Publications by authors named "Steven D Hicks"

: Adverse childhood experiences (ACEs) are potent drivers of psychopathology and neurological disorders, especially within minoritized populations. Nonetheless, we lack a coherent understanding of the neuronal mechanisms through which ACEs impact gene expression and, thereby, the development of psychopathology. : This observational pilot study used a novel marker of neuronal functioning (brain-derived micro ribonucleic acids, or miRNAs) collected via saliva to explore the connection between ACEs and neuronal gene expression in 45 adolescents with a collectively high ACE exposure (26 males and 19 females of diverse races/ethnicities, with six cumulative ACEs on average).

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: Traumatic brain injury (TBI) is a leading cause of death and disability in children. Currently, no biological test can predict outcomes in pediatric TBI, complicating medical management. This study sought to identify brain-related micro-ribosomal nucleic acids (miRNAs) in saliva associated with moderate-to-severe TBI in children, offering a potential non-invasive, prognostic tool.

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Infant consumption of human milk (HM) is associated with a reduced risk of overweight and obesity, but the reasons for this relationship are not completely understood. There is emerging evidence that micro RNAs (miRNAs) regulate infant development and metabolism, but the associations between HM miRNAs and infant growth remain poorly understood. We examined the relationship between HM miRNA consumption and infant obesity in 163 mother-infant dyads to determine (1) if miRNA profiles differentiate infants with obesity, and (2) if individual miRNAs accurately predicted infant obesity status at one year of age.

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Human milk is optimal for infant nutrition. However, many mothers cease breastfeeding because of low milk supply (LMS). It is difficult to identify mothers at risk for LMS because its biologic underpinnings are not fully understood.

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Neurodevelopment is influenced by complex interactions between environmental factors, including social determinants of health (SDOH), nutrition, and even the microbiome. This longitudinal cohort study of 142 infants tested the hypothesis that microbial activity modulates the effects of nutrition on neurodevelopment. Salivary microbiome activity was measured at 6 months using RNA sequencing.

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Article Synopsis
  • Bed sharing is linked to a higher risk of sleep-related deaths in infants, prompting researchers to investigate if sleep issues in infants lead to more bed sharing.
  • In a study with 191 mother-infant pairs, data showed that infants who shared a bed slept less (7.1 hours) and took longer to fall asleep (0.7 hours) compared to those who didn’t bed share (8.3 hours and 0.5 hours, respectively).
  • The study suggests that sleep difficulties at 1 month old may increase the likelihood of bed sharing, regardless of other social factors.
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Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) may impair immune modulating host microRNAs, causing severe disease. Our objectives were to determine the salivary miRNA profile in children with SARS-CoV-2 infection at presentation and compare the expression in those with and without severe outcomes. Children <18 years with SARS-CoV-2 infection evaluated at two hospitals between March 2021 and February 2022 were prospectively enrolled.

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Infant colic is a common condition with unclear biologic underpinnings and limited treatment options. We hypothesized that complex molecular networks within human milk (i.e.

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Article Synopsis
  • Low milk supply (LMS) is linked to early breastfeeding cessation, but the reasons at the biological level in the mammary gland are still unclear.
  • Researchers studied milk miRNA profiles in women with LMS versus those with adequate milk supply (AMS), finding specific miRNAs associated with milk volume and breastfeeding outcomes.
  • Notably, higher levels of the miRNA let-7g-5p were tied to LMS and negatively correlated with maternal fruit intake, suggesting these miRNAs could help predict LMS risk and breastfeeding challenges.
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  • * A total of 372 CYP aged 0-15 were studied, with 100 testing positive for SARS-CoV-2 and 272 testing negative.
  • * Findings indicated that the average duration of symptoms was similar for both groups, suggesting that CYP with non-SARS-CoV-2 infections experience a comparable length of symptoms as those with COVID-19.
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Prompt recognition of neurodevelopmental delay is critical for optimizing developmental trajectories. Currently, this is achieved with caregiver questionnaires whose sensitivity and specificity can be limited by socioeconomic and cultural factors. This prospective study of 121 term infants tested the hypothesis that microRNA measurement could aid early recognition of infants at risk for neurodevelopmental delay.

