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The association between early-life relative telomere length and childhood neurodevelopment
Marina Oktapodas Feiler1, Deven Patel2, Huiqi Li3
1University of Rochester School of Medicine and Dentistry, Rochester, NY, United States.
Insights
This study found limited evidence linking children's telomere length to neurodevelopment. While increased cord blood telomere length showed some association with better cognitive scores, overall results were inconsistent.
Area of Science:
- Pediatric Neurodevelopment
- Genetics and Epigenetics
- Developmental Toxicology
Background:
- Telomeres, protective caps on chromosomes, shorten with age and are influenced by environmental factors.
- Telomere length (TL) is a potential biomarker for cellular aging and oxidative stress.
- Understanding TL's role in early development is crucial for identifying potential risks and interventions.
Purpose of the Study:
- To investigate the association between relative telomere length (rTL) and neurodevelopmental outcomes in children.
- To determine if rTL measured at birth and in early childhood predicts cognitive and developmental trajectories.
Main Methods:
- Longitudinal study of children in the Seychelles Child Development Study Nutrition Cohort 1 (NC1).
- Relative telomere length (rTL) measured in cord blood and blood at age five.
- Neurodevelopmental assessments conducted at 9, 30 months, and 5 years of age.
- Multivariable linear regression used to analyze associations between rTL and neurodevelopmental outcomes, adjusting for covariates.
Main Results:
- Mean rTL was 1.18 at birth and decreased to 0.71 by age five.
- Increased cord blood rTL was associated with higher scores on the psychomotor developmental index at 30 months and the Woodcock Johnson test of achievement letter-word score at age five.
- These associations were not consistently significant after outlier exclusion or for rTL measured at age five.
Conclusions:
- The study found limited consistent evidence for an association between telomere length and neurodevelopment in children.
- While some associations were observed, particularly with cord blood rTL, they were not robust across all measures or time points.
- Further research with larger sample sizes and longer follow-up is needed to clarify the role of telomere length in neurodevelopment and its potential as a biomarker for oxidative stress.
Purpose:
To examine the association between telomere length and neurodevelopment in children.
Methods:
We examined the relationship between relative telomere length (rTL) and neurodevelopmental outcomes at 9 and 30 months, and 5 years of age in children enrolled in the Seychelles Child Development Study Nutrition Cohort 1 (NC1). Relative telomere length was measured in cord blood and in child blood at age five. Multivariable linear regression examined associations between neurodevelopmental outcomes and rTL adjusting for relevant covariates.
Results:
Mean rTL was 1.18 at birth and 0.71 at age five. Increased cord blood rTL was associated with better scores on two neurodevelopmental tests, the psychomotor developmental index (β = 4.01; 95% confidence interval (CI) = 0.17, 7.85) at age 30 months, and the Woodcock Johnson test of achievement letter-word score (β = 2.88; CI = 1.21-4.56) at age five. The Woodcock Johnson test of achievement letter-word score remained statistically significant after two outliers were excluded (β = 2.83; CI = 0.69, 4.97); the psychomotor developmental index did not (β = 3.62; CI = -1.28, 8.52). None of the neurodevelopmental outcomes at age five were associated with five-year rTL.
Conclusion:
Although increased cord blood rTL was associated with better test scores for a few neurodevelopmental outcomes, this study found little consistent evidence of an association between rTL and neurodevelopment. Future studies with a larger sample size, longer follow-up, and other relevant biological markers (e.g. oxidative stress) are needed to clarify the role of rTL in neurodevelopment and its relevance as a potential surrogate measure for oxidative stress in the field of developmental neurotoxicity.
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