Assessing Stable Characteristics of Endocrine Function Among Boys and Girls with Prenatal Alcohol Exposure as a Novel Clinical Tool

作为一种新的临床工具评估产前酒精暴露的男孩和女孩内分泌功能的稳定特征

• 批准号: 10475102
• 负责人: Kristina Andrea Uban
• 金额: $ 17.87万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-19 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10475102
• 关键词: Acceleration; Address; Adolescent; Adrenal Glands; Adrenal hormone preparation; Affect; Age; Alcohols; Amygdaloid structure; Animal Model; Animals; Automobile Driving; Behavioral; Biological Sciences; Biometry; Birth; Blood Coagulation Factor VII; Brain; Brain region; Characteristics; Child; Clinical; Cognitive; Collection; Complex; Data; Drug Prescriptions; Endocrine; Environment; Estradiol; Exhibits; Experimental Designs; Feedback; Fetal Alcohol Exposure; Fetal Alcohol Spectrum Disorder; Fetal alcohol effects; Fostering; Functional Magnetic Resonance Imaging; Functional disorder; Funding; General Population; Gonadal Hormones; Hippocampus (Brain); Hormones; Human; Hydrocortisone; Hypothalamic structure; Individual; Individual Differences; Investigation; Knowledge; Learning; Life; Life Cycle Stages; Location; Magnetic Resonance Imaging; Measures; Mediating; Medical; Mental Health; Mentors; Methods; Modeling; Neuroendocrinology; Neurosecretory Systems; Norepinephrine; Outcome; Pattern; Peripheral; Pharmacologic Substance; Phenotype; Pituitary Gland; Population; Predisposition; Production; Provider; Proxy; Puberty; Race; Research; Rest; Role; Salivary; Sampling; Scanning; Seeds; South Africa; Sudden infant death syndrome; Testing; Testosterone; Time; Training; United States; United States National Institutes of Health; Youth; aged; base; behavioral health; boys; cognitive development; cohort; dehydroepiandrosterone; design; drinking; experience; fetal substance exposure; girls; imaging modality; improved; improved outcome; locus ceruleus structure; neurobiological mechanism; neuroimaging; novel; novel strategies; peer; physical conditioning; prenatal; programs; sex; social; stillbirth; stressor; tool; trait

Individuals affected by prenatal alcohol exposure (PAE) can present with a complex profile of cognitive, behavioral, physical, and mental health problems, referred to as fetal alcohol spectrum disorder (FASD). Of particular relevance, up to 90% of individuals with FASD may experience mental health problems over the life course. Animal models of PAE demonstrate that alterations in neuroendocrine function serve as a fundamental neurobiological mechanism for increased mental health problems; thus, improving or normalizing endocrine function may provide a novel approach for improving outcomes. The primary aim of the K01 proposal is to accelerate the candidate's learning opportunities to addresses this translational gap in knowledge through examination of individual differences in endocrine activity in humans with PAE, and their implications for susceptibility for mental health problems. Towards this end, the candidate's unique and independent aims capitalize on 2 independent NIH-funded research programs: 1) 550 adolescents (33% PAE; 33% non-PAE with drinking moms; 33% non-PAE with non-drinking moms; 50% girls; aged 9-12 years) from the Adolescent Brain Cognitive Development (ABCD) study in the United States, and 2) 160 adolescents (50% PAE across all trimesters; 50% non-PAE; 50% girls; aged 9-12 years) as part of the Prenatal Alcohol SIDS and Stillbirth (PASS) birth cohort in South Africa. The K01 proposes to: A) utilize funded neuroimaging and prenatal substance exposure data in ABCD/PASS; B) utilize funded ABCD data on hormones, puberty and mental health; and C) collect new PASS data on hormones, puberty and mental health. Methods for assessing brain, mental health, and puberty will be harmonized between ABCD and PASS cohorts, yet there will be distinctly different experimental designs, each with their unique strengths and limitations. These contrasting cohort designs and populations provide a rare opportunity for acceleration of learning opportunities as well as advancement of our ability to identify the most important components of variance for understanding individual differences in endocrine function in adolescents with PAE. Groups will be matched on age, sex, race and SES within their respective cohorts. Initial findings from the ABCD cohort will inform tests in the independent PASS sample, providing strength for interpreting generalizability of findings across diverse social, racial and cultural environments. The candidate's training will take advantage of the rich expertise of the diverse mentoring team to integrate central/peripheral measures of endocrine function, by bridging the fields of neuroimaging, neuroendocrinology, salivary biosciences and biostatistics to better understand individual differences in endocrine function. The training plan capitalizes on the central location of CHLA, and includes didactic courses and one-on-one mentoring at USC (latent state trait modeling course), UCI (salivary bioscience course), and UCLA (MPlus). The training plan will foster new neuroimaging expertise through learning how to integrate two imaging modalities, as well as building expertise in salivary biosciences, biostatistics and mental health.

