Colter Mitchell’s research while affiliated with Concordia University Ann Arbor and other places


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Publications (127)


Design, variables measured, and analyses of the study. A Identification of mothers' past adversity, B Selection of mothers based on neglectful/control parenting behavior, C Generation of the epigenetic maternal neglect score (EMN) from methylation values in saliva samples as an epigenetic link between past experiences and current neglectful behavior. D Reporting and observation of associated effects of EMNs
Descriptive analyses with the set of psychological and behavioral variables: A Significant mean difference in epigenetic maternal neglect (EMN) between neglect and control mothers showing outliers; B Significant/nonsignificant correlations with EMNs are represented in bold/light font showing positive/negative values represented in solid/dotted connection lines. Green, dark blue, light blue, yellow, and red represented different categories of variables
The final structural equation model shows the standardized path coefficients and significance, and the role of the epigenetic maternal neglect scores in linking the antecedent and consequent variables
Ontology analysis of genes annotated to differentially methylated CpG sites. A- The list of 1022 genes annotated to the first 1500 differentially methylated CpGs (ordered by statistical significance) was analyzed using the EnrichR tool online (45). The first 20 cognitive impairment, neurodegenerative and psychopathological disorders categories were selected for the lollipop graph showing gene count (size of the circle) and -Log10 (p value) (color scale) from the DisGeNET category (within “Disease and Drugs” categories of EnrichR; B- Heatmap depicting the genes in each category presented in the lollipop graphs (red squares indicate the gene belongs within the category; blue squares indicate genes annotated to EMN CpG sites). C- Network representation of the EMN genes in the list (see B); blue and green circles indicate DisGeNET categories and genes, respectively (prepared with EnrichR-KG tool). D- EMN genes associated with cognitive and neuro-psychopathology categories according to the DisGeNET database. Dark blue squares indicate genes within each category. The upper boxplot shows the contribution of each category to the EMNs calculated as the median of the contribution of all the genes associated with each category. The white-blue-red column indicates EMN contribution of the listed genes
Significant unstandardized and standardized path coefficients for measurement and structural models
Maternal epigenetic index links early neglect to later neglectful care and other psychopathological, cognitive, and bonding effects
  • Article
  • Full-text available

March 2025

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7 Reads

Clinical Epigenetics

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Yasser Iturria-Medina

Background Past experiences of maltreatment and life adversity induce DNA methylation changes in adults, but less is known about their impact on mothers’ maladaptive neglectful parenting and its negative effects. We performed an epigenome-wide association study to investigate the role of DNA methylation levels in mothers with neglectful care, who were exposed to childhood maltreatment and neglect, and their current negative effects. Saliva DNA methylation was determined with the Illumina Human Methylation EPIC BeadChip v1. The individual epigenome was the input to a machine learning algorithm for trajectory inference, which assigned a specific state to each mother in the progression from healthy controls to the extreme neglect condition. A compound epigenetic maternal neglect score (EMN) was derived from 138 mothers (n = 51 in the neglectful group; n = 87 in the control non-neglectful group) having young children. Differential methylation between groups was utilized to derive the EMNs adjusted for education level, age, experimental variables, and blood cell types in saliva samples. Results Structural equation modeling: X² (29) = 37.81; p = 0.127; RMSEA = 0.048, confirmed that EMNs link their early experience of physical neglect to current reports of psychopathological symptoms, lower cognitive status, and observed poor mother–child emotional availability. A third of the genes annotated to the CpGs that affect EMNs are related to cognitive impairment and neurodegenerative and psychopathological disorders. Conclusions EMNs are a novel index to assess the contribution of DNA methylations as a neglected girl to later neglectful caregiving behavior and other negative effects. The evidence provided expands the possibilities for earlier interventions on the neglect condition to prevent and ameliorate the direct or indirect epigenetic impact of maternal adversities on mother–child care, helping to break the cycle of maltreatment.

