Neurobiology of premature brain injury

Natalina Salmaso1, Beata Jablonska2, Joseph Scafidi2

  • 1Program in Neurodevelopment and Regeneration, Yale University, New Haven, Connecticut, USA.

Nature Neuroscience
|February 27, 2014
PubMed

Insights

Preterm birth complications, including brain injury, are rising. Perinatal hypoxia, caused by immature lungs, delays brain cell maturation in vulnerable infants, impacting development.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Neonatology

Background:

  • An estimated 500,000 babies are born preterm annually in the US, with increasing rates.
  • Brain injuries in preterm infants are a growing concern, often linked to perinatal hypoxia.
  • Immature lung development in preterm infants can lead to hypoxia, damaging developing brain cells.

Purpose of the Study:

  • To reconcile observations of abnormal brain development in preterm infants with recent findings on perinatal hypoxia.
  • To investigate the impact of perinatal hypoxia on the maturation of key brain cell types.

Main Methods:

  • Review and synthesis of recent studies utilizing models of perinatal hypoxia.
  • Analysis of cellular and volumetric changes in the brains of preterm infants.

Main Results:

  • Perinatal hypoxia perturbs the maturation and function of interneurons, oligodendrocytes, and astroglia.
  • Abnormal maturation of neurons and oligodendrocytes in very low birth weight preterm infants correlates with reduced brain volumes and enlarged ventricles.

Conclusions:

  • Perinatal hypoxia is a significant factor in altered brain development following preterm birth.
  • A primary mechanism involves a delay in the maturation of critical brain cell types, including neurons, oligodendrocytes, and astroglia.

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