PMID- 25304427 OWN - NLM STAT- MEDLINE DCOM- 20160930 LR - 20141203 IS - 1526-0550 (Electronic) IS - 1526-0542 (Linking) VI - 15 IP - 4 DP - 2014 Dec TI - Neurochemical abnormalities in the brainstem of the Sudden Infant Death Syndrome (SIDS). PG - 293-300 LID - S1526-0542(14)00109-2 [pii] LID - 10.1016/j.prrv.2014.09.008 [doi] AB - The brainstem has been a focus in Sudden Infant Death Syndrome (SIDS) research for 30 years. Physiological and animal model data show that cardiorespiratory, sleep, and arousal mechanisms are abnormal after exposure to SIDS risk factors or in infants who subsequently die from SIDS. As the brainstem houses the regulatory centres for these functions, it is the most likely site to find abnormalities. True to this hypothesis, data derived over the last 30 years shows that the brainstem of infants who died from SIDS exhibits abnormalities in a number of major neurotransmitter and receptor systems including: catecholamines, neuropeptides, acetylcholinergic, indole amines (predominantly serotonin and its receptors), amino acids (predominantly glutamate), brain derived neurotrophic growth factor (BDNF), and some cytokines. A pattern is emerging of particular brainstem nuclei being consistently affected including the dorsal motor nucleus of the vagus (DMNV), nucleus of the solitary tract (NTS), arcuate nucleus (AN) and raphe. We discuss the implications of these findings and directions that this may lead in future research. CI - Copyright (c) 2014 Elsevier Ltd. All rights reserved. FAU - Machaalani, Rita AU - Machaalani R AD - Department of Medicine, Room 206, Blackburn Building, D06, The University of Sydney, NSW 2006, Australia; The Bosch Institute, Room 206, Blackburn Building, D06, The University of Sydney, NSW 2006, Australia. Electronic address: rita.machaalani@sydney.edu.au. FAU - Waters, Karen A AU - Waters KA AD - Department of Medicine, Room 206, Blackburn Building, D06, The University of Sydney, NSW 2006, Australia; The Bosch Institute, Room 206, Blackburn Building, D06, The University of Sydney, NSW 2006, Australia; The Childrens' Hospital, Westmead, NSW 2145, Australia. LA - eng PT - Journal Article PT - Review DEP - 20140919 PL - England TA - Paediatr Respir Rev JT - Paediatric respiratory reviews JID - 100898941 RN - 0 (Cytokines) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Neurotransmitter Agents) SB - IM MH - Apoptosis MH - Brain Stem/*abnormalities/*metabolism MH - Cytokines/metabolism MH - Humans MH - Infant MH - Infant, Newborn MH - Intercellular Signaling Peptides and Proteins/metabolism MH - Neurotransmitter Agents/metabolism MH - Risk Factors MH - Sudden Infant Death/*etiology OTO - NOTNLM OT - Apoptosis OT - Brain OT - Growth factor OT - Neurotransmitter OT - Receptors OT - Sudden infant death EDAT- 2014/10/12 06:00 MHDA- 2016/10/01 06:00 CRDT- 2014/10/12 06:00 PHST- 2014/09/15 00:00 [received] PHST- 2014/09/15 00:00 [accepted] PHST- 2014/10/12 06:00 [entrez] PHST- 2014/10/12 06:00 [pubmed] PHST- 2016/10/01 06:00 [medline] AID - S1526-0542(14)00109-2 [pii] AID - 10.1016/j.prrv.2014.09.008 [doi] PST - ppublish SO - Paediatr Respir Rev. 2014 Dec;15(4):293-300. doi: 10.1016/j.prrv.2014.09.008. Epub 2014 Sep 19.