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Haywire brain chemical linked to sudden baby death email this discussion to a friend?

By LAURAN NEERGAARD
AP Medical Writer
 
4 months ago

WASHINGTON (AP) - Scientists have new evidence that the brain chemical best known for regulating mood also plays a role in the mystifying killer of seemingly healthy babies - sudden infant death syndrome.


Autopsied brain tissue from SIDS babies first raised suspicion that an imbalance in serotonin might be behind what once was called crib death.


But specialists couldn't figure out how that defect could kill. Now researchers in Italy have engineered mice born with serotonin that goes haywire - and found the brain abnormality is enough to spur sudden death, in ways that mesh with other clues from human babies.


Moreover, the work suggests it might one day be possible to test newborns for their risk of SIDS.


For now, even an animal experiment can offer a message for devastated families:


"It should provide them with some sense of comfort that there was nothing they could have done to prevent it," said Dr. Marian Willinger, a SIDS specialist at the National Institute of Child Health and Human Development, who wasn't part of the study. "It is a real disease."


The work was published in Friday's edition of the journal Science.


SIDS is the sudden death of an otherwise healthy infant - anywhere between ages 1 month and 1 year - that can't be attributed to any other cause. It kills more than 2,000 U.S. infants each year, and is the leading killer of babies after the newborn period.


Babies should always be placed to sleep on their backs, as the risk of SIDS increases greatly when babies sleep on their stomachs. And parents are urged not to allow anyone to smoke around their babies, or to let their babies get too warm while sleeping.


But beyond those risk factors, doctors have little advice.


In 2006, Dr. Hannah Kinney of Children's Hospital Boston compared brain tissue from 31 SIDS babies and 10 infants who died of other causes. The SIDS babies had abnormalities in their brain stem that led to imbalances in serotonin, a neurotransmitter or chemical that helps brain cells communicate.


Low serotonin famously plays a role in depression. Less known to laymen is that it also helps regulate some of the body's most basic functions - breathing, heart rate, body temperature, arousal from sleep.


Dr. Cornelius Gross and colleagues at the European Molecular Biology Laboratory in Italy were studying how the serotonin system turns itself on and off when they stumbled onto the SIDS connection.


They genetically engineered mice to have an overactive serotonin-regulating receptor, which in turn reduced the amount of serotonin in the brains of otherwise normal baby mice.


More than half of the mice abruptly died before they were 3 months old. More intriguing, they had erratic episodes where their heart rate would drop and, five to 10 minutes later, so would their body temperature, Gross reported. Sometimes they died in the midst of what Gross calls those crises, other times afterward.


The exact cellular defects in the mice and the human babies studied so far aren't identical, researchers caution.


But heart and temperature problems are consistent with what little human data is available, Willinger noted.


Here's another key: Gross could switch on and off the genetic defect that controlled serotonin levels in the mice. By doing so, he showed that older baby animals were less likely to die from haywire serotonin than younger ones.


"This is a very exciting part of the research," says Willinger - because doctors have long suspected that if at-risk babies just get through a developmental period, they'll be OK. That's impossible to test in humans, however.


 

On the Net:

Science: http://www.sciencemag.org

Government SIDS info: http://www.nichd.nih.gov/sids

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tags:  disease prevention, med sids brain
 
1. myLot reputation of 91/100. highflyingxangel (6238)   4 months ago

This is an amazing breakthrough, especially since they are saying it may be possible to test infants to see if they are at risk for SIDS. It may help but a stop to this.

 
2. myLot reputation of 91/100. the_vicar (2726)   4 months ago

This is good news for parents of babies. The idea that a baby could be tested and hopefully the disease prevented would help alleviate some of the anxiety of new parents. I think helping parents to cope who had t his happen to their babies is good too. They don't have to feel guilty about something they could not have prevented.

 
3. myLot reputation of 85/100. elisa812 (2496)   4 months ago

That's really interesting! I've always wondered what would cause something like that. That's great that they are finally starting to figure out more about it. I hope that this will help to figure out a way to maybe prevent SIDS one day.

 
4. myLot reputation of 42/100. piasabird (847)   4 months ago






My son died from SIDS 33 years ago. Why has it taken them so long to find answers to this? I just hope that someday they come up with some solid answers and find out how to prevent this from happening to other babies.

 
5. myLot reputation of 89/100. beautyqueen26 (7720)   4 months ago

response to:
Haywire brain chemical linked to sudden baby death

This is an amazing discovery.

Life is such an amazing thing.
Such a mystery when it ends so soon for some.

 
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