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Study Identifies Acute Epigenetic Signature in Pediatric TBI That Fades by One Year

Lower BDNF DNA methylation in blood after injury emerged as a potential biomarker independent of bedside severity scores.

Overview

  • Pitt and UPMC Children’s researchers report in the Journal of Neurotrauma that children hospitalized for complicated mild to severe TBI show reduced BDNF DNA methylation soon after injury.
  • Nearly 300 participants were enrolled at UPMC Children’s Hospital of Pittsburgh, with blood drawn within roughly 30 hours and again at six and 12 months.
  • Compared with orthopedic-injury controls, TBI patients had significantly lower acute BDNF methylation, which stabilized and returned to control-like levels by 12 months.
  • The methylation signal did not correlate with Glasgow Coma Scale ratings, underscoring gaps in conventional measures of clinical severity.
  • Lead author Lacey Heinsberg and senior author Amery Treble-Barna say the team will extend analyses genome-wide and evaluate links to long-term neurobehavioral outcomes, with intervention responsiveness still unproven.