Prenatal stress

产前应激
  • 文章类型: Journal Article
    产前母体压力(PMS)是已知的塑造第一代后代(F1)的表型,但根据一些研究,它还可以塑造后代的表型。我们先前在日本鹌鹑中表明,PMS增加了F1后代的情绪反应性,这与(i)大脑中某些组蛋白翻译后修饰(H3K27me3)水平的变化和(ii)激素的调节有关孵化卵的组成。这里,我们想知道,由于我们确定的特定标记的持久性,PMS是否也会影响第二代(F2)和第三代(F3)后代的行为.使用主成分分析,我们发现PMS影响F2和F3鹌鹑的轮廓,世代之间存在细微差异。它增加了F2恐惧症,F3恐惧和F3新恐惧症,但仅限于女性。有趣的是,我们没有发现F3大脑中组蛋白翻译后修饰水平的任何变化,我们观察到F1和F2卵中雄烯二酮水平的调节不一致。尽管它们可能会随着世代而变化,我们的结果表明,PMS可以在第三代产生表型效应。
    Prenatal maternal stress (PMS) is known to shape the phenotype of the first generation offspring (F1) but according to some studies, it could also shape the phenotype of the offspring of the following generations. We previously showed in the Japanese quail that PMS increased the emotional reactivity of F1 offspring in relation to (i) a variation in the levels of some histone post-translational modification (H3K27me3) in their brains and (ii) a modulation of the hormonal composition of the eggs from which they hatched. Here, we wondered whether PMS could also influence the behaviour of the second (F2) and third (F3) generation offspring due to the persistence of the specific marks we identified. Using a principal component analysis, we found that PMS influenced F2 and F3 quail profiles with subtle differences between generations. It increased F2 neophobia, F3 fearfulness and F3 neophobia but only in females. Interestingly, we did not find any variations in the level of histone post-translational modification in F3 brains and we observed inconsistent modulations of androstenedione levels in F1 and F2 eggs. Although they may vary over generations, our results demonstrate that PMS can have phenotypical effects into the third generation.
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  • 文章类型: Journal Article
    目的:很少有纵向研究调查儿童期炎症在产前产妇压力与青少年心理健康之间的中介作用。这项研究的目的是检查产前产妇压力之间的关系,9岁时的免疫标志物浓度以及青春期广泛性焦虑症(GAD)和抑郁症的症状。
    方法:这项研究包括来自雅芳父母和子女纵向研究(ALSPAC)的3723对母子对。使用怀孕期间测量的55个项目检查了产前产妇的压力。使用9岁儿童的血清白细胞介素-6(IL-6)和C反应蛋白(CRP)的浓度评估炎症。当儿童16岁和18岁时,对GAD和抑郁症进行了评估,分别。由结构方程模型组成的分析。
    结果:产前母体压力与儿童期IL-6浓度升高有关,在青春期有更大的抑郁症和GAD症状。然而,我们没有观察到产前产妇压力和CRP之间的关联;CRP和IL-6与抑郁症和GAD无关。没有证据表明CRP和IL-6介导了产前母体压力与GAD或抑郁症之间的关联。
    结论:产前母体压力与儿童期IL-6水平相关,以及青春期的GAD和抑郁症。未来的研究应该检查发育过程中多个点的免疫活性与成年后的心理健康的关系,以确定发育过程中不同点的炎症是否会增加母亲在怀孕期间经历重大压力源的儿童的心理健康问题的风险。
    OBJECTIVE: Few longitudinal studies have investigated the mediating role of inflammation during childhood in associations between prenatal maternal stress and adolescent mental health. The objective of this study was to examine the associations between prenatal maternal stress, concentrations of immune markers at age 9, and symptoms of generalized anxiety disorder (GAD) and depression during adolescence.
    METHODS: This study included 3723 mother-child pairs from the Avon Longitudinal Study of Parents and Children (ALSPAC). Prenatal maternal stress was examined using 55 items measured during pregnancy. Inflammation was assessed using serum concentrations of interleukin-6 (IL-6) and C-reactive protein (CRP) when children were 9 years old. GAD and depression were assessed when children were 16 and 18 years of age, respectively. Analyses comprised of structural equation models.
