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Published on: November 20, 2015
Prenatal-onset neurodevelopmental disorders secondary to toxins, nutritional deficiencies, and maternal illness
William D Graf1, Minal V Kekatpure, Barry E Kosofsky
1Departments of Pediatrics and Neurology, Yale University, New Haven, CT, USA.
Insights
Genetic and environmental factors interact to cause neurodevelopmental disorders. Understanding gene-by-environment (GxE) interactions and epigenetic factors is key to developing new prevention and treatment strategies.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Neurodevelopmental disorders stem from complex genetic and environmental influences during prenatal development.
- Accurate etiological diagnosis in clinical settings remains challenging.
- Emerging technologies facilitate a move towards analyzing gene-environment interactions (GxE) over traditional nature-nurture paradigms.
Purpose of the Study:
- To explore the role of gene-environment interactions (GxE) in neurodevelopmental disorders.
- To highlight the importance of epigenetic factors in developmental plasticity.
- To review evidence linking prenatal exposures to neurodevelopmental outcomes.
Main Methods:
- Review of clinical and experimental observations.
- Analysis of gene-environment interaction models.
- Consideration of epigenetic mechanisms.
Main Results:
- Prenatal toxic exposures, metabolic issues, and maternal illnesses are linked to specific neurodevelopmental disorders.
- Gene-environment interactions (GxE) are crucial in understanding neurodevelopmental pathogenesis.
- Epigenetic processes significantly influence developmental adaptation.
Conclusions:
- Understanding GxE mechanisms is vital for improved neurodevelopmental disorder prevention.
- Epigenetic factors, including maternal health and environmental exposures, play a significant role.
- Further research into GxE interactions can inform targeted risk-modifying strategies.
Abstract:
Neurodevelopmental disorders result from an inordinate number of genetic and environmental causes during the embryological and fetal periods of life. In the clinical setting, deciphering precise etiological diagnoses is often difficult. Newer screening technologies allow a gradual shift from traditional nature-versus-nurture debates toward the focused analysis of gene-by-environment interactions (G X E). Further understanding of developmental adaptation and plasticity requires consideration of epigenetic processes such as maternal nutritional status, environmental toxins, maternal illnesses, as well as genetic determinants, alone or in combination. Appreciation of specific G X E mechanisms of neurodevelopmental pathogenesis should lead to better risk-modifying or preventive strategies. We provide a brief overview of clinical and experimental observations that link prenatal-onset toxic exposures, metabolic disturbances, and maternal illnesses to certain neurodevelopmental disorders.
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