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Research ArticleResearch Article: New Research, Development

A Prospective Study of the Impact of Severe Childhood Deprivation on Brain White Matter in Adult Adoptees: Widespread Localized Reductions in Volume But Unaffected Microstructural Organization

Nuria K. Mackes, Mitul A. Mehta, Ahmad Beyh, Richard O. Nkrumah, Dennis Golm, Sagari Sarkar, Graeme Fairchild, Flavio Dell’Acqua, Edmund J. S. Sonuga-Barke and on behalf of the ERA Young Adult Follow-Up Team
eNeuro 14 November 2022, 9 (6) ENEURO.0188-22.2022; DOI: https://doi.org/10.1523/ENEURO.0188-22.2022
Nuria K. Mackes
1Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, United Kingdom
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Mitul A. Mehta
2Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, United Kingdom
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Ahmad Beyh
3Department of Forensic & Neurodevelopmental Sciences. Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, United Kingdom
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Richard O. Nkrumah
4Department of Neuroimaging, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim J5 68159, Germany
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Dennis Golm
5Centre for Innovation in Mental Health, School of Psychology, University of Southampton, Southampton SO17 1PS, United Kingdom
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Sagari Sarkar
6Cognitive Neuroscience & Neuropsychiatry, Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, United Kingdom
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Graeme Fairchild
7Department of Psychology, University of Bath, Bath BA2 7AY, United Kingdom
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Flavio Dell’Acqua
3Department of Forensic & Neurodevelopmental Sciences. Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, United Kingdom
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Edmund J. S. Sonuga-Barke
8Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, United Kingdom
9Department of Child & Adolescent Psychiatry, Aarhus University, Aarhus 8000, Denmark
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    Figure 1.

    Clusters showing significant differences between deprived Romanian adoptees and nondeprived United Kingdom adoptees in the log-transformed Jacobian determinant of local white matter deformations. Statistical clusters that were smaller in volume in the deprived group (compared with the nondeprived group) are shown in blue, while regions that were bigger are shown in red. Statistical maps are shown as an overlay on a white matter map of the general population with whiter areas indicating higher FA. The FA map was also used as a binarized mask (threshold FA ≥ 0.20) for statistical analysis to assure that only white matter was included. The first two rows show axial slices. The last row shows a sagittal view, a coronal view and a 3D rendering. L, left; R, right; A, anterior; P, posterior; FA, fractional anisotropy. The figure was created using the software MRIcroGL (https://www.nitrc.org/projects/mricrogl/) and ParaView (https://www.paraview.org/).

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    Table 1

    Clusters showing significant differences between deprived Romanian adoptees and nondeprived United Kingdom adoptees in local white matter volumes (all pFWE < 0.05)

    Cluster indexCluster size (mm3)Hemi-sphereT valueMax voxel MNI
    coordinates (mm)
    Annotation
    xyz
    Nondeprived > deprived
     112,460L6.43−12−23−29Brain stem
    6.28−33−17−5IFOF
    5.91−33−241IFOF
    5.88−33−25−1IFOF
    5.48−23−17−6ILF
     24760R4.5833−221IFOF
    4.5333−22−1IFOF
    4.4326−339IFOF
    4.2829−261ILF
     31791L4.56−7−4717Cingulum
    4.49−12−4128Cingulum
     4398L4.14−34−706ILF
     5280L4.21−9−8221ILF
     6217L4.1−41−23−13ILF
     7140L4.78−11−6747ILF
     8117L3.8−12−5751Cingulum
     998L3.37−39−3733SLF
     1097L3.86−43−35−7ILF
     1159L3.86−31−6013ILF
     127L3.49−37−27−16ILF
    Deprived > nondeprived
     182L6.00−32−4−16Uncinate
    Deprivation duration
    No significant clusters
    Subnutrition
    No significant clusters
    • L, left; R, right; IFOF, inferior fronto-occipital fasciculus; ILF, inferior longitudinal fasciculus. Threshold-free cluster enhancement (TFCE) was applied and all analyses were controlled for family-wise error rate (FWE).

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A Prospective Study of the Impact of Severe Childhood Deprivation on Brain White Matter in Adult Adoptees: Widespread Localized Reductions in Volume But Unaffected Microstructural Organization
Nuria K. Mackes, Mitul A. Mehta, Ahmad Beyh, Richard O. Nkrumah, Dennis Golm, Sagari Sarkar, Graeme Fairchild, Flavio Dell’Acqua, Edmund J. S. Sonuga-Barke, on behalf of the ERA Young Adult Follow-Up Team
eNeuro 14 November 2022, 9 (6) ENEURO.0188-22.2022; DOI: 10.1523/ENEURO.0188-22.2022

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A Prospective Study of the Impact of Severe Childhood Deprivation on Brain White Matter in Adult Adoptees: Widespread Localized Reductions in Volume But Unaffected Microstructural Organization
Nuria K. Mackes, Mitul A. Mehta, Ahmad Beyh, Richard O. Nkrumah, Dennis Golm, Sagari Sarkar, Graeme Fairchild, Flavio Dell’Acqua, Edmund J. S. Sonuga-Barke, on behalf of the ERA Young Adult Follow-Up Team
eNeuro 14 November 2022, 9 (6) ENEURO.0188-22.2022; DOI: 10.1523/ENEURO.0188-22.2022
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Keywords

  • brain imaging
  • early adversity
  • institutional deprivation
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  • white matter structure

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