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Published on: March 29, 2018
Placental gross shape differences in a high autism risk cohort and the general population
Bo Y Park1,2, Dawn P Misra3, John Moye4
1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United Sates of America.
Insights
Placentas from newborns at high risk for Autism Spectrum Disorder (ASD) showed distinct shape differences. These findings suggest potential prenatal environmental influences on ASD development.
Area of Science:
- Perinatology
- Neurodevelopmental Disorders
- Developmental Biology
Background:
- The prenatal environment is increasingly recognized as a significant factor in Autism Spectrum Disorder (ASD) etiology.
- Understanding early developmental markers can provide insights into ASD pathogenesis.
Purpose of the Study:
- To investigate placental shape characteristics in newborns with a high familial risk for ASD.
- To compare these features against a low-risk control group to identify potential developmental variations.
Main Methods:
- Analysis of digital photographs of placental surfaces and disks from high-risk newborns (siblings of ASD cases) and low-risk controls.
- Extraction of quantitative measures including chorionic surface shape, umbilical cord displacement, and placental disk thickness.
- Statistical comparison of placental features between the high-risk and control groups, with stratification by sex.
Main Results:
- Placentas from high-risk newborns exhibited moderately increased thickness compared to controls.
- Placentas of high-risk newborns were rounder with more regular perimeters.
- These shape differences were more pronounced in female newborns and persisted across sexes.
Conclusions:
- Reduced placental shape variability in high-risk newborns may indicate a limited capacity to adapt to intrauterine environmental changes.
- Placental morphology variations could serve as potential early indicators of altered developmental trajectories associated with ASD risk.
Abstract:
A growing body of evidence suggests that prenatal environment is important in Autism Spectrum Disorder (ASD) etiology. In this study, we compare placental shape features in younger siblings of children with ASD, who themselves are at high ASD risk, to a sample of low risk peers. Digital photographs of the fetal placenta surface and of the sliced placental disk from 129 high ASD risk newborns and from 267 newborns in the National Children's Study Vanguard pilot were analysed to extract comparable measures of placental chorionic surface shape, umbilical cord displacement and disk thickness. Placental thickness measures were moderately higher in siblings of ASD cases. The placentas of ASD-case siblings were also rounder and more regular in perimeter than general population placentas. After stratification by sex, these across-group differences persisted for both sexes but were more pronounced in females. No significant differences were observed in cord insertion measures. Variations in placental shape features are generally considered to reflect flexibility in placental growth in response to changes in intrauterine environment as the placenta establishes and matures. Reduced placental shape variability observed in high ASD risk siblings compared to low-risk controls may indicate restricted ability to compensate for intrauterine changes.
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