The vicious spiral in Sudden Infant Death Syndrome
Frontiers in Pediatrics,
Journal Year:
2025,
Volume and Issue:
13
Published: Feb. 11, 2025
Sudden
Infant
Death
Syndrome
(SIDS)
is
the
sudden
and
unexpected
death
of
an
otherwise
healthy
infant
less
than
1
year
age
where
cause
remains
unexplained
after
a
thorough
post-mortem
investigation
evaluation
circumstances.
Epidemiological,
clinical,
biochemical,
immunological
pathological
evidence
indicates
that
three
factors
must
coincide
for
SIDS
to
occur:
vulnerable
developmental
stage
immune
system
central
nervous
in
infant,
predisposing
factors,
external
trigger
events.
This
model
referred
as
fatal
triangle
or
triple
risk
hypothesis.
The
concept
vicious
spiral
SIDS,
starting
with
ending
death,
proposed
understand
mechanism.
initiated
by
mucosal
infection
activation
upper
respiratory
digestive
tracts,
increased
production
cytokines,
overstimulation
immature
rapidly
developing
system.
A
second
prone
sleeping
position,
which
may
lead
rebreathing
hypercapnia,
addition
intensify
stimulation.
In
susceptible
infants,
this
induces
aberrant
cytokine
affects
sleep
regulation,
hyperthermia,
disrupts
arousal
mechanisms.
turn,
initiates
downregulation
respiration
hypoxemia,
worsened
nicotine.
Inefficient
autoresuscitation
results
severe
hypoxia
accumulation
hypoxic
markers
which,
if
not
prevented
normally
functioning
serotonergic
network,
contribute
self-amplifying
eventually
leads
coma
death.
purpose
review
summarize
research
underpins
spiral.
Language: Английский
The Genetics of Sudden and Unexpected Death
Published: Jan. 1, 2025
Language: Английский
Altered 5-HT2A/C receptor binding in the medulla oblongata in the sudden infant death syndrome (SIDS): Part II. Age-associated alterations in serotonin receptor binding profiles within medullary nuclei supporting cardiorespiratory homeostasis
Journal of Neuropathology & Experimental Neurology,
Journal Year:
2024,
Volume and Issue:
83(3), P. 144 - 160
Published: Feb. 7, 2024
Abstract
The
failure
of
chemoreflexes,
arousal,
and/or
autoresuscitation
to
asphyxia
may
underlie
some
sudden
infant
death
syndrome
(SIDS)
cases.
In
Part
I,
we
showed
that
SIDS
infants
had
altered
5-hydroxytryptamine
(5-HT)2A/C
receptor
binding
in
medullary
nuclei
supporting
and
autoresuscitation.
Here,
using
the
same
dataset,
tested
hypotheses
prevalence
low
5-HT1A
5-HT2A/C
(defined
as
levels
below
95%
confidence
interval
controls—a
new
approach),
percentages
affected
are
greater
versus
controls,
distribution
varied
with
age
death.
percentage
were
twice
controls.
was
older
infants.
>80%
infants,
characterized
hypoglossal
nucleus,
vagal
dorsal
nucleus
solitary
tract,
olivocerebellar
subnetwork
(important
for
blood
pressure
regulation).
Together,
our
findings
from
animal
models
serotonergic
dysfunction
suggest
cases
represent
a
serotonopathy.
We
present
hypotheses,
yet
be
tested,
about
how
defects
within
subnetworks
lead
SIDS.
Language: Английский
Divergent Causes and Convergent Mechanisms of SUDEP
Annals of Neurology,
Journal Year:
2023,
Volume and Issue:
94(5), P. 809 - 811
Published: Sept. 16, 2023
Language: Английский
Newborn auditory brainstem response and sudden infant death syndrome
Journal of Neuroscience Research,
Journal Year:
2024,
Volume and Issue:
102(6)
Published: June 1, 2024
Abstract
Sudden
infant
death
syndrome
(SIDS)—the
sudden
and
unexplained
of
a
seemingly
healthy
infant,
<1
year
old—may
be
associated
with
abnormalities
in
the
brain
regions
that
underlie
breathing
arousal
during
sleep.
While
post‐mortem
studies
suggest
SIDS
infants'
brainstems,
there
are
no
these
brainstem
function
before
death.
One
way
to
assess
is
auditory
response
(ABR),
routine
hearing‐screening
method
noninvasively
measures
brainstem's
sound.
We
hypothesize
anomalies
newborns'
ABR
may
predict
SIDS.
Indeed,
previous
identified
characteristics
small
samples
near‐miss
infants
hospitalized
for
apnea
syndrome.
However,
need
examine
ABRs
who
died
Therefore,
current
study,
we
propose
integrating
two
secondary
datasets
(
N
=
156,972),
including
those
later
n
~42;
.27
out
every
1000
infants),
using
existing
archived
records
neonatal
results
from
sample
newborns
born
Florida.
die
more
likely
than
non‐SIDS
have
abnormal
as
newborns.
Understanding
association
between
facilitate
accurate
identification
an
infant's
risk
at
birth,
enabling
increased
monitoring,
which
interventions
improve
survivorship.
Language: Английский