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Preterm birth and structural brain alterations in early adulthood
Open accessAbstract
Alterations in cortical development and impaired neurodevelopmental outcomes have been described following very preterm (VPT) birth in childhood and adolescence, but only a few studies to date have investigated grey matter (GM) and white matter (WM) maturation in VPT samples in early adult life. Using voxel-based morphometry (VBM) we studied regional GM and WM volumes in 68 VPT-born individuals (mean gestational age 30 weeks) and 43 term-born controls aged 19-20 years, and their association with cognitive outcomes (Hayling Sentence Completion Test, Controlled Oral Word Association Test, Visual Reproduction test of the Wechsler Memory Scale-Revised) and gestational age. Structural MRI data were obtained with a 1.5 Tesla system and analysed using the VBM8 toolbox in SPM8 with a customized study-specific template. Similarly to results obtained at adolescent assessment, VPT young adults compared to controls demonstrated reduced GM volume in temporal, frontal, insular and occipital areas, thalamus, caudate nucleus and putamen. Increases in GM volume were noted in medial/anterior frontal gyrus. Smaller subcortical WM volume in the VPT group was observed in temporal, parietal and frontal regions, and in a cluster centred on posterior corpus callosum/thalamus/fornix. Larger subcortical WM volume was found predominantly in posterior brain regions, in areas beneath the parahippocampal and occipital gyri and in cerebellum. Gestational age was associated with GM and WM volumes in areas where VPT individuals demonstrated GM and WM volumetric alterations, especially in temporal, parietal and occipital regions. VPT participants scored lower than controls on measures of IQ, executive function and non-verbal memory. When investigating GM and WM alterations and cognitive outcome scores, subcortical WM volume in an area beneath the left inferior frontal gyrus accounted for 14% of the variance of full-scale IQ (F = 12.9, p < 0.0001). WM volume in posterior corpus callosum/thalamus/fornix and GM volume in temporal gyri bilaterally, accounted for 21% of the variance of executive function (F = 9.9, p < 0.0001) and WM in the posterior corpus callosum/thalamus/fornix alone accounted for 17% of the variance of total non-verbal memory scores (F = 9.9, p < 0.0001). These results reveal that VPT birth continues to be associated with altered structural brain anatomy in early adult life, although it remains to be ascertained whether these changes reflect neurodevelopmental delays or long lasting structural alterations due to prematurity. GM and WM alterations correlate with length of gestation and mediate cognitive outcome.
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“In preterm birth, changes in white and gray matter including reductions in cortical surface area and cortical thickness of the PFC are described [361–364].”
From Development of prefrontal cortex (2022) · cites this paper as [364]
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Metadata
- Authors
- Nosarti, C., Nam, K. W., Walshe, M., Murray, R. M., Cuddy, M., Rifkin, L., & Allin, M. P. G.
- Affiliations
- King's College London (GB)
- Corresponding author
- Nosarti, Chiara
- Venue
- NeuroImage: Clinical
- Publisher
- Elsevier BV
- Published
- 2014
- Volume
- 6
- Pages
- 180-191
- ISSN
- 2213-1582 (ISSN-L)
- PMC
- PMC4215396
- OpenAlex
- W2027986310
- Cited by
- 213
- References
- 96
- Citations by year
- 2026: 21 · 2025: 12 · 2024: 15 · 2023: 23 · 2022: 13 · 2021: 26 · 2020: 17 · 2019: 21 · 2018: 17 · 2017: 21 · 2016: 17 · 2015: 8 · 2014: 1
- FWCI
- 14.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- NeuroImage Clinical (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- Wellcome Trust (065699)
- Medical Research Council (MR/K004867/1)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- 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
- Keywords
- very preterm birth, gray matter volume, white matter volume, brain structure, early adulthood, gestational age, IQ, executive function, nonverbal memory, corpus callosum, thalamus, fornix, temporal lobe, cortical development, neurodevelopmental outcomes, cerebellum, subcortical white matter, voxel-based morphometry
- MeSH terms
- Adolescent, Brain, Cognition, Female, Follow-Up Studies, Humans, Infant, Newborn, Infant, Premature, Magnetic Resonance Imaging, Male, Memory, Cohort Studies, Premature Birth, Young Adult, Executive Function
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