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Interaction plots of significant interactions (FDR q < 0.05) between poly-epigenetic scores and demographic factors on cardiometabolic risk factors.
Interaction plots of significant interactions (FDR q < 0.05) between poly-epigenetic scores and health behaviors on cardiometabolic risk factors.
Poly-epigenetic scores for cardiometabolic risk factors interact with demographic factors and health behaviors in older US Adults

February 2025

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6 Reads

Epigenetics

Poly-epigenetic scores (PEGS) are surrogate measures that help capture individual-level risk. Understanding how the associations between PEGS and cardiometabolic risk factors vary by demographics and health behaviors is crucial for lowering the burden of cardiometabolic diseases. We used results from established epigenome-wide association studies to construct trait-specific PEGS from whole blood DNA methylation for systolic and diastolic blood pressure (SBP, DBP), body mass index (BMI), C-reactive protein (CRP), high- and low-density lipoprotein cholesterol (HDL-C, LDL-C), triglycerides (TG), and fasting glucose. Overall and race-stratified associations between PEGS and corresponding traits were examined in adults >50 years from the Health and Retirement Study (n = 3,996, mean age = 79.5 years). We investigated how demographics (age, sex, educational attainment) and health behaviors (smoking, alcohol consumption, physical activity) modified these associations. All PEGS were positively associated with their corresponding cardiometabolic traits (p < 0.05), and most associations persisted across all racial/ethnic groups. Associations for BMI, HDL-C, and TG were stronger in younger participants, and BMI and HDL-C associations were stronger in females. The CRP association was stronger among those with a high school degree. Finally, the HDL-C association was stronger among current smokers. These findings support PEGS as robust surrogate measures and suggest the associations may differ among subgroups.


A NOVEL DNA METHYLATION-BASED SURROGATE BIOMARKER FOR LATENT SYSTEMIC INFLAMMATION

December 2024

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4 Reads

Innovation in Aging

Chronic low-grade systemic inflammation is a risk factor for chronic diseases and mortality and is an important biomarker in health research. DNA methylation (DNAm) surrogate biomarkers are valuable exposure, risk factor and health outcome predictors in population studies. We generated a DNAm surrogate biomarker for chronic, systemic inflammation from a previously identified systemic inflammation latent variable derived from seven inflammatory markers and evaluated its performance relative to measured inflammatory biomarkers in predicting several age-associated outcomes of interest, including mortality, activities of daily living and multimorbidity in the Health and Retirement Study. The DNAm surrogate, Inflammation Latent Variable Methylation Surrogate (InfLaMeS), strongly correlated with individual inflammation markers and performed similarly to the latent systemic inflammation when predicting multimorbidity, disability, and 4-year mortality. These results suggest that InfLaMeS provides a robust alternative to blood-chemistry measures of inflammation that can be used for further scientific insight into understanding the role of inflammation in aging and health.



Mother–child closeness and adolescent structural neural networks: a prospective longitudinal study of low-income families

November 2024

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8 Reads

Social Cognitive and Affective Neuroscience

Mother–child closeness, a mutually trusting and affectionate bond, is an important factor in shaping positive youth development. However, little is known about the neural pathways through which mother–child closeness is related to brain organization. Utilizing a longitudinal sample primarily from low-income families (N = 181; 76% African American youth and 54% female), this study investigated the associations between mother–child closeness at ages 9 and 15 years and structural connectivity organization (network integration, robustness, and segregation) at age 15 years. The assessment of mother–child closeness included perspectives from both mother and child. The results revealed that greater mother–child closeness is linked with increased global efficiency and transitivity, but not with modularity. Specifically, both the mother’s and child’s reports of closeness at age 15 years predicted network metrics, but report at age 9 years did not. Our findings suggest that mother–child closeness is associated with neural white matter organization, as adolescents who experienced greater mother–child closeness displayed topological properties indicative of more integrated and robust structural networks.


