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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
Negative impact of maternal depressive symptoms on infancy neurodevelopment: a moderated mediation effect of maternal
Shanshan Cui1, Wenjuan Xiong2, Ziyu Zhao2
1Beijing Key Laboratory of Environmental Toxicology, School of Public Health, Capital Medical University, Beijing, 100069, China.
Insights
Maternal depression can negatively impact infant neurodevelopment, particularly adaptive behaviors. Maternal inflammation, especially in early pregnancy, significantly mediates this relationship, highlighting inflammation
Area of Science:
- Neuroscience
- Developmental Psychology
- Immunology
Background:
- Maternal depression is linked to offspring neurodevelopmental risks.
- The mediating role of maternal inflammation in this association requires further human investigation.
Purpose of the Study:
- To examine the mediating role of maternal inflammation in the relationship between maternal depression and infant neurodevelopment.
- Investigate specific inflammatory biomarkers and their impact on infant adaptive behavior.
Main Methods:
- 146 mother-child pairs from the Tianjin Maternal and Child Health Education and Service Cohort (Tianjin MCHESC).
- Assessed maternal depression using the Center for Epidemiologic Studies Depression Scale and Edinburgh Postnatal Depression Scale.
- Measured maternal inflammatory biomarkers (e.g., c-reactive protein) via ELISA across trimesters and infant neurodevelopment using the Children Neuropsychological and Behavior Scale-Revision 2016.
Main Results:
- Higher maternal depression was associated with lower infant adaptive behavior quotients.
- Elevated maternal c-reactive protein and first-trimester inflammatory levels correlated with reduced infant adaptive behavior.
- First-trimester inflammation significantly mediated the link between maternal depression and infant adaptive behavior, explaining 11.85% of the association.
Conclusions:
- Maternal depression can impair infant adaptive behavior development through inflammatory pathways.
- Early pregnancy inflammation is a critical factor mediating the negative effects of maternal depression on offspring neurodevelopment.
Abstract:
Maternal depression promotes maternal inflammation and the risk of neurodevelopmental disorder in offspring, but the role of inflammation on the association between depression and neurodevelopment in offspring has not been extensively studied in humans. This study aims to examine the mediating role of maternal inflammation on the relationship between maternal depression and neurodevelopment in infants. 146 mother-child pairs were identified from Tianjin Maternal and Child Health Education and Service Cohort (Tianjin MCHESC). Maternal depression was investigated by the Center for Epidemiologic Studies Depression Scale and the Edinburgh Postnatal Depression Scale, and depressive trajectories were identified by latent class growth analysis. Inflammatory biomarkers in the three trimesters were assessed with enzyme-linked immunoassay. The Children Neuropsychological and Behavior Scale-Revision 2016 was used to measure neurodevelopment in infants. Principal component analysis was performed to identify inflammatory condition. Stepwise multiple linear regression analysis and mediation analysis were used to identify association among maternal depression, maternal inflammation and neurodevelopment in infants. Offspring in the low and moderate maternal depression groups exhibited higher adaptive behavior development quotient than those in the high maternal depression group. Higher maternal c-reactive protein level and higher inflammatory level in acute-phase of inflammation in the first trimester, and moderate maternal depression were associated with lower adaptive behavior quotients of infants. Inflammatory level in acute-phase of inflammation in the first trimester significantly mediated the association between maternal depression and adaptive behavior development of infants, with explaining 11.85% of the association. Maternal depression could impair adaptive behavior development in infants by inflammation.
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