Gestational and postnatal age associations for striatal tissue iron deposition in early infancy

Abstract

Striatal development is crucial for later motor, cognitive, and reward behavior, but age-related change in striatal physiology during the neonatal period remains understudied. An MRI-based measure of tissue iron deposition, T2*, is a non-invasive way to probe striatal physiology neonatally, linked to dopaminergic processing and cognition in children and adults. Striatal subregions have distinct functions that may come online at different time periods in early life. To identify if there are critical periods before or after birth, we measured if striatal iron accrued with gestational age at birth [range=34.57-41.85 weeks] or postnatal age at scan [range=5-64 days], using MRI to probe the T2* signal in N=83 neonates in three striatal subregions. We found iron increased with postnatal age in the pallidum and putamen but not the caudate. No significant relationship between iron and gestational age was observed. Using a subset of infants scanned at preschool age (N=26), we show distributions of iron shift between timepoints. In infants, the pallidum had the least iron of the three regions but had the most by preschool age. Together, this provides evidence of distinct change for striatal subregions, a possible differentiation between motor and cognitive systems, identifying a mechanism that may impact future trajectories.

Multivariate and Regional Age-Related Change in Basal Ganglia Iron in Neonates

“…Our previous work early infancy (PMA at scan: range 39.71-48.57 weeks) examined these relationships, with separate terms for gestational and postnatal age (Cabral et al, 2023). We found that postnatal age was significantly associated with an indirect measure of iron in the putamen and pallidum, but not the caudate.…”