Brain-derived neurotrophic factor Val66Met and neuropsychological functioning after early childhood traumatic brain

Amery Treble-Barna1, Shari L Wade2, Valentina Pilipenko3

  • 1Department of Physical Medicine & Rehabilitation, University of Pittsburgh, School of Medicine, Pittsburgh, PA15213, USA.

Insights

The brain-derived neurotrophic factor (BDNF) Val66Met polymorphism impacts verbal fluency in children with traumatic brain injury (TBI). Met allele carriers with TBI showed poorer cognitive function compared to orthopedic injury (OI) peers.

Area of Science:

  • Neuroscience
  • Genetics
  • Pediatric Medicine

Background:

  • Traumatic brain injury (TBI) in children can lead to long-term cognitive deficits.
  • The brain-derived neurotrophic factor (BDNF) Val66Met polymorphism is associated with altered BDNF secretion and may influence brain plasticity.
  • Understanding genetic contributions to TBI outcomes is crucial for targeted interventions.

Purpose of the Study:

  • To investigate the differential impact of the BDNF Val66Met polymorphism on neuropsychological functioning in children with TBI versus orthopedic injury (OI).
  • To examine longitudinal changes in cognitive performance related to BDNF genotype and injury type.

Main Methods:

  • Prospective, longitudinal study of children aged 3-7 years with TBI (n=69) or OI (n=72).
  • Neuropsychological assessments of attention, memory, and executive functions at multiple timepoints up to 7 years post-injury.
  • Parental ratings of dysexecutive behaviors were collected throughout the study.

Main Results:

  • A significant interaction between BDNF allele status and injury group was found for verbal fluency.
  • Children with TBI carrying the Met allele showed poorer verbal fluency, fluid reasoning, and memory compared to Val/Val homozygotes.
  • The opposite trend or no effect was observed in the orthopedic injury group.

Conclusions:

  • The BDNF Val66Met polymorphism may confer risk for poorer neuropsychological functioning in children following early TBI.
  • Findings suggest a differential genetic contribution to cognitive outcomes based on injury type.
  • The Met allele's association with reduced BDNF secretion could underlie these observed differences.
Abstract