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Updated: May 13, 2026

Generating a Reproducible Model of Mid-Gestational Maternal Immune Activation using Poly(I:C) to Study Susceptibility and Resilience in Offspring
Published on: August 17, 2022
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.
Abstract:
Prenatal anxiety has been linked with altered immune function in offspring in animal studies, but the relevance for human health is unknown. We examined prenatal maternal anxiety as a predictor of adaptive immunity in infants at 2 and 6 months of age as part of a prospective longitudinal study. The humoral immune response to hepatitis B vaccine was assessed at 2 months (n=80) and 6 months (n=76) of age. Prenatal anxiety predicted lower hepatitis B antibody titers at 6 months of age independent of obstetric and socio-demographic covariates; the effects were limited to those infants who had not completed the 3-dose vaccine series (for transformed titer values, r=-.36, p<.05). Cell-mediated immune responses at 2 (n=56) and 6 (n=54) months of age were examined by ELISpot assays for interferon(IFN)-γ, interleukin(IL)-2, and IL-4 responder cell frequencies to three antigens: hepatitis B surface antigen, tetanus toxoid, and phytohaemagglutinin (PHA). Prenatal maternal anxiety was associated with reduced IFN-γ and increased IL-4 responder cell frequencies at 6 months of age, independent of obstetric and socio-demographic covariates. No effect of prenatal anxiety was found on adaptive immunity at 2 months of age. The findings provide the first demonstration in humans that prenatal anxiety alters adaptive immunity in the infant.
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