Thalamocortical development of parvalbumin neurons in normal and periventricular leukomalacia brains.

To clarify disturbances in higher brain functions including cognition and learning disorders in preterm-born children, we investigated the functional development of the cerebral hemisphere, using parvalbumin (PA) immunohistochemistry in human subjects aged from 21 GW to 11 years of age. PA-immunoreactive neurons first appeared in the RNT at 24 GW, spread to the globus pallidus, and then to the VPoL and VPoM. At 38 GW, PA-immunoreactive neurons first appeared in layer 4 of the primary somatosensory cortex and auditory cortex, and comprised a dense band in layers 4 to 5 at 1 month of age. The developmental changes and course of PA expression in the early developmental stage corresponded to development of the thalamocortical connection and then to the functional development of cortical neurons. In preterm cases, PA expression was decreased in the cerebral cortices that corresponded to widespread or diffuse type PVL, but was increased in those with focal type PVL. These results indicate that accelerated expression of PA was induced by extra-uterine stimuli and a reduction of PA reflects the impairment of thalamocortical neurons.