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.

Neuroimmune Pharmacology and Therapeutics
|December 7, 2023
PubMed

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.
Abstract

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