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产前抑郁与婴儿气质:胎盘基因表达的调节作用。

Prenatal Depression and Infant Temperament: The Moderating Role of Placental Gene Expression.

作者信息

Zhang Wei, Finik Jackie, Dana Kathryn, Glover Vivette, Ham Jacob, Nomura Yoko

机构信息

Queens College, CUNY.

Queens College, CUNY and Icahn School of Medicine at Mount Sinai and Graduate School of Public Health and Health Policy, CUNY.

出版信息

Infancy. 2018 Mar-Apr;23(2):211-231. doi: 10.1111/infa.12215. Epub 2017 Oct 5.

Abstract

Prior research has demonstrated the link between maternal depression during pregnancy (i.e., prenatal depression) and increased neurodevelopmental dysregulation in offspring. However, little is known about the roles of key hypothalamic-pituitary axis regulatory genes in the placenta modulating this association. This study will examine whether placental gene expression levels of 11-hydroxysteroid dehydrogenase type 2 (), glucocorticoid receptor (), and mineralocorticoid receptor () can help elucidate the underlying mechanisms linking prenatal depression to infant temperament, particularly in infants with high negativity and low emotion regulation. Stored placenta tissues ( 153) were used to quantify messenger ribonucleic acid levels of , , and . Assessments of prenatal depression and infant temperament at 6 months of age were ascertained via maternal report. Results found that prenatal depression was associated with increased Negative Affectivity ( .05) after controlling for postnatal depression and psychosocial characteristics. Furthermore, the association between prenatal depression and Negative Affectivity was moderated by gene expression levels of , , and such that greater gene expression significantly lessened the association between prenatal depression and Negative Affectivity. Our findings suggest that individual differences in placental gene expression may be used as an early marker of susceptibility or resilience to prenatal adversity.

摘要

先前的研究已经证明了孕期母亲抑郁(即产前抑郁)与后代神经发育失调增加之间的联系。然而,关于胎盘内关键的下丘脑 - 垂体轴调节基因在调节这种关联中所起的作用,我们却知之甚少。本研究将检验11β - 羟类固醇脱氢酶2型(11β-HSD2)、糖皮质激素受体(GR)和盐皮质激素受体(MR)的胎盘基因表达水平是否有助于阐明产前抑郁与婴儿气质之间的潜在机制,特别是在高消极情绪和低情绪调节能力的婴儿中。使用储存的胎盘组织(n = 153)来量化11β-HSD2、GR和MR的信使核糖核酸水平。通过母亲报告确定产前抑郁和婴儿6个月大时的气质评估情况。结果发现,在控制产后抑郁和心理社会特征后,产前抑郁与消极情绪增加有关(p <.05)。此外,产前抑郁与消极情绪之间的关联受到11β-HSD2、GR和MR基因表达水平的调节,即更高的基因表达显著减轻了产前抑郁与消极情绪之间的关联。我们的研究结果表明,胎盘基因表达的个体差异可能被用作对产前逆境易感性或恢复力的早期标志物。

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