Braithwaite E C, Kundakovic M, Ramchandani P G, Murphy S E, Champagne F A
a Department of Psychiatry; University of Oxford; Warneford Hospital ; Oxford , UK.
Epigenetics. 2015;10(5):408-17. doi: 10.1080/15592294.2015.1039221.
Prenatal maternal psychological distress increases risk for adverse infant outcomes. However, the biological mechanisms underlying this association remain unclear. Prenatal stress can impact fetal epigenetic regulation that could underlie changes in infant stress responses. It has been suggested that maternal glucocorticoids may mediate this epigenetic effect. We examined this hypothesis by determining the impact of maternal cortisol and depressive symptoms during pregnancy on infant NR3C1 and BDNF DNA methylation. Fifty-seven pregnant women were recruited during the second or third trimester. Participants self-reported depressive symptoms and salivary cortisol samples were collected diurnally and in response to a stressor. Buccal swabs for DNA extraction and DNA methylation analysis were collected from each infant at 2 months of age, and mothers were assessed for postnatal depressive symptoms. Prenatal depressive symptoms significantly predicted increased NR3C1 1F DNA methylation in male infants (β = 2.147, P = 0.044). Prenatal depressive symptoms also significantly predicted decreased BDNF IV DNA methylation in both male and female infants (β = -3.244, P = 0.013). No measure of maternal cortisol during pregnancy predicted infant NR3C1 1F or BDNF promoter IV DNA methylation. Our findings highlight the susceptibility of males to changes in NR3C1 DNA methylation and present novel evidence for altered BDNF IV DNA methylation in response to maternal depression during pregnancy. The lack of association between maternal cortisol and infant DNA methylation suggests that effects of maternal depression may not be mediated directly by glucocorticoids. Future studies should consider other potential mediating mechanisms in the link between maternal mood and infant outcomes.
产前母亲心理困扰会增加婴儿出现不良结局的风险。然而,这种关联背后的生物学机制仍不清楚。产前压力会影响胎儿的表观遗传调控,这可能是婴儿应激反应变化的基础。有人提出,母体糖皮质激素可能介导这种表观遗传效应。我们通过确定孕期母亲皮质醇和抑郁症状对婴儿NR3C1和BDNF DNA甲基化的影响来检验这一假设。在孕中期或孕晚期招募了57名孕妇。参与者自我报告抑郁症状,并每日收集唾液皮质醇样本以及在应激源刺激后收集样本。在每个婴儿2个月大时采集颊拭子用于DNA提取和DNA甲基化分析,并评估母亲的产后抑郁症状。产前抑郁症状显著预测了男婴NR3C1 1F DNA甲基化增加(β = 2.147,P = 0.044)。产前抑郁症状还显著预测了男婴和女婴BDNF IV DNA甲基化降低(β = -3.244,P = 0.013)。孕期母亲皮质醇的测量指标均未预测婴儿NR3C1 1F或BDNF启动子IV DNA甲基化。我们的研究结果突出了男性对NR3C1 DNA甲基化变化的易感性,并为孕期母亲抑郁导致BDNF IV DNA甲基化改变提供了新证据。母亲皮质醇与婴儿DNA甲基化之间缺乏关联表明,母亲抑郁的影响可能不是直接由糖皮质激素介导的。未来的研究应考虑母亲情绪与婴儿结局之间联系的其他潜在介导机制。