Brain iron accumulation in unexplained fetal and infant death victims with smoker mothers-The possible involvement of maternal methemoglobinemia
2011

Brain Iron Accumulation in Babies of Smoking Mothers

Sample size: 56 publication Evidence: moderate

Author Information

Author(s): Anna M Lavezzi, Lucijan Mohorovic, Graziella Alfonsi, Melissa F Corna, Luigi Matturri

Primary Institution: University of Milan, Italy

Hypothesis

Could oxidative metabolites from maternal cigarette smoke affect iron homeostasis in the brains of victims of sudden unexplained fetal and infant death?

Conclusion

The study suggests that free iron deposition in the brains of sudden fetal and infant death victims may be linked to maternal methemoglobinemia caused by smoking.

Supporting Evidence

  • 33% of victims showed iron accumulation in the brain, while none of the controls did.
  • A significant correlation was found between maternal smoking and brain iron homeostasis alterations.
  • Iron deposits were confirmed to be in neuronal cells.

Takeaway

The brains of some babies who died unexpectedly had too much iron, possibly because their mothers smoked during pregnancy.

Methodology

Histochemical investigations were conducted on brain tissues using Prussian blue reaction to identify iron deposits.

Potential Biases

Potential bias due to reliance on maternal self-reported smoking habits.

Limitations

Data on maternal hemoglobin typing were not available.

Participant Demographics

24 stillbirths and 32 infants aged 1-10 months.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1186/1471-2431-11-62

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