2019
DOI: 10.3389/fendo.2019.00188
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Knowledge Gaps and Emerging Research Areas in Intrauterine Growth Restriction-Associated Brain Injury

Abstract: Intrauterine growth restriction (IUGR) is a complex global healthcare issue. Concerted research and clinical efforts have improved our knowledge of the neurodevelopmental sequelae of IUGR which has raised the profile of this complex problem. Nevertheless, there is still a lack of therapies to prevent the substantial rates of fetal demise or the constellation of permanent neurological deficits that arise from IUGR. The purpose of this article is to highlight the clinical and translational gaps in our knowledge … Show more

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Cited by 46 publications
(53 citation statements)
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References 262 publications
(275 reference statements)
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“…Additionally, a model of intrauterine growth restriction in pig, initiated at 100 days of pregnancy and assessed 22 days later, showed a loss of MAP2 staining in the parietal cortex and hippocampus, which was interpreted as disrupted somatodendritic neurites (162). Intrauterine growth restriction is an important contributor to poor perinatal outcomes, particularity in preterm born infants [see (163)]. Reduced dendritic branching and spine immaturity have also been reported in the CA1 region of hippocampus in a model of preterm birth in rabbit kits (30) and in the granular layer of the dentate gyrus in a maternal inflammatory activation (using i.p.…”
Section: Eop As a Synaptopathymentioning
confidence: 99%
“…Additionally, a model of intrauterine growth restriction in pig, initiated at 100 days of pregnancy and assessed 22 days later, showed a loss of MAP2 staining in the parietal cortex and hippocampus, which was interpreted as disrupted somatodendritic neurites (162). Intrauterine growth restriction is an important contributor to poor perinatal outcomes, particularity in preterm born infants [see (163)]. Reduced dendritic branching and spine immaturity have also been reported in the CA1 region of hippocampus in a model of preterm birth in rabbit kits (30) and in the granular layer of the dentate gyrus in a maternal inflammatory activation (using i.p.…”
Section: Eop As a Synaptopathymentioning
confidence: 99%
“…[6][7][8][9] Different animal models and advanced imaging techniques have been used to better understand the mechanisms underlying neuronal impairments and perinatal brain maturation alterations induced by IUGR. 10 However, there is still a large knowledge gap on the mechanisms underlying these alterations 2 and a lack of research models to better characterize the IUGR-associated brain injury (reviewed by Fleiss et al 2019 11 ).…”
Section: Introductionmentioning
confidence: 99%
“…inflammation, identified to activate microglia (3), the resident macrophages of the central nervous system (CNS), and to be the best predictor of subsequent neurological impairment (4,5). Microglial cells can acquire distinct phenotypes in response to perinatal stimuli that allow them to not only disrupt developmental processes but also support repair and regeneration.…”
mentioning
confidence: 99%