PIPages
Labs

Rupa Radhakrishnan

University of Pittsburgh, PA·Medicine & Clinical Research

Opioid use disorder (OUD) during pregnancy has risen sharply, and an American baby is born with neonatal opioid withdrawal syndrome (NOWS) every 15 minutes. NOWS is withdrawal in a newborn after exposure to opioids in the womb.

Fields

Medicine & Clinical Research

Neuroscience

Public Health & Epidemiology

Topics

opioid use disorder

neonatal opioid withdrawal syndrome

neonatal abstinence syndrome

Grants
1 known grant, through May 2028

What they work on

  1. Determine how prenatal opioid exposure affects the developing fetal brain over time, using repeated structural and functional fetal brain MRI in pregnancies of mothers with opioid use disorder.
  2. Assess how opioids change the size, shape and function of the placenta by combining placental imaging with epigenetics, proteomics and opioid pharmacogenetics, the gene variants that govern opioid uptake, transport and metabolism.
  3. Correlate impaired fetal brain development and placental dysfunction with the severity of neonatal opioid withdrawal syndrome and with infant neurodevelopmental outcomes such as Bayley Scales scores.
  4. Identify blood proteomic and placental epigenetic biomarkers that, together with imaging, predict NOWS severity and poor infant neurodevelopment.

More about the research

Mothers with OUD face higher risks of pregnancy complications. Their babies risk withdrawal and long-term problems with learning and behavior. Doctors currently have no objective tools to predict these risks early. This project asks how prenatal opioid exposure (POE) changes the developing fetal brain, and how the health of the placenta, the organ that nourishes the fetus, shapes those changes.

Why it matters

Early, objective markers from fetal and placental imaging, genetics and blood tests could help clinicians identify which pregnancies affected by opioid use disorder are at highest risk. These include risk of placental dysfunction, severe newborn withdrawal and poor child development. The long-term goal is safer and more effective OUD treatment during pregnancy, along with fewer NOWS cases, better child neurodevelopment and less maternal relapse.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Multimodal Fetal and Placental Imaging and Biomarkers of Clinical Outcomes in Opioid Use Disorder

NIH · Aug 2023 – May 2028

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The school

University of Pittsburgh: 83 labs on PI Pages, $1.5B a year on research, 403 research doctorates a year.

More about University of Pittsburgh

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