippocampal neurogenesis in Alzheimer&#x00027;s disease: is there a role for dietary modulation?</article-title> <source>J. Alzheimers Dis</source>. <volume>38</volume>, <fpage>11</fpage>&#x02013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.3233/JAD-131004</pub-id><pub-id pub-id-type="pmid">23948932</pub-id></citation>
</ref>
<ref id="B53">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Masliah</surname> <given-names>E.</given-names></name> <name><surname>Crews</surname> <given-names>L.</given-names></name> <name><surname>Hansen</surname> <given-names>L.</given-names></name></person-group> (<year>2006</year>). <article-title>Synaptic remodeling during aging and in Alzheimer&#x00027;s disease</article-title>. <source>J. Alzheimers Dis</source>. <volume>9</volume>, <fpage>91</fpage>&#x02013;<lpage>99</lpage>. <pub-id pub-id-type="pmid">16914848</pub-id></citation>
</ref>
<ref id="B54">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>McNamara</surname> <given-names>R. K.</given-names></name></person-group> (<year>2010</year>). <article-title>DHA deficiency and prefrontal cortex neuropathology in recurrent affective disorders</article-title>. <source>J. Nutr</source>. <volume>140</volume>, <fpage>864</fpage>&#x02013;<lpage>868</lpage>. <pub-id pub-id-type="doi">10.3945/jn.109.113233</pub-id><pub-id pub-id-type="pmid">20147466</pub-id></citation>
</ref>
<ref id="B55">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moore</surname> <given-names>W. A.</given-names></name> <name><surname>Davey</surname> <given-names>V. A.</given-names></name> <name><surname>Weindruch</surname> <given-names>R.</given-names></name> <name><surname>Walford</surname> <given-names>R.</given-names></name> <name><surname>Ivy</surname> <given-names>G. O.</given-names></name></person-group> (<year>1995</year>). <article-title>The effect of caloric restriction on lipofuscin accumulation in mouse brain with age</article-title>. <source>Gerontology</source> <volume>2</volume>, <fpage>173</fpage>&#x02013;<lpage>185</lpage>. <pub-id pub-id-type="doi">10.1159/000213741</pub-id><pub-id pub-id-type="pmid">8821330</pub-id></citation>
</ref>
<ref id="B56">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nakamoto</surname> <given-names>K.</given-names></name> <name><surname>Nishinaka</surname> <given-names>T.</given-names></name> <name><surname>Mankura</surname> <given-names>M.</given-names></name> <name><surname>Fujita-Hamabe</surname> <given-names>W.</given-names></name> <name><surname>Tokuyama</surname> <given-names>S.</given-names></name></person-group> (<year>2010</year>). <article-title>Antinociceptive effects of docosahexaenoic acid against various pain stimuli in mice</article-title>. <source>Biol. Pharm. Bull</source>. <volume>33</volume>, <fpage>1070</fpage>&#x02013;<lpage>1072</lpage>. <pub-id pub-id-type="doi">10.1248/bpb.33.1070</pub-id><pub-id pub-id-type="pmid">20522981</pub-id></citation>
</ref>
<ref id="B57">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oarada</surname> <given-names>M.</given-names></name> <name><surname>Tsuzuki</surname> <given-names>T.</given-names></name> <name><surname>Gonoi</surname> <given-names>T.</given-names></name> <name><surname>Igarashi</surname> <given-names>M.</given-names></name> <name><surname>Kamei</surname> <given-names>K.</given-names></name> <name><surname>Nikawa</surname> <given-names>T.</given-names></name> <etal/></person-group>. (<year>2008</year>). <article-title>Effects of dietary fish oil on lipid peroxidation and serum triacylglycerol levels in psychologically stressed mice</article-title>. <source>Nutrition</source> <volume>24</volume>, <fpage>67</fpage>&#x02013;<lpage>75</lpage>. <pub-id pub-id-type="doi">10.1016/j.nut.2007.10.006</pub-id><pub-id pub-id-type="pmid">18070659</pub-id></citation>
</ref>
