Infant precursors of executive function in Down syndrome
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Updated: Nov 15, 2025

In Vitro Modeling of Down Syndrome Neurogenesis Using Human-Induced Pluripotent Stem Cells
Published on: March 7, 2025
E K Schworer1, D J Fidler2, M Kaur3
1Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Insights
Infants with Down syndrome (DS) show early differences in visual engagement and action planning. Early attention shifting skills in infants with DS predict later executive function (EF) development.
Area of Science:
- Developmental Psychology
- Neuroscience
- Genetics
Background:
- Early cognitive features predict executive function (EF) in typically developing (TD) children.
- Limited data exists on the developmental origins of EF in neurogenetic conditions like Down syndrome (DS).
Purpose of the Study:
- To compare EF precursors in infants with and without DS.
- To examine the predictive relationship between early EF precursors and later EF performance in infants with DS.
Main Methods:
- Compared 36 infants with DS and 36 TD infants on visual engagement, attention shifting, and action planning.
- Assessed the relationship between these precursors at Time 1 and EF at Time 2 (6 months later) in the DS group.
Main Results:
- Infants with DS exhibited longer visual engagement and difficulties with action planning compared to TD infants.
- Attention shifting at Time 1 significantly predicted EF performance at Time 2 in the DS group.
Conclusions:
- Early atypical EF precursors are detectable in infancy in Down syndrome.
- These findings identify early cognitive risks in DS and inform future interventions.
Background:
Although early features of infant cognition are predictive of executive function (EF) in typically developing (TD) children, there is little information regarding the developmental origins of EF in neurogenetic conditions, such as Down syndrome (DS).
Methods:
The current study compared the performance of infants with and without DS on three dimensions that are hypothesised EF precursors: visual engagement, attention shifting and action planning. Additionally, the relationship between these EF precursors at Time 1 and EF performance at Time 2 (6 months later) was examined in the DS group. Participants were 36 infants with DS, M chronological age = 12.65 months, SD = 2.11; M developmental age = 8.84 months, SD = 2.22, and 36 TD infants, M chronological age = 8.62, SD = 3.06; M developmental age = 8.64 months, SD = 3.40.
Results:
Infants with DS visually engaged with objects for longer durations and demonstrated challenges with action planning compared with TD infants at Time 1. Attention shifting at Time 1 significantly predicted EF performance at Time 2 in the DS group.
Conclusions:
This study provides evidence that an early atypical presentation of EF precursors is detectable during infancy in DS and is predictive of subsequent EF performance. These findings contribute to the identification of areas of early cognitive risk in DS and can inform future interventions in this population.
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