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Prenatal tobacco exposure on brain morphometry partially mediated poor cognitive performance in preadolescent
Pedro J Rodriguez Rivera1, Huajun Liang1, Amal Isaiah2,3
1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Insights
Prenatal tobacco exposure (PTE) is linked to lower cognitive function and altered brain structure in children. These brain differences, including smaller frontal lobe areas and thalamic volumes, partially explain the cognitive deficits associated with PTE.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatric Imaging
Background:
- Prenatal tobacco exposure (PTE) is a significant public health concern.
- Understanding the long-term neurodevelopmental consequences of PTE is crucial for early intervention.
- Previous research suggests potential links between PTE and cognitive deficits, but underlying neural mechanisms require further elucidation.
Purpose of the Study:
- To investigate the association between prenatal tobacco exposure (PTE) and cognitive performance in pre-adolescent children.
- To examine whether PTE is related to abnormal brain morphometry.
- To determine if structural brain differences mediate the relationship between PTE and poorer cognitive outcomes.
Main Methods:
- Utilized the Adolescent Brain Cognitive Development (ABCD) study dataset, comparing 9-to-10-year-old children with (n=620) and without (n=10,989) PTE.
- Assessed neurocognitive performance using NIH Toolbox® scores and brain structure using MRI.
- Employed Linear Mixed Models, controlling for socio-demographics and other prenatal exposures, with FDR correction for multiple comparisons.
Main Results:
- Children with PTE demonstrated poorer performance across multiple cognitive domains, including executive function, memory, and overall cognition (all p<0.05).
- PTE was associated with thinner parahippocampal gyri, smaller cortical surface areas (posterior-cingulate, pericalcarine, lingual, inferior parietal), and reduced thalamic volumes (all p<0.001).
- Sex-specific effects were observed: girls showed smaller frontal and parietal cortical areas, while boys had smaller putamen volumes.
Conclusions:
- Prenatal tobacco exposure is associated with poorer cognitive function and abnormal brain morphometry in pre-adolescent children.
- Structural brain differences, specifically smaller frontal/parietal areas and thalamic volumes, partially mediate the cognitive deficits observed in children with PTE.
- Findings highlight the neurodevelopmental impact of PTE and suggest sex-specific effects on brain structure.
Objectives:
To evaluate whether prenatal tobacco exposure (PTE) is related to poorer cognitive performance, abnormal brain morphometry, and whether poor cognitive performance is mediated by PTE-related structural brain differences.
Methods:
The Adolescent Brain Cognitive Development study dataset was used to compare structural MRI data and neurocognitive (NIH Toolbox®) scores in 9-to-10-year-old children with (n=620) and without PTE (n=10,989). We also evaluated whether PTE effects on brain morphometry mediated PTE effects on neurocognitive scores. Group effects were evaluated using Linear Mixed Models, covaried for socio-demographics and prenatal exposures to alcohol and/or marijuana, and corrected for multiple comparisons using the false-discovery rate (FDR).
Results:
Compared to unexposed children, those with PTE had poorer performance (all p-values <0.05) on executive function, working memory, episodic memory, reading decoding, crystallized intelligence, fluid intelligence and overall cognition. Exposed children also had thinner parahippocampal gyri, smaller surface areas in the posterior-cingulate and pericalcarine cortices; the lingual and inferior parietal gyri, and smaller thalamic volumes (all p-values <0.001). Furthermore, among children with PTE, girls had smaller surface areas in the superior-frontal (interaction-FDR-p=0.01), precuneus (interaction-FDR-p=0.03) and postcentral gyri (interaction-FDR-p=0.02), while boys had smaller putamen volumes (interaction-FDR-p=0.02). Smaller surface areas across regions of the frontal and parietal lobes, and lower thalamic volumes, partially mediated the associations between PTE and poorer neurocognitive scores (p-values <0.001).
Conclusions:
Our findings suggest PTE may lead to poorer cognitive performance and abnormal brain morphometry, with sex-specific effects in some brain regions, in pre-adolescent children. The poor cognition in children with PTE may result from the smaller areas and subcortical brain volumes.
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