<ref id="B58">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ostrup</surname> <given-names>J.</given-names></name> <name><surname>Wallac</surname> <given-names>O.</given-names></name></person-group> (<year>1994</year>). <source>Method and Apparatus for Handling Samples and Sample Collection System</source>. EP0583078 (A2). Patent &#x00023;: 5460057.</citation>
</ref>
<ref id="B59">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pakkenberg</surname> <given-names>B.</given-names></name> <name><surname>Gundersen</surname> <given-names>H. J.</given-names></name></person-group> (<year>1997</year>). <article-title>Neocortical neuron number in humans: effect of sex and age</article-title>. <source>J. Comp. Neurol</source>. <volume>384</volume>, <fpage>312</fpage>&#x02013;<lpage>320</lpage>. <pub-id pub-id-type="pmid">9215725</pub-id></citation>
</ref>
<ref id="B60">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Petursdottir</surname> <given-names>A. L.</given-names></name> <name><surname>Farr</surname> <given-names>S. A.</given-names></name> <name><surname>Morley</surname> <given-names>J. E.</given-names></name> <name><surname>Banks</surname> <given-names>W. A.</given-names></name> <name><surname>Skuladottir</surname> <given-names>G. V.</given-names></name></person-group> (<year>2008</year>). <article-title>Effect of dietary n-3 polyunsaturated fatty acids on brain lipid fatty acid composition, learning ability, and memory of senescence-accelerated mouse</article-title>. <source>J. Gerontol. A. Biol. Sci. Med. Sci</source>. <volume>63</volume>, <fpage>1153</fpage>&#x02013;<lpage>1160</lpage>. <pub-id pub-id-type="doi">10.1093/gerona/63.11.1153</pub-id><pub-id pub-id-type="pmid">19038829</pub-id></citation>
</ref>
<ref id="B61">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rao</surname> <given-names>J. S.</given-names></name> <name><surname>Ertley</surname> <given-names>R. N.</given-names></name> <name><surname>DeMar</surname> <given-names>J. C.</given-names> <suffix>Jr.</suffix></name> <name><surname>Rapoport</surname> <given-names>S. I.</given-names></name> <name><surname>Bazinet</surname> <given-names>R. P.</given-names></name> <name><surname>Lee</surname> <given-names>H. J.</given-names></name></person-group> (<year>2007</year>). <article-title>Dietary n-3 PUFA deprivation alters expression of enzymes of the arachidonic and docosahexaenoic acid cascades in rat frontal cortex</article-title>. <source>Mol. Psychiatry</source> <volume>12</volume>, <fpage>151</fpage>&#x02013;<lpage>157</lpage>. <pub-id pub-id-type="doi">10.1038/sj.mp.4001887</pub-id><pub-id pub-id-type="pmid">16983392</pub-id></citation>
</ref>
<ref id="B62">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rizza</surname> <given-names>S.</given-names></name> <name><surname>Copetti</surname> <given-names>M.</given-names></name> <name><surname>Rossi</surname> <given-names>C.</given-names></name> <name><surname>Cianfarani</surname> <given-names>M. A.</given-names></name> <name><surname>Zucchelli</surname> <given-names>M.</given-names></name> <name><surname>Luzi</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Metabolomics signature improves the prediction of cardiovascular events in elderly subjects</article-title>. <source>Atherosclerosis</source> <volume>232</volume>, <fpage>260</fpage>&#x02013;<lpage>264</lpage>. <pub-id pub-id-type="doi">10.1016/j.atherosclerosis.2013.10.029</pub-id><pub-id pub-id-type="pmid">24468136</pub-id></citation>
</ref>
<ref id="B63">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robson</surname> <given-names>L. G.</given-names></name> <name><surname>Dyall</surname> <given-names>S.</given-names></name> <name><surname>Sidloff</surname> <given-names>D.</given-names></name> <name><surname>Michael-Titus</surname> <given-names>A. T.</given-names></name></person-group> (<year>2010</year>). <article-title>Omega-3 polyunsaturated fatty acids increase the neurite outgrowth of rat sensory neurones throughout development and in aged animals</article-title>. <source>Neurobiol. Aging</source> <volume>31</volume>, <fpage>678</fpage>&#x02013;<lpage>687</lpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2008.05.027</pub-id><pub-id pub-id-type="pmid">18620782</pub-id></citation>
