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Published on: May 3, 2017
Structural Brain Network Reorganization and Social Cognition Related to Adverse Perinatal Condition from Infancy to
Emma Muñoz-Moreno1, Elda Fischi-Gomez2, Dafnis Batalle3
1Fetal i+D, Fetal Medicine Research Center, Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Deu), Institut d'Investigacions Biomèdiques August Pi I Sunyer, University of BarcelonaBarcelona, Spain; Experimental 7T MRI Unit, Institut d'Investigacions Biomèdiques August Pi I SunyerBarcelona, Spain.
Insights
Adverse perinatal conditions, like intrauterine growth restriction (IUGR), alter infant brain network development. IUGR is linked to reduced network efficiency and increased risk of neurodevelopmental disorders.
Area of Science:
- Neuroscience
- Developmental Biology
- Medical Imaging
Background:
- Adverse fetal conditions can impact neurodevelopment from infancy through adolescence.
- Connectomics offers a method to study brain network evolution over time.
Purpose of the Study:
- To assess the developmental trajectory of brain networks in prematurely born infants with and without intrauterine growth restriction (IUGR).
- To characterize brain network reorganization in relation to neurodevelopment and cognition.
- To identify associations between brain network metrics and neurobehavioral outcomes.
Main Methods:
- Utilized connectomics to analyze brain network evolution in three cohorts of prematurely born infants (28–35 weeks gestational age) at 1, 6, and 10 years.
- Compared individuals with appropriate birth weight to those with IUGR.
- Evaluated fractional anisotropy (FA)-weighted, normalized, and binary connectomes.
Main Results:
- Identified a common developmental trajectory in brain networks for both control and IUGR groups, with increasing network efficiencies and decreasing connections over time.
- Observed consistent group differences: IUGR subjects showed reduced network efficiencies in FA-weighted and binary connectomes but increased efficiencies in normalized connectomes.
- Found associations between specific brain network metrics and social cognition scores, as well as a higher risk of inattention/hyperactivity and executive functional disorders in IUGR children.
Conclusions:
- Premature birth complicated by IUGR leads to distinct brain network development patterns.
- These network alterations are associated with neurobehavioral impairments, including social cognition deficits and executive function challenges.
- Connectomics provides valuable insights into the long-term neurological consequences of adverse perinatal conditions.
Abstract:
Adverse conditions during fetal life have been associated to both structural and functional changes in neurodevelopment from the neonatal period to adolescence. In this study, connectomics was used to assess the evolution of brain networks from infancy to early adolescence. Brain network reorganization over time in subjects who had suffered adverse perinatal conditions is characterized and related to neurodevelopment and cognition. Three cohorts of prematurely born infants and children (between 28 and 35 weeks of gestational age), including individuals with a birth weight appropriated for gestational age and with intrauterine growth restriction (IUGR), were evaluated at 1, 6, and 10 years of age, respectively. A common developmental trajectory of brain networks was identified in both control and IUGR groups: network efficiencies of the fractional anisotropy (FA)-weighted and normalized connectomes increase with age, which can be related to maturation and myelination of fiber connections while the number of connections decreases, which can be associated to an axonal pruning process and reorganization. Comparing subjects with or without IUGR, a similar pattern of network differences between groups was observed in the three developmental stages, mainly characterized by IUGR group having reduced brain network efficiencies in binary and FA-weighted connectomes and increased efficiencies in the connectome normalized by its total connection strength (FA). Associations between brain networks and neurobehavioral impairments were also evaluated showing a relationship between different network metrics and specific social cognition-related scores, as well as a higher risk of inattention/hyperactivity and/or executive functional disorders in IUGR children.
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