Prenatal maternal anxiety predicts reduced adaptive immunity in infants

Thomas G O'Connor1, Marcia A Winter, Julianne Hunn

  • 1Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA. Tom_OConnor@URMC.Rochester.edu

Insights

Prenatal maternal anxiety in humans is linked to altered infant adaptive immunity. Maternal anxiety predicted lower hepatitis B antibody levels and changes in immune cell responses at 6 months of age.

Area of Science:

  • Immunology
  • Developmental Psychology
  • Maternal Health

Background:

  • Animal studies suggest prenatal stress impacts offspring immunity.
  • Human relevance of prenatal anxiety on infant immune development remains unclear.

Purpose of the Study:

  • To investigate prenatal maternal anxiety as a predictor of infant adaptive immune responses.
  • To assess humoral and cell-mediated immunity at 2 and 6 months postnatally.

Main Methods:

  • Prospective longitudinal study of maternal anxiety and infant immunity.
  • Assessed humoral immunity via hepatitis B antibody titers.
  • Evaluated cell-mediated immunity using ELISpot assays for IFN-γ, IL-2, and IL-4.

Main Results:

  • Prenatal anxiety predicted lower hepatitis B antibody titers at 6 months (in unvaccinated infants).
  • Maternal anxiety associated with reduced IFN-γ and increased IL-4 responses at 6 months.
  • No significant effects of prenatal anxiety on infant immunity were observed at 2 months.

Conclusions:

  • This study provides the first human evidence that prenatal anxiety can alter infant adaptive immunity.
  • Prenatal anxiety may have lasting effects on immune system development.
  • Further research is needed to understand the mechanisms and long-term implications.

Related Concept Videos

Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Stella Chess...
Gut-Brain Axis01:22

Gut-Brain Axis

The gut–brain axis is a bidirectional communication system that connects the gastrointestinal tract and the brain. This interaction is mediated through multiple pathways, including the vagus nerve, hormonal signals, immune responses, and chemical messengers produced by gut microbes.Microbial Contributions to Brain FunctionGut microbiota contributes significantly to brain function by producing neuroactive compounds. These include neuroactive compounds that influence neurotransmitters such as...
Attachment01:20

Attachment

Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that physical...
Stress and Mental Health01:30

Stress and Mental Health

Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Relationship with Parents: Attachment01:28

Relationship with Parents: Attachment

Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...