</ref>
<ref id="B64">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rossi</surname> <given-names>C.</given-names></name> <name><surname>Calton</surname> <given-names>L.</given-names></name> <name><surname>Brown</surname> <given-names>H. A.</given-names></name> <name><surname>Gillingwater</surname> <given-names>S.</given-names></name> <name><surname>Wallace</surname> <given-names>A. M.</given-names></name> <name><surname>Petrucci</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Confirmation of congental adrenal hyperplasia by adrenal steroid profiling of filter paper dried blood samples using ultra-performance liquid chromatography-tandem mass spectrometry</article-title>. <source>Clin. Chem. Lab. Med</source>. <volume>49</volume>, <fpage>677</fpage>&#x02013;<lpage>684</lpage>. <pub-id pub-id-type="doi">10.1515/CCLM.2011.109</pub-id><pub-id pub-id-type="pmid">21288182</pub-id></citation>
</ref>
<ref id="B65">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ruehle</surname> <given-names>S.</given-names></name> <name><surname>Remmers</surname> <given-names>F.</given-names></name> <name><surname>Romo-Parra</surname> <given-names>H.</given-names></name> <name><surname>Massa</surname> <given-names>F.</given-names></name> <name><surname>Wickert</surname> <given-names>M.</given-names></name> <name><surname>W&#x000F6;rtge</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Cannabinoid CB1 receptor in dorsal telencephalic glutamatergic neurons: distinctive sufficiency for hippocampus-dependent and amygdala-dependent synaptic and behavioral functions</article-title>. <source>J. Neurosci</source>. <volume>33</volume>, <fpage>10264</fpage>&#x02013;<lpage>10277</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.4171-12.2013</pub-id><pub-id pub-id-type="pmid">23785142</pub-id></citation>
</ref>
<ref id="B66">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salminen</surname> <given-names>A.</given-names></name> <name><surname>Ojala</surname> <given-names>J.</given-names></name> <name><surname>Kaarniranta</surname> <given-names>K.</given-names></name> <name><surname>Haapasalo</surname> <given-names>A.</given-names></name> <name><surname>Hiltunen</surname> <given-names>M.</given-names></name> <name><surname>Soininen</surname> <given-names>H.</given-names></name></person-group> (<year>2011</year>). <article-title>Astrocytes in the aging brain express characteristics of senescence-associated secretory phenotype</article-title>. <source>Eur. J. Neurosci</source>. <volume>34</volume>, <fpage>3</fpage>&#x02013;<lpage>11</lpage>. <pub-id pub-id-type="doi">10.1111/j.1460-9568.2011.07738.x</pub-id><pub-id pub-id-type="pmid">21649759</pub-id></citation>
</ref>
<ref id="B67">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scholzen</surname> <given-names>T.</given-names></name> <name><surname>Gerdes</surname> <given-names>J.</given-names></name></person-group> (<year>2000</year>). <article-title>The Ki-67 protein: from the known and the unknown</article-title>. <source>J. Cell. Physiol</source>. <volume>182</volume>, <fpage>311</fpage>&#x02013;<lpage>322</lpage>. <pub-id pub-id-type="doi">10.1002/(SICI)1097-4652(200003)182:3&#x0003C;311::AID-JCP1&#x0003E;3.0.CO;2-9</pub-id><pub-id pub-id-type="pmid">10653597</pub-id></citation>
</ref>
