When children are exposed to acetaminophen -- also known by the brand name Tylenol or as paracetamol -- during pregnancy, they may be more likely to develop neurodevelopmental disorders (NDDs) including autism and ADHD, according to a new study.

The study was published recently in BMC Environmental Health. Andrea Baccarelli, dean of the faculty at Harvard T.H. Chan School of Public Health and professor of environmental health, was senior author. The study was led by the Icahn School of Medicine at Mount Sinai and also included co-authors from other institutions.

The researchers analyzed results from 46 previous studies worldwide that investigated the potential link between prenatal acetaminophen use and subsequent NDDs in children. The researchers used the Navigation Guide Systematic Review methodology -- a gold-standard framework for synthesizing and evaluating environmental health data -- which enabled them to conduct a rigorous, comprehensive analysis that supported evidence of an association between acetaminophen exposure during pregnancy and increased incidence of NDDs.

The researchers noted that while steps should be taken to limit acetaminophen use, the drug is important for treating pain and fever during pregnancy, which can also harm the developing fetus. High fever can raise the risk of neural tube defects and preterm birth. "We recommend judicious acetaminophen use -- lowest effective dose, shortest duration -- under medical guidance, tailored to individual risk-benefit assessments, rather than a broad limitation," they wrote.

In late September, the Food and Drug Administration announced it would issue a letter to clinicians urging them to be cautious about the use of acetaminophen in pregnancy. Baccarelli said he had discussed his study with Health and Human Services Secretary Robert F. Kennedy Jr. in the weeks leading up to that announcement and provided the White House team with an statement noting his research found "evidence of an association" between prenatal exposure to acetaminophen and neurodevelopmental disorders. "That association is strongest when acetaminophen is taken for four weeks or longer," Baccarelli said.

The statement continued: "Further research is needed to confirm the association and determine causality, but based on existing evidence, I believe that caution about acetaminophen use during pregnancy -- especially heavy or prolonged use -- is warranted."

Baccarelli noted in the "competing interests" section of the research paper that he has served as an expert witness for plaintiffs in a case involving potential links between acetaminophen use during pregnancy and neurodevelopmental disorders.

The study was conducted in collaboration with the University of California, Los Angeles; University of Massachusetts Lowell; and Harvard T.H. Chan School of Public Health.

Funding for this study was provided by the National Cancer Institute (U54CA267776), the National Institute of Environmental Health Sciences (R35ES031688), and the National Institute on Aging (U01AG088684).

Read more …Tylenol in pregnancy linked to higher autism risk, Harvard scientists report

As infants, humans naturally learn new words and their associations -- like the fact that forks are related to bowls because both are used to consume food. In a study published in the Cell Press journal Current Biology on September 18, a team of animal behavior experts demonstrate that dogs can categorize objects by function, too. In a series of playful interactions with their owners, a group of Gifted Word Learner (GWL) dogs were able to distinguish between toys used for tugging versus fetching, even when the toys in question didn't share any obvious physical similarities -- and then could remember those categorizations for long periods of time, all with no prior training.

"We discovered that these Gifted Word Learner dogs can extend labels to items that have the same function or that are used in the same way," says author Claudia Fugazza of Eötvös Loránd University, Budapest, Hungary. It's like a person calling both a traditional hammer and a rock by the same name, says Fugazza.

"The rock and the hammer look physically different, but they can be used for the same function," she says. "So now it turns out that these dogs can do the same."

The studies took place in the dogs' natural home environments with their human owners. At the beginning, the dogs spent time getting familiar with verbal labels for two functional groups of objects: pull and fetch. Their owners used these words with specific toys and played with them accordingly even though the toys didn't share any similar physical features.

Next, the dogs were tested to see if they had learned to connect the functional labels to the correct group of toys before playing with more novel toys in the two distinct categories. However, this time, their owners didn't use the "pull" and "fetch" labels for the dogs.

The team found that the dogs were able to extend the functional labels they'd learned previously to the new toys based on their experience playing with them. In the final test, the dogs showed that they could successfully apply the verbal labels to the toys by either pulling or fetching accordingly, even when their owners hadn't named them.

"For these new toys, they've never heard the name, but they have played either pull or fetch, and so the dog has to choose which toy was used to play which game," Fugazza says. "This was done in a natural setup, with no extensive training. It's just owners playing for a week with the toys. So, it's a natural type of interaction."

The authors note that the dogs' ability to connect verbal labels to objects based on their functional classifications and apart from the toys' physical attributes suggests that they form a mental representation of the objects based on their experience with their functions, which they can later recall. These findings provide insight into the evolution of basic skills related to language and their relationship to other cognitive abilities, including memory, the researchers say.

More research is needed to understand the scope and flexibility of dogs' language categorization abilities. The researchers suggest future studies to explore whether dogs that don't learn object labels may nevertheless have an ability to classify objects based on their functions.

"We have shown that dogs learn object labels really fast, and they remember them for a long period, even without rehearsing," Fugazza says. "And I think the way they extend labels also beyond perceptual similarities gives an idea of the breadth of what these labels could be for dogs."

This work was supported by National Brain Research Program NAP 3.0 of the Hungarian Academy of Sciences, MTA-ELTE Comparative Ethology Research Group, and TRIXIE.

Read more …Dogs can tell how toys work without any training

More Articles …