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Potential link between IVF and diabetes

South Australians conceived through in-vitro fertilisation (IVF) between 1985 and 1992 are being sought for a University of Adelaide study to determine whether they are more at risk of developing obesity and associated risk factors such as type 2 diabetes.

The study, led by Associate Professor Leonie Heilbronn from the Robinson Institute, will test emerging evidence showing there are DNA modifications in IVF-born children and whether these contribute to obesity and diabetes.

"A couple of recent studies have shown that IVF-born children as young as five years of age are more susceptible to obesity," Dr Heilbronn says.

"There is much greater obesity in the whole community than a decade ago due to lifestyle factors, but children born through IVF appear to have a greater risk."

Up to 20 IVF-born individuals aged between 18 and 25 years are needed for a week-long pilot study involving three days of a regulated diet followed by another three days of high-fat feasting.

Their insulin levels will be tested at the end of both stages and their results compared with a control group of naturally conceived adults in the same age range, gender and comparable body weight.

"We are predicting that people born through IVF will have much bigger increases in glucose and insulin," Dr Heilbronn says.

DNA chemical modifications - known as methylation - are laid down during embryo development and may be formed differently when conception occurs outside of the body, according to Dr Heilbronn.

"This may alter the production of certain genes, contributing to a greater risk of obesity and diabetes," she says.

IVF-born children now account for between 1-3% of all births in the Western world, with an estimated three million people around the globe who have been conceived through assisted reproductive technology.

"Early studies reported little or no difference in the incidence of birth defects in children conceived through IVF, but emerging evidence shows that there may be more subtle DNA modifications, which could later influence adult health," Dr Heilbronn says.

For more details about the study go to www.robinsoninstitute.edu.au or call Dr Heilbronn on 8222 4900.

 

Peter Couche receives Pride of Australia Medal

Congratulations to Peter Couche who has been awarded the Pride of Australia medal for Courage!

The medal recognises his determination and strength of character to overcome personal adversity.

In association with the Robinson Institute and the University of Adelaide, Peter has established the Peter Couche Foundation to raise funds to support the Stem Cell for Stroke research of the Robinson Institute.

This research provides hope for brain repair treatment for stroke damaged brains. Peter also aims to raise awareness of stroke, particularly that useful life does not end just because you have suffered a stroke.

To learn more about Peter and the Foundation visit: www.PeterCoucheFoundation.org.au

 

New hope for cerebral palsy prevention

Robinson Institute researchers are a step closer to finding a link between genetic susceptibility to cerebral palsy and a range of environmental risk factors during pregnancy, including infections and pre-term delivery.

During National Cerebral Palsy Awareness Week (August 1-7), Professor Alastair MacLennan says the research shows that pregnant women who are genetically susceptible to infections and other environmental hazards could trigger cerebral palsy in their unborn babies.

"Major risk factors for cerebral palsy are fetal growth restriction, pre-term delivery, fetal infections, antepartum haemorrhage and multiple pregnancies," Professor MacLennan says.

Professor MacLennan and the Institute's Cerebral Palsy Research Group are leading the largest study in the world into the genetic causes of cerebral palsy.

"This new hypothesis is a significant step to preventing cerebral palsy. We may now be able to identify pregnancies most at risk, avoid environmental triggers and develop strategies to prevent cerebral palsy, which occurs in 1:400-500 births."

Professor MacLennan says the incidence of cerebral palsy has remained unchanged in 50 years, despite a sixfold increase in elective and emergency caesarean deliveries, and many advances in perinatal medicine.

"No intervention around labour at term has been shown to reduce the risk of cerebral palsy. The outdated assumption that cerebral palsy is often due to birth asphyxia is largely discredited," he says.

The team has been recruiting Australian families to provide genetic samples in the form of cheek swabs to help unravel the mystery of how genetic mutations are linked to cerebral palsy.

DNA from more than 4000 swabs has been extracted to date and researchers are currently analysing these data. "The speed of this research is hampered only by limited funding," Professor MacLennan says.

"If a genetic basis to cerebral palsy is confirmed, then we may be able to develop preventative measures, including specific genetic tests, gamete/embryo selection, gene therapy, and immunisations against viral triggers."

Researchers from the Robinson Institute's Australian Research Centre for Health of Women and Babies have previously shown that magnesium sulphate may help reduce the risk of cerebral palsy in very pre-term pregnancies. Head cooling in selected newborn infants is also being tested.

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Motor Development of babies born preterm

Research from the Robinson Institute's Research Centre for Early Origins of Health and Disease is linking cognitive outcomes in children born pre-term with impaired motor development.

This research was named among the top 10 health and medical research projects in Australia in 2009 by the National Health and Medical Research Council (NHMRC) and was recently featured on Channel 7 National News (view video).

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Led by Dr Julia Pitcher, it was discovered that babies born before the optimal gestation period of 40 weeks or below their predicted birth weight show reduced motor system development, which can affect them much longer than previously thought.

Underdevelopment of these motor areas appears to have a negative influence on cognitive abilities related to language comprehension and reading.

This is the first physiological evidence that motor and cognitive dysfunction commonly experienced by preterm children when they reach school age probably has common underlying origins in the brain.

One of the main impacts of the team’s research relates to these late or mildly pre-term children, born between 33-37 weeks of gestation.

Many of the babies present as normal at birth, but there is increasing evidence that the children experience significant motor, cognitive and behavioural difficulties at school age.

Every week of gestation is important in ensuring normal brain development, so apart from early identifi cation of at-risk infants and development of new therapies, the findings raise some questions about when we induce births also.

The good news is that it appears a stimulating postnatal environment can ameliorate many of the negative consequences of pre-term birth on both motor and cognitive development.

The long-term aim of the work is to develop early diagnostic and intervention strategies to minimise the impact of preterm birth and enable these children to realise their full potential at school and into later life.

 

 


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