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Recent advances in understanding neuro.

Alban Ziegler1, Wendy K Chung2

  • 1Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.

Current Opinion in Genetics & Development
|June 30, 2022
PubMed
Summary
This summary is machine-generated.

Congenital heart disease (CHD) is linked to neurodevelopmental issues, with genetics playing a key role. Outcomes are complex, influenced by genetic and environmental factors throughout a child's care.

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Area of Science:

  • Genetics and Developmental Neuroscience
  • Pediatric Cardiology

Background:

  • Congenital heart disease (CHD) impacts approximately 1% of global live births.
  • CHD is frequently associated with diverse neurodevelopmental disorders.
  • Genetic factors are significantly implicated in adverse neurodevelopmental outcomes in affected children.

Purpose of the Study:

  • To explore the intricate genetic underpinnings of neurodevelopmental disorders in CHD.
  • To examine the interplay between genetic factors and various clinical and psychosocial risk factors.

Main Methods:

  • Review of recent studies on genetic contributions (monogenic, oligogenic, polygenic) to neurodevelopmental outcomes in CHD.
  • Analysis of the influence of preoperative, perioperative, postoperative, and psychosocial factors.

Main Results:

  • Genetic complexity, encompassing monogenic, oligogenic, and polygenic factors, significantly shapes neurodevelopmental trajectories.
  • Interactions between genetic predispositions and a spectrum of clinical and psychosocial factors (e.g., prematurity, surgical interventions, socioeconomic status) are critical.

Conclusions:

  • Understanding the multifaceted genetic and environmental influences is crucial for predicting and mitigating neurodevelopmental deficits in CHD.
  • Integrated approaches considering genetic, clinical, and psychosocial elements are essential for comprehensive CHD care and research.