Maternal hair cortisol concentrations, prenatal psychopathology and offspring behavioral phenotypes

母亲头发皮质醇浓度、产前精神病理学和后代行为表型

• 批准号: 10642855
• 负责人: Bizu Gelaye
• 金额: $ 18.57万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10642855
• 关键词: Acute; Adrenal Glands; Affect; Anxiety; Behavior assessment; Behavioral; Biological; Biological Assay; Biological Markers; Biological Process; Brain; Calendar; Cardiometabolic Disease; Cardiovascular Diseases; Child; Child Health; Complex; Conceptions; Data; Data Set; Development; Equity; Fetal Development; Funding; Goals; Hair; Health; Hispanic; Hydrocortisone; Intervention; Knowledge; Link; Longevity; Longitudinal Studies; Longitudinal cohort; Low income; Maternal Health; Maternal and Child Health; Measurement; Measures; Mediation; Mental Depression; Mental Health; Mental disorders; Methodology; Methods; Mission; Mothers; National Institute of Mental Health; Outcome; Participant; Perinatal; Peru; Phenotype; Physiological; Plasma; Population; Post-Traumatic Stress Disorders; Postpartum Period; Pregnancy; Psychopathology; Public Health; Reproducibility; Research; Research Design; Resources; Risk; Risk Factors; Role; Saliva; Salivary; Sampling; Serum; Strategic Planning; Stress; System; Testing; Time; Trauma; United States National Institutes of Health; Urine; Variant; Woman; Work; analytical method; behavioral health; behavioral outcome; behavioral phenotyping; biological adaptation to stress; burden of illness; clinically significant; cohort; cost effective; early pregnancy; experience; fetal; high risk population; hypothalamic-pituitary-adrenal axis; innovation; insight; intergenerational; neurodevelopment; novel; offspring; perinatal health; phenotypic data; post pregnancy; pregnancy health; prenatal; prenatal exposure; prospective; psychologic; research study; response; sound; steroid hormone; stressor

PROJECT SUMMARY / ABSTRACT Background: The hypothalamic–pituitary–adrenal (HPA) axis is one of the body’s natural stress-response systems and is critically involved in multiple biological processes. When triggered by stressors, the HPA axis stimulates the secretion of cortisol throughout the body. In the past, characterization of cortisol was limited by the use of acute cortisol concentration indicators (saliva, urine, plasma). More recently, measurement of cortisol in hair has emerged as a cost-effective means of assaying integrated HPA axis activity. This study seeks to characterize hair cortisol concentration (HCC) and evaluate which factors affect cortisol concentration in a large and well-characterized cohort from Lima, Peru (N=2,700). Another primary study aim is to evaluate the effects of HPA axis dysregulation in relation to maternal experiences of trauma and perinatal psychopathology. We will estimate the extent to which HPA axis dysregulation is associated with offspring behavioral outcomes. Finally, we aim to evaluate the extent to which HCC acts as a driver of the association between maternal psychopathology and offspring health outcomes. Implications: The proposed research is innovative in three major ways. First, we leverage one of the few cohorts with prospectively collected hair samples among a high-risk population. Second, we use a novel method of assessing long-term cortisol secretion in hair that opens the door for a new era of biologically sound studies on the role of stress in a myriad of health outcomes including perinatal health outcomes. Third, we use advanced analysis including mediation analytic methods to assess the causal effects of HPA axis dysregulation in offspring behavioral health risk. This application is consistent with the NIMH Strategic Plan Strategy 2.2: “Identify and understand risk factors, biomarkers, and behavioral indicators of mental illness and of intervention response across the lifespan.” This project will provide foundational knowledge about cortisol, a central molecule in mental health research and will inform our understanding of risk factors that affect child neurodevelopment.

项目摘要 /摘要 背景：下丘脑 - 垂体 - 肾上腺（HPA）轴是人体的自然应力反应之一 系统，并且与多个生物学过程非常重要。当压力源触发时，HPA轴 刺激整个体内皮质醇的分泌。过去，皮质醇的特征受到 使用急性皮质醇浓度指标（唾液，尿液，血浆）。最近，测量 头发中的皮质醇已成为主张综合HPA轴活动的成本效益。这项研究 试图表征头发皮质醇浓度（HCC）并评估哪些因素影响皮质醇浓度 在来自秘鲁利马的大型且特征良好的队列中（n = 2,700）。另一个主要研究目的是评估 HPA轴功能障碍与创伤和围产期的母校经历有关的影响 心理病理学。我们将估计HPA轴失调与后代相关的程度 行为结果。最后，我们旨在评估HCC充当协会的驱动力的程度 在孕产妇的心理病理学和后代健康成果之间。含义：拟议的研究是 以三种主要方式创新。首先，我们利用了前瞻性收集的头发的少数队列之一 高危人群中的样本。其次，我们使用一种评估长期皮质醇的新方法 头发的分泌为新的生物学上的新时代打开了关于压力在无数的作用的新时代 健康结果，包括围产期健康结果。第三，我们使用包括调解在内的高级分析 评估HPA轴功能失调在后代行为健康风险中的因果作用的分析方法。 该应用与NIMH战略计划策略2.2一致：“识别和理解风险因素， 生物标志物以及精神疾病的行为指标和整个生命周期的干预反应。 项目将提供有关皮质醇的基础知识，皮质醇是心理健康研究中的中央分子，将 告知我们对影响儿童神经发育的危险因素的理解。