The study of genetic/epigenetic/environmental factors underlies all th
erapeutic and preventive approaches in fetal, perinatal and paediatric
neurology, including rehabilitation (3). In this paper, we selected a
few targets of environmental determinants of brain development leadin
g to underlying priorities for protection of the developing brain. Pre
paration of the neural germinative epithelium has to be protected agai
nst noxious pharmacological agents. New tools have been developed to i
mprove early neural teratology, including the whole-embryo culture met
hod. The neopallial astrocytic precursors have a dual origin. Astrocyt
es of the white matter and deep neocortical layers derive from transfo
rmed radial glial cells, whereas astrocytes of the upper neocortical l
ayers derive from astrocytic precursors that migrate from the late ger
minative zone after the end of neuronal migration. Among numerous fact
ors able to interfere with these gliogenetic events an the control fac
tors of the lysosomal and autophagic functions, interfering with radia
l glial cell transformation into astrocytes. All lesions interrupting
the migratory corridors of late astroglial migration can produce cytoa
rchitectonic disturbances of the neocortical supragranular layers, wit
h long-term consequences. The developing brain is weltering in a compl
ex mixture including newly recognized excitotoxic substances, cytokine
s and growth factors. These substances are sometimes environmental fri
ends like maternal vasointestinal peptide, which prevents brain intrau
terine growth retardation. They are sometimes excellent endogenous fri
ends like neurotrophic excitatory agents in physiological conditions.
They become often dangerous killers triggered by environmental signals
like hypoxias/ischaemias and toxins produced by intrauterine infectio
ns, launching the excitotoxic cascade. In this paper, we reviewed main
ly environmental determinants interfering with neural cytogenesis and
histogenesis during the embryonic, fetal and neonatal span of early li
fe.