Journal article
Fetal programming pathway from maternal mental health to infant cortisol functioning: The role of placental 11β-HSD2 mRNA expression
Psychoneuroendocrinology, Vol.127, Article 105197
2021
Abstract
Placental 11β-HSD2 has been a focus of research for understanding potential fetal programming associated with maternal emotional disorders. This study examined the pathway from antenatal mental health via placental 11β-HSD2 mRNA to cortisol regulation in the infant offspring. This study reports on data obtained from 236 participants in the Mercy Pregnancy and Emotional Wellbeing Study (MPEWS). At term, placental tissue was collected within 30 min of birth from 52 participants meeting current criteria for a depressive disorder, and 184 control participants. Depressive disorders were diagnosed using the SCID-IV. In addition, antidepressant use, depressive and anxiety symptoms were measured in early and late pregnancy. Placental 11β-HSD2 mRNA expression was measured using qRT-PCR. Infant salivary cortisol samples were taken at 12 months of age. Women on antidepressant medication and with higher trait anxiety had higher placental 11β-HSD2 expression compared to women not taking medication. Furthermore, the offspring of women taking an antidepressant and who also had a current depressive disorder and high trait anxiety had high cortisol reactivity at 12 months of age and this was mediated through 11β-HSD2 mRNA expression. In contrast, offspring of women not taking antidepressant medication with depressive disorder and high anxiety there was low cortisol reactivity observed. Our findings suggest that the relationship between maternal antenatal depression and anxiety and infant cortisol reactivity is mediated through placental 11β-HSD2 mRNA expression. Furthermore, the direction differed for women taking antidepressants, where infant cortisol reactivity was high whereas when compared to those with unmedicated depression and anxiety, where infant cortisol reactivity was low.
Details
- Title
- Fetal programming pathway from maternal mental health to infant cortisol functioning: The role of placental 11β-HSD2 mRNA expression
- Authors/Creators
- M. Galbally (Author/Creator) - King Edward Memorial HospitalS.J. Watson (Author/Creator) - Psychology, Murdoch University, Australia; School of Medicine, University of Notre Dame, Australia.M. Lappas (Author/Creator) - Mercy Hospital for WomenE.R. de Kloet (Author/Creator) - Leiden University Medical CenterE. van Rossum (Author/Creator)C. Wyrwoll (Author/Creator) - The University of Western AustraliaP. Mark (Author/Creator) - The University of Western AustraliaA.J. Lewis (Author/Creator) - Murdoch University
- Publication Details
- Psychoneuroendocrinology, Vol.127, Article 105197
- Publisher
- Elsevier Ltd
- Identifiers
- 991005540022907891
- Copyright
- © 2021 Published by Elsevier Ltd.
- Murdoch Affiliation
- School of Allied Health
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.1072 Perinatal Mental Health
- Web Of Science research areas
- Endocrinology & Metabolism
- Neurosciences
- Psychiatry
- ESI research areas
- Neuroscience & Behavior