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Mechanisms of Maternal Diet-Induced Obesity Affecting the Offspring Brain and Development of Affective Disorders
Daniel E Radford-Smith1,2,3, Daniel C Anthony3
1Department of Psychiatry, University of Oxford, Warneford Hospital, Warneford Lane, Oxford OX37JX, UK.
Insights
Maternal obesity during pregnancy can negatively impact offspring neurodevelopment through the gut-brain axis. Targeting the maternal gut microbiome offers a potential therapeutic strategy for preventing these effects.
Area of Science:
- Neuroscience
- Metabolic Disorders
- Developmental Biology
Background:
- Depression and metabolic diseases are rising global health concerns with a complex bidirectional relationship.
- Maternal depression and obesity during pregnancy are linked to increased neuropsychiatric disease risk in offspring.
- The perinatal period is critical, with maternal factors significantly influencing offspring development.
Purpose of the Study:
- To review the mechanisms by which maternal obesity disrupts the offspring's gut-brain axis.
- To explore how these disruptions prime offspring for affective disorders.
- To identify potential therapeutic targets related to the maternal microbiome.
Main Methods:
- Review of existing epidemiological and mechanistic studies.
- Detailed examination of maternal factors influencing offspring neurodevelopment.
- Focus on the gut-brain axis and its components.
Main Results:
- Maternal obesity impacts offspring via altered maternal care, microbiome, inflammation, breast milk, and placental metabolites.
- Offspring are susceptible to gut-brain interaction disorders, affecting brain metabolism, neurotransmission, and behavior.
- Gut dysbiosis in offspring is a key feature linking maternal obesity to brain dysfunction.
Conclusions:
- Maternal obesity significantly affects offspring neurodevelopment through the gut-brain axis.
- The maternal gut microbiome is a crucial, potentially modifiable factor in this relationship.
- Further research into maternal nutrition, microbiome, and metabolites is needed for novel therapeutic strategies.
Abstract:
Depression and metabolic disease are common disorders that share a bidirectional relationship and continue to increase in prevalence. Maternal diet and maternal behaviour both profoundly influence the developmental trajectory of offspring during the perinatal period. At an epidemiological level, both maternal depression and obesity during pregnancy have been shown to increase the risk of neuropsychiatric disease in the subsequent generation. Considerable progress has been made to understand the mechanisms by which maternal obesity disrupts the developing offspring gut-brain axis, priming offspring for the development of affective disorders. This review outlines such mechanisms in detail, including altered maternal care, the maternal microbiome, inflammation, breast milk composition, and maternal and placental metabolites. Subsequently, offspring may be prone to developing gut-brain interaction disorders with concomitant changes to brain energy metabolism, neurotransmission, and behaviour, alongside gut dysbiosis. The gut microbiome may act as a key modifiable, and therefore treatable, feature of the relationship between maternal obesity and the offspring brain function. Further studies examining the relationship between maternal nutrition, the maternal microbiome and metabolites, and offspring neurodevelopment are warranted to identify novel therapeutic targets.
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