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Genetic variation in dopamine neurotransmission and motor development of infants born extremely-low-birthweight
Journal article   Open access   Peer reviewed

Genetic variation in dopamine neurotransmission and motor development of infants born extremely-low-birthweight

Gordon Worley, Stephen W Erickson, Kathryn E Gustafson, Yuliya S Nikolova, Allison E Ashley-Koch, Daniel W Belsky, Ricki F Goldstein, Grier P Page, C Michael Cotten, Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, …
Developmental medicine and child neurology, Vol.62(6), pp.750-757
06/2020
DOI: 10.1111/dmcn.14383
PMCID: PMC7200269
PMID: 31691959
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7200269View
Open Access

Abstract

To determine if genetic variation associated with decreased dopamine neurotransmission predicts a decrease in motor development in a convenience cohort study of infants born extremely-low-birthweight (ELBW). Four hundred and ninety-eight infants born ELBW had genome-wide genotyping and a neurodevelopmental evaluation at 18 to 22 months of age, corrected for preterm birth. A polygenic risk score (PRS) was created to combine into one predictor variable the hypothesized influences on motor development of alleles at seven independent single nucleotide polymorphisms previously associated with relative decreases in both dopamine neurotransmission and motor learning, by summing the number of alleles present in each infant (range=0-14). The motor development outcome was the Psychomotor Development Index (PDI) of the Bayley Scales of Infant Development, Second Edition. The linear regression models were adjusted for seven clinical and four genetic ancestry covariates. The mean PRS of infants with cerebral palsy (CP) was compared to those without CP. PRS was inversely related to PDI (p=0.011). Each 1-point increase in PRS resulted in an average decrease in PDI of 1.37 points. Patients with CP did not have a greater mean PRS than those without (p=0.67), both with and without adjustment for covariates. Genetic variation that favors a decrease in dopamine neurotransmission predisposes to a decrease in motor development in infants born ELBW, but not to the diagnosis of CP. Genetic variation in dopamine neurotransmission was associated with a decrease in motor development in infants born at an extremely-low-birthweight. It does not predispose to the diagnosis of cerebral palsy.
Cohort Studies Developmental Disabilities - genetics Developmental Disabilities - metabolism Dopamine - physiology Female Genetic Variation - genetics Humans Infant, Extremely Low Birth Weight Infant, Extremely Premature Infant, Newborn Infant, Premature, Diseases - genetics Male Motor Skills Disorders - genetics Motor Skills Disorders - metabolism Synaptic Transmission - genetics

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