    RESULTS: Prenatal maternal stress was associated with higher concentrations of IL-6 in childhood, and with greater symptoms of depression and GAD in adolescence. However, we did not observe associations between prenatal maternal stress and CRP; also, CRP and IL-6 were not associated with depression and GAD. There was no evidence that CRP and IL-6 mediated the associations between prenatal maternal stress and either GAD or depression.
    CONCLUSIONS: Prenatal maternal stress is associated with IL-6 levels in childhood, and with GAD and depression during adolescence. Future studies should examine immune activity at multiple points during development in relation to mental health into adulthood to determine whether inflammation at different points during development could increase risk for mental health problems among children whose mothers experienced significant stressors during pregnancy.
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  • 文章类型: Journal Article
    产前压力(PS)会对后代的认知和心理功能产生不利影响。本研究旨在确定PS和极低频电磁场(ELF-EMF)对空间记忆的影响,血清皮质酮,脑源性神经营养因子(BDNF)浓度,和成年雄性后代海马BDNF水平。
    雌性Wistar大鼠随机分为四组(n=6):对照组,压力,ELF-EMF(暴露于ELF-EMF),和S+EMF(同时暴露于应激和ELF-EMF)组。动物在怀孕前21天和怀孕期间21天接受干预(总共42天)。在后代出生后第90天(PND),使用莫里斯水迷宫测试了空间记忆,ELISA法测定血清皮质酮和BDNF水平,用蛋白质印迹法测定海马BDNF水平。
    PS不会影响成年雄性后代的空间记忆;然而,与对照组和EMF组相比,它显着(P<0.05)增加了糖皮质激素水平。用ELF-EMF同时诱导应力破坏了记忆获取阶段。与应激组相比,EMF组血清和海马BDNF水平显著升高(P<0.05)。
    根据我们的发现,PS可以增加血清皮质酮水平而不影响空间记忆。但是,应激诱导ELF-EMF对空间记忆具有破坏性影响,而皮质酮水平没有变化。与压力相比,产前暴露于ELF-EMF会增加血清和海马BDNF水平。需要进一步的研究来确定这些发现的潜在机制。
    UNASSIGNED: Prenatal stress (PS) can adversely affect cognitive and psychological functions in the offspring. This study aimed to determine the effect of PS and extremely low-frequency electromagnetic field (ELF-EMF) on spatial memory, serum corticosterone, brain-derived neurotrophic factor (BDNF) concentrations, and hippocampal BDNF levels in adult male offspring.
    UNASSIGNED: Female Wistar rats were randomly divided into four groups (n=6): Control, Stress, ELF-EMF (exposure to ELF-EMF), and S+EMF (simultaneous exposure to stress and the ELF-EMF) groups. Animals received interven-tions for 21 days before and 21 days during pregnancy (a total of 42 days). On the offspring\'s 90th postnatal day (PND), spatial memory was tested using Morris Water Maze, serum Corticosterone and BDNF levels were measured by the ELISA method, and hippocampal BDNF levels were measured by Western blotting.
    UNASSIGNED: PS did not affect spatial memory in the adult male offspring; however, it significantly (P<0.05) increased se-rum corticosterone levels compared to the control and EMF groups. Simultaneous induction of stress with ELF-EMF disrupted the memory acquisition phase. Serum and hippocampal BDNF levels increased signifi-cantly (P<0.05) in the EMF group compared to the stress group.
    UNASSIGNED: Based on our findings, PS can increase serum corticosterone levels without affecting spatial memory. Howev-er, induction of ELF-EMF with stress has a destructive effect on spatial memory with no change in the corti-costerone levels. Compared to stress, prenatal exposure to ELF-EMF increases serum and hippocampal BDNF levels. Further studies are needed to determine the underlying mechanisms of these findings.
