Maternal pathways linking sociocognitive resources and immune balance to infant neurodevelopment: from cytokines to

Alexandre Díaz-Pons1, Noelia Rodriguez-Pérez2, Sergio Castaño-Castaño3

  • 1Departamento de Investigación en Enfermedades Mentales, Instituto de Investigación Marqués de Valdecilla (IDIVAL), 39011 Santander, Spain; Escuela de Doctorado de la Universidad de Cantabria (EDUC), Universidad de Cantabria (UC), 39005 Santander, Spain; Departamento de Medicina y Ciencias de la Salud, Facultad de Medicina, Universidad de Cantabria (UC), 39005 Santander, Spain; Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), 28015 Madrid, Spain.

Insights

Maternal immune balance during COVID-19 infection may subtly impact offspring neurodevelopment, specifically language and motor skills. Immune markers like the IL-6/IL-10 ratio showed associations in specific subgroups, warranting further research.

Area of Science:

  • Neuroscience
  • Immunology
  • Developmental Biology

Background:

  • The COVID-19 pandemic highlighted the importance of prenatal immune exposures on offspring neurodevelopment.
  • Maternal immune activation (MIA) is linked to neurodevelopmental disorders (NDD).
  • Immune balance, particularly the IL-6/IL-10 axis, may be more critical than absolute inflammation levels.

Purpose of the Study:

  • To investigate the association between maternal immune balance during SARS-CoV-2 infection and offspring neurodevelopment at 26 months.
  • To explore the role of the IL-6/IL-10 ratio in relation to cognitive, language, and motor outcomes.

Main Methods:

  • Utilized the COGESTCOV-19 cohort with 95 children (50 exposed to maternal SARS-CoV-2, 45 controls).
  • Assessed offspring at 26 months using the Bayley-III scales (cognitive, language, motor).
  • Analyzed maternal IL-6/IL-10 ratios from samples taken 0-4 weeks post-infection/vaccination using ANOVA/ANCOVA and GAMs.

Main Results:

  • No overall group differences in Bayley-III scores were found between exposed and control children.
  • Higher maternal IL-6/IL-10 ratios were linked to lower expressive language and fine motor scores in specific subgroups of unvaccinated mothers infected during pregnancy.
  • Maternal education positively predicted communication outcomes; advanced maternal age showed nonlinear associations with fine motor skills.

Conclusions:

  • Maternal immune balance during infection may correlate with subtle, domain-specific neurodevelopmental variations in offspring.
  • These findings are exploratory and do not confirm causal immune pathways or a protective effect of vaccination.
  • Further independent replication is necessary to validate these results.
Abstract

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