<ref id="B68">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sierra</surname> <given-names>A.</given-names></name> <name><surname>Encinas</surname> <given-names>J. M.</given-names></name> <name><surname>Deudero</surname> <given-names>J. J.</given-names></name> <name><surname>Chancey</surname> <given-names>J. H.</given-names></name> <name><surname>Enikolopov</surname> <given-names>G.</given-names></name> <name><surname>Overstreet-Wadiche</surname> <given-names>L. S.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Microglia shape adult hippocampal neurogenesis through apoptosis-coupled phagocytosis</article-title>. <source>Cell Stem Cell</source> <volume>7</volume>, <fpage>483</fpage>&#x02013;<lpage>495</lpage>. <pub-id pub-id-type="doi">10.1016/j.stem.2010.08.014</pub-id><pub-id pub-id-type="pmid">20887954</pub-id></citation>
</ref>
<ref id="B68a">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sierra</surname> <given-names>A.</given-names></name> <name><surname>Gottfried-Blackmore</surname> <given-names>A. C.</given-names></name> <name><surname>McEwen</surname> <given-names>B. S.</given-names></name> <name><surname>Bulloch</surname> <given-names>K.</given-names></name></person-group> (<year>2007</year>). <article-title>Microglia derived from aging mice exhibit an altered inflammatory profile</article-title>. <source>Glia</source> <volume>55</volume>, <fpage>412</fpage>&#x02013;<lpage>424</lpage>. <pub-id pub-id-type="doi">10.1002/glia.20468</pub-id><pub-id pub-id-type="pmid">17203473</pub-id></citation>
</ref>
<ref id="B69">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sinn</surname> <given-names>N.</given-names></name> <name><surname>Milte</surname> <given-names>C.</given-names></name> <name><surname>Howe</surname> <given-names>P. R. C.</given-names></name></person-group> (<year>2010</year>). <article-title>Oiling the brain: a review of randomized controlled trials of omega-3 fatty acids in psychopathology across the lifespan</article-title>. <source>Nutrients</source> <volume>2</volume>, <fpage>128</fpage>&#x02013;<lpage>170</lpage>. <pub-id pub-id-type="doi">10.3390/nu2020128</pub-id><pub-id pub-id-type="pmid">22254013</pub-id></citation>
</ref>
<ref id="B70">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sirolli</surname> <given-names>V.</given-names></name> <name><surname>Rossi</surname> <given-names>C.</given-names></name> <name><surname>Di Castelnuovo</surname> <given-names>A.</given-names></name> <name><surname>Felaco</surname> <given-names>P.</given-names></name> <name><surname>Amoroso</surname> <given-names>L.</given-names></name> <name><surname>Zucchelli</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Toward personalized hemodialysis by low molecular weight amino-containing compounds: future perspective of patient metabolic fingerprint</article-title>. <source>Blood Transfus</source>. <volume>10</volume> <supplement>(Suppl. 2)</supplement>, <fpage>s78</fpage>&#x02013;<lpage>s88</lpage>. <pub-id pub-id-type="doi">10.2450/2012.012S</pub-id><pub-id pub-id-type="pmid">22890273</pub-id></citation>
</ref>
<ref id="B71">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Solfrizzi</surname> <given-names>V.</given-names></name> <name><surname>Frisardi</surname> <given-names>V.</given-names></name> <name><surname>Capurso</surname> <given-names>C.</given-names></name> <name><surname>D&#x00027;Introno</surname> <given-names>A.</given-names></name> <name><surname>Colacicco</surname> <given-names>A. M.</given-names></name> <name><surname>Vendemiale</surname> <given-names>G.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Dietary fatty acids in dementia and predementia syndromes: epidemiological evidence and possible underlying mechanisms</article-title>. <source>Ageing Res. Rev</source>. <volume>9</volume>, <fpage>184</fpage>&#x02013;<lpage>199</lpage>. <pub-id pub-id-type="doi">10.1016/j.arr.2009.07.005</pub-id><pub-id pub-id-type="pmid">19643207</pub-id></citation>
</ref>
