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Updated: Mar 15, 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
Chronic stress is associated with reduced circulating hematopoietic progenitor cell number: A maternal caregiving
Kirstin Aschbacher1, Jeffrey M Milush2, Amanda Gilbert3
1Department of Psychiatry, University of California San Francisco, San Francisco, CA, United States; The Institute for Integrative Health, Baltimore, MD, United States.
Insights
Chronic psychological stress in mothers is linked to fewer circulating progenitor cells (CPCs), which are key for vascular health. Negative family interactions, particularly with children, exacerbate this stress-related cardiovascular risk.
Area of Science:
- Cardiovascular Disease Research
- Stress and Health Psychology
- Stem Cell Biology
Background:
- Chronic psychological stress is a known risk factor for cardiovascular disease (CVD) and mortality.
- Circulating hematopoietic progenitor cells (CPCs) are crucial for vascular homeostasis and predict cardiovascular events.
- This study investigates the impact of chronic caregiving stress on CPC numbers and family dynamics.
Purpose of the Study:
- To determine if chronic caregiving stress in mothers is associated with reduced CPC numbers.
- To explore whether negative family interactions mediate the relationship between stress and CPC levels.
- To identify psychological predictors of stress-related CVD risk in maternal caregivers.
Main Methods:
- Studied 68 healthy mothers (31 with children with autism spectrum disorder, 37 with neurotypical children).
- Assayed CPCs (CD45+CD34+KDR+ and CD45+CD133+KDR+) via flow cytometry and created a CPC index.
- Measured perceived stress, depressive symptoms, and daily family interactions using validated scales.
Main Results:
- Mothers of children with autism spectrum disorder had significantly lower CPCs compared to mothers of neurotypical children.
- Positive family interactions correlated with higher CPCs, while negative interactions correlated with lower CPCs.
- Negative interactions with the child mediated the adverse effect of group status on CPCs, independent of traditional CVD risk factors.
Conclusions:
- Chronic stress negatively impacts CPC numbers, serving as an early biomarker for subclinical atherosclerosis and future CVD events.
- Child-related interpersonal stress is a significant psychological predictor of stress-related CVD risk in maternal caregivers.
- Interventions addressing negative family interactions may mitigate stress-related cardiovascular risks in mothers.
Background:
Chronic psychological stress is a risk factor for cardiovascular disease and mortality. Circulating hematopoietic progenitor cells (CPCs) maintain vascular homeostasis, correlate with preclinical atherosclerosis, and prospectively predict cardiovascular events. We hypothesize that (1) chronic caregiving stress is related to reduced CPC number, and (2) this may be explained in part by negative interactions within the family.
Methods:
We investigated levels of stress and CPCs in 68 healthy mothers - 31 of these had children with an autism spectrum disorder (M-ASD) and 37 had neurotypical children (M-NT). Participants provided fasting blood samples, and CD45+CD34+KDR+ and CD45+CD133+KDR+ CPCs were assayed by flow cytometry. We averaged the blom-transformed scores of both CPCs to create one index. Participants completed the perceived stress scale (PSS), the inventory for depressive symptoms (IDS), and reported on daily interactions with their children and partners, averaged over 7 nights.
Results:
M-ASD exhibited lower CPCs than M-NT (Cohen's d=0.83; p⩽0.01), controlling for age, BMI, and physical activity. Across the whole sample, positive interactions were related to higher CPCs, and negative interactions to lower CPCs (allp's<0.05). The adverse effects of group on CPCs were significantly mediated through negative interactions with the child (indirect β=-0.24, p⩽0.01). In the full model, greater age (β=-0.19, p=0.04), BMI (β=-0.18, p=0.04), and negative interactions with the child (β=-0.33, p<0.01) were independently associated with lower CPCs. M-ASD had a less healthy lipid profile (total cholesterol/HDL), which in turn, was associated with lower CPCs.
Conclusions:
Chronic stress adversely impacts CPC number, an early-stage biomarker that predicts subclinical atherosclerosis and future CVD events, independent of traditional cardiovascular risk factors and inflammatory factors. Among maternal caregivers, child-related interpersonal stress appears to be a key psychological predictor of stress-related CVD risk.
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