Fig. 1. Study Timeline.
Increasing Diversity in Neuroimaging Research: Participant-Driven Recommendations from a Qualitative Study of an Under-represented Sample

November 2024

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25 Reads

Developmental Cognitive Neuroscience

Enhancing the generalizability of neuroimaging studies requires actively engaging participants from under-represented communities. This paper leverages qualitative data to outline participant-driven recommendations for incorporating under-represented populations in neuroimaging protocols. Thirty-one participants, who had participated in neuroimaging research or could be eligible for one as part of an ongoing longitudinal study, engaged in semi-structured one-on-one interviews (84 % under-represented ethnic-racial identities and low-income backgrounds). Through thematic analysis, we identified nine relevant research practices from participants' reports, highlighting aspects of their experience that they appreciated and suggestions for improvement: (1) forming a diverse research team comprising members with whom participants can interact as equals; (2) increasing accessibility to research by providing transportation and flexible scheduling; (3) providing family-oriented spaces; (4) enriching the campus visits to include optional on-campus activities to connect with the University; (5) developing safe strategies to accommodate participants with tattoos during the MRI; (6) incorporating engaging and interactive tasks during neuroimaging sessions; (7) providing small gifts, such as a picture of one’s brain, in addition to financial compensation; (8) sharing research findings with the research participants; and (9) fostering long-term bidirectional relationships. The findings may be used to develop best practices for enhancing participant diversity in future neuroimaging studies.


Developmental Timing of Associations Among Parenting, Brain Architecture, and Mental Health

October 2024

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112 Reads

JAMA Pediatrics

Importance Parenting is associated with brain development and long-term health outcomes, although whether these associations depend on the developmental timing of exposure remains understudied. Identifying these sensitive periods can inform when and how parenting is associated with neurodevelopment and risk for mental illness. Objective To characterize how harsh and warm parenting during early, middle, and late childhood are associated with brain architecture during adolescence and, in turn, psychiatric symptoms in early adulthood during the COVID-19 pandemic. Design, Setting, and Participants This population-based, 21-year observational, longitudinal birth cohort study of low-income youths and families from Detroit, Michigan; Toledo, Ohio; and Chicago, Illinois, used data from the Future of Families and Child Well-being Study. Data were collected from February 1998 to June 2021. Analyses were conducted from May to October 2023. Exposures Parent-reported harsh parenting (psychological aggression or physical aggression) and observer-rated warm parenting (responsiveness) at ages 3, 5, and 9 years. Main Outcomes and Measures The primary outcomes were brainwide (segregation, integration, and small-worldness), circuit (prefrontal cortex [PFC]–amygdala connectivity), and regional (betweenness centrality of amygdala and PFC) architecture at age 15 years, determined using functional magnetic resonance imaging, and youth-reported anxiety and depression symptoms at age 21 years. The structured life-course modeling approach was used to disentangle timing-dependent from cumulative associations between parenting and brain architecture. Results A total of 173 youths (mean [SD] age, 15.88 [0.53] years; 95 female [55%]) were included. Parental psychological aggression during early childhood was positively associated with brainwide segregation (β = 0.30; 95% CI, 0.14 to 0.45) and small-worldness (β = 0.17; 95% CI, 0.03 to 0.28), whereas parental psychological aggression during late childhood was negatively associated with PFC-amygdala connectivity (β = −0.37; 95% CI, −0.55 to −0.12). Warm parenting during middle childhood was positively associated with amygdala centrality (β = 0.23; 95% CI, 0.06 to 0.38) and negatively associated with PFC centrality (β = −0.18; 95% CI, −0.31 to −0.03). Warmer parenting during middle childhood was associated with reduced anxiety (β = −0.05; 95% CI −0.10 to −0.01) and depression (β = −0.05; 95% CI −0.10 to −0.003) during early adulthood via greater adolescent amygdala centrality. Conclusions and Relevance Neural associations with harsh parenting were widespread across the brain in early childhood but localized in late childhood. Neural associations with warm parenting were localized in middle childhood and, in turn, were associated with mental health during future stress. These developmentally contingent associations can inform the type and timing of interventions.


