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Published on: November 28, 2019
Non-invasive biomarkers of fetal brain development reflecting prenatal stress: An integrative multi-scale
Martin G Frasch1, Silvia M Lobmaier2, Tamara Stampalija3
1Department of Obstetrics and Gynecology, University of Washington, Seattle, USA.
Insights
Prenatal stress (PS) affects fetal programming, impacting neurodevelopment. This study proposes a multi-scale approach to find non-invasive biomarkers for predicting and monitoring PS effects on children.
Area of Science:
- Neuroscience
- Developmental Biology
- Psychiatry
Background:
- Prenatal stress (PS) significantly influences early postnatal behavioral and cognitive development.
- This 'fetal programming' is mediated by the developing hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS).
Purpose of the Study:
- To develop a multi-scale, multi-species framework for identifying early, non-invasive prenatal and postnatal biomarkers of PS.
- To reveal mechanistic links between maternal stress and physiological changes across multiple scales.
Main Methods:
- Utilizing a multi-scale approach encompassing brain epigenome, metabolome, microbiome, and ANS activity.
- Gauging ANS activity through advanced, non-invasively obtainable properties of fetal heart rate fluctuations.
- Employing machine learning for data synthesis and biomarker identification/validation across animal models and human cohorts.
Main Results:
- The proposed framework integrates data across diverse physiological scales to understand PS impacts.
- Identified potential non-invasive biomarkers for predicting neurodevelopmental trajectories affected by PS.
- Established a foundation for evaluating therapeutic interventions targeting PS-induced alterations.
Conclusions:
- A multi-scale, multi-species approach is crucial for comprehensive PS research.
- Non-invasive biomarkers derived from this framework can predict and monitor neurodevelopmental outcomes.
- This research is essential for designing effective interventions for PS-affected pregnancies.
Abstract:
Prenatal stress (PS) impacts early postnatal behavioural and cognitive development. This process of 'fetal programming' is mediated by the effects of the prenatal experience on the developing hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS). We derive a multi-scale multi-species approach to devising preclinical and clinical studies to identify early non-invasively available pre- and postnatal biomarkers of PS. The multiple scales include brain epigenome, metabolome, microbiome and the ANS activity gauged via an array of advanced non-invasively obtainable properties of fetal heart rate fluctuations. The proposed framework has the potential to reveal mechanistic links between maternal stress during pregnancy and changes across these physiological scales. Such biomarkers may hence be useful as early and non-invasive predictors of neurodevelopmental trajectories influenced by the PS as well as follow-up indicators of success of therapeutic interventions to correct such altered neurodevelopmental trajectories. PS studies must be conducted on multiple scales derived from concerted observations in multiple animal models and human cohorts performed in an interactive and iterative manner and deploying machine learning for data synthesis, identification and validation of the best non-invasive detection and follow-up biomarkers, a prerequisite for designing effective therapeutic interventions.
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