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Updated: Jul 13, 2025

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Maternal oxidative stress during pregnancy associated with emotional and behavioural problems in early childhood:
Cindy Pham1,2,3, Sarah Thomson2, Sung-Tong Chin4
1Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Parkville, VIC, 3052, Australia.
Insights
Maternal oxidative stress during pregnancy, particularly RNA damage, is linked to childhood emotional and behavioural problems (EBP). Early-life environmental factors contribute to this stress, partly explaining their impact on child EBP.
Area of Science:
- Perinatal epidemiology
- Environmental health
- Developmental psychology
Background:
- Childhood emotional and behavioural problems (EBP) are a growing concern.
- Maternal oxidative stress during pregnancy (matOSpreg) is associated with offspring mental health issues.
- The specific role of matOSpreg in childhood EBP remains unclear.
Purpose of the Study:
- To investigate the association between matOSpreg and offspring EBP.
- To examine the relationship between social/prenatal environmental factors and matOSpreg.
- To determine if matOSpreg mediates the link between environmental factors and childhood EBP.
Main Methods:
- Quantified maternal urinary oxidative stress biomarkers (8-hydroxyguanosine [8-OHGua] and 8-hydroxy-2'-deoxyguanosine [8-OHdG]) at 36 weeks gestation.
- Collected data on social and prenatal environmental factors via questionnaires.
- Assessed offspring EBP at ages two and four using validated scales (Child Behavior Checklist, Strengths and Difficulties Questionnaire).
- Employed multivariable regression and counterfactual-based mediation analysis.
Main Results:
- Higher maternal urinary 8-OHGua (an RNA oxidative damage marker) was associated with increased offspring EBP at ages two and four.
- Weaker associations were observed for 8-OHdG (a DNA oxidative damage marker).
- Lower maternal education, socioeconomic disadvantage, and prenatal smoking were linked to both higher mat8-OHGua36w and childhood EBP.
- These environmental risk factors partially mediated their effects on childhood EBP through elevated matOSpreg.
Conclusions:
- Elevated maternal oxidative stress during pregnancy, especially RNA damage, is linked to later childhood EBP.
- The impact of certain early-life social and environmental factors on childhood EBP may be partly explained by maternal oxidative stress.
- Further research is needed to fully understand the role of early-life oxidative damage in childhood EBP.
Abstract:
Childhood mental disorders, including emotional and behavioural problems (EBP) are increasingly prevalent. Higher maternal oxidative stress (OS) during pregnancy (matOSpreg) is linked to offspring mental disorders. Environmental factors contribute to matOSpreg. However, the role of matOSpreg in childhood EBP is unclear. We investigated the associations between (i) matOSpreg and offspring EBP; (ii) social and prenatal environmental factors and matOSpreg; and (iii) social and prenatal factors and childhood EBP and evaluated whether matOSpreg mediated these associations. Maternal urinary OS biomarkers, 8-hydroxyguanosine (8-OHGua; an oxidative RNA damage marker) and 8-hydroxy-2'-deoxyguanosine (8-OHdG; an oxidative DNA damage marker), at 36 weeks of pregnancy were quantified by liquid chromatography-mass spectrometry in a population-derived birth cohort, Barwon Infant Study (n = 1074 mother-infant pairs). Social and prenatal environmental factors were collected by mother-reported questionnaires. Offspring total EBP was measured by Child Behavior Checklist Total Problems T-scores at age two (n = 675) and Strengths and Difficulties Questionnaire Total Difficulties score at age four (n = 791). Prospective associations were examined by multivariable regression analyses adjusted for covariates. Mediation effects were evaluated using counterfactual-based mediation analysis. Higher maternal urinary 8-OHGua at 36 weeks (mat8-OHGua36w) was associated with greater offspring total EBP at age four (β = 0.38, 95% CI (0.07, 0.69), P = 0.02) and age two (β = 0.62, 95% CI (-0.06, 1.30), P = 0.07). Weaker evidence of association was detected for 8-OHdG. Five early-life factors were associated with both mat8-OHGua36w and childhood EBP (P-range < 0.001-0.05), including lower maternal education, socioeconomic disadvantage and prenatal tobacco smoking. These risk factor-childhood EBP associations were partly mediated by higher mat8-OHGua36w (P-range = 0.01-0.05). Higher matOSpreg, particularly oxidant RNA damage, is associated with later offspring EBP. Effects of some social and prenatal lifestyle factors on childhood EBP were partly mediated by matOSpreg. Future studies are warranted to further elucidate the role of early-life oxidant damage in childhood EBP.
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