Weighted demographic characteristics (mean or percent) of the Health and Retirement Study training and testing samples Sample characteristics of testing and training sets in HRS
Weighted associations between InfLaMeS and health outcomes in the Health and Retirement Study testing sample (N=1799)
Associations between InfLaMeS and health outcomes of interest in The Irish Longitudinal Study on Ageing (n=488).
A novel DNA methylation-based surrogate biomarker for chronic systemic inflammation (InfLaMeS): results from the Health and Retirement Study

October 2024

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16 Reads

Chronic low-grade systemic inflammation is a risk factor for chronic diseases and mortality and is an important biomarker in health research. DNA methylation (DNAm) surrogate biomarkers are valuable exposure, risk factor and health outcome predictors in studies where the measures cannot be measured directly and often perform as well or better than direct measure. We generated a DNAm surrogate biomarker for chronic, systemic inflammation from a systemic inflammation latent variable of seven inflammatory markers and evaluated its performance relative to measured inflammatory biomarkers in predicting several age-associated outcomes of interest, including mortality, activities of daily living and multimorbidity in the Health and Retirement Study (HRS). The DNAm surrogate, Inflammation Latent Variable Methylation Surrogate (InfLaMeS), correlated with seven individual inflammation markers (r= -0.2-0.6) and performed as well or better to the systemic inflammation latent variable measure when predicting multimorbidity, disability, and 4-year mortality in HRS. Findings were validated in an external cohort, The Irish Longitudinal Study of Ageing. These results suggest that InfLaMeS provides a robust alternative to measured blood-chemistry measures of inflammation with broad applicability in instances where values of inflammatory markers are not measured but DNAm data is available.


Mean and standard deviation of adversity at each time point
Zero-order correlations of adversity variables (average across 1, 3, 5, 9 years old)
Models testing cumulative versus specificity by adversity type to predict youth internalizing and externalizing
Childhood adversity and adolescent mental health: Examining cumulative and specificity effects across contexts and developmental timing

October 2024

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63 Reads

Development and Psychopathology

Associations between adversity and youth psychopathology likely vary based on the types and timing of experiences. Major theories suggest that the impact of childhood adversity may either be cumulative in type (the more types of adversity, the worse outcomes) or in timing (the longer exposure, the worse outcomes) or, alternatively, specific concerning the type (e.g., parenting, home, neighborhood) or the timing of adversity (e.g., specific developmental periods). In a longitudinal sample from the Future of Families and Wellbeing Study ( N = 4,210), we evaluated these competing hypotheses using a data-driven structured life-course modeling approach using risk factors examined at child age 1 (infancy), 3 (toddlerhood), 5 (early childhood), and 9 (middle childhood). Results showed that exposures to more types of adversity for longer durations (i.e., cumulative in both type and timing) best predicted youth psychopathology. Adversities that occurred at age 9 were better predictors of youth psychopathology as compared to those experienced earlier, except for neglect, which was predictive of internalizing symptoms when experienced at age 3. Throughout childhood (across ages 1–9), aside from the accumulation of all adversities, parental stress and low collective efficacy were the strongest predictors of internalizing symptoms, whereas psychological aggression was predictive of externalizing symptoms.


