Evidence map›Paper›PMID 33229036›Full record

ArticleBiological psychiatry2021

Associations Between Maternal Lifetime Stress and Placental Mitochondrial DNA Mutations in an Urban Multiethnic Cohort.

Kelly J Brunst, Li Zhang, Xiang Zhang, Andrea A Baccarelli, Tessa Bloomquist, Rosalind J Wright

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Kelly J BrunstDepartment of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio. Electronic address: kelly.brunst@uc.edu.
Li ZhangDepartment of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Xiang ZhangDepartment of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Andrea A BaccarelliDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.
Tessa BloomquistDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.
Rosalind J WrightDepartment of Pediatrics and Department of Environmental Medicine & Public Health, Icahn School of Medicine at Mount Sinai, New York, New York.
University of Cincinnati Medical Center · USColumbia University · USIcahn School of Medicine at Mount Sinai · US

Funding

Mount Sinai ECHO site for Perinatal Environment and Development StudiesUH3OD023337 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL, Robert O Wright · 2018 to 2026
$54.1M
REPRODUCTIVE AND DEVELOPMENTAL TOXICOLOGY RESEARCHP30ES006096 · NIEHS · UNIVERSITY OF CINCINNATI · PI PINNEY, SUSAN MENGEL · 1992 to 2022
$35.4M
MSHS Translational Science HubUL1TR001433 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2015 to 2019
$26.6M
The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Manish Arora · 2014 to 2026
$21.3M
Perinatal Programming of Infant Stress Reactivity and the Atopic PhenotypeR01HL095606 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOSQUET ENLOW, MICHELLE A, WRIGHT, ROSALIND J · 2010 to 2013
$3.1M
Prenatal stress and epigenetic programming of the HPA axis and autonomic balanceR01HL114396 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2012 to 2015
$2.8M
Mitochondrial Markers of Pollution, Stress, and NeurobehaviorR00ES024116 · NIEHS · UNIVERSITY OF CINCINNATI · PI BRUNST, KELLY J · 2017 to 2019
$743k
NCATS NIH HHS UL1 TR001433NHLBI NIH HHS R01 HL095606NHLBI NIH HHS R01 HL114396NIEHS NIH HHS P30 ES006096NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R00 ES024116NIH HHS UH3 OD023337
6 · The paper itself

Abstract

backgroundDisrupted placental functioning due to stress can have lifelong implications. Cumulative stress and trauma are likely to have lasting impacts on maternal physiological functioning and offspring development, resulting in increased risk for later-life complex disorders for which racial disparities exist.

methodsThis study examined the association between maternal lifetime stress and placental mitochondrial DNA mutational load in an urban multiethnic cohort. Maternal lifetime exposure to stressful events was assessed using the validated Life Stressor Checklist-Revised. Whole mitochondrial DNA sequencing was performed and mutations were determined for 365 placenta samples with complete exposure and covariate data. Multivariable regression was used to model maternal lifetime stress in relation to placental mitochondrial DNA mutational load. Racial/ethnic differences were examined by cross-product terms and contrast statements. Gene-wise analyses were conducted.

resultsWe identified 13,189 heteroplasmies (Phred score > 10,000, minor allele frequency < 0.5, number of mutant reads > 1). Women experiencing increased psychosocial stress over their lifetime exhibited a higher number of total placental mitochondrial mutations (β = .23, 95% confidence interval = .03 to .42) and heteroplasmic mutations (β = .18, 95% confidence interval = .05 to .31) but not homoplasmic mutations (β = -.008, 95% confidence interval = -.03 to .01); the strongest associations were observed among Black women and genes coding for NADH dehydrogenase and cytochrome c oxidase subunits.

conclusionsCumulative maternal lifetime stress is associated with a greater mitochondrial mutational load, particularly among Black women. The impact of racial/ethnic differences in mutational load on placental function directly affecting offspring development and/or leading to chronic disease disparities warrants further investigation.

Indexed as

DNA, MitochondrialPlacentaBlack or African AmericanCohort StudiesFemaleHumansMutationPregnancyDNA, MitochondrialDisparitiesHeteroplasmyMitochondrial functionPrenatalPsychosocialTrauma

Identifiers

PMID33229036
PMCPMC7889635
OpenAlexW3087169069

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.