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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Prenatal impairment of brain serotonergic transmission in infants
Gabriel Manjarrez1, Ignacia Cisneros, Rocio Herrera
1Laboratory of Developmental Neurochemistry, Specialties Hospital, XXI Century National Medical Center, Mexican Institute of Social Security, Av. Cuauhtémoc 330, Col. Doctores, CP 06720, Mexico City, Mexico. willisga@df1.telmex.net.mx
Insights
In infants with intrauterine growth restriction (IUGR), elevated free L-tryptophan (L-Trp) correlated with reduced auditory evoked potentials (AEPs), suggesting impaired brain serotonin activity.
Area of Science:
- Neuroscience
- Biochemistry
- Developmental Pediatrics
Background:
- Intrauterine growth restriction (IUGR) is linked to altered neurodevelopment.
- Serotonin plays a crucial role in brain development and function.
- Auditory evoked potentials (AEPs) can reflect neural pathway integrity.
Purpose of the Study:
- To investigate the relationship between free L-tryptophan (L-Trp) levels and auditory evoked potentials (AEPs) in infants with IUGR.
- To assess if these parameters indicate impaired brain serotonin neurotransmission.
Main Methods:
- A prospective, longitudinal study compared infants with IUGR to control infants.
- Measured free, bound, and total plasma L-tryptophan.
- Recorded the N1/P2 component of AEPs.
Main Results:
- Infants with IUGR exhibited higher plasma free L-Trp levels compared to controls.
- A significant decrease in the amplitude of the N1/P2 AEP component was observed in IUGR infants.
- A negative association was found between free L-Trp fraction and N1/P2 AEP amplitude.
Conclusions:
- Elevated free L-Trp and reduced N1/P2 AEP amplitude in IUGR newborns suggest an inverse relationship.
- These alterations may indicate impaired in utero brain serotonergic activity.
- Epigenetic factors and serotonin metabolism disturbances in IUGR might influence sensory cortex development and adult serotonin-related disorders.
Objective:
To evaluate whether the free fraction of L-tryptophan (L-Trp) and the N1/P2 component of the auditory evoked potentials (AEPs) are associated with impaired brain serotonin neurotransmission in infants with intrauterine growth restriction (IUGR).
Study Design:
We measured free, bound, and total plasma L-Trp and recorded the N1/P2 component of AEP in a prospective, longitudinal, and comparative study comparing IUGR and control infants.
Results:
Plasma free L-Trp was increased and the amplitude of N1/P2 component was significantly decreased in IUGR relative to control infants. The free fraction of L-Trp and N1/P2 component had a negative association.
Conclusions:
In newborns with IUGR, the changes in measured plasma free fraction of L-Trp and in the amplitude the N1/P2 component of the AEP suggest an inverse association between free L-Trp and components of the AEP. The changes observed in the free fraction of L-Trp and AEP may be causally associated with brain serotonergic activity in utero. In IUGR, epigenetic factors such as stress-induced disturbances in brain serotonin metabolism or serotonergic activity, identifiable by alterations in AEP, influence cerebral sensory cortex development and may be causally associated with serotonin-related disorders in adulthood.
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