Jackie Fellows <[EMAIL PROTECTED]> writes:


Sue

This is great.  Saved it in my psych. folder.  I would imagine if there is no
genetic link that it would likely be a teratogen.  Doesn't the brain stem develop
early in the pregnancy if I remember right.

jackief

Sue Hartigan wrote:

> Sue Hartigan <[EMAIL PROTECTED]> writes:
>
> Hi Jackie:
>
> here is something that might help.
>
> Sue
>
>                             [NIH Press Release]
> ---
> >    NATIONAL INSTITUTES OF         National Institute of Child Health and
> >    HEALTH                                              Human Development
>
> >    FOR RELEASE                                        Robin Peth-Pierce
> >    Monday, November 24, 1997                             (301) 496-5133
> >    9:00 AM Eastern Time
> >
> >           Study Confirms Deficit in the Brainstem of SIDS Victims
> >
> >      Researchers have discovered that some infants who have died of sudden
> >      infant death syndrome (SIDS) show abnormalities in not just one -- but
> >      two -- receptors located in an area of the brainstem thought to be
> >      involved in the control of breathing, carbon dioxide sensitivity, and
> >      blood pressure responses. This discovery confirms earlier evidence of
> >      a similar brain abnormality in another receptor and provides
> >      additional support for the theory that malfunctions in the brain
> >      region known as the arcuate nucleus may be a strong factor in SIDS.
> >
> >      SIDS, the sudden, unexplained death of an infant under one year of
> >      age, strikes nearly 3,000 infants each year and is the leading cause
> >      of death among infants one month to one year of age.
> >
> >      The study, partially funded by the National Institute of Child Health
> >      and Human Development (NICHD), appears in the November issue of the
> >      Journal of Neuropathology and Experimental Neurology.
> >
> >      Specifically, researchers found a significant decrease in kainate
> >      binding to kainate neurotransmitter receptors in the arcuate nucleus
> >      of the brainstem in a group of SIDS infants. "Brain and nerve cells
> >      communicate by means of molecules called neurotransmitters," explained
> >      Dr. Hannah Kinney, study author, NICHD grantee, and researcher at
> >      Children's Hospital and Harvard Medical School in Boston.
> >
> >      Neurotransmitters produced in one brain cell bind to special receptor
> >      molecules on neighboring brain cells, in much the same way the key
> >      fits into a lock. In the case of SIDS victims, it appears that the
> >      decreased binding to the kainate receptor results in faulty
> >      communication among nerve cells and may prevent infants from
> >      responding to life-threatening cardiorespiratory events during sleep.
> >
> >      Earlier reported findings suggested that a significant decrease in
> >      binding of another receptor, the muscarinic cholinergic receptor
> >      (mAChR) in the arcuate nucleus, could prevent SIDS victims from
> >      responding to potentially life-threatening, but frequent events, that
> >      occur during sleep. These events include responding to the rising
> >      levels of carbon dioxide or decreasing levels of oxygen that might
> >      occur when infants, lying face down in heavy bedding or blankets,
> >      rebreathe trapped air.
> >
> >      "This finding is exciting in that it confirms our earlier discovery of
> >      the mAChR receptor, and strengthens the argument that a deficit in the
> >      arcuate nucleus -- specifically in two receptors involved in signaling
> >      neurons -- may be partially responsible for some SIDS deaths,"
> >      explained Dr. Kinney.
> >
> >      The kainate and muscarinic cholinergic receptors, located in the
> >      arcuate nucleus on the ventral or front surface of the brainstem, are
> >      thought to be directly involved in the body's ability to respond to
> >      rising levels of carbon dioxide, according to experimental animal
> >      studies.
> >
> >      Dr. Kinney and a scientific team studied the brainstems of 79 infants
> >      who had succumbed to SIDS and other causes. The scientific team
> >      included Dr. J. Filiano of Children's Hospital at Dartmouth; Dr. L.
> >      Sleeper of the New England Research Institutes; Dr. M. Valdes-Dapena
> >      of the University of Miami; Dr. W. White of Pfizer Central Research;
> >      Dr. H. Krous of San Diego Children's Hospital; and Dr. F. Mandell, L.
> >      Rava, and A. Panigraphy of Children's Hospital and Harvard Medical
> >      School.
> >
> >      In this study, the average receptor binding in the arcuate nucleus was
> >      significantly different between SIDS and the control groups. In
> >      addition, the average decrease in receptor binding for SIDS, relative
> >      to the control group of infants who had died suddenly from other
> >      causes, is greater for the kainate receptor (52%) than the mAChR
> >      receptor (27%).
> >
> >      "We now have a clue about the region of the brain that is involved --
> >      and that there may be a more global, neural cell defect in the arcuate
> >      nucleus. We know two of the neurotransmitters involved. Our next step
> >      is to find out how and why this occurs," said Kinney.
> >
> >      One of the goals of this research is to eventually develop a screening
> >      test to identify infants at risk or a standard of measurement of
> >      kainate receptor binding that could be used for diagnosis at autopsy.
> >
> >      "This finding is also extremely important for the back sleeping
> >      recommendation," said Kinney. "We think this new finding fits in with
> >      the rebreathing theory -- that infants sleeping in the prone (stomach)
> >      position are rebreathing trapped air and, unable to sense and respond
> >      to the excess carbon dioxide, die suddenly."
> >
> >      In 1992, the American Academy of Pediatrics (AAP), after reviewing
> >      studies that had linked infant prone (stomach) sleeping with an
> >      increased risk of SIDS, recommended that infants be placed on their
> >      back or side to reduce the risk of SIDS. In 1994, the NICHD joined the
> >      AAP and initiated the "Back to Sleep" campaign, which recommended
> >      placing healthy infants on their backs or sides to sleep to reduce the
> >      risk of SIDS.
> >
> >      Prior to the "Back to Sleep" campaign, nearly 70% of babies were
> >      stomach sleeping.
> >
> >      "Now, only about 21% of babies are stomach sleeping -- and the SIDS
> >      death rate has dropped 38% between 1992 and 1996," reported NICHD
> >      Director Duane Alexander, M.D., at the AAP annual meeting in New
> >      Orleans on November 4, 1997.
> >
> >      The NICHD is joined by several federal agencies, including the
> >      Maternal and Child Health Bureau, the AAP, the SIDS Alliance, and the
> >      Association of SIDS and Infant Mortality Programs in spreading the
> >      word about the importance of back sleeping. To order "Back to Sleep"
> >      materials, write to NICHD/Back to Sleep, 31 Center Drive, Room 2A32,
> >      Bethesda, MD 20892-2425, or call toll-free, 1-800-505-CRIB. An
> >      Internet site providing the latest campaign information is also
> >      available at http://www.nih.gov/nichd.
> >
> >      The NICHD is part of the National Institutes of Health, the biomedical
> >      research arm of the Federal government.
>
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