Publications by authors named "Gabrielle Crombie"

Background: Research in the developmental origins of health and disease provides compelling evidence that adverse events during the first 1000 days of life from conception can impact life course health. Despite many decades of research, we still lack a complete understanding of the mechanisms underlying some of these associations. The Newcastle 1000 Study (NEW1000) is a comprehensive, prospective population-based pregnancy cohort study based in Newcastle, New South Wales, Australia, that will recruit pregnant women and their partners at 11-14 weeks' gestation, with assessments at 20, 28, and 36 weeks; birth; 6 weeks; and 6 months, in order to provide detailed data about the first 1000 days of life to investigate the developmental origins of noncommunicable diseases.

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Disruptions to neurodevelopment are known to be linked to behavioral disorders in childhood and into adulthood. The fetal brain is extremely vulnerable to stimuli that alter inhibitory GABAergic pathways and critical myelination processes, programing long-term neurobehavioral disruption. The maturation of the GABAergic system into the major inhibitory pathway in the brain and the development of oligodendrocytes into mature cells capable of producing myelin are integral components of optimal neurodevelopment.

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Preterm birth can lead to brain injury and currently there are no targeted therapies to promote postnatal brain development and protect these vulnerable neonates. We have previously shown that the neurosteroid-analogue ganaxolone promotes white matter development and improves behavioural outcomes in male juvenile guinea pigs born preterm. Adverse side effects in this previous study necessitated this current follow-up dosing study, where a focus was placed upon physical wellbeing during the treatment administration and markers of neurodevelopment at the completion of the treatment period.

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Article Synopsis
  • The study investigates the impact of prenatal stress on the balance between inhibitory (GABA) and excitatory (glutamate) systems in guinea pig offspring, which can lead to neurological issues.
  • Pregnant guinea pigs were exposed to strobe lights to induce stress, and their pups received treatments like allopregnanolone or vehicle after birth to assess if neurosteroid supplementation could mitigate negative effects.
  • Findings revealed that stress resulted in immature GABA receptor expression and reduced inhibition in pups, though ganaxolone treatment provided some neuroprotective benefits against excitotoxicity.
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Background: Prenatal stress is associated with long-term disturbances in white matter development and behaviour in children, such as attention deficit hyperactivity disorder (ADHD) and anxiety. Oligodendrocyte maturation and myelin formation is a tightly orchestrated process beginning during gestation, and therefore is very vulnerable to the effects of maternal prenatal stresses in mid-late pregnancy. The current study aimed to examine the effects of prenatal stress on components of the oligodendrocyte lineage to identify the key processes that are disrupted and to determine if postnatal therapies directed at ameliorating white matter deficits also improve behavioural outcomes.

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Preterm birth is associated with poor long-term neurodevelopmental and behavioral outcomes, even in the absence of obvious brain injury at the time of birth. In particular, behavioral disorders characterized by inattention, social difficulties and anxiety are common among children and adolescents who were born moderately to late preterm (32-37 weeks' gestation). Diffuse deficits in white matter microstructure are thought to play a role in these poor outcomes with evidence suggesting that a failure of oligodendrocytes to mature and myelinate axons is responsible.

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Article Synopsis
  • Chronic stress during and after pregnancy can elevate cortisol levels, which is linked to developmental behavioral disorders in children.
  • The study aimed to investigate if prenatal (before birth) and postnatal (after birth) stress leads to deficits in the hippocampus related to behavior, myelination, and neurotransmitter pathways, specifically in guinea pigs.
  • Results showed that male guinea pig offspring exposed to prenatal stress displayed behavioral changes and alterations in brain markers associated with myelination and GABA/glutamate pathways.
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Extensive evidence now shows that adversity during the perinatal period is a significant risk factor for the development of neurodevelopmental disorders long after the causative event. Despite stemming from a variety of causes, perinatal compromise appears to have similar effects on the developing brain, thereby resulting in behavioural disorders of a similar nature. These behavioural disorders occur in a sex-dependent manner, with males affected more by externalising behaviours such as attention deficit hyperactivity disorder (ADHD) and females by internalising behaviours such as anxiety.

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Article Synopsis
  • Children born preterm face higher risks for cognitive issues and neuro-behavioral disorders like ADHD and anxiety, especially when compared to term-born peers.
  • Poor cognitive outcomes can arise from birth complications affecting newborns of any gestational age, but preterm infants are particularly vulnerable to learning difficulties and increased need for special education resources.
  • The loss of neuroprotective factors like allopregnanolone in preterm infants contributes to disrupted myelination and brain injury, leading to potential long-term neurodevelopmental challenges.
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The guinea pig (Cavia porcellus) displays many features of gestational physiology that makes it the most translationally relevant rodent species. Progesterone production undergoes a luteal to placental shift as in human pregnancy with levels rising during gestation and with labor and delivery occurring without a precipitous decline in maternal progesterone levels. In contrast to other laboratory rodents, labor in guinea pigs is triggered by a functional progesterone withdrawal, which involves the loss of uterine sensitivity to progesterone like in women.

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Neurosteroids are essential for aiding proper fetal neurodevelopment. Pregnancy compromises such as preterm birth, prenatal stress and intrauterine growth restriction are associated with an increased risk of developing behavioural and mood disorders, particularly during adolescence. These pathologies involve the premature loss or alteration of trophic steroid hormones reaching the fetus leading to impaired neurodevelopment.

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