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Prenatal antidepressant exposures and gastrointestinal complaints in childhood: A gut-brain axis connection?
Amy L Salisbury1,2,3, George D Papandonatos4, Laura R Stroud3,5
1Brown Center for the Study of Children at Risk, Women and Infants Hospital of Rhode Island, Providence, RI, USA.
Insights
Selective serotonin/norepinephrine reuptake inhibitors (SRIs) taken during pregnancy may increase the risk of gastrointestinal (GI) problems in children. This study links prenatal SRI exposure to childhood GI difficulties, highlighting the need for further research.
Area of Science:
- Neuroscience
- Developmental Biology
- Gastroenterology
Background:
- Selective serotonin/norepinephrine reuptake inhibitors (SRIs) are frequently used for depression during pregnancy.
- SRIs influence maternal and placental serotonin signaling, potentially affecting fetal neurodevelopment and the gut-brain axis (GBA).
- Previous research suggests a link between gestational SRI exposure and gastrointestinal issues in offspring.
Purpose of the Study:
- To investigate the association between prenatal exposure to SRIs and the development of gastrointestinal problems in children.
- To examine the impact of fetal SRI exposure on the enteric nervous system (ENS) and its function.
- To provide prospective human data on this understudied area.
Main Methods:
- Analysis of two well-characterized, prospective cohorts of children from preschool to later childhood.
- Assessment of gastrointestinal (GI) problems in children with documented prenatal SRI exposure.
- Evaluation of potential impacts on the developing gut-brain axis (GBA) and enteric nervous system (ENS).
Main Results:
- Significant associations were found between prenatal SRI exposure and increased risk of childhood GI problems.
- The findings support the hypothesis that fetal SRI exposure can contribute to later GI difficulties.
- The study highlights potential SRI-induced changes in the developing gut microbiome and GBA.
Conclusions:
- Prenatal exposure to SRIs is associated with an increased risk for gastrointestinal problems in children.
- Further research is crucial to understand the mechanisms, including the role of the microbiome and GBA.
- These findings underscore the importance of considering potential long-term effects of medications during pregnancy.
Abstract:
Selective serotonin/norepinephrine reuptake inhibitors (collectively, SRIs) are the most commonly prescribed antidepressant agents for the treatment of depression in pregnancy. SRIs affect maternal and placental serotonin signaling, which might impact fetal brain development. Alterations in serotonin signaling might also impact the developing gut-brain axis (GBA) via alterations in the fetal enteric nervous system (ENS). Emerging evidence suggests that gestational SRI exposure may be associated with offspring gastrointestinal problems. However, prospective human studies of the effects of fetal SRI exposure on the ENS and function are absent in the literature. In this paper we present data demonstrating significant associations between prenatal SRI exposure and children's gastrointestinal (GI) problems in two well-characterized, prospective cohorts of preschool and later childhood individuals. The results support the hypothesis that prenatal SRI exposure can increase the risk for childhood GI difficulties. Further research is warranted on the potential SRI-induced changes to the child gut including the role of the microbiome and the GBA in the development of GI problems.
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