Neonatal glucocorticoids and the developing brain: short-term treatment with life-long consequences?

Trends Neurosci. 2001 Nov;24(11):649-53. doi: 10.1016/s0166-2236(00)01948-2.

Abstract

Although synthetic glucocorticoids are frequently used in hospital for the prevention of chronic lung disease in premature infants, major concern has arisen about the possible long-term consequences of these treatments. Animal research provides evidence for the idea that neonatal glucocorticoid treatment enhances susceptibility to autoimmune disease in adult life. Altered functioning of the hypothalamo-pituitary-adrenal axis, and/or changes at higher brain levels might underlie alterations in disease susceptibility.

Publication types

  • Review

MeSH terms

  • Animals
  • Animals, Newborn
  • Brain / drug effects*
  • Brain / growth & development*
  • Dopamine / physiology
  • Epinephrine / metabolism
  • Glucocorticoids / therapeutic use*
  • Humans
  • Hypothalamo-Hypophyseal System / drug effects
  • Hypothalamo-Hypophyseal System / growth & development
  • Infant, Newborn
  • Norepinephrine / metabolism
  • Pituitary-Adrenal System / drug effects
  • Pituitary-Adrenal System / growth & development
  • Time Factors

Substances

  • Glucocorticoids
  • Dopamine
  • Norepinephrine
  • Epinephrine