受产前酒精暴露 (PAE) 影响的个体可能会出现复杂的认知、 行为、身体和心理健康问题，称为胎儿酒精谱系障碍 (FASD)。的 特别相关的是，高达 90% 的 FASD 患者一生中可能会遇到心理健康问题 课程。 PAE 动物模型表明，神经内分泌功能的改变是 PAE 的基本机制。 增加心理健康问题的神经生物学机制；因此，改善或正常化内分泌 功能可能提供一种改善结果的新方法。 K01提案的主要目的是 加速候选人的学习机会，通过以下方式解决知识转化差距 检查患有 PAE 的人类内分泌活动的个体差异及其对 容易出现心理健康问题。为此，候选人独特且独立的目标 利用 2 个由 NIH 资助的独立研究项目：1) 550 名青少年（33% PAE；33% 非 PAE） 喝酒的妈妈们；不饮酒的妈妈中有 33% 的人没有发生 PAE； 50%是女孩； 9-12岁）来自青少年大脑 美国的认知发展 (ABCD) 研究，以及 2) 160 名青少年（所有青少年的 PAE 占 50%） 三个月； 50% 非 PAE； 50%是女孩； 9-12 岁）作为产前酒精 SIDS 和死产的一部分 (PASS) 南非出生队列。 K01 建议：A) 利用资助的神经影像和产前检查 ABCD/PASS 中的物质暴露数据； B) 利用资助的关于激素、青春期和心理的 ABCD 数据 健康; C) 收集有关激素、青春期和心理健康的新 PASS 数据。评估大脑的方法， ABCD 和 PASS 队列之间的心理健康和青春期将是协调的，但会有明显的差异 不同的实验设计，每种设计都有其独特的优点和局限性。这些对比鲜明的群体 设计和人口为加速学习机会以及 提高我们识别最重要的方差成分以了解个体的能力 PAE 青少年内分泌功能的差异。小组将根据年龄、性别、种族和社会经济地位进行匹配 在各自的群体中。 ABCD 队列的初步结果将为独立 PASS 中的测试提供信息 样本，为解释不同社会、种族和文化的研究结果的普遍性提供了力量 环境。候选人的培训将利用多元化指导团队的丰富专业知识 通过连接神经影像学领域来整合内分泌功能的中枢/外周测量， 神经内分泌学、唾液生物科学和生物统计学，以更好地了解个体差异 内分泌功能。培训计划利用 CHLA 的中心位置，包括教学课程 以及 USC（潜在状态特征建模课程）、UCI（唾液生物科学课程）的一对一指导 加州大学洛杉矶分校 (MPlus)。该培训计划将通过学习如何整合两种神经影像专业知识来培养新的神经影像专业知识 成像模式，以及建立唾液生物科学、生物统计学和心理健康方面的专业知识。

项目成果

Structural white matter alterations in male adults with high functioning autism spectrum disorder and concurrent depressive symptoms; a diffusion tensor imaging study.

• DOI: 10.1016/j.jad.2019.08.010
• 发表时间: 2019-12
• 期刊: Journal of affective disorders
• 影响因子: 6.6
• 作者: B. Mohajer;M. Masoudi;Agaah Ashrafi;Esmaeil Mohammadi;Amir Sasan Bayani Ershadi;M. Aarabi;K. Uban

Behavioral and psychosocial factors related to mental distress among medical students.

• DOI: 10.3389/fpubh.2023.1225254
• 发表时间: 2023
• 期刊: FRONTIERS IN PUBLIC HEALTH
• 影响因子: 5.2
• 作者: Carlos, Kathleen M.;Ahmadi, Hedyeh;Uban, Kristina A.;Riis, Jenna L.
• 通讯作者: Riis, Jenna L.

A call to leverage a health equity lens to accelerate human neuroscience research.

• DOI: 10.3389/fnint.2023.1035597
• 发表时间: 2023
• 期刊: FRONTIERS IN INTEGRATIVE NEUROSCIENCE
• 影响因子: 3.5
• 作者: Rebello, Vida;Uban, Kristina A.
• 通讯作者: Uban, Kristina A.