Premature birth may cause brain connections to weaken, study claims

Washington: Babies born prematurely may have weakened connections in brain networks linked to attention, communication and the processing of emotions, increasing their risk of neurological and psychiatric problems, new research has found. Studying brain scans from premature and full-term babies, researchers at Washington University School of Medicine in St Louis zeroed in on differences in the brain that may underlie such problems.

"The brain is particularly 'plastic' very early in life and potentially could be modified by early intervention," said principal investigator Cynthia Rogers, assistant professor of child psychiatry. "We usually can't begin interventions until after symptoms develop, but what we're trying to do is develop objective measures of brain development in preemies that can indicate whether a child is likely to have later problems so that we can then intervene with extra support and therapy early on to try to improve outcomes," said Rogers.

To get a better picture of how premature birth affects the brain, Rogers, along with senior author Christopher D Smyser, assistant professor of paediatric neurology, and colleagues used functional magnetic resonance imaging and diffusion tensor brain imaging to compare 58 babies born at full term with 76 infants born at least 10 weeks early. Each full-term baby was scanned on his or her second or third day of life. Each premature baby, meanwhile, received a brain scan within a few days of his or her due date.

The researchers found that some key brain networks - those involved in attention, communication and emotion - were weaker in premature infants, offering an explanation for why children born prematurely may have an elevated risk of psychiatric disorders. "We found significant differences in the white matter tracts and abnormalities in brain circuits in the infants born early, compared with those of infants born at full term," said Rogers, who treats patients at St Louis Children's Hospital.

White matter tracts in the brain are made of axons that connect brain regions to form networks. The researchers also found differences in preemies' resting-state brain networks, particularly in a pair of networks previously implicated in learning and developmental problems. Among these resting-state networks is the default mode network, which tends to be most active when people are least active.

The greatest differences between full-term and preterm babies were seen in this network and in the frontoparietal network. Both encompass brain circuits associated with emotion and previously have been linked to attention deficit-hyperactivity disorder (ADHD) and autism spectrum disorders.