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  • 文章类型: Journal Article
    The effect of stress in pregnant female Wistar rats on the behavior and lipid peroxidation (LP) in the neocortex, hippocampus and hypothalamus in the female F2 generation during the ovarian cycle was investigated. We subjected pregnant females to daily 1-hour immobilization stress from the 15th to the 19th days of pregnancy. Further, family groups were formed from prenatally stressed and control male and female rats of the F1 generation: group 1, the control female and male; group 2, the control female and the prenatally stressed male; group 3, the prenatally stressed female and the control male; group 4, the prenatally stressed female and male. The females of the F2 generation born from these couples were selected into four experimental groups in accordance with the family group. At the age of 3 months, behavior of rats was studied in the \"open field\" test in two stages of the ovarian cycle - estrus and diestrus. After 7-10 days, the rats were decapitated and the neocortex, hypothalamus and hippocampus were selected to determine the level of diene and triene conjugates, Schiff bases and the degree of lipid oxidation (Klein index). In F2 females with one prenatally stressed parent, there was no interstage difference in locomotor-exploratory activity and anxiety. If both F1 parents were prenatally stressed, female F2 rats retained interstage differences similar to the control pattern, while their locomotor-exploratory activity and time spent in the center of an \"open field\" decreased in absolute values. In the neocortex of F2 females in groups with prenatally stressed mothers, the level of primary LP products decreased and the level of Schiff bases increased in the estrus stage. In the hippocampus of F2 females in the groups with prenatally stressed fathers, the level of Schiff bases decreased in the estrus stage, and the level of primary LP products increased in group 2 and decreased in group 4. In the hypothalamus of F2 females in the groups with prenatally stressed mothers, the level of Schiff bases increased in the estrus stage and decreased in the diestrus; in addition, in group 3, the level of primary LP products in the estrus stage increased. Thus, we demonstrated the influence of prenatal stress of both F1 mother and F1 father on the behavior and the level of LP in the neocortex, hippocampus and hypothalamus in female rats of the F2 generation in estrus and diestrus.
    Исследовано влияние стресса у беременных самок крыс Вистар на поведение и показатели перекисного окисления липидов (ПОЛ) в неокортексе, гиппокампе и гипоталамусе у поколения самок F2 в течение эстрального цикла. Беременных самок подвергали ежедневному 1-часовому иммобилизационному стрессу с 15-го по 19-й день беременности. Далее из рожденных пренатально стрессированных и контрольных самцов и самок крыс поколения F1 формировали семейные группы: группа 1 – контрольные самка и самец, группа 2 – контрольная самка и пренатально стрессированный самец, группа 3 – пренатально стрессированная самка и контрольный самец, группа 4 – пренатально стрессированные самка и самец. Рожденных от этих семейных пар самок поколения F2 отбирали в четыре экспериментальные группы в соответствии с семейной группой. В возрасте трех месяцев у крыс исследовали показатели поведения в тесте «открытое поле» в двух стадиях полового цикла – эструсе и диэструсе. Через 7–10 дней крыс декапитировали и производили отбор неокортекса, гипоталамуса и гиппокампа для определения уровня диеновых и триеновых конъюгатов, оснований Шиффа и степени окисленности липидов (индекса Клейна). У самок F2 с одним пренатально стрессированным родителем отсутствует межстадиальная разница в локомоторно-исследовательской активности и тревожности. Если оба родителя F1 являются пренатально стрессированными, самки крыс F2 сохраняют межстадиальные различия, схожие с контрольным паттерном, при этом по абсолютным значениям у них снижаются локомоторно-исследовательская активность и время нахождения в центре открытого поля. В неокортексе у самок F2 в группах с пренатально стрессированными матерями снижается уровень первичных продуктов ПОЛ и повышается уровень оснований Шиффа в стадии эструса. В гиппокампе у самок F2 в группах с пренатально стрессированными отцами снижается уровень оснований Шиффа в стадии эструса, а уровень первичных продуктов ПОЛ повышается в группе 2 и снижается в группе 4. В гипоталамусе у самок F2 в группах с пренатально стрессированными матерями уровень оснований Шиффа повышается в стадии эструса и снижается в диэструсе, кроме того, в группе 3 повышается уровень первичных продуктов ПОЛ в стадии эструса. Таким образом, выявлено влияние пренатального стресса как матери F1, так и отца F1 на показатели поведения и уровень ПОЛ в неокортексе, гиппокампе и гипоталамусе у самок крыс поколения F2 в эструсе и диэструсе.
