Publications by authors named "Cecil C"

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  • - Children born via cesarean delivery have a greater risk of various health issues compared to those born vaginally, but the exact reasons are still not fully understood.
  • - A meta-analysis involving over 12,000 participants found six specific DNA methylation markers in newborns linked to cesarean delivery, but these markers did not persist into childhood.
  • - The study indicates that cesarean delivery affects certain blood cell proportions at birth, but further research is necessary to understand its long-term impacts on child health.
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Patients with chronic liver disease commonly have abnormal lung function, however the impact of smoking on outcomes in these patients is unknown. We hypothesized current or past smoking would be associated with worse survival in patients with advanced liver disease. The Pulmonary Vascular Complications in Liver Disease Study 2 (PVCLD2) was a prospective cohort of patients with advanced liver disease undergoing evaluation for liver transplantation (LT).

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  • A study investigated the impact of Maternal Immune Activation (MIA) on child neurodevelopment using neuroimaging data from a large cohort of mother-child pairs from the Generation R Study.
  • Researchers examined levels of specific cytokines during pregnancy and employed various neuroimaging techniques to analyze brain development in children at ages 10 and 14.
  • The results showed no significant association between MIA and any neuroimaging outcomes, contradicting earlier findings that indicated brain abnormalities in neonates exposed to MIA.
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Background: DNA methylation (DNAm), an epigenetic mechanism that regulates gene activity in response to genetic and environmental influences, changes as we age. DNAm at specific sites on the genome can be used to calculate 'epigenetic clocks', which are powerful biomarkers of age, as well as of ageing. However, little is known about how these clock sites 'behave' during development and what factors influence their variability in early life.

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  • - The study assessed how family history of dementia relates to brain structure and cognitive performance in parents (average age 47) and their children (average age 9-13) using data from the Generation R Study.
  • - Out of 1,259 parents, 8.6% reported having a parental history of dementia, while 8.4% of children had a grandparental history, but there were no significant cognitive differences between those with and without such histories, except for slightly worse manual dexterity in the parents.
  • - The findings indicate that while family history of dementia could impact manual skills in mid-life adults, it does not significantly affect cognitive ability or brain structure in either group, suggesting a link primarily to
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  • * A systematic review analyzed 111 neuroimaging studies across different types of MIA, including serious conditions like HIV and Zika, which showed clear associations with structural brain issues, whereas findings for less severe infections were inconsistent.
  • * Most research focused on the effects within the first year after birth, emphasizing the need for further studies to determine if these associations influence long-term brain development, especially given the mixed results for less severe cases.
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Background: DNA methylation levels at specific sites can be used to proxy C-reactive protein (CRP) levels, providing a potentially more stable and accurate indicator of sustained inflammation and associated health risk. However, its use has been primarily limited to adults or preterm infants, and little is known about determinants for - or offspring outcomes of - elevated levels of this epigenetic proxy in cord blood. The aim of this study was to comprehensively map prenatal predictors and long-term neurobehavioral outcomes of neonatal inflammation, as assessed with an epigenetic proxy of inflammation in cord blood, in the general pediatric population.

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  • The study focused on children with new tracheostomies and invasive mechanical ventilation (IMV), aiming to identify and characterize low-resource days (LRDs) during their transitional care in the hospital.
  • It analyzed data from 4048 children, revealing that 38.6% experienced at least one LRD, with younger age and longer hospital stays being key factors associated with higher rates of LRDs.
  • The findings emphasize the need to understand hospital resource use during recovery to improve care models for these children.
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  • - The study investigates the connections between prenatal infections and DNA methylation patterns in newborns, aiming to understand how these factors influence mental and physical health in children.
  • - Researchers analyzed data from over 2,300 Dutch children and tested if infection timing and DNA methylation could predict health outcomes like psychiatric symptoms and obesity in adolescence.
  • - Although no definitive links were found between prenatal infections and DNA methylation, some suggestive associations emerged, indicating possible connections to immune and neurodevelopmental pathways, yet these results weren't consistent in another independent cohort.
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Psychological stress during pregnancy is known to have a range of long-lasting negative consequences on the development and health of offspring. Here, we tested whether a measure of prenatal early-life stress was associated with a biomarker of physiological development at birth, namely epigenetic gestational age, using foetal cord-blood DNA-methylation data. Longitudinal cohorts from the Netherlands (Generation R Study [Generation R], n = 1,396), the UK (British Avon Longitudinal Study of Parents and Children [ALSPAC], n = 642), and Norway (Mother, Father and Child Cohort Study [MoBa], n1 = 1,212 and n2 = 678) provided data on prenatal maternal stress and genome-wide DNA methylation from cord blood and were meta-analysed (pooled n = 3,928).

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  • The study investigates the connections between genetic predispositions for autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and schizophrenia (SCZ) and their related DNA methylation patterns present at birth.
  • It analyzes cord blood DNA from over 5,800 individuals, revealing that SCZ shows significant associations with specific DNA loci, while ASD and ADHD have fewer identifiable connections.
  • The research suggests that integrating these DNA methylation patterns into models could help improve predictions for various neurodevelopmental outcomes in children from birth to 14 years.
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Epigenetic processes, such as DNA methylation, show potential as biological markers and mechanisms underlying gene-environment interplay in the prediction of mental health and other brain-based phenotypes. However, little is known about how peripheral epigenetic patterns relate to individual differences in the brain itself. An increasingly popular approach to address this is by combining epigenetic and neuroimaging data; yet, research in this area is almost entirely comprised of cross-sectional studies in adults.