Figure 4. Studies overrepresent highly educated participants relative to the recruitment country average years of schooling
Current Reporting Practices in Human Neuroscience Research

September 2024

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32 Reads

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1 Citation

Concerns for the replicability, reliability, and generalizability of human neuroimaging research have led to intense debates over sample size and open science practices, with more recent attention on the contributions of sampling and recruitment practices. Key to understanding the state of neuroscience research is an assessment of reporting practices that influence replicability, reliability, and generalizability. In this structured review, we evaluated reporting practice across three domains: (1) demographic (e.g., reporting participant race-ethnicity, age, any measure of socioeconomic position), (2) methodological (e.g., reporting recruitment methods, inclusion and exclusion criteria, why participants were excluded from analyses), and (3) open science and generalizability (e.g., analyses were preregistered, target population was stated). Included were 919 published MRI and fMRI studies from 2019 in nine top-ranked journals (N = 3,856 records screened). Reporting across domains was infrequent, with participant racial or ethnic identity (14.8%), reasons for missing imaging data (31.2%), and identification of a target population (19.4%) being particularly low/underreported. Reporting likelihood varied by study characteristics (e.g., participant age group) and was correlated across domains. The median sample size of studies was 55 participants. Study sample size, reporting frequency, was positively associated with two-year citation counts, providing some evidence that the complete reporting of demographic characteristics, methodological decisions, and open science and generalizability practices may not be as valued as study sample size. Recommendations for structural interventions at the journal level are proposed.


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Citations (62)


... Including key methodological information (i.e., recruitment and retention strategies, reasons for data exclusion, and demographic reporting) in reports is another way researchers can promote transparency and accountability in the representation of their FIT neuroimaging samples (Gard et al., 2024). Studies should explicitly detail recruitment and retention efforts, including the strategies utilized to reach diverse communities and the resources allocated to support participant engagement . ...

Reference:

Modality-Level Obstacles and Initiatives to Improve Representation in Fetal, Infant, and Toddler Neuroimaging Research Samples
Current Reporting Practices in Human Neuroscience Research

... In this context, latent class analysis has been used to identify potential clusters or configurations of ACEs based on latent or unobserved characteristics among individuals (e.g. Hardi et al., 2024;Lanier et al., 2018;Miedema et al., 2023;Shin et al., 2018). This method has allowed researchers to identify subgroups of individuals who have experienced unique patterns of ACEs rather than providing an overall index of experiences (e.g. ...

Latent Profiles of Childhood Adversity, Adolescent Mental Health, and Neural Network Connectivity
  • Citing Article
  • August 2024

JAMA Network Open

... Marek et al., 2022). The direction of effects (i.e., larger brain area and greater density related to more externalizing) contrasts with prior findings that have reported reduced gray matter volume in relation to, for example, psychopathy and antisocial personality disorder (e.g., lower total, gray matter, and amygdala volume; Tully et al., 2023) and conduct disorder diagnosis (e.g., lower total and surface cortical area and reduced amygdala volume; Gao et al., 2024). The difference in direction of these latter examples (meta-analysis, ENIGMA consortium) is unlikely to be plagued by well-documented critiques of much of the prior neuroimaging literature that has included studies with very small samples, producing potentially inflated or spurious effects. ...

Cortical structure and subcortical volumes in conduct disorder: a coordinated analysis of 15 international cohorts from the ENIGMA-Antisocial Behavior Working Group

The Lancet Psychiatry

... physical or emotional abuse) predicted epigenetic age acceleration across adolescence, which, in turn, was associated with higher levels of psychopathology in the Future of Families and Child Wellbeing Study (FFCWS). Similarly, Chang and colleagues [11] found that childhood physical and emotional aggression at home was associated with accelerated epigenetic aging in the FFCWS. A greater understanding of the mechanisms underlying associations between early life adversity and epigenetic aging would provide targets for intervention that could help mitigate poor health outcomes and improve long-term trajectories among individuals exposed to adversity. ...

Childhood Maltreatment and Longitudinal Epigenetic Aging: NIMHD Social Epigenomics Program
  • Citing Article
  • July 2024

JAMA Network Open

... In turn, longer co-residence time (indicated by the child's age) correlated with higher mother-child similarity. This highlights the importance of both environmental and hereditary factors in the intergenerational methylation process observed in biological dyads (59). ...

