Myelination in Children with Partial Deletions of Chromosome 18q
Overview
Affiliations
Background And Purpose: We compared myelin levels in white matter (WM) in typically developing children with those of children with partial deletions of chromosome 18q (18q-).
Methods: Conventional spin-echo MR imaging at 1.9T was used to acquire T1-, T2-, and proton density-weighted images of the brain. From these images, a three-pool model was used to estimate the fraction of water in myelin, myelinated axon, and mixed water compartments (or pools) in six WM regions. A model curve was fit to the pool fractions to model the trend of myelin development by age in each region. Water-pool fractions in children with 18q- aged 5 months to 13 years were compared with those of age-matched, typically developing children.
Results: In children with 18q-, the model predicted later onset of myelination (P <.02), lower myelination rates (P <.001), and smaller equilibrium myelin pool fractions (P <.001). Significant differences were seen between the two groups for all three water pool fractions (P <.001). The mixed pool fraction was larger in children with 18q-. Although the myelin pool fraction was significantly smaller, the myelinated axon pool fraction was only slightly smaller, leading to a significantly smaller estimate of myelin per myelinated axon in children with 18q- (P <.001).
Conclusion: Myelination modeling in 18q- children indicated delayed onset, a lower rate of myelination, and equilibrium myelin levels less than 50% those of age-matched, typically developing children.
Imaging Findings and MRI Patterns in a Cohort of 18q Chromosomal Abnormalities.
Malik P, Branson H, Yoon G, Shroff M, Blaser S, Krishnan P AJNR Am J Neuroradiol. 2024; 45(10):1578-1585.
PMID: 38816019 PMC: 11448982. DOI: 10.3174/ajnr.A8361.
Hypomyelinating disorders in China: The clinical and genetic heterogeneity in 119 patients.
Ji H, Li D, Wu Y, Zhang Q, Gu Q, Xie H PLoS One. 2018; 13(2):e0188869.
PMID: 29451896 PMC: 5815574. DOI: 10.1371/journal.pone.0188869.
Bruce H, Kochunov P, Paciga S, Hyde C, Chen X, Xie Z Genes Brain Behav. 2017; 16(5):515-521.
PMID: 28188958 PMC: 5457349. DOI: 10.1111/gbb.12372.
Kulikova S, Hertz-Pannier L, Dehaene-Lambertz G, Poupon C, Dubois J PLoS One. 2016; 11(10):e0163143.
PMID: 27736872 PMC: 5063462. DOI: 10.1371/journal.pone.0163143.
Wright S, Hong L, Winkler A, Chiappelli J, Nugent K, Muellerklein F Hum Brain Mapp. 2015; 36(10):3793-804.
PMID: 26108347 PMC: 4714540. DOI: 10.1002/hbm.22878.