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  • 文章类型: Journal Article
    众所周知,怀孕期间的心理压力会对后代的发育和健康产生一系列持久的负面影响。这里,我们测试了产前早期生活压力的测量是否与出生时生理发育的生物标志物相关,即表观遗传胎龄,使用胎儿脐带血DNA甲基化数据。来自荷兰的纵向队列(R代研究[R代],n=1,396),英国(英国雅芳父母和子女纵向研究[ALSPAC],n=642),挪威(母亲,父亲和孩子队列研究[MoBa],n1=1,212和n2=678)提供了有关产前母体压力和脐带血全基因组DNA甲基化的数据,并进行了荟萃分析(合并n=3,928)。使用三个不同的妊娠表观遗传时钟计算表观遗传年龄加速的度量:“Bohlin”,“EPIC重叠”和“骑士”。产前压力暴露,作为总体累积分数进行检查,在任何时钟中与表观遗传学估计的胎龄加速或减速没有显着相关,基于汇总荟萃分析的结果或单个队列的结果.没有发现与产前应激暴露的特定领域有显著关联,包括负面生活事件,背景(社会经济)压力源,父母的风险(例如,产妇精神病理学)和人际关系风险(例如,家庭冲突)。Further,当分析按性别分层时,未发现显著关联.总的来说,我们发现,在一般儿科人群中,产前心理社会应激与出生时表观遗传年龄的变化相关的支持很少.
    Psychological stress during pregnancy is known to have a range of long-lasting negative consequences on the development and health of offspring. Here, we tested whether a measure of prenatal early-life stress was associated with a biomarker of physiological development at birth, namely epigenetic gestational age, using foetal cord-blood DNA-methylation data. Longitudinal cohorts from the Netherlands (Generation R Study [Generation R], n = 1,396), the UK (British Avon Longitudinal Study of Parents and Children [ALSPAC], n = 642), and Norway (Mother, Father and Child Cohort Study [MoBa], n1 = 1,212 and n2 = 678) provided data on prenatal maternal stress and genome-wide DNA methylation from cord blood and were meta-analysed (pooled n = 3,928). Measures of epigenetic age acceleration were calculated using three different gestational epigenetic clocks: \"Bohlin\", \"EPIC overlap\" and \"Knight\". Prenatal stress exposure, examined as an overall cumulative score, was not significantly associated with epigenetically-estimated gestational age acceleration or deceleration in any of the clocks, based on the results of the pooled meta-analysis or those of the individual cohorts. No significant associations were identified with specific domains of prenatal stress exposure, including negative life events, contextual (socio-economic) stressors, parental risks (e.g., maternal psychopathology) and interpersonal risks (e.g., family conflict). Further, no significant associations were identified when analyses were stratified by sex. Overall, we find little support that prenatal psychosocial stress is associated with variation in epigenetic age at birth within the general paediatric population.
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  • 文章类型: Journal Article
    产前应激(PNS),这改变了后代的下丘脑-垂体-肾上腺轴功能,在以后的生活中易患胰岛素抵抗(IR),并与许多疾病有关,包括认知和记忆障碍。目前,我们的主要目标是评估慢性吡罗美汀(Pir)给药的效果,褪黑激素类似物,在雄性和雌性后代的外周和海马中PNS引起的IR。从第一个妊娠周到出生,怀孕的Sprague-Dawley大鼠暴露于慢性压力(每天一个短期压力源,每晚一个长期压力源)。腹膜内施用载体或Pir20mg/kg,持续21天。血浆葡萄糖,血清胰岛素水平,和胰岛素抵抗的稳态模型评估(HOMA-IR)被确定为外周IR的标志物。对于海马IR评估,检查胰岛素受体(IR)和葡萄糖转运蛋白4(GLUT4)。两性的前应激后代表明血浆葡萄糖和血清胰岛素浓度升高,增加HOMA-IR,仅在雄性大鼠中海马GLUT4降低。PNS诱导的变化通过Pir的慢性治疗得到纠正。本结果表明,褪黑激素能化合物Pir对PNS暴露后代的葡萄糖/胰岛素稳态改变具有有益作用。
    Prenatal stress (PNS), which alters the hypothalamic-pituitary-adrenal axis function in the offspring, predisposes to insulin resistance (IR) in later life and is associated with numerous disorders, including cognitive and memory impairments. At present, our main goal is to assess the effects of chronic piromelatine (Pir) administration, a melatonin analogue, on PNS-provoked IR in the periphery and the hippocampus in male and female offspring. Pregnant Sprague-Dawley rats were exposed to chronic stress (one short-term stressor on a daily basis and one long-term stressor on a nightly basis) from the first gestation week until birth. Vehicle or Pir 20 mg/kg were administered intraperitoneally for 21 days. Plasma glucose, serum insulin levels, and the homeostasis model assessment of insulin resistance (HOMA-IR) were determined as markers of peripheral IR. For the hippocampal IR assessment, insulin receptors (IRs) and glucose transporter 4 (GLUT4) were examined. Prenatally stressed offspring of both sexes indicated enhanced plasma glucose and serum insulin concentrations, increased HOMA-IR, and decreased hippocampal GLUT4 only in male rats. The PNS-induced changes were corrected by chronic treatment with Pir. The present results suggest that the melatoninergic compound Pir exerts beneficial effects on altered glucose/insulin homeostasis in PNS-exposed offspring.
