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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Factors Affecting the Nuclei in Newborn and Children
Christos Arnaoutoglou1, Anastasia Keivanidou2, Georgios Dragoutsos3
1Department of Obstetrics & Gynecology, Papageorgiou Hospital, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Insights
Children show increased sensitivity to genotoxic effects. This study explores the micronucleus assay in exfoliated buccal cells for non-invasive monitoring in pediatric populations, addressing data gaps in genotoxicity assessment.
Area of Science:
- Environmental Health
- Pediatric Toxicology
- Genetics
Background:
- Children exhibit heightened sensitivity to environmental and medical treatments compared to adults.
- Limited data exists on genotoxic effects and monitoring methods specifically in pediatric populations.
- The micronucleus assay is a validated tool for assessing genotoxicity.
Purpose of the Study:
- To investigate the utility of the micronucleus assay in exfoliated buccal cells for non-invasive genotoxicity monitoring in children.
- To address the need for more data on genotoxic effects in pediatric cohorts, particularly concerning environmental exposures and medical treatments.
- To explore the relationship between micronuclei in lymphocytes and exfoliated cells and establish baseline levels.
Main Methods:
- Utilizing the micronucleus assay on exfoliated buccal cells for genotoxicity assessment in children.
- Comparing results with existing data from lymphocyte micronucleus studies.
- Evaluating changes in micronuclei frequency in response to known toxic agents.
Main Results:
- Exfoliated buccal cells offer a non-invasive method for genotoxicity assessment in pediatric cohorts.
- Radiation exposure and environmental pollutants are observed to increase micronuclei frequency in children.
- Further research is needed to optimize medical treatment doses and understand baseline micronuclei levels.
Conclusions:
- The micronucleus assay in exfoliated buccal cells holds promise for routine genotoxicity monitoring in children.
- Prospective cohort studies are crucial to determine the predictive value of micronuclei for long-term health outcomes, including cancer and chronic diseases.
- Advanced molecular technologies will aid in understanding the biological pathways underlying micronuclei formation in pediatric populations.
Abstract:
It is known that children are more sensitive to the effects of medical treatments and environment than adults. Today there is limited information regarding the differences in genotoxic effects in children. The micronucleus assay is a method that is used to monitor genotoxicity, and it was validated several years before. Today there is international interest for exfoliated buccal cells. Most of the micronuclei studies in children have been performed with the analyses of lymphocytes. However, there is vast interest in using exfoliated cells from the oral cavity. The reason is that other type of cells are acquired non-invasively, this is an important issue in paediatric cohorts. Unfortunately a limitation of measuring micronuclei frequency is that it has been observed to be low in newborns and on the other hand there are a large number of patients and cell sample counts. It has been observed that radiation exposure and environmental pollutants increase the micronuclei frequency in newborn and children. Regarding the medical treatments, there is little data and several studies are needed to optimise the doses. There is the need to observe if there is a relationship between micronuclei in lymphocytes and exfoliated cells and to identify the baseline of the micronuclei levels. Moreover, we evaluate the changes in response to the toxic agents. Prospective cohorts studies will clarify the predictive value of micronuclei for cancer and chronic diseases for both children and adults. Novel molecular technologies will assist in the elucidation of different biological pathways and molecular mechanisms connected with the micronulcei levels in newborn and children.
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