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Maternal Cortisol Concentrations During Pregnancy and Sex-Specific Associations With Neonatal Amygdala Connectivity
Alice M Graham1, Jerod M Rasmussen2, Sonja Entringer3
1Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, Oregon.
Insights
Maternal cortisol during pregnancy affects neonatal amygdala connectivity differently in boys and girls. Elevated cortisol is linked to higher internalizing behaviors in girls, mediated by amygdala connectivity, offering insight into sex differences in psychiatric disorders.
Area of Science:
- Neuroscience
- Developmental Psychology
- Endocrinology
Background:
- Maternal cortisol during pregnancy can impact fetal brain development.
- Understanding this link is crucial for neurodevelopmental and psychiatric disorders.
- More research is needed on maternal cortisol and early offspring neurodevelopment.
Purpose of the Study:
- To investigate the association between maternal cortisol levels across pregnancy and neonatal amygdala connectivity.
- To explore sex-specific effects of maternal cortisol on infant brain development.
- To examine the relationship between maternal cortisol, neonatal amygdala connectivity, and later internalizing behaviors.
Main Methods:
- Serial assessment of maternal cortisol over 4 days in early, mid, and late gestation.
- Resting-state functional connectivity MRI of the neonatal amygdala.
- Assessment of internalizing behavior problems in children at 24 months.
Main Results:
- Maternal cortisol showed sex-specific associations with neonatal amygdala connectivity.
- Elevated maternal cortisol linked to stronger amygdala connectivity in girls and weaker in boys.
- Higher maternal cortisol correlated with increased internalizing symptoms in girls, mediated by amygdala connectivity.
Conclusions:
- Pregnancy maternal cortisol variation influences neonatal amygdala function in a sex-specific manner.
- A pathway exists from maternal cortisol to internalizing symptoms in girls via amygdala connectivity.
- Findings may explain sex differences in internalizing psychiatric disorders prevalence.
Background:
Maternal cortisol during pregnancy has the potential to influence rapidly developing fetal brain systems that are commonly altered in neurodevelopmental and psychiatric disorders. Research examining maternal cortisol concentrations across pregnancy and offspring neurodevelopment proximal to birth is needed to advance understanding in this area and lead to insight into the etiology of these disorders.
Methods:
Participants were 70 adult women recruited during early pregnancy and their infants born after 34 weeks gestation. Maternal cortisol concentrations were assessed serially over 4 days in early, mid, and late gestation. Resting state functional connectivity magnetic resonance imaging of the neonatal amygdala was examined. Mothers reported on children's internalizing behavior problems at 24 months of age.
Results:
Maternal cortisol concentrations during pregnancy were significantly associated with neonatal amygdala connectivity in a sex-specific manner. Elevated maternal cortisol was associated with stronger amygdala connectivity to brain regions involved in sensory processing and integration, as well as the default mode network in girls, and with weaker connectivity to these brain regions in boys. Elevated maternal cortisol was associated with higher internalizing symptoms in girls only, and this association was mediated by stronger neonatal amygdala connectivity.
Conclusions:
Normative variation in maternal cortisol during pregnancy is associated with the coordinated functioning of the amygdala soon after birth in a sex-specific manner. The identified pathway from maternal cortisol to higher internalizing symptoms in girls via alterations in neonatal amygdala connectivity may be relevant for the etiology of sex differences in internalizing psychiatric disorders, which are more prevalent in women.
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