Department of Pediatrics, Johns Hopkins School of Medicine, 200 N. Wolfe Street, Room 2076, Baltimore, MD, 21287, USA.
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Curr Psychiatry Rep. 2022 May;24(5):297-306. doi: 10.1007/s11920-022-01337-0. Epub 2022 Apr 22.
We review ontogeny of the maternal-offspring neuroendocrine relationship in human pregnancy. We present bidirectional genetic, physiological, and behavioral influences that enhance or disrupt HPA activity and its end product cortisol at the individual level and within the dyad.
Consistent evidence supports that maternal mood and caregiving behavior are associated with maternal and offspring cortisol levels. Select studies support the buffering effects of antidepressant use and maternal positive affect on offspring cortisol. Growing research highlights evocative effects of fetal neuroendocrine activity, antenatal gene transfer, and infant behavioral distress and risk characteristics on maternal cortisol levels and dyadic attunement. There is potential to advance our understanding of the mother-offspring neuroendocrine relationship by consideration of other neuroactive steroids in addition to cortisol, and to consider developmental timing and measurement source in study design. Future study should emphasize in what context or for whom neuroendocrine attunement is adaptive versus maladaptive for mother and child.
我们回顾了人类妊娠中母胎神经内分泌关系的发育。我们提出了双向的遗传、生理和行为影响,这些影响增强或破坏了个体和对偶水平的 HPA 活动及其终产物皮质醇。
一致的证据支持母亲的情绪和养育行为与母亲和后代的皮质醇水平有关。一些研究支持使用抗抑郁药和母亲的积极情绪对后代皮质醇的缓冲作用。越来越多的研究强调胎儿神经内分泌活动、产前基因转移以及婴儿行为困扰和风险特征对母亲皮质醇水平和对偶调节的唤起作用。通过考虑除皮质醇以外的其他神经活性甾体,并考虑研究设计中的发育时间和测量来源,有可能进一步了解母婴神经内分泌关系。未来的研究应该强调在什么情况下或对谁来说,神经内分泌调节对母亲和孩子是适应的还是适应不良的。