Herbein Marie, Barbosa Susana, Collet Ophélie, Khalfallah Olfa, Navarro Marie, Bailhache Marion, Iv Nicolas, Aouizerate Bruno, Sutter-Dallay Anne-Laure, Koehl Muriel, Capuron Lucile, Ellul Pierre, Peyre Hugo, Van der Waerden Judith, Melchior Maria, Côté Sylvana, Heude Barbara, Glaichenhaus Nicolas, Davidovic Laetitia, Galera Cedric
University of Bordeaux, France.
INSERM, Bordeaux Population Health Center, UMR1219, France.
Brain Behav Immun Health. 2024 Mar 29;38:100768. doi: 10.1016/j.bbih.2024.100768. eCollection 2024 Jul.
There is growing evidence that imbalance immune activity plays a role in the development of neurodevelopmental and psychiatric disorders in children. Mood dysregulation (MD) is a debilitating transnosographic syndrome whose underlying pathophysiological mechanisms could be revealed by studying its biomarkers using the Research Domain Criteria (RDoC) model. Our aim was to study the association between the network of cord serum cytokines, and mood dysregulation trajectories in offsprings between 3 and 8 years of age. We used the data of a study nested in the French birth cohort EDEN that took place from 2003 to 2014 and followed mother-child dyads from the second trimester of pregnancy until the children were 8 years of age. The 2002 mother-child dyads were recruited from the general population through their pregnancy follow-up in two French university hospitals. 871 of them were included in the nested cohort and cord serum cytokine levels were measured at birth. Children's mood dysregulation symptoms were assessed with the Strengths and Difficulties Questionnaire Dysregulation Profile at the ages 3, 5 and 8 years in order to model their mood dysregulation trajectories. Out of the 871 participating dyads, 53% of the children were male. 2.1% of the children presented a high mood dysregulation trajectory whereas the others were considered as physiological variations. We found a significant negative association between TNF-α cord serum levels and a high mood dysregulation trajectory when considering confounding factors such as maternal depression during pregnancy (adjusted Odds Ratio (aOR) = 0.35, 95% Confidence Interval (CI) [0.18-0.67]). Immune imbalance at birth could play a role in the onset of mood dysregulation symptoms. Our findings throw new light on putative immune mechanisms implicated in the development of mood dysregulation and should lead to future animal and epidemiological studies.
越来越多的证据表明,免疫活动失衡在儿童神经发育和精神疾病的发展中起作用。情绪失调(MD)是一种使人衰弱的跨诊断综合征,通过使用研究领域标准(RDoC)模型研究其生物标志物,可以揭示其潜在的病理生理机制。我们的目的是研究脐带血清细胞因子网络与3至8岁后代情绪失调轨迹之间的关联。我们使用了嵌套在法国出生队列EDEN中的一项研究数据,该研究于2003年至2014年进行,跟踪母婴二元组从妊娠中期到儿童8岁。2002对母婴二元组通过在两家法国大学医院的孕期随访从普通人群中招募。其中871对被纳入嵌套队列,并在出生时测量脐带血清细胞因子水平。在3岁、5岁和8岁时,使用优势与困难问卷失调量表评估儿童的情绪失调症状,以模拟他们的情绪失调轨迹。在871对参与的二元组中,53%的儿童为男性。2.1%的儿童呈现出高情绪失调轨迹,而其他儿童则被视为生理变异。在考虑诸如孕期母亲抑郁等混杂因素时,我们发现TNF-α脐带血清水平与高情绪失调轨迹之间存在显著的负相关(调整后的优势比(aOR)=0.35,95%置信区间(CI)[0.18-0.67])。出生时的免疫失衡可能在情绪失调症状的发作中起作用。我们的发现为情绪失调发展中涉及的假定免疫机制提供了新的线索,并应引发未来的动物和流行病学研究。
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