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  • 文章类型: Journal Article
    促肾上腺皮质激素释放激素(CRH)神经元在调节神经内分泌对应激的反应中起重要作用。CRH神经元的兴奋性受抑制性GABA能输入的调节。然而,目前尚不清楚在胎儿脑发育过程中CRH神经元的GABA能调节何时建立。此外,GABA作用从去极化到超极化的发展转变的确切进展尚不清楚。考虑到CRH神经元功能在随后的下丘脑-垂体-肾上腺(HPA)轴调节中的重要性,我们研究了GABA能输入CRH神经元的个体发育以及随后的氯化物稳态发展。可以在胚胎第15天(E15)鉴定出室旁核(PVN)中的CRH神经元窝和向中隆起突出的轴突。使用含有CRF-VenusΔNeo小鼠PVN的急性切片,出生后第0天(P0),在E15,CRH神经元的锦葵素穿孔膜片钳记录,和P7进行评估GABA作用的发育转变。GABA(EGABA)的平衡电位在E15和P0之间相似,并且在P0和P7之间显示出进一步的超极化位移,与成年CRH神经元中的EGABA值相当。GABA主要在E15起抑制信号的作用,并且在该年龄的CRH神经元中检测到KCC2表达。HPA轴的激活已被提出作为产前母体应激影响胎儿发育和随后的长期疾病风险的主要机制。因此,我们研究了母体食物限制应激对CRH神经元氯化物稳态发展的影响。我们观察到暴露于母体食物限制应激的幼崽的CRH神经元中EGABA的去极化转移。这些结果表明,早期发育的CRH神经元中的Cl-稳态达到成熟的细胞内Cl-水平,GABA主要起抑制性作用,与其他脑区的神经元相比,CRH神经元成熟和功能更早,比如大脑皮层和海马体。母体食物限制应激改变了幼犬CRH神经元的氯化物稳态,通过GABA减少它们的抑制控制。这可能有助于增加CRH神经元活性并导致幼犬中HPA轴的激活。
    Corticotropin-releasing hormone (CRH) neurons play an important role in the regulation of neuroendocrine responses to stress. The excitability of CRH neurons is regulated by inhibitory GABAergic inputs. However, it is unclear when GABAergic regulation of CRH neurons is established during fetal brain development. Furthermore, the exact progression of the developmental shift of GABA action from depolarization to hyperpolarization remains unelucidated. Considering the importance of CRH neuron function in subsequent hypothalamic-pituitary-adrenal (HPA) axis regulation during this critical phase of development, we investigated the ontogeny of GABAergic inputs to CRH neurons and consequent development of chloride homeostasis. Both CRH neuron soma in the paraventricular nucleus (PVN) and axons projecting to the median eminence could be identified at embryonic day 15 (E15). Using acute slices containing the PVN of CRF-VenusΔNeo mice, gramicidin perforated-patch clamp-recordings of CRH neurons at E15, postnatal day 0 (P0), and P7 were performed to evaluate the developmental shift of GABA action. The equilibrium potential of GABA (EGABA) was similar between E15 and P0 and showed a further hyperpolarizing shift between P0 and P7 that was comparable to EGABA values in adult CRH neurons. GABA primarily acted as an inhibitory signal at E15 and KCC2 expression was detected in CRH neurons at this age. Activation of the HPA axis has been proposed as the primary mechanism through which prenatal maternal stress shapes fetal development and subsequent long-term disease risk. We therefore examined the impact of maternal food restriction stress on the development of chloride homeostasis in CRH neurons. We observed a depolarization shift of EGABA in CRH neurons of pups exposed to maternal food restriction stress. These results suggest that Cl- homeostasis in early developmental CRH neurons attains mature intracellular Cl- levels, GABA acts primarily as inhibitory, and CRH neurons mature and function early compared with neurons in other brain regions, such as the cortex and hippocampus. Maternal food restriction stress alters chloride homeostasis in CRH neurons of pups, reducing their inhibitory control by GABA. This may contribute to increased CRH neuron activity and cause activation of the HPA axis in pups.
