Bronson Stefanie L, Bale Tracy L
Department of Animal Biology, University of Pennsylvania School of Veterinary Medicine, Philadelphia, Pennsylvania 19104.
Endocrinology. 2014 Jul;155(7):2635-46. doi: 10.1210/en.2014-1040. Epub 2014 May 5.
Adverse experiences during gestation such as maternal stress and infection are known risk factors for neurodevelopmental disorders, including schizophrenia, autism, and attention deficit/hyperactivity disorder. The mechanisms by which these distinct exposures may confer similar psychiatric vulnerability remain unclear, although likely involve pathways common to both stress and immune responses at the maternal-fetal interface. We hypothesized that maternal stress-induced activation of immune pathways within the placenta, the sex-specific maternal-fetal intermediary, may contribute to prenatal stress programming effects on the offspring. Therefore, we assessed for markers indicative of stress-induced placental inflammation, and examined the ability of maternal nonsteroidal antiinflammatory drug (NSAID) treatment to ameliorate placental effects and thereby rescue the stress-dysregulation phenotype observed in our established mouse model of early prenatal stress (EPS). As expected, placental gene expression analyses revealed increased levels of immune response genes, including the proinflammatory cytokines IL-6 and IL-1β, specifically in male placentas. NSAID treatment partially ameliorated these EPS effects. Similarly, in adult offspring, males displayed stress-induced locomotor hyperactivity, a hallmark of dopaminergic dysregulation, which was ameliorated by maternal NSAID treatment. Fitting with these outcomes and supportive of dopamine pathway involvement, expression of dopamine D1 and D2 receptors was altered by EPS in males. These studies support an important interaction between maternal stress and a proinflammatory state in the long-term programming effects of maternal stress.
孕期的不良经历,如母体应激和感染,是包括精神分裂症、自闭症和注意力缺陷多动障碍在内的神经发育障碍的已知风险因素。尽管这些不同的暴露因素可能导致类似的精神疾病易感性的机制尚不清楚,但可能涉及母胎界面应激和免疫反应共有的途径。我们假设,母体应激诱导胎盘(性别特异性的母胎中介物)内免疫途径的激活,可能有助于产前应激对后代的编程效应。因此,我们评估了指示应激诱导胎盘炎症的标志物,并研究了母体非甾体抗炎药(NSAID)治疗改善胎盘效应从而挽救我们已建立的早期产前应激(EPS)小鼠模型中观察到的应激失调表型的能力。正如预期的那样,胎盘基因表达分析显示免疫反应基因水平升高,包括促炎细胞因子IL-6和IL-1β,特别是在雄性胎盘中。NSAID治疗部分改善了这些EPS效应。同样,在成年后代中,雄性表现出应激诱导的运动活动亢进,这是多巴胺能失调的一个标志,母体NSAID治疗改善了这一症状。与这些结果相符并支持多巴胺途径的参与,EPS改变了雄性中多巴胺D1和D2受体的表达。这些研究支持了母体应激与促炎状态在母体应激的长期编程效应中的重要相互作用。