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Adaptations of the immune system throughout gestation have been proposed as important mechanisms regulating successful pregnancy. Dysregulation of the maternal immune system has been associated with adverse maternal and fetal outcomes. To translate findings from mechanistic preclinical studies to human pregnancies, studies of serum immune markers are the mainstay.

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Background: Maternal infection during pregnancy has been identified as a prenatal risk factor for the later development of psychopathology in exposed offspring. Neuroimaging data collected during childhood has suggested a link between prenatal exposure to maternal infection and child brain structure and function, potentially offering a neurobiological explanation for the emergence of psychopathology. Additionally, preclinical studies utilizing repeated measures of neuroimaging data suggest that effects of prenatal maternal infection on the offspring's brain may normalize over time (i.

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  • * Neuroimaging reveals that many of these genetic variants have widespread effects on brain regions and are linked to various cancers and specific signaling pathways, such as p53 and Wnt.
  • * The findings suggest a connection between the genes that regulate head size and the likelihood of cancer, emphasizing the need for further research on the implications of this relationship.
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Background: Alzheimer's disease (AD)-related neuropathological changes can occur decades before clinical symptoms. We aimed to investigate whether neurodevelopment and/or neurodegeneration affects the risk of AD, through reducing structural brain reserve and/or increasing brain atrophy, respectively.

Methods: We used bidirectional two-sample Mendelian randomisation to estimate the effects between genetic liability to AD and global and regional cortical thickness, estimated total intracranial volume, volume of subcortical structures and total white matter in 37 680 participants aged 8-81 years across 5 independent cohorts (Adolescent Brain Cognitive Development, Generation R, IMAGEN, Avon Longitudinal Study of Parents and Children and UK Biobank).

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Over 50% of children with a parent with severe mental illness will develop mental illness by early adulthood. However, intergenerational transmission of risk for mental illness in one's children is insufficiently considered in clinical practice, nor is it sufficiently utilised into diagnostics and care for children of ill parents. This leads to delays in diagnosing young offspring and missed opportunities for protective actions and resilience strengthening.

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A significant level of stigma and inequality exists in mental healthcare, especially in under-served populations. Inequalities are reflected in the data collected for scientific purposes. When not properly accounted for, machine learning (ML) models learned from data can reinforce these structural inequalities or biases.

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Epigenetic age acceleration (EAA), defined as the difference between chronological age and epigenetically predicted age, was calculated from multiple gestational epigenetic clocks (Bohlin, EPIC overlap, and Knight) using DNA methylation levels from cord blood in three large population-based birth cohorts: the Generation R Study (The Netherlands), the Avon Longitudinal Study of Parents and Children (United Kingdom), and the Norwegian Mother, Father and Child Cohort Study (Norway). We hypothesized that a lower EAA associates prospectively with increased ADHD symptoms. We tested our hypotheses in these three cohorts and meta-analyzed the results (n = 3383).

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DNA methylation (DNAm) at specific sites can be used to calculate 'epigenetic clocks', which in adulthood are used as indicators of age(). However, little is known about how these clock sites 'behave' during development and what factors influence their variability in early life. This knowledge could be used to optimize healthy aging well before the onset of age-related conditions.

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Objective: Early-life stress (ELS) is an established risk factor for a host of adult mental and physical health problems, including both depression and obesity. Recent studies additionally showed that ELS was associated with an increased risk of comorbidity between mental and physical health problems, already in adolescence. Healthy lifestyle factors, including physical activity, sleep and diet have also been robustly linked to both emotional and physical wellbeing.

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Background: Impaired arterial health is associated with a decline in cognitive function and psychopathology in adults. We hypothesized that these associations originate in early life. We examined the associations of blood pressure, common carotid artery intima media thickness, and carotid distensibility with behavior and cognitive outcomes during adolescence.

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Early-life stress (ELS) has been robustly associated with a range of poor mental and physical health outcomes. Recent studies implicate the gut microbiome in stress-related mental, cardio-metabolic and immune health problems, but research on humans is scarce and thus far often based on small, selected samples, often using retrospective reports of ELS. We examined associations between ELS and the human gut microbiome in a large, population-based study of children.

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Background: A large body of work has reported a link between prenatal exposure to infection and increased psychiatric risk in offspring. However, studies to date have focused primarily on exposure to severe prenatal infections and/or individual psychiatric diagnoses in clinical samples, typically measured at single time points, and without accounting for important genetic and environmental confounders. In this study, we investigated whether exposure to common infections during pregnancy is prospectively associated with repeatedly assessed child psychiatric symptoms in a large population-based study.

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Article Synopsis
  • Researchers conducted a study on vocabulary development in children, looking specifically at how genetic factors influence both expressive and receptive vocabulary sizes as children grow.
  • The study involved nearly 38,000 parental reports from children of European descent and analyzed vocabulary measures at different developmental stages, assessing various genetic correlations.
  • Findings indicated that early vocabulary is somewhat heritable and that there's genetic overlap with literacy skills, but a strong link to intelligence and ADHD appears later during toddlerhood.
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