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Induction of Maternal Immune Activation in Mice at Mid-gestation Stage with Viral Mimic Poly(I:C)
Published on: March 25, 2016
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.
Background:
The COVID-19 pandemic renewed interest in prenatal immune exposures and offspring neurodevelopment. While maternal immune activation (MIA) is associated with neurodevelopmental disorders (NDD), emerging evidence suggests that immune balance-particularly within the IL-6/IL-10 axis-may be more informative than absolute inflammatory levels.
Methods:
In the COGESTCOV-19 cohort, 95 children (50 prenatally exposed to maternal SARS-CoV-2 infection; 45 controls) were reassessed at 26 months using the Bayley-III (cognitive, language, and motor domains). Group comparisons (ANOVA/ANCOVA) and linear and nonlinear regressions (GAMs) examined associations between Bayley-III scores and the maternal baseline IL-6/IL-10 ratio, focusing on samples obtained within 0-4 weeks post-infection/vaccination; sensitivity analyses extended this window to 9 weeks.
Results:
No overall differences in Bayley-III outcomes were observed between exposed and control groups after covariate adjustment. However, time-sensitive nonlinear associations emerged. Among non-vaccinated mothers infected during pregnancy and sampled within 0-4 weeks post-infection, higher IL-6/IL-10 ratios were associated with lower model-estimated offspring expressive-language and fine-motor scores in specific analytical subsets. Vaccination was associated with higher IL-10 levels in controls, not cases, and longer post-vaccination intervals corresponded to declining IL-10 in controls. Independently, higher maternal education predicted better communication outcomes, while advanced maternal age showed nonlinear associations with poorer fine motor performance.
Conclusions:
Variation in maternal immune balance during infection may be associated with subtle, domain-specific differences in early neurodevelopment. These exploratory findings do not establish causal immune pathways, a clinical IL-6/IL-10 threshold, or a protective effect of vaccination and require independent replication.
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