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Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
Associations between preterm infant stress, epigenetic alteration, telomere length and neurodevelopmental outcomes: A
Sharon G Casavant1, Xiaomei Cong2, James Moore3
1School of Nursing, University of Connecticut, 231 Glenbrook Road, U-2026, Storrs, CT 06269, USA; Neonatal Intensive Care Unit, The Hospital of Central Connecticut, 100 Grand Street, New Britain, CT 06052, USA.
Insights
Preterm infants in the NICU experience stress, potentially causing epigenetic changes and telomere erosion. Understanding these effects can help prevent long-term neurodevelopmental issues in premature babies.
Area of Science:
- Neonatal care
- Epigenetics
- Developmental biology
Background:
- Approximately 15 million babies are born preterm globally each year.
- Preterm infants in neonatal intensive care units (NICUs) undergo repeated stressful and painful procedures.
- Preterm birth is linked to neurodevelopmental disorders like cerebral palsy, cognitive impairment, autism, and psychiatric diseases.
Purpose of the Study:
- To identify epigenetic alterations and telomere erosion in preterm infants.
- To understand the long-term outcomes of NICU-related stress in premature infants.
- To aid in early detection and prevention of negative effects from cumulative stressful experiences.
Main Methods:
- Systematic literature review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards.
- Searches conducted in PubMed, CINAHL, SCOPUS, and PsychInfo databases.
- Synthesis of findings from 21 included studies.
Main Results:
- Several potential epigenetic markers were identified in preterm infants.
- Limited studies investigated telomere length in this population.
- Disease and therapeutic interventions may increase infant allostatic load.
Conclusions:
- Further research is needed to fully understand epigenetic alterations and telomere erosion in preterm infants.
- Future studies should include human research and analysis of large datasets.
- Addressing the impact of NICU stress on epigenetic modifications and telomere length is crucial for improving long-term outcomes.
Background:
Every year, an estimated 15 million babies are born preterm (<37 weeks' gestational age [GA]) globally. These preterm infants are exposed to repeated stressful and often painful procedures as part of routine life-saving care within the neonatal intensive care unit (NICU). Preterm birth continues to be a major health issue associated with increased risk of neurodevelopmental and behavioral disorders such as cerebral palsy, cognitive impairment, autism spectrum disorders and psychiatric disease.
Objective:
This paper identifies epigenetic alterations and incidence of telomere erosion that have been studied in preterm infants while in the NICU and as a long-term outcome measure. Better understanding of epigenetic alterations and telomere erosion might aid in early detection and prevention/alleviation of the negative effects of cumulative painful/stressful experiences in this population.
Methods:
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards were used to guide this review. Systematic searches of databases included PubMed, CINAHL, SCOPUS and PsychInfo.
Results:
Twenty-one studies were included, appraised and then synthesized into a narrative summary.
Discussion:
Several putative epigenetic markers were identified although there was a paucity of studies related to telomere length. The interaction of disease entity combined with therapeutic interventions intended to treat may inadvertently increase infant allostatic load or ability to adapt to stress. Future research should include not only human studies but leverage newly available large data sets to conduct additional analysis.
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