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  • 文章类型: Journal Article
    背景:怀孕期间的压力会对母婴健康产生不利影响。下丘脑垂体轴的失调是压力与健康之间关系的媒介。支持产前慢性压力和皮质醇之间关联的证据是有限的,发表的大部分研究都是在白人参与者中进行的,比有色人种经历更少的慢性压力。
    目的:本研究调查了产前压力的各种测量值与毛发皮质醇浓度之间的关系,而毛发皮质醇浓度是妊娠晚期拉丁裔参与者样本中综合应激反应的生物标志物。
    方法:用测量慢性应激的量表对孕妇(n=45)进行调查,感知压力,妊娠相关和妊娠特异性焦虑。收集毛发样品作为慢性应激的客观神经内分泌测量。进行线性回归分析以评估压力测量与头发皮质醇之间的关联。孕前BMI,怀孕期间吸烟,和妊娠期使用类固醇作为校正模型的协变量.
    结果:慢性压力,作为邻里/住房压力的产妇报告,日常活动和关系紧张,歧视,和财务压力,与较高的头发皮质醇浓度显着相关。没有发现头发皮质醇和感知压力之间的显著关联,怀孕相关的焦虑,也没有调整模型中的妊娠特异性焦虑。
    结论:慢性应激可能与生理应激有更强的相关性,以怀孕时的头发皮质醇来衡量,比其他常见的测量产前压力和焦虑。
    BACKGROUND: Stress during pregnancy adversely impacts maternal and infant health. Dysregulation of the hypothalamic pituitary axis is a mediator of the relationship between stress and health. Evidence supporting an association between prenatal chronic stress and cortisol is limited, and the majority of research published has been conducted amongst White participants, who experience less chronic stress than people of color.
    OBJECTIVE: This study investigated associations between various measures of prenatal stress and hair cortisol concentrations which is a biomarker of the integrated stress response in a sample of Latina participants during the third trimester of pregnancy.
    METHODS: Pregnant women (n=45) were surveyed with scales measuring chronic stress, perceived stress, pregnancy-related and pregnancy-specific anxiety. Hair samples were collected as an objective neuroendocrine measure of chronic stress. Linear regression analyses were performed to assess associations between stress measures and hair cortisol. Pre-pregnancy BMI, smoking during pregnancy, and steroid use during pregnancy were used as covariates in adjusted models.
    RESULTS: Chronic stress, operationalized as maternal reports of neighborhood/housing strain, daily activities and relationship strain, discrimination, and financial strain, was significantly associated with higher hair cortisol concentrations. No significant associations were found between hair cortisol and perceived stress, pregnancy-related anxiety, nor pregnancy-specific anxiety in adjusted models.
    CONCLUSIONS: Chronic stress may be a more robust correlate of physiological stress, as measured by hair cortisol in pregnancy, than other common measures of prenatal stress and anxiety.