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  • The study investigates how factors from the host (infant), microbes, and environment might affect the frequency of upper respiratory infections (URIs) in infants.
  • Researchers analyzed saliva from 146 infants at 6 months old, measuring various biological components like cytokines and microbial RNA to find correlations with URI occurrences in their first year.
  • Key findings linked URI frequency to environmental conditions (like daycare and air pollution), specific microbial presence, and molecular indicators from the infants, suggesting new ways to understand or manage URI risks in babies if confirmed in larger studies.
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Food reactions (FR) are multifactorial and impacted by medical, demographic, environmental, and immunologic factors. We hypothesized that multi-omic analyses of host-microbial factors in saliva would enhance our understanding of FR development. This longitudinal cohort study included 164 infants followed from birth through two years.

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  • There is increasing interest in using saliva microRNAs as non-invasive biomarkers for diseases, but varying experimental designs greatly affect miRNA expression and study reliability.
  • Differences in technical methods, individual variations, and the lack of standardized control miRNAs pose challenges for research accuracy.
  • A large study assessed how factors like saliva collection methods and RNA stabilizers impact miRNA variability, finding that RNA stabilizers significantly affect measurements and identifying certain salivary miRNAs that could serve as reliable controls.
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Background: The pathophysiology of wheezing is multifactorial, impacted by medical, demographic, environmental, and immunologic factors. We hypothesized that multi-omic analyses of host and microbial factors in saliva would enhance the ability to identify infants at risk for wheezing.

Methods: This longitudinal cohort study included 161 term infants.

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Background: Human milk is thought to reduce infant atopy risk. The biologic mechanism for this protective effect is not fully understood.

Objectives: We tested the hypothesis that infant consumption of 4 microRNAs (miR-146b-5p, miR-148b-3p, miR-21-5p, and miR-375-3p) in human milk would be associated with reduced atopy risk.

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In the past decade, growing interest in micro-ribonucleic acids (miRNAs) has catapulted these small, non-coding nucleic acids to the forefront of biomarker research. Advances in scientific knowledge have made it clear that miRNAs play a vital role in regulating cellular physiology throughout the human body. Perturbations in miRNA signaling have also been described in a variety of pediatric conditions-from cancer, to renal failure, to traumatic brain injury.

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Background: The pathophysiology of atopic dermatitis (AD) is multifactorial, impacted by individual medical, demographic, environmental, and immunologic factors. This study used multi-omic analyses to assess how host and microbial factors could contribute to infant AD development.

Methods: This longitudinal cohort study included 129 term infants, identified as AD (n = 37) or non-AD (n = 92) using the Infant Feeding Practices-II survey and review of medical records.

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Background: Serotonin plays an important role in mood regulation and depression. However, it is not clear whether the levels of serotonin in saliva are related to current mood.

Aim: To test the association of salivary serotonin concentrations with mood, as well as cardiovascular and autonomic parameters.

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Background: MicroRNAs (miRNA) are small non-coding RNAs that regulate gene expression playing a key role in organogenesis. MiRNAs are studied in tracheal aspirates (TA) of preterm infants. However; this is difficult to obtain in infants who are not intubated.

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Concussion is a heterogeneous injury that relies predominantly on subjective symptom reports for patient assessment and treatment. Developing an objective, biological test could aid phenotypic categorization of concussion patients, leading to advances in personalized treatment. This prospective multi-center study employed saliva micro-ribonucleic acid (miRNA) levels to stratify 251 individuals with concussion into biological subgroups.

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Gastrointestinal (GI) disorders are common in children with neurodevelopmental disorders such as autism spectrum disorder (ASD). A limited understanding of the biologic factors that predispose this population to GI disorders has prevented development of individualized therapies to address this important medical issue. The goal of the current study was to determine if elements of the salivary micro-transcriptome could provide insight into the biologic perturbations unique to children with ASD-related GI disturbance.

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There is emerging evidence that non-coding RNAs (ncRNAs) within maternal breast milk (MBM) impart unique metabolic and immunologic effects on developing infants. Most studies examining ncRNAs in MBM have focused on microRNAs. It remains unclear whether microRNA levels are related to other ncRNAs, or whether they are impacted by maternal characteristics.

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The World Health Organization recommends exclusive breastfeeding for ≥6 months, but many mothers are unable to meet this goal. A major reason why mothers undergo early, unplanned breastfeeding cessation is perceived inadequate of milk supply (PIMS). We hypothesized that defining genetic polymorphisms associated with PIMS could aid early identification of at-risk mothers, providing an opportunity for targeted lactation support.

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