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Updated: Apr 18, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Maternal prenatal stress is associated with the infant intestinal microbiota
Maartje A C Zijlmans1, Katri Korpela2, J Marianne Riksen-Walraven1
1Department of Developmental Psychology, Behavioural Science Institute, Radboud University Nijmegen, Postbus 9104, 6500 HE Nijmegen, The Netherlands.
Insights
Maternal prenatal stress impacts infant gut bacteria, increasing harmful microbes and decreasing beneficial ones. This dysbiosis is linked to infant gastrointestinal and allergic issues, suggesting a pathway for stress effects.
Area of Science:
- Microbiome research
- Developmental pediatrics
- Maternal-fetal health
Background:
- Maternal prenatal stress is linked to infant health outcomes, but underlying mechanisms are unclear.
- The infant gut microbiota plays a crucial role in immune development and overall health.
- Investigating the maternal stress-infant microbiota axis offers insights into developmental pathways.
Purpose of the Study:
- To prospectively examine the infant intestinal microbiota development.
- To identify the role of the gut microbiota as a pathway linking maternal prenatal stress and infant health.
- To explore associations between infant microbiota composition and gastrointestinal/allergic symptoms.
Main Methods:
- Prospective study of 56 healthy Dutch infants over 110 days postpartum.
- Analysis of infant intestinal microbiota composition using a phylogenetic microarray.
- Assessment of maternal prenatal stress via self-report and salivary cortisol levels.
Main Results:
- Maternal prenatal stress (reported stress and/or elevated cortisol) was persistently associated with infant microbiota composition.
- High maternal stress infants showed increased Proteobacteria (pathogens) and decreased beneficial bacteria (Lactobacillus, Bifidobacteria).
- Aberrant microbiota patterns correlated with increased infant gastrointestinal and allergic symptoms.
Conclusions:
- Maternal prenatal stress significantly alters the developing infant gut microbiota.
- The infant gut microbiota may mediate the effects of prenatal stress on infant health.
- Findings suggest potential for microbial interventions to improve offspring health in stressed pregnancies.
Abstract:
Maternal prenatal stress has been often associated with infant physical development and health, as well as psychological functioning and behavior. However, the mechanisms underlying these relations remain elusive. The goal of the present study was to prospectively investigate the development of the intestinal microbiota as a potential pathway linking maternal prenatal stress and infant health. The development of the infant intestinal microbiota was followed over the first 110 days after birth in a healthy cohort of 56 vaginally born Dutch infants. Additionally, the relation between infant intestinal microbiota and gastrointestinal and allergic symptoms was examined. Results showed that maternal prenatal stress, i.e., either reported stress or elevated basal maternal salivary cortisol concentrations or both, was strongly and persistently associated with the infants' microbiota composition as determined by a phylogenetic microarray. Infants of mothers with high cumulative stress (i.e., high reported stress and high cortisol concentrations) during pregnancy had significantly higher relative abundances of Proteobacterial groups known to contain pathogens (related to Escherichia, Serratia, and Enterobacter), and lower relative abundances of lactic acid bacteria (i.e., Lactobacillus, Lactoccus, Aerococcus) and Bifidobacteria, altogether characteristics of a potentially increased level of inflammation. Furthermore, this aberrant colonization pattern was related to more maternally reported infant gastrointestinal symptoms and allergic reactions. In conclusion, clear links were found between maternal prenatal stress and the infant intestinal microbiota and health. Although causality cannot be concluded, the results suggest a possible mechanism by which maternal prenatal stress influences the offspring development. These results suggest a potential for bacterial interventions to enhance offspring health and development in pregnant women with stress.
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