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  • 文章类型: Journal Article
    产前环境对后代的发育和健康具有长期的影响。对产前应激的研究确定了这些影响的各种机制,从表观遗传和基因表达谱的变化到母体-胎盘-胎儿(MPF)应激生物学。还有证据表明,影响产前压力对母婴结局影响的其他风险和保护因素的作用。考虑到这些发现,我们提出了BABIP的研究方案,来自土耳其的预期出生队列。该项目的目的是调查产前应激对MPF应激生物学(即神经内分泌,免疫和代谢系统),差异DNA甲基化和基因表达模式,以及婴儿出生和发育结果。我们正在招募150名孕妇和他们的婴儿进行4个时间点的纵向项目:怀孕20-24(T1)和30-34(T2)周,分娩后1个月(T3)和4个月(T4)。产妇早期和产前环境(产前压力,早期生活压力,社会心理资源,和健康相关行为)在怀孕期间用MPF应激生物学评估,DNA甲基化和基因表达的办法。婴儿出生结果,产后评估DNA甲基化和发育。BABIP是来自土耳其的第一个前瞻性出生队列,对产前环境和健康进行了广泛的测量。通过调查孕期和孕期后对产前应激的多层面影响及相关风险和保护因素,BABIP将有助于我们了解产前环境影响婴儿发育和健康的机制。作为第一个来自土耳其的这样的群体,它还可以识别土耳其特定背景和人口的产前风险和保护因素。
    Prenatal environment has long-lasting effects on offspring development and health. Research on prenatal stress identified various mechanisms of these effects, from changes in epigenetic and gene expression profiles to Maternal-Placental-Fetal (MPF) stress biology. There is also evidence for the role of additional risk and protective factors influencing the impact of prenatal stress on maternal and infant outcomes. Considering these findings, we present the study protocol of BABIP, a prospective birth cohort from Turkey. The aim of the project is to investigate the effect of prenatal stress on MPF stress biology (i.e. neuroendocrine, immune and metabolic systems), differential DNA methylation and gene expression patterns, and infant birth and developmental outcomes. We are recruiting 150 pregnant women and their babies for a longitudinal project with 4 time points: 20-24 (T1) and 30-34 (T2) weeks of pregnancy, and 1-month (T3) and 4-months (T4) after giving birth. Maternal early and prenatal environment (prenatal stress, early life stress, psychosocial resources, and health-related behaviors) are assessed during pregnancy with MPF stress biology, DNA methylation and gene expression measures. Infant birth outcomes, DNA methylation and development are assessed postpartum. BABIP is the first prospective birth cohort from Turkey with extensive measures on prenatal environment and health. Through investigating the multilevel impact of prenatal stress and related risk and protective factors during and after pregnancy, BABIP will contribute to our understanding of the mechanisms by which prenatal environment influences infant development and health. Being the first such cohort from Turkey, it may also allow identification of prenatal risk and protective factors specific to the context and population in Turkey.
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  • 文章类型: Journal Article
    在怀孕期间和以后的童年中,暴露于社会逆境与皮质醇失调有关;关于产前暴露于社会压力源如何影响婴儿出生后皮质醇的了解较少。在对纵向研究数据的二次分析中,我们测试了孕妇在妊娠晚期的社会逆境报告是否与婴儿在出生后1、6和12个月的静息皮质醇有关。我们的假设是,产前暴露于社会逆境会与婴儿皮质醇升高有关。措施包括社会压力源和经济困难的产前调查报告,和从每个产后时间点获得的婴儿唾液样本确定的静息皮质醇水平。使用线性混合效应模型分析数据。最终样本包括189名妇女及其婴儿(46.56%在出生时分配了女性)。出生后6个月时,产前经济困难与婴儿皮质醇显着相关;在任何时间点,社会压力源的报告与皮质醇均无显着相关。与困难有关的因素,如心理困扰或营养缺乏,可能会改变胎儿HPA轴的发育,导致婴儿皮质醇水平升高。6月龄特有的发育变化可以解释这个时间点的影响。需要更多的工作来更好地理解影响婴儿HPA轴发育和功能的复杂的产前和产后生理和行为因素。以及环境暴露的调节作用。
    Exposure to social adversity has been associated with cortisol dysregulation during pregnancy and in later childhood; less is known about how prenatal exposure to social stressors affects postnatal cortisol of infants. In a secondary analysis of data from a longitudinal study, we tested whether a pregnant woman\'s reports of social adversity during the third trimester were associated with their infant\'s resting cortisol at 1, 6, and 12 months postnatal. Our hypothesis was that prenatal exposure to social adversity would be associated with elevation of infants\' cortisol. Measures included prenatal survey reports of social stressors and economic hardship, and resting cortisol levels determined from infant saliva samples acquired at each postnatal timepoint. Data were analyzed using linear mixed effects models. The final sample included 189 women and their infants (46.56% assigned female sex at birth). Prenatal economic hardship was significantly associated with infant cortisol at 6 months postnatal; reports of social stressors were not significantly associated with cortisol at any time point. Factors associated with hardship, such as psychological distress or nutritional deficiencies, may alter fetal HPA axis development, resulting in elevated infant cortisol levels. Developmental changes unique to 6 months of age may explain effects at this timepoint. More work is needed to better comprehend the complex pre- and post-natal physiologic and behavioral factors that affect infant HPA axis development and function, and the modifying role of environmental exposures.
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