Mother adversity and co-residence time impact mother–child similarity in genome-wide and gene-specific methylation profiles

Clinical Epigenetics

... [2][3][4][5][6][7][8] Among the most important findings, some sociodemographic factors have been identified that accelerate epigenetic clocks and, therefore, favor the early development of age-associated diseases: years of schooling, night work, cohabitation with others, 5-9 violence, 8 and social exclusion. [8][9][10][11] Additionally, significant associations exist between some clocks and various diseases such as obesity, some types of cancer, coronary disease, type 2 diabetes mellitus, smoking, dementia, hypertension, and atherosclerosis. [2][3][4][5][6][7][8] Therefore, epigenetic clocks could impact epidemiology and, due to the plasticity of the epigenome, be useful as negative indicators for evaluating public health interventions or for observational studies in populations exposed to various adverse environmental factors. ...

Structural racism in primary schools and changes in epigenetic age acceleration among Black and White youth
  • Citing Article
  • March 2024

Social Science & Medicine

... The first wave of SAND (mean age 15.8) collected MRI data from a subsample of youth and parents from nearby cities (Detroit, Toledo, Chicago) (Gard et al., 2021;Goetschius et al., 2019;Hein et al., 2020). Additionally, extensive surveys, clinical interviews, discussion tasks, and biological measures (e.g., hair, saliva) were collected (Doom et al., 2022;Guzman et al., 2024;Hardi et al., 2024;Hein et al., 2020;Peckins et al., 2020). Based on the demographics of the cities sampled for SAND, participants in the neuroimaging study at age 15 identified primarily as Black (76 % as Black, 6 % as Hispanic), and 54 % reported a family income below $40, 000 (Hardi et al., 2022). ...

Relationship between COVID-related stressors and internalizing symptoms: Gendered neuroendocrine risk profiles
  • Citing Article
  • November 2023

Psychoneuroendocrinology

... Additionally, saliva has been utilized to evaluate epigenetic age acceleration, with adjustments made for cell type proportions in the samples [14]. It has also been instrumental in developmental studies linking birth weight with DNA methylation [15] and evaluating childhood BMI and social disparities through epigenetic markers [16]. ...

Salivary Epigenetic Measures of Body Mass Index and Social Determinants of Health Across Childhood and Adolescence
  • Citing Article
  • September 2023

... Additionally, plasmabased proteomics clocks are now able to identify age acceleration in specific organs (Goeminne et al. 2025;Oh et al. 2023), and recently developed multi-tissue transcriptomic clocks can predict the effects of lifespan-shortening and lifespan-extending interventions and provide insights into the specific molecular processes involved in organismal aging and mortality . However, concerns have been raised about the potential clinical use of some of these biomarkers, particularly in regard to their interpretability (Bertucci-Richter et al. 2024;Prosz et al. 2024), their ability to distinguish inflammation from aging (Meier et al. 2023;Zhu et al. 2021), and whether or not they successfully report on improvements in tissue and organ function (Liu et al. 2020;Sala et al. 2024). ...

Systemic inflammation and biological aging in the Health and Retirement Study

GeroScience

... This heterogeneity is observed not only in symptom presentation and severity but also in developmental trajectories, comorbidities, and responses to interventions [11], and the role of in utero painkiller exposure in contributing to this variability remains elusive, posing challenges in clarifying how in utero exposure to painkillers contributes to the pathophysiology inherent to ASD. Furthermore, the impact of environmental exposures on neurodevelopmental outcomes indeed varies significantly across different developmental stages during childhood [12]. As children grow, their behavioral patterns change, leading to different exposure risks. ...

Association between the timing of childhood adversity and epigenetic patterns across childhood and adolescence: findings from the Avon Longitudinal Study of Parents and Children (ALSPAC) prospective cohort
  • Citing Article
  • June 2023

The Lancet Child & Adolescent Health