When the gatekeeper falls: developmental vulnerability of the thalamic reticular nucleus in neonatal and pediatric hypoxic-ischemic brain injury.
Overview
- Children's National Hospital, Washington, DC, United States
- George Washington University School of Medicine and Health Sciences, Washington, DC, United States
Abstract
The thalamic reticular nucleus orchestrates thalamocortical oscillations and sensory gating. Its early development features a unique confluence of depolarizing GABA signaling, immature chloride regulation, and transient electrical coupling via connexin-36 gap junctions. These developmental specializations, essential for synchronizing cortical maturation, also render thalamocortical networks vulnerable to hypoxic–ischemic insults such as perinatal asphyxia or pediatric cardiac arrest. Following cellular ATP depletion, rapid chloride imbalance eliminates fast synaptic inhibition, permitting abnormal network activity to propagate via gap-junction coupling that persists when chemical inhibition collapses. The resulting electrical hypersynchrony, exacerbated by depolarizing GABAergic currents and impaired chloride extrusion, promotes excitotoxicity and thalamocortical dysrhythmia. This review synthesizes recent evidence to establish a framework that accounts for the selective vulnerability of the immature brain. Understanding these mechanisms may inform strategies to preserve developmental integrity and promote circuit resilience after pediatric asphyxial events.
Reproduced under the paper's license (CC BY), from the paper cited above.
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Data
Datasets cited
- geo:GSE145273, at NCBI GEO; found in the text, “Chloride dysregulation and the developmental…”
Versions
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Version 1, 30 September 2026: the first record
Recorded: type, language, journal, volume, pages, dates, 1 author, 8 keywords, 1 funder, 238 references.
Cite
This paper
Hsiao, K. (2026). When the gatekeeper falls: developmental vulnerability of the thalamic reticular nucleus in neonatal and pediatric hypoxic-ischemic brain injury. Frontiers in systems neuroscience, 20, 1753562. https://
BibTeX
@article{hsiao2026when,
author = {Hsiao, Kuangfu},
title = {{When the gatekeeper falls: developmental vulnerability of the thalamic reticular nucleus in neonatal and pediatric hypoxic-ischemic brain injury}},
journal = {Frontiers in systems neuroscience},
year = {2026},
month = mar,
volume = {20},
pages = {1753562},
publisher = {Frontiers Media SA},
issn = {1662-5137},
doi = {10.3389/
url = {https://
pmid = {41884089},
pmcid = {PMC13008923}
}
RIS
TY - JOUR
AU - Hsiao, Kuangfu
TI - When the gatekeeper falls: developmental vulnerability of the thalamic reticular nucleus in neonatal and pediatric hypoxic-ischemic brain injury
T2 - Frontiers in systems neuroscience
J2 - Front Syst Neurosci
PY - 2026
DA - 2026/
VL - 20
SP - 1753562
SN - 1662-5137
PB - Frontiers Media SA
DO - 10.3389/
UR - https://
LA - en
ER -
CSL-JSON
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"language": "en",
"issued": {
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