The infant gut microbiome and the intergenerational transmission of psychiatric risk
Ellen Jopling1, Avril Metcalfe-Roach2, Stuart E Turvey3
1Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Laboratories of Cognitive Neuroscience, Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA.
Insights
Maternal prenatal stress impacts child mental health via the early life microbiome. Early microbiome development mediates the link between maternal stress and offspring internalizing symptoms, implicating immune system pathways.
Area of Science:
- Neuroscience
- Microbiology
- Developmental Psychology
Background:
- Prenatal stress is linked to increased child psychiatric risk.
- Mechanisms of intergenerational risk transmission are not fully understood.
- The early life microbiome is a potential mediator of maternal stress effects on offspring mental health.
Purpose of the Study:
- To investigate the mechanistic associations between maternal prenatal stress, the early life microbiome, and child internalizing symptoms.
- To elucidate how dynamic changes in the microbiome during the first year of life mediate the impact of prenatal stress on child mental health.
Main Methods:
- Utilized Canada's largest deeply phenotyped birth cohort (n=2,985).
- Employed full information maximum likelihood methodology for analyses.
- Examined associations between maternal perceived stress, microbiome diversification, and child internalizing symptoms at age 5.
Main Results:
- Early microbiome diversification significantly mediated the relationship between maternal prenatal stress and offspring internalizing symptoms.
- Specific microbial taxa influenced by early diversification were linked to immune system pathways.
- These findings suggest the microbiome's maturational dynamics biologically embed prenatal stress effects.
Conclusions:
- The early life microbiome, particularly its diversification, acts as a mechanism transmitting prenatal stress impacts to offspring mental health.
- Microbial changes implicated in this pathway involve immune system modulation.
- This research bridges microbiome science, developmental psychology, and psychiatric risk research, paving the way for future multidisciplinary studies.
Abstract:
Elevated stress during the prenatal period is associated with increased psychiatric risk among children. However, less is known about the mechanisms through which this intergenerational transmission of risk occurs. The early life microbiome is one candidate mechanism through which maternal stress during the prenatal period could impact offspring mental health, with a growing body of literature highlighting the importance of the early life microbiome in mental health across the lifespan. This study leverages Canada's largest deeply phenotyped birth cohort to elucidate the mechanistic associations between maternal prenatal stress, dynamic changes in the microbiome across the first year of life, and child internalizing symptoms. Analytic sample size with use of full information maximum likelihood methodology was 2,985. Analyses indicated that early diversification of the early life microbiome significantly mediated the relation between higher maternal perceived stress during pregnancy and increased internalizing symptoms among offspring at 5 years of age. Crucially, microbial taxa impacted by early diversification of the microbiome implicated the immune system. This work supports maturational dynamics of the microbiome as one mechanism through which prenatal stress is biologically embedded to impact offspring's later mental health. By linking several burgeoning areas of research, this study lays the groundwork for future multidisciplinary work examining the intergenerational transmission of psychiatric risk through the microbiome.
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