PMID- 33753004 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20220531 IS - 2212-1692 (Electronic) IS - 1875-9572 (Linking) VI - 62 IP - 3 DP - 2021 May TI - Correlations between serum BDNF levels and neurodevelopmental outcomes in infants of mothers with gestational diabetes. PG - 298-304 LID - S1875-9572(21)00024-3 [pii] LID - 10.1016/j.pedneo.2020.12.012 [doi] AB - BACKGROUND: Diabetes during pregnancy is associated with an increased risk of foetal and neonatal complications and long-term complications in the offspring. Brain-derived neurotrophic factor (BDNF), a neurotrophin that has a crucial role in neurogenesis modulation and neural pathway maturation during neurodevelopment, may have a role in protecting neurons against injury and diseases by modulating glucose metabolism. The aim of this study was to investigate the possible relationship between the serum BDNF levels of infants of mothers with gestational diabetes (IMGD) and neurodevelopmental outcomes of the children after birth. METHODS: A total of 24 candidates, including 8 IMGD and 16 healthy infants, were recruited for the study. Medical records were reviewed. Serum BDNF levels of the study participants were collected at birth and at 6 and 12 months of age. Developmental outcomes of each candidate were assessed using the Bayley Scales of Infant Development III (BSID III) at 6 and 12 months of corrected age. RESULTS: Compared to non-IMGD, IMGD had greater mean body weight (p = 0.04) and height (p < 0.01) at age 12 months. The language composite score was significantly lower in IMGD at 12 months of age (p = 0.038). The BDNF content was significantly higher in the non-IMGD than in the IMGD group at 12 months of age (p = 0.013). CONCLUSION: In this study, we demonstrated that infants of mothers with gestational diabetes do worse in language development and have lower BDNF levels at 12 months of age. There may be a close correlation between language outcomes and serum BDNF levels at 12 months of age. A follow-up study on future developmental status is warranted. CI - Copyright (c) 2021. Published by Elsevier B.V. FAU - Su, Chung-Hao AU - Su CH AD - Department of Pediatrics, Chia-Yi Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301. FAU - Liu, Ta-Yu AU - Liu TY AD - Section of Neonatology, Kaohsiung Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301. FAU - Chen, I-Ting AU - Chen IT AD - Section of Neonatology, Kaohsiung Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301. FAU - Ou-Yang, Mei-Chen AU - Ou-Yang MC AD - Section of Neonatology, Kaohsiung Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301. FAU - Huang, Li-Tong AU - Huang LT AD - Section of Pediatric Neurology, Kaohsiung Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301. FAU - Tsai, Ching-Chang AU - Tsai CC AD - Section of Obstetric -Gynecology, Kaohsiung Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301. FAU - Chen, Chih-Cheng AU - Chen CC AD - Section of Neonatology, Kaohsiung Chang-Gung Memorial Hospital & Chang Gung University College of Medicine, Kaohsiung, Taiwan, 83301; Department of Early Childhood Care and Education, Cheng-Shiu University, Kaohsiung, Taiwan, 83301. Electronic address: charllysc@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210223 PL - Singapore TA - Pediatr Neonatol JT - Pediatrics and neonatology JID - 101484755 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - *Brain-Derived Neurotrophic Factor/blood MH - Child Development MH - *Diabetes, Gestational MH - Female MH - Follow-Up Studies MH - Humans MH - Infant MH - Infant, Newborn MH - Infant, Premature MH - Mothers MH - *Neurodevelopmental Disorders MH - Pregnancy OTO - NOTNLM OT - Brain-derived neurotrophic factor OT - Gestational diabetic mellitus OT - Language composite score OT - Neurodevelopment COIS- Declaration of competing interest The authors have declared that they have no conflicts of interest relevant to this article. EDAT- 2021/03/24 06:00 MHDA- 2021/11/26 06:00 CRDT- 2021/03/23 06:11 PHST- 2020/06/14 00:00 [received] PHST- 2020/11/09 00:00 [revised] PHST- 2020/12/13 00:00 [accepted] PHST- 2021/03/24 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] PHST- 2021/03/23 06:11 [entrez] AID - S1875-9572(21)00024-3 [pii] AID - 10.1016/j.pedneo.2020.12.012 [doi] PST - ppublish SO - Pediatr Neonatol. 2021 May;62(3):298-304. doi: 10.1016/j.pedneo.2020.12.012. Epub 2021 Feb 23.