Maternal Immune activity during pregnancy and socioeconomic disparities in children's self-regulation
Jing Yu1, Akhgar Ghassabian2, Zhen Chen1
1Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 6710B Rockledge Drive, Bethesda, MD 20817, United States.
Insights
Maternal immune activity during pregnancy, specifically interleukin-8 (IL-8), is linked to better child self-regulation. This cytokine may explain some socioeconomic disparities in children's developing self-control abilities.
Area of Science:
- Neuroscience
- Developmental Psychology
- Immunology
Background:
- Maternal prenatal immune activity is linked to offspring psychiatric risks.
- Less is known about its impact on children's emotional and behavioral development, including self-regulation.
- Socioeconomic status (SES) and race can influence child development outcomes.
Purpose of the Study:
- To investigate associations between prenatal maternal cytokine concentrations and offspring self-regulation.
- To examine if these associations differ by socioeconomic status (SES) and race.
- To explore the mediating role of maternal cytokines in SES disparities in child self-regulation.
Main Methods:
- Analyzed prenatal serum cytokine concentrations (IL-1β, IL-6, IL-8, TNF-α, IL-10) from 1628 women in the Collaborative Perinatal Project (CPP).
- Assessed child self-regulation using psychologist ratings of seven behavioral items at age 4.
- Controlled for child sex, maternal age, and maternal psychiatric/medical conditions.
Main Results:
- Higher SES was associated with better child self-regulation (β = 0.18).
- Higher maternal serum interleukin-8 (IL-8) concentration was linked to improved child self-regulation (β = 0.09).
- Maternal IL-8 partially mediated the relationship between family SES and child self-regulation, explaining ~10% of SES disparities (β = 0.02).
Conclusions:
- Pregnancy represents an early sensitive period for child development.
- Maternal immune activity, particularly IL-8, is a significant factor influencing child self-regulation.
- Maternal IL-8 may play a role in mitigating socioeconomic disparities in children's self-regulation development.
Abstract:
Maternal immune activity during pregnancy has been associated with risk for psychiatric disorders in offspring, but less is known about its implications for children's emotional and behavioral development. This study examined whether concentrations of five cytokines assayed from prenatal serum were associated with socioeconomic status (SES) and racial disparities in their offspring's self-regulation abilities. Participants included 1628 women in the Collaborative Perinatal Project (CPP). Seven behavioral items conceptually related to self-regulation were rated by CPP psychologists when children were 4 years old. Concentrations of interleukin (IL)-1β, IL-6, IL-8, tumor necrosis factor (TNF)-α, and IL-10 were assessed. Covariates included child sex and mother's age, psychiatric disorders, and medical conditions during pregnancy. There were significant SES differences in child self-regulation, with higher SES children scoring higher on self-regulation (β = 0.18, 95% CI [0.11, 0.25]), but no racial differences. The concentration of IL-8 in maternal serum was associated with higher child self-regulation, β = 0.09, 95% CI [0.02, 0.16]. In mediation analyses, variation in maternal IL-8 contributed to the association between family SES and child self-regulation (β = 0.02, 95% CI [0.003, 0.030]), explaining about one-tenth of the SES disparities. This study suggests pregnancy as an early sensitive period and maternal immune activity as an important context for child development.
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