母親の周産期うつ状態と幼児の神経発達との関連 大規模調査データの解析と動物実験で男女で異なるリスクを解明

ad

2026-02-06 東北大学

東北大学大学院医学系研究科の研究グループは、東北メディカル・メガバンク計画の三世代コホート約2.3万組の母子データとマウス実験を用い、母親の周産期うつ状態が幼児の神経発達に与える影響を解析した。その結果、妊娠期から産後にかけた母親の抑うつや心理的ストレスは、幼児の自閉スペクトラム症関連特性のリスク増加と有意に関連し、特に女児で顕著であることが示された。周産期うつ状態の母親では、母子の情緒的絆の低下や女児の出生体重低下も確認された。さらに、周産期ストレスを与えた母マウスから生まれた雌仔にのみ自閉スペクトラム症様行動が現れ、脳内オキシトシン受容体の発現低下が確認された。本研究は、周産期メンタルヘルスが子どもの神経発達に及ぼす影響に性差が存在することを示し、早期支援の重要性を示唆している。

母親の周産期うつ状態と幼児の神経発達との関連 大規模調査データの解析と動物実験で男女で異なるリスクを解明
図1. 三世代コホート調査のデータを利用した研究の詳細
母親の周産期うつ症状の指標は、女児における出生時体重の低下 (P = 0.01)、妊娠初期から産後にかけて女児の自閉スペクトラム症関連特性の指標と有意に関連していました(オッズ比: 5.805-9.367; P < 0.05)。母親の産後うつ状態を示す指標と生まれた女児との情緒的な絆の低下を示す指標との間に弱い関連性が認められました(相関係数= 0.107, P < 0.0001)。

<関連情報>

周産期うつ病が幼児の自閉スペクトラム症関連特性リスクに及ぼす性差: コホート調査とマウス研究 Sex differences in the risk of autistic-related traits in toddlers born to mothers with perinatal depression: Evidence from human cohort and mouse study

Changrong Duan,Zhiqian Yu,Xue Li,Mai Sakai,Yuko Maejima,Kenju Shimomura,Tomoyuki Furuyashiki,Saya Kikuchi,Natsuko Kobayashi,Kazuto Sasaki,Tasuku Matsuki,Hiroshi Komatsu,Mizuki Hino,Yasuto Kunii,Tomoko Kasahara,Mami Ishikuro,Keiko Murakami,Masatsugu Orui,Takaaki Abe,Fuji Nagami,Nobuo Fuse,Soichi Ogishima,Kengo Kinoshita,Masayuki Yamamoto,… Hiroaki Tomita
Molecular Psychiatry  Published:04 February 2026
DOI:https://doi.org/10.1038/s41380-026-03456-z

Abstract

Maternal perinatal depression (MPD) is associated with reduced maternal plasma oxytocin (OXT) levels and an increased risk of autism spectrum disorder (ASD) in offspring. Using data from 23,218 Japanese mother–child pairs, we evaluated the relationship between MPD—assessed with the Kessler Psychological Distress Scale (K6) and the Edinburgh Postnatal Depression Scale (EPDS)—and autistic-related traits (ART) in toddlers, measured by the Tokyo Autistic Behavior Scale (TABS). We also tested the potential causal relationship of maternal stress exposure on OXT, its receptor (OXTR), and offspring outcomes using a prenatal stress-exposed mouse model. In the human cohort study, higher K6 or EPDS scores during pregnancy and postpartum were significantly associated with increased TABS scores in toddlers. Offspring of mothers with MPD (K6 or EPDS score ≥ 9) during pregnancy or postpartum exhibited a higher risk of ART (TABS score ≥ 15; P < 0.05). This risk was particularly pronounced in female toddlers exposed to MPD during pregnancy and postpartum (ORs: 5.805–9.367; P < 0.05). Female toddlers born to mothers with MPD also had lower birth weight, and their ART were positively correlated with K6 scores during mid-gestation and with impaired maternal bonding postpartum. In the mouse model, chronically stressed dams displayed depressive-like behaviors, and their female juveniles exhibited increased self-grooming and impaired social interaction. Furthermore, OXTR mRNA levels were significantly reduced in the prefrontal cortex of female juveniles from stressed dams. These findings suggest that MPD increases the risk of ART, particularly in females, highlighting potential sex-specific mechanisms underlying ASD susceptibility.

医療・健康
ad
ad
Follow
ad
タイトルとURLをコピーしました