Chorioamnionitis in utero, schizophrenia in adulthood: limited current evidence-future research focus?

Despina D Briana1, Ariadne Malamitsi-Puchner1

  • 1NICU, 3rd Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Insights

Prenatal inflammation, specifically chorioamnionitis, may impact fetal brain development, potentially increasing schizophrenia risk in genetically susceptible individuals. This review explores the link between intrauterine inflammation and schizophrenia development.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Psychiatry

Background:

  • Early life programming during gestation can alter fetal brain development, affecting structure and function.
  • Schizophrenia's developmental origins are linked to prenatal factors like infections in genetically predisposed individuals.
  • Inflammatory-immune and oxidative stress pathways are implicated in intrauterine infection-induced neurodevelopmental disorders.

Purpose of the Study:

  • To review current evidence on the association between chorioamnionitis and schizophrenia.
  • To address the knowledge gap in fetal programming of schizophrenia due to intrauterine inflammation.

Main Methods:

  • Literature review focusing on chorioamnionitis and schizophrenia.
  • Consolidation of evidence from human and animal studies.

Main Results:

  • Emerging evidence suggests a potential link between prenatal infections, specifically chorioamnionitis, and schizophrenia development.
  • Genetic predisposition and epigenetic factors interact with environmental influences like inflammation.

Conclusions:

  • Chorioamnionitis represents a significant intrauterine inflammatory condition with potential implications for fetal brain programming.
  • Further research is needed to elucidate the precise mechanisms linking chorioamnionitis to schizophrenia.

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