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.
Abstract

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