Differential influence of maternal smoking on infant birth weight: gene-environment interaction and targeted intervention

Estimating the Roles of Genetic Risk, Perinatal Risk, and Marital Hostility on Early Childhood Adjustment: Medical Records and Self-Reports

A wide variety of perinatal risk factors have been linked to later developmental outcomes in children. Much of this work has relied on either birth/medical records or mothers' self-reports collected after delivery, and there has been an ongoing debate about which strategy provides the most accurate and reliable data. This report uses a parent-offspring adoption design (N = 561 families) to (1) examine the correspondence between medical record data and self-report data, (2) examine how perinatal risk factors may influence child internalizing and externalizing behavior at age 4.5 years, and (3) explore interactions among genetic, perinatal risk, and rearing environment on child internalizing and externalizing behavior during early childhood. The agreement of self-reports and medical records data was relatively high (51-100 %), although there was some variation based on the construct. There were few main effects of perinatal risk on child outcomes; however, there were several 2- and 3-way interactions suggesting that the combined influences of genetic, perinatal, and rearing environmental risks are important, particularly for predicting whether children exhibit internalizing versus externalizing symptoms at age 4.5 years.

Ectodermal markers of early developmental impairment in very preterm individuals

Individuals born very preterm (before 33 weeks' gestation; VPT) are at risk of life-long, neurological impairments, behavioural and other health problems. It is not clear whether these neurodevelomental abnormalities originate prenatally, postnatally or a combination of both. Dermatoglyphics are stable ectodermal markers of neurodevelopmental disruption in the early prenatal period, as it has previously been reported in neuropsychiatric disorders such as schizophrenia or bipolar disorder. We have analyzed the dermatoglyphic variable total a-b ridge count (TABRC), which is a sensitive marker of ectodermal disruption during the first 24 weeks of foetal development, in 142 very preterm (VPT) individuals and 64 term born young adults. The VPT group showed significantly lower TABRC than the term group, especially those individuals presenting very low birth weight (VLBW), considered a proxy for more extreme prenatal stress, as shown by a two-way Anova analysis. These individuals, at risk of brain abnormalities and behavioural impairments, may have undergone disturbances before preterm birth occurs and prior to the 24th week of gestation. Our results support that dermatoglyphics represent a suitable marker to detect ectodermal alterations which have occurred very early in the course of development, and point out the vulnerability of the immature brain during the first half of gestation which may have adverse health consequences later in life.

Exploiting gene-environment interaction to detect adverse health effects of environmental chemicals on the next generation

There is increasing evidence from epidemiological studies that genetic susceptibilities may modify the teratogenic effects of toxic chemicals. However, in contrast to tobacco smoke, few epidemiological studies have addressed environmental chemicals, such as polychlorinated dibenzo-p-dioxins, polychlorinated dibenzofurans and polychlorinated biphenyls in regard to genetic susceptibility. Recent studies, including the Hokkaido Study of Environments and Children's Health, have investigated the impacts of both environmental and genetic factors on children's development. Several xenobiotic-metabolizing genes have been reported to confer genetic susceptibility to low birth weight. These genes seem to be influenced functionally by maternal smoking during pregnancy, itself a significant risk factor. In our study, we found that birth weight was significantly lower among infants born to smoking women having the specific AHR, CYP1A1, GSTM1, CYP2E1 and NQO1 genotypes. When combinations of these genotypes were considered, birth weight was even lower. On the other hand, congenital anomalies such as hypospadias seemed to be caused by environmental factors in conjunction with genetic predisposition as suggested by linkage in several case-control studies reported to low birth weight. We have found an association between maternal CYP1A1 genotype or low birth weight and the risk of hypospadias irrespective of smoking. At the same time, birth weight was negatively correlated with maternal blood concentrations of polychlorinated dibenzofurans. Further studies should elucidate the impact of genetic factors on adverse effects of exposures to dioxin-related chemicals.

Genotype-environment interaction in children's adjustment to parental separation

BACKGROUND

Understanding the processes by which genetic risks lead to psychopathology is a key conceptual and methodological task for research. The current study, based on an at-risk adoption design, examines the hypothesis that the effect of genetic risk on children's behavioral/emotional problems and social adjustment is moderated by psychosocial risk, specifically parental separation.

METHOD

Data are based on the Colorado Adoption Project. One hundred and seventy-one adoptees, all of whom were placed in the adoptive home in early infancy, were assessed using a multi-method strategy at 12 years of age. Adoptees' adjustment was measured using parent and 'teacher reports on the Child Behavioral Checklist as well as observer ratings of social competence; all raters were blind to the biological background of the adoptee. Genetic risk was indexed by biological parents' self-reports of negative emotionality, which was completed prior to the adoption.

RESULTS

By age 12 years, 23 of the 171 adoptees experienced a separation in the adoptive home. Correlation and regression analyses indicated that the association between genetic risk and child adjustment was moderated by parental separation. In the absence of parental separation, genetic risk was uncorrelated with adoptee adjustment; however, there were substantial and significant associations between individual differences in genetic diathesis and poor adjustment among the adoptees who experienced parental separation.

CONCLUSIONS

The association between parental separation and children's behavioral/ emotional and social adjustment may not be entirely environmental in origin. Genetic vulnerability is accentuated by major psychosocial stresses, and this may partly explain the wide individual differences in children's adjustment to family transitions.