<ref id="B72">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Streit</surname> <given-names>W. J.</given-names></name></person-group> (<year>2006</year>). <article-title>Microglial senescence: does the brain&#x00027;s immune system have an expiration date?</article-title> <source>Trends Neurosci</source>. <volume>29</volume>, <fpage>506</fpage>&#x02013;<lpage>510</lpage>. <pub-id pub-id-type="doi">10.1016/j.tins.2006.07.001</pub-id><pub-id pub-id-type="pmid">16859761</pub-id></citation>
</ref>
<ref id="B73">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Su</surname> <given-names>H. M.</given-names></name></person-group> (<year>2010</year>). <article-title>Mechanisms of n-3 fatty acid-mediated development and maintenance of learning memory performance</article-title>. <source>J. Nutr. Biochem</source>. <volume>21</volume>, <fpage>364</fpage>&#x02013;<lpage>373</lpage>. <pub-id pub-id-type="doi">10.1016/j.jnutbio.2009.11.003</pub-id><pub-id pub-id-type="pmid">20233652</pub-id></citation>
</ref>
<ref id="B74">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suchy</surname> <given-names>J.</given-names></name> <name><surname>Chan</surname> <given-names>A.</given-names></name> <name><surname>Shea</surname> <given-names>T. B.</given-names></name></person-group> (<year>2009</year>). <article-title>Dietary supplementation with a combination of alpha-lipoic acid, acetyl-L-carnitine, glycerophosphocoline, docosahexaenoic acid, and phosphatidylserine reduces oxidative damage to murine brain and improves cognitive performance</article-title>. <source>Nutr. Res</source>. <volume>29</volume>, <fpage>70</fpage>&#x02013;<lpage>74</lpage>. <pub-id pub-id-type="doi">10.1016/j.nutres.2008.11.004</pub-id><pub-id pub-id-type="pmid">19185780</pub-id></citation>
</ref>
<ref id="B75">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Szweda</surname> <given-names>P. A.</given-names></name> <name><surname>Camouse</surname> <given-names>M.</given-names></name> <name><surname>Lundberg</surname> <given-names>K. C.</given-names></name> <name><surname>Oberley</surname> <given-names>T. D.</given-names></name> <name><surname>Szweda</surname> <given-names>L. I.</given-names></name></person-group> (<year>2003</year>). <article-title>Aging, lipofuscin formation, and free radical-mediated inhibition of cellular proteolytic systems</article-title>. <source>Ageing Res. Rev</source>. <volume>2</volume>, <fpage>383</fpage>&#x02013;<lpage>405</lpage>. <pub-id pub-id-type="doi">10.1016/S1568-1637(03)00028-X</pub-id><pub-id pub-id-type="pmid">14522242</pub-id></citation>
</ref>
<ref id="B76">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tandrup</surname> <given-names>T.</given-names></name></person-group> (<year>2004</year>). <article-title>Unbiased estimates of number and size of rat dorsal root ganglion cells in studies of structure and cell survival</article-title>. <source>J. Neurocytol</source>. <volume>33</volume>, <fpage>173</fpage>&#x02013;<lpage>192</lpage>. <pub-id pub-id-type="doi">10.1023/B:NEUR.0000030693.91881.53</pub-id><pub-id pub-id-type="pmid">15322376</pub-id></citation>
</ref>
<ref id="B77">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Titova</surname> <given-names>O. E.</given-names></name> <name><surname>Sj&#x000F6;gren</surname> <given-names>P.</given-names></name> <name><surname>Brooks</surname> <given-names>S. J.</given-names></name> <name><surname>Kullberg</surname> <given-names>J.</given-names></name> <name><surname>Ax</surname> <given-names>E.</given-names></name> <name><surname>Kilander</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Dietary intake of eicosapentaenoic and docosahexaenoic acids is linked to gray matter volume and cognitive function in elderly</article-title>. <source>Age</source> <volume>35</volume>, <fpage>1495</fpage>&#x02013;<lpage>1505</lpage>. <pub-id pub-id-type="doi">10.1007/s11357-012-9453-3</pub-id><pub-id pub-id-type="pmid">22791395</pub-id></citation>
</ref>
