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Associations of Mitochondrial Function, Stress, and Neurodevelopmental Outcomes in Early Life: A Systematic Review
Tingting Zhao1, Nathan N Alder2, Angela R Starkweather3
1School of Nursing, University of Connecticut, Storrs, Connecticut, USA, tingting.zhao@uconn.edu.
Insights
Early life stress impacts infant neurodevelopment, with mitochondrial dysfunction playing a key role. This review highlights how mitochondrial function mediates the effects of stress on infant brain development.
Area of Science:
- Neuroscience
- Developmental Biology
- Mitochondrial Biology
Background:
- Early life stress, particularly in preterm infants, can negatively affect neurodevelopmental outcomes.
- Mitochondrial function/dysfunction is increasingly recognized as a critical mediator linking stress exposure to neurodevelopmental trajectories.
- Understanding these mechanisms is crucial for identifying interventions to mitigate the long-term impacts of early adversity.
Approach:
- A systematic review was conducted following PRISMA guidelines.
- Searched PubMed, Scopus, PsycINFO, and Biosis databases for studies published between 2010-2021.
- Included 30 studies examining the relationship between mitochondrial function, infant stress, and neurodevelopment.
Key Points:
- Mitochondrial function/dysfunction significantly mediates the association between prenatal and postnatal stress and infant neurodevelopment.
- Maternal transgenerational transmission of mitochondrial bioenergetic patterns influences stress-induced neurodevelopmental and behavioral outcomes.
- Specific mitochondrial proteins, genes, and polymorphisms are linked to stress exposure and neurodevelopmental impacts.
Conclusions:
- This review is the first to synthesize the role of mitochondrial function/dysfunction in infant stress and neurodevelopment.
- Evidence supports mitochondrial involvement in stress-related neuropathology in both full-term and preterm infants.
- Future research should address limitations such as biological sex influences, invasive sampling, and the need for longitudinal data.
Abstract:
Early life stress is commonly experienced by infants, especially preterm infants, and may impact their neurodevelopmental outcomes in their early and later lives. Mitochondrial function/dysfunction may play an important role underlying the linkage of prenatal and postnatal stress and neurodevelopmental outcomes in infants. This review aimed to provide insights on the relationship between early life stress and neurodevelopment and the mechanisms of mitochondrial function/dysfunction that contribute to the neuropathology of stress. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used to develop this systematic review. PubMed, Scopus, PsycINFO, and Biosis databases were searched for primary research articles published between 2010 and 2021 that examined the relationships among mitochondrial function/dysfunction, infant stress, and neurodevelopment. Thirty studies were identified. There is evidence to support that mitochondrial function/dysfunction mediates the relationship between prenatal and postnatal stress and neurodevelopmental outcomes in infants. Maternal transgenerational transmission of mitochondrial bioenergetic patterns influenced prenatal stress induced neurodevelopmental outcomes and behavioral changes in infants. Multiple functionally relevant mitochondrial proteins, genes, and polymorphisms were associated with stress exposure. This is the first review of the role that mitochondrial function/dysfunction plays in the association between stress and neurodevelopmental outcomes in full-term and preterm infants. Although multiple limitations were found based on the lack of data on the influence of biological sex, and due to invasive sampling, and lack of longitudinal data, many genes and proteins associated with mitochondrial function/dysfunction were found to influence neurodevelopmental outcomes in the early life of infants.
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