Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec:70:101451.
doi: 10.1016/j.dcn.2024.101451. Epub 2024 Sep 18.

Biospecimens in the HEALthy Brain and Child Development (HBCD) Study: Rationale and protocol

Affiliations

Biospecimens in the HEALthy Brain and Child Development (HBCD) Study: Rationale and protocol

Elinor L Sullivan et al. Dev Cogn Neurosci. 2024 Dec.

Abstract

The HEALthy Brain and Child Development (HBCD) Study, a multi-site prospective longitudinal cohort study, will examine human brain, cognitive, behavioral, social, and emotional development beginning prenatally and planned through early childhood. The longitudinal collection of biological samples from over 7000 birthing parents and their children within the HBCD study enables research on pre- and postnatal exposures (e.g., substance use, toxicants, nutrition), and biological processes (e.g., genetics, epigenetic signatures, proteins, metabolites) on neurobehavioral developmental outcomes. The following biosamples are collected from the birthing parent: 1) blood (i.e., whole blood, serum, plasma, buffy coat, and dried blood spots) during pregnancy, 2) nail clippings during pregnancy and one month postpartum, 3) urine during pregnancy, and 4) saliva during pregnancy and at in-person postnatal assessments. The following samples are collected from the child at in-person study assessments: 1) saliva, 2) stool, and 3) urine. Additionally, placenta tissue, cord blood, and cord tissue are collected by a subset of HBCD sites. Here, we describe the rationale for the collection of these biospecimens, their current and potential future uses, the collection protocol, and collection success rates during piloting. This information will assist research teams in the planning of future studies utilizing this collection of biological samples.

Keywords: Environmental exposures; HBCD, biospecimens, substance use; Prenatal, fetal programming.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Drs. Elinor L Sullivan, Ryan Bogdan, Ludmila Bakhireva, Pat Levitt, Julie M. Croff, Moriah Thomason(,) Jamie Lo(,) Leigh-Anne Cioffredi, Andrea G. Edlow, Brittany R. Howell, Barbara H Chaiyachati, Namasivayam Ambalavanan(,) and Jenae M. Neiderhiser report financial support provided by National Institutes of Health that includes funding grants. In addition, the Children's Hospital of Philadelphia has received payment for the expert testimony of Dr. Chaiyachati when subpoenaed for cases of suspected child abuse. Andrea G. Edlow serves as a consultant for Mirvie, Inc. outside of this work and receives research funding and consultant funding from Merck Pharmaceuticals outside of this work. Julie M. Croff reports financial support provided by Bill & Melinda Gates Foundation and reports a relationship with Oklahoma State University Center for Health Sciences that includes: funding grants, speaking and lecture fees, and travel reimbursement. Joseph Jones is employed by United States Drug Testing Laboratories, a national commercial reference laboratory, that is in the business of selling some of the services mentioned in this manuscript. This relationship did not influence the design or composition of this manuscript. Leigh MacIntyre discloses the following financial interests that may be considered as potential competing interests: She is the CEO and founder of Lasso Informatics, and has an equity stake and receives a salary from the company. Lasso Informatics is involved in the HBCD Study and provides project management and data services. During the course of this research, Lasso Informatics received a professional services contract from HBCD, providing financial compensation for Lasso Informatics’ contribution to the study. This contract was awarded in 2024 and pertains to the work reported in this manuscript. Leigh MacIntyre declares that these financial interests have been disclosed fully and believe they do not compromise the integrity of the research presented in this manuscript. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

None
Graphical abstract
Fig. 1
Fig. 1
HBCD Study Visit and Assessment Timeline. The HBCD Study is assessing prenatal and early childhood development using a variety of methods including caregiver-report, interviews, biomarkers and measures of child brain development, behavior, and physiology.
Fig. 2
Fig. 2
Pilot HBCD Biospecimens Collection. HBCD pilot collection success rates by biospecimen type. Birthing parent blood (V1; n=133), nails (V2; n=96), Saliva (V1-V3; n=374), and Urine (V1; n=143) and Child saliva (V2-V3; n=231), urine (V2-V3, n=157), and stool (V2-V3; n=106) were acquired.

