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Epigenetics and Neurological Disorders in ART
Marina La Rovere1, Marica Franzago2,3, Liborio Stuppia4,5
1Department of Psychological, Health and Territorial Sciences, School of Medicine and Health Sciences, "G. d'Annunzio" University, 66100 Chieti-Pescara, Italy.
Insights
Assisted Reproductive Technologies (ART) may slightly increase risks for adult-onset conditions. Current evidence does not link ART conception to increased neurological disorders or confirm epigenetic alterations as the cause.
Area of Science:
- Reproductive medicine
- Developmental biology
- Neuroscience
Background:
- Assisted Reproductive Technologies (ART) are used for 1-4% of births in developed nations.
- ART offspring show slightly increased neonatal malformation risks.
- Long-term ART follow-up suggests higher susceptibility to adult-onset multifactorial diseases like obesity, diabetes, and cardiovascular conditions.
Purpose of the Study:
- To review current knowledge on epigenetic alterations and neurological disorders in ART-conceived children.
- To assess the evidence linking ART, epigenetics, and neurological disease risk.
- To clarify the current understanding of long-term neurological health outcomes in ART offspring.
Main Methods:
- Literature review of epidemiological and experimental studies.
- Analysis of data on ART, epigenetic modifications, and neurological outcomes.
- Evaluation of the limitations of current research, including short follow-up periods.
Main Results:
- Little to no evidence currently supports an increased risk of neurological disorders in ART-conceived children.
- Most available reports are epidemiological, lacking experimental data on epigenetic modifications.
- The link between ART-induced epigenetic changes and long-term neurological effects remains unclear.
Conclusions:
- Current data do not indicate a significant increase in neurological disorder risk for ART children.
- Further research with longer follow-up and experimental evidence is needed to understand potential epigenetic impacts.
- The role of epigenetic alterations in ART-related long-term health effects, particularly neurological, requires more investigation.
Abstract:
About 1-4% of children are currently generated by Assisted Reproductive Technologies (ART) in developed countries. These babies show only a slightly increased risk of neonatal malformations. However, follow-up studies have suggested a higher susceptibility to multifactorial, adult onset disorders like obesity, diabetes and cardiovascular diseases in ART offspring. It has been suggested that these conditions could be the consequence of epigenetic, alterations, due to artificial manipulations of gametes and embryos potentially able to alter epigenetic stability during zygote reprogramming. In the last years, epigenetic alterations have been invoked as a possible cause of increased risk of neurological disorders, but at present the link between epigenetic modifications and long-term effects in terms of neurological diseases in ART children remains unclear, due to the short follow up limiting retrospective studies. In this review, we summarize the current knowledge about neurological disorders promoted by epigenetics alterations in ART. Based on data currently available, it is possible to conclude that little, if any, evidence of an increased risk of neurological disorders in ART conceived children is provided. Most important, the large majority of reports appears to be limited to epidemiological studies, not providing any experimental evidence about epigenetic modifications responsible for an increased risk.
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