<ref id="B78">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vinot</surname> <given-names>N.</given-names></name> <name><surname>Jouin</surname> <given-names>M.</given-names></name> <name><surname>Lhomme-Duchadeuil</surname> <given-names>A.</given-names></name> <name><surname>Guesnet</surname> <given-names>P.</given-names></name> <name><surname>Alessandri</surname> <given-names>J. M.</given-names></name> <name><surname>Aujard</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Omega-3 fatty acids from fish oil lower anxiety, improve cognitive functions and reduce spontaneous locomotor activity in a non-human primate</article-title>. <source>PLoS ONE</source> <volume>6</volume>:<fpage>e20491</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0020491</pub-id><pub-id pub-id-type="pmid">21666750</pub-id></citation>
</ref>
<ref id="B79">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Virtanen</surname> <given-names>J. K.</given-names></name> <name><surname>Siscovick</surname> <given-names>D. S.</given-names></name> <name><surname>Lemaitre</surname> <given-names>R. N.</given-names></name> <name><surname>Longstreth</surname> <given-names>W. T.</given-names></name> <name><surname>Spiegelman</surname> <given-names>D.</given-names></name> <name><surname>Rimm</surname> <given-names>E. B.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Circulating omega-3 polyunsaturated fatty acids and subclinical brain abnormalities on MRI in older adults: the Cardiovascular Health Study</article-title>. <source>J. Am. Heart. Assoc</source>. <volume>2</volume>:<fpage>e000305</fpage>. <pub-id pub-id-type="doi">10.1161/JAHA.113.000305</pub-id><pub-id pub-id-type="pmid">24113325</pub-id></citation>
</ref>
<ref id="B80">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Willis</surname> <given-names>L. M.</given-names></name> <name><surname>Shukitt-Hale</surname> <given-names>B.</given-names></name> <name><surname>Joseph</surname> <given-names>J. A.</given-names></name></person-group> (<year>2009</year>). <article-title>Dietary polyunsaturated fatty acids improve cholinergic transmission in the aged brain</article-title>. <source>Genes Nutr</source>. <volume>4</volume>, <fpage>309</fpage>&#x02013;<lpage>314</lpage>. <pub-id pub-id-type="doi">10.1007/s12263-009-0141-6</pub-id><pub-id pub-id-type="pmid">19727886</pub-id></citation>
</ref>
<ref id="B81">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Woo</surname> <given-names>J.</given-names></name></person-group> (<year>2011</year>). <article-title>Nutritional strategies for successful aging</article-title>. <source>Med. Clin. North. Am</source>. <volume>95</volume>, <fpage>477</fpage>&#x02013;<lpage>493</lpage>. <pub-id pub-id-type="doi">10.1016/j.mcna.2011.02.009</pub-id><pub-id pub-id-type="pmid">21549873</pub-id></citation>
</ref>
<ref id="B82">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yehuda</surname> <given-names>S.</given-names></name></person-group> (<year>2012</year>). <article-title>Polyunsaturated fatty acids as putative cognitive enhancers</article-title>. <source>Med. Hypotheses</source> <volume>79</volume>, <fpage>456</fpage>&#x02013;<lpage>461</lpage>. <pub-id pub-id-type="doi">10.1016/j.mehy.2012.06.021</pub-id><pub-id pub-id-type="pmid">22800804</pub-id></citation>
</ref>
<ref id="B83">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zainuddin</surname> <given-names>M. S. A.</given-names></name> <name><surname>Thuret</surname> <given-names>S.</given-names></name></person-group> (<year>2012</year>). <article-title>Nutrition, adult hippocampal neurogenesis and mental health</article-title>. <source>Br. Med. Bull</source>. <volume>103</volume>, <fpage>89</fpage>&#x02013;<lpage>114</lpage>. <pub-id pub-id-type="doi">10.1093/bmb/lds021</pub-id><pub-id pub-id-type="pmid">22833570</pub-id></citation>
</ref>
</ref-list>
</back>
</article>
