An adverse intrauterine environment: implications for injury and altered development of the brain
Abstract
Abnormal development of the brain during fetal life is now thought to contribute to the aetiology of many functional and behavioural disorders that manifest throughout life. Many factors are likely to underlie such abnormal development including genetic makeup and an adverse intrauterine environment. This review will focus on prenatal hypoxic–ischemic injury and inflammatory/infective insults. A range of experimental models have been used to characterise lesions formed in response to these insults and to determine mechanisms of damage resulting from such events. Relatively brief periods of fetal hypoxia result in neuronal death (cerebellum, hippocampus, and cerebral cortex), white matter damage and reduced growth of neural processes. These effects are more profound at mid than late gestation. Chronic mild placental insufficiency can result in fetal growth restriction and deficits in neural connectivity and myelination. Exposure of the preterm fetus to inflammatory agents causes brain damage particularly in the white matter and this is exacerbated by hypoxia. These studies show that the timing, severity and nature of specific insults are critical in determining the pattern of injury and thus the extent to which neurological function will be affected postnatally. Defining the causes, patterns and mechanisms of brain injury is crucial if we are to develop rational neuroprotective strategies to reduce the burden of altered brain growth and poor functional and behavioural outcomes.
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Abnormal brain development during gestation contributes to many neurological disorders across the lifespan.
“Growing evidence suggests that abnormal development of the brain during gestation contributes to many neurological disorders that are manifested throughout the entire lifespan (Rees et al., 2008).”
From High pregnancy anxiety during mid-gestation is associated with decreased gray matter density in 6-9-year-old children. (2010) · cites this paper as Rees et al., 2008
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- Authors
- Rees, S., Harding, R., & Walker, D.
- Affiliations
- The University of Melbourne (AU)
- Monash University (AU)
- Corresponding author
- Rees, Sandra
- ORCID
- Harding, Richard
- Venue
- International Journal of Developmental Neuroscience
- Publisher
- Wiley
- Published
- 2007-09-29
- Volume
- 26
- Issue
- 1
- Pages
- 3-11
- ISSN
- 0736-5748 (ISSN-L)
- 1873-474X
- OpenAlex
- W2018648849
- Cited by
- 160
- References
- 94
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 11 · 2023: 8 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 9 · 2018: 9 · 2017: 5 · 2016: 9 · 2015: 7 · 2014: 13 · 2013: 10 · 2012: 17
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Developmental Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- fetal brain development, hypoxia-ischemia, fetal hypoxia, placental insufficiency, fetal growth restriction, neuroinflammation, prenatal infection, white matter injury, neuronal cell death, myelination, neuronal connectivity, neuroprotection
- MeSH terms
- Animals, Brain, Brain Injuries, Critical Period, Psychological, Disease Models, Animal, Female, Humans, Infant, Newborn, Placental Insufficiency, Pregnancy, Fetal Development, Prenatal Injuries
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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