2021
DOI: 10.2174/1570159x19666210517112913
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Glucocorticosteroids Effects on Brain Development in the Preterm Infant: A Role for Microglia?

Abstract: : Prematurity, observed in 15 million births worldwide each year, is a clinical condition that is a major cause of neonatal mortality and morbidity in short and long term. Preterm infants are at high risk for developing respiratory problems, sepsis, and other morbidities leading to neurodevelopmental impairment and neurobehavioral disorders. Perinatal glucocorticosteroids have been widely used for the prevention and treatment of adverse outcomes linked to prematurity. However, despite their shortterm benefits … Show more

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Cited by 6 publications
(2 citation statements)
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“…Since organoid culture media contains B-27 and extra insulin, we reasoned that adding more glucocorticoid with media replacement would set rhythms to around GCT 0-2 and improve rhythmic amplitude via enhanced synchronicity. We further hypothesised that the greatest phase shift would be achieved if glucocorticoid was applied at around GCT 12 (the most ‘incorrect’ biological time), but that this response may (a) take time to develop in culture and (b) depend on glucocorticoid type 49 . Accordingly, adding hydrocortisone at GCT 12 reduced the variability in period length of individual organoids, and increased the relative amplitude of rhythms beyond that achieved by ageing in culture alone ( Fig.3b, Extended Data Fig.4 ).…”
Section: Introductionmentioning
confidence: 99%
“…Since organoid culture media contains B-27 and extra insulin, we reasoned that adding more glucocorticoid with media replacement would set rhythms to around GCT 0-2 and improve rhythmic amplitude via enhanced synchronicity. We further hypothesised that the greatest phase shift would be achieved if glucocorticoid was applied at around GCT 12 (the most ‘incorrect’ biological time), but that this response may (a) take time to develop in culture and (b) depend on glucocorticoid type 49 . Accordingly, adding hydrocortisone at GCT 12 reduced the variability in period length of individual organoids, and increased the relative amplitude of rhythms beyond that achieved by ageing in culture alone ( Fig.3b, Extended Data Fig.4 ).…”
Section: Introductionmentioning
confidence: 99%
“…The neurological side effects of systemic steroids in premature infants are thought to be caused by interference with normal myelination processes as well as changes in neuronal connectivity, neurotransmitter systems, and neuronal growth factors in the developing brain [ 8 ]. While brain development continues beyond infancy and into early childhood [ 9 ], clinical data are lacking on the effects of systemic steroid use on neurodevelopment in full-term infants without underlying medical conditions.…”
Section: Introductionmentioning
confidence: 99%