Association of brain-derived neurotrophic factor and tyrosine kinase B receptor in pregnancy
M Dhobale1, S Mehendale, H Pisal
1Department of Nutritional Medicine, Interactive Research School for Health Affairs, Bharati Vidyapeeth University, Pune 411 043, India.
Insights
Preterm birth is linked to lower cord blood brain-derived neurotrophic factor (BDNF), potentially impacting neurodevelopment. Maternal BDNF and placental TrkB were higher in preterm deliveries, suggesting altered prenatal signaling.
Area of Science:
- Neuroscience
- Developmental Biology
- Perinatal Medicine
Background:
- Abnormal brain development in early life is a risk factor for neurobehavioral disorders.
- Mechanisms linking prenatal environment to neurodevelopmental outcomes are not fully understood.
- Previous research indicated reduced placental docosahexaenoic acid (DHA) in preterm deliveries.
Purpose of the Study:
- To investigate the relationship between preterm birth, oxidative stress, docosahexaenoic acid (DHA) levels, and circulating levels of brain-derived neurotrophic factor (BDNF) and its receptor tyrosine kinase B (TrkB).
- To explore potential implications for neurodevelopmental outcomes in preterm infants.
Main Methods:
- Plasma BDNF levels were measured in 96 mothers delivering preterm and 95 delivering at term, as well as in their cord blood.
- Placental TrkB levels were analyzed using enzyme-linked immunosorbent assay (ELISA).
- Statistical analyses were performed to assess associations between BDNF, TrkB, DHA, placental weight, and gestational age.
Main Results:
- Maternal plasma BDNF and placental TrkB levels were significantly higher in preterm deliveries compared to term deliveries.
- Cord plasma BDNF levels were significantly lower in preterm infants.
- A negative association was found between placental TrkB and DHA levels, and between maternal BDNF and placental weight.
- Cord plasma BDNF levels showed a positive association with gestational age.
Conclusions:
- Reduced cord blood BDNF levels in preterm infants may contribute to altered neurodevelopment.
- Elevated maternal BDNF and placental TrkB in preterm pregnancies suggest compensatory or altered signaling pathways.
- Further longitudinal studies are needed to assess the long-term neurodevelopmental risks, such as attention deficit hyperactivity disorder (ADHD), in preterm children related to these early biochemical changes.
Abstract:
Abnormal brain development in a compromised prenatal and/or early postnatal environment is thought to be a risk factor for several neurobehavioural disorders. However, the mechanisms underlying these are not well understood. We have earlier reported reduced placental docosahexaenoic acid (DHA) levels in preterm deliveries. We have hypothesized that increased oxidative stress and reduced DHA levels may lead to changes in the circulating levels of maternal and cord brain-derived neurotrophic factor (BDNF) and its receptor tyrosine kinase B (TrkB) levels. A total number of 96 women delivering preterm and 95 women delivering at term were recruited. Plasma BDNF levels were measured in both mother and cord blood plasma using the BDNF Immuno Assay kit. Placental TrkB levels were analysed using sandwich enzyme-linked immunosorbent assay (ELISA). Maternal plasma BDNF levels and placental TrkB levels were higher (p<0.05) while cord plasma BDNF levels were lower (p<0.01) in women delivering preterm as compared to term. There was a negative association between levels of placental TrkB and DHA (p=0.034). A negative association between maternal plasma BDNF levels and placental weight (p=0.001) was observed while a positive association was seen between cord plasma BDNF levels and gestation (p=0.025). The reduction in cord BDNF levels may have implications for altered neurodevelopment in childhood and later life. Studies need to be undertaken to follow up children born preterm for risk of neurobehavioural disorders like attention deficit hyperactivity disorder (ADHD) to understand the effect of altered BDNF at birth on neurodevelopment.
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