CATS III, V1

  • Research type

    Research Study

  • Full title

    Treatment of suboptimal maternal thyroid function as a window to mechanisms of childhood brain development and function

  • IRAS ID

    200718

  • Contact name

    Aled Rees

  • Contact email

    reesda@cardiff.ac.uk

  • Sponsor organisation

    Cardiff University

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    Background: Mild underactivity of the thyroid affects 1 in 20 pregnant women. Children born to mothers with low thyroid hormone (TH) levels have a lower IQ but it is unclear if this applies to all exposed children, what mechanisms are involved and whether treatment with TH is helpful. TH action in the developing brain depends on an important gene called deiodinase 2 (DIO2) in addition to the mother’s TH levels. We have found that children carrying a common variant of the DIO2 gene and exposed to low TH levels in pregnancy had a higher risk of low IQ at age 9, in a follow-up of the CATS (Controlled Antenatal Thyroid Screening) study which treated half of 600 women found to have low TH in pregnancy with thyroxine. Objectives: We aim to understand the mechanisms by which IQ is affected by undertaking repeat IQ tests, behaviour questionnaires and state-of-the-art MRI measures of brain structure in 80 CATS children at age 11-13. The study will be conducted at the new Cardiff University Brain Research Imaging Centre (CUBRIC) and will recruit from September 2016 onwards.

  • REC name

    Wales REC 1

  • REC reference

    16/WA/0237

  • Date of REC Opinion

    20 Sep 2016

  • REC opinion

    Further Information Favourable Opinion