ABSTRACT. To determine whether neonatal nutrition influences development of CNS noradrenergic systems, litter sizes were manipulated at birth to produce undernutrition (16-17 pupsllitter) or overnutrition (five to six pups) and compared to rats reared in normal litter sizes (10-11 pups). Studies were conducted throughout the preweaning period in which nutrition was manipulated, as well as during postweaning nutritional rehabilitation. Sparing of brain growth occurred, evidenced by much smaller changes in brain region wt than in body wt. Similarly, neonatal malnutrition produced major deficits in norepinephrine levels in peripheral sympathetic pathways, but levels in the brain remained within normal limits. Development of 13H]norepinephrine synaptosomal uptake, a biochemical index for presynaptic terminals, was unimpaired by malnutrition; indeed, higher uptake values were seen than in the control population. Nevertheless, norepinephrine turnover was severely attenuated during nutritional restriction and the effect persisted into adulthood; the deficit was greater in the cerebral cortex than in the cerebellum, despite the fact that cerebellar growth showed less sparing. Development of binding capabilities of noradrenergic receptors, particularly the a.2-and @-subtypes, were also adversely affected in cerebral cortex, again suggestive of a deleterious effect on synaptic function. Animals exposed to neonatal overnutrition showed only slight effects on brain region wt or norepinephrine levels, but did display some suppression of [3H]norepinephrine synaptosomal uptake and enhancement of norepinephrine turnover; changes in receptor binding capabilities in the overnourished animals were attributable to the small alterations in brain region wt. These data indicate that neonatal nutrition alters presynaptic and postsynaptic markers of noradrenergic function that remain abnormal even when nutritional rehabilitation occurs. (Pediatr Res 27: 191-197, 1990) Abbreviation ANOVA, analysis of variance The role of prenatal and postnatal nutrition in maintenance of normal growth and development is an issue of intense interest. A variety of studies on animal models of early malnutrition has demonstrated the phenomenon of "brain sparing," wherein the CNS undergoes substantially less growth impairment and struc- Supported by USPHS HD-097 13.tural disruption than does the rest of the organism (1-3). However, studies of central catecholaminergic mechanisms suggest that abnormal nutritional status has a substantial deleterious effect on neuronal and synaptic function. During dietary restriction, norepinephrine levels and some indices of neuronal activity show moderate degrees of attenuation (4-8); although whole brain norepinephrine levels tend to be restored to normal in adulthood (9-1 I), there are at least two reports that deficits in receptor binding sites and synaptic activity may persist if malnutrition is maintained into adulthood (12, 13). Recent work on factors other than nutrition has demonptrated the existence of critical p...