Similar articles

  • An introduction to the HEALthy Brain and Child Development Study (HBCD) study.
    Nelson CA, Frankeberger J, Chambers CD. Nelson CA, et al. Dev Cogn Neurosci. 2024 Oct;69:101441. doi: 10.1016/j.dcn.2024.101441. Epub 2024 Sep 7. Dev Cogn Neurosci. 2024. PMID: 39293188 Free PMC article.
  • Quantifying brain development in the HEALthy Brain and Child Development (HBCD) Study: The magnetic resonance imaging and spectroscopy protocol.
    Dean DC 3rd, Tisdall MD, Wisnowski JL, Feczko E, Gagoski B, Alexander AL, Edden RAE, Gao W, Hendrickson TJ, Howell BR, Huang H, Humphreys KL, Riggins T, Sylvester CM, Weldon KB, Yacoub E, Ahtam B, Beck N, Banerjee S, Boroday S, Caprihan A, Caron B, Carpenter S, Chang Y, Chung AW, Cieslak M, Clarke WT, Dale A, Das S, Davies-Jenkins CW, Dufford AJ, Evans AC, Fesselier L, Ganji SK, Gilbert G, Graham AM, Gudmundson AT, Macgregor-Hannah M, Harms MP, Hilbert T, Hui SCN, Irfanoglu MO, Kecskemeti S, Kober T, Kuperman JM, Lamichhane B, Landman BA, Lecour-Bourcher X, Lee EG, Li X, MacIntyre L, Madjar C, Manhard MK, Mayer AR, Mehta K, Moore LA, Murali-Manohar S, Navarro C, Nebel MB, Newman SD, Newton AT, Noeske R, Norton ES, Oeltzschner G, Ongaro-Carcy R, Ou X, Ouyang M, Parrish TB, Pekar JJ, Pengo T, Pierpaoli C, Poldrack RA, Rajagopalan V, Rettmann DW, Rioux P, Rosenberg JT, Salo T, Satterthwaite TD, Scott LS, Shin E, Simegn G, Simmons WK, Song Y, Tikalsky BJ, Tkach J, van Zijl PCM, Vannest J, Versluis M, Zhao Y, Zöllner HJ, Fair DA, Smyser CD, Elison JT; HBCD MRI Working Group. Dean DC 3rd, et al. Dev Cogn Neurosci. 2024 Dec;70:101452. doi: 10.1016/j.dcn.2024.101452. Epub 2024 Sep 21. Dev Cogn Neurosci. 2024. PMID: 39341120 Free PMC article.
  • Advancing high quality longitudinal data collection: Implications for the HEALthy Brain and Child Development (HBCD) Study design and recruitment.
    Si Y, Bandoli G, Cole KM, Daniele Fallin M, Stuart EA, Gurka KK, Althoff KN, Thompson WK; & the HBCD Design Workgroup and Biostatistics Workgroup. Si Y, et al. Dev Cogn Neurosci. 2024 Oct;69:101432. doi: 10.1016/j.dcn.2024.101432. Epub 2024 Aug 10. Dev Cogn Neurosci. 2024. PMID: 39213717 Free PMC article.
  • Incentives for increasing prenatal care use by women in order to improve maternal and neonatal outcomes.
    Till SR, Everetts D, Haas DM. Till SR, et al. Cochrane Database Syst Rev. 2015 Dec 15;2015(12):CD009916. doi: 10.1002/14651858.CD009916.pub2. Cochrane Database Syst Rev. 2015. PMID: 26671418 Free PMC article.
  • The effect of sample site and collection procedure on identification of SARS-CoV-2 infection.
    Davenport C, Arevalo-Rodriguez I, Mateos-Haro M, Berhane S, Dinnes J, Spijker R, Buitrago-Garcia D, Ciapponi A, Takwoingi Y, Deeks JJ, Emperador D, Leeflang MMG, Van den Bruel A; Cochrane COVID-19 Diagnostic Test Accuracy Group. Davenport C, et al. Cochrane Database Syst Rev. 2024 Dec 16;12(12):CD014780. doi: 10.1002/14651858.CD014780. Cochrane Database Syst Rev. 2024. PMID: 39679851 Free PMC article.

Cited by

References

    1. AAFS Standards Board, 2019. Standard Practices for Method Validation in Forensic Toxicology.
    1. Arija V., Canals J. Effect of maternal nutrition on cognitive function of children. Nutrients. 2021;13:1644. doi: 10.3390/nu13051644. - DOI - PMC - PubMed
    1. Bakhireva L.N., Nebeker C., Ossorio P., Angal J., Thomason M.E., Croff J.M. Inclusion of American Indians and Alaskan Natives in Large National Studies: Ethical Considerations and Implications for Biospecimen Collection in the HEALthy Brain and Child Development Study. Advers Resil. Sci. 2020;1:285–294. doi: 10.1007/s42844-020-00020-8. - DOI - PMC - PubMed
    1. Bandoli G., Anunziata F., Bogdan R., Zilverstand A., Chaiyachati B.H., Gurka K.K., Sullivan E., Croff J., Bakhireva L.N. Assessment of substance exposures in nail clipping samples: a systematic review. Drug Alcohol Depend. 2024;254 doi: 10.1016/j.drugalcdep.2023.111038. - DOI - PMC - PubMed
    1. Baranger D.A.A., Miller A.P., Gorelik A.J., Paul S.E., Hatoum A.S., Johnson E.C., Colbert S.M.C., Smyser C.D., Rogers C.E., Bijsterbosch J.D., Agrawal A., Bogdan R. Prenatal cannabis exposure, the brain, and psychopathology during early adolescence. Nat. Ment. Health 1–12. 2024 doi: 10.1038/s44220-024-00281-7. - DOI

Publication types