Evidence map›Paper›PMID 33876747›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Impact of prenatal maternal cytokine exposure on sex differences in brain circuitry regulating stress in offspring 45 years later.

Jill M Goldstein, Justine E Cohen, Klara Mareckova, Laura Holsen, Susan Whitfield-Gabrieli, Stephen E Gilman, Stephen L Buka, Mady Hornig

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Impacts of prenatal resiquimod exposure during late gestation on rat offspring development and behavior.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Association of Preterm Birth With Autism Spectrum Disorder.Biological psychiatry global open science · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

8 authors at 7 institutions in 2 countries.

Jill M GoldsteinDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114; jill_goldstein@hms.harvard.edu.ORCID 0000-0003-1689-7791
Justine E CohenDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114.ORCID 0000-0001-9729-5527
Klara MareckovaCentral European Institute of Technology, Masaryk University, 601 77 Brno, Czech Republic.ORCID 0000-0002-9120-9939
Laura HolsenDivision of Women's Health, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.ORCID 0000-0003-1292-7789
Susan Whitfield-GabrieliNortheastern University Interdisciplinary Science and Engineering Complex, Northeastern University, Boston, MA 02120.
Stephen E GilmanSocial and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development and Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205.ORCID 0000-0002-8331-6419
Stephen L BukaDepartment of Epidemiology and Population Health, Brown University, Providence, RI02912.
Mady HornigDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032.ORCID 0000-0001-7572-3092
Harvard University · USBrigham and Women's Hospital · USBrown University · USCentral European Institute of Technology · CZColumbia University · USJohns Hopkins University · USNortheastern University · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Social determinants of child development and mental healthZIAHD008976 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GILMAN, STEPHEN · 2018 to 2025
$14.3M
Sex Differences in Major Depression, Part II: Impact of Prenatal Immune, Autonomic and Neurovascular FunctionU54MH118919 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI STUART A. TOBET · 2020 to 2026
$12.7M
Aging of Emotion Circuitry: Impact of Sex, Depression, and Fetal Immune OriginsR01AG057505 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI JILL M GOLDSTEIN · 2018 to 2026
$8.5M
Sex-Specific Programming of the HPA Axis by GlucocorticoidsP50MH082679 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLDSTEIN, JILL M · 2007 to 2011
$5.9M
SEX &STRUCTURAL BRAIN ABNORMALITIES IN SCHIZOPHRENIA IIR01MH056956 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GOLDSTEIN, JILL M · 1997 to 2010
$4.5M
Prenatal & Adult Immune Biomarkers of the Negative Valence BiosignatureR03MH105585 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLDSTEIN, JILL M · 2015 to 2016
$177k
NCRR NIH HHS UL1 RR025758NIA NIH HHS R01 AG057505NIMH NIH HHS P50 MH082679NIMH NIH HHS R01 MH056956NIMH NIH HHS R03 MH105585NIMH NIH HHS U54 MH118919
6 · The paper itself

Abstract

Stress is associated with numerous chronic diseases, beginning in fetal development with in utero exposures (prenatal stress) impacting offspring's risk for disorders later in life. In previous studies, we demonstrated adverse maternal in utero immune activity on sex differences in offspring neurodevelopment at age seven and adult risk for major depression and psychoses. Here, we hypothesized that in utero exposure to maternal proinflammatory cytokines has sex-dependent effects on specific brain circuitry regulating stress and immune function in the offspring that are retained across the lifespan. Using a unique prenatal cohort, we tested this hypothesis in 80 adult offspring, equally divided by sex, followed from in utero development to midlife. Functional MRI results showed that exposure to proinflammatory cytokines in utero was significantly associated with sex differences in brain activity and connectivity during response to negative stressful stimuli 45 y later. Lower maternal TNF-α levels were significantly associated with higher hypothalamic activity in both sexes and higher functional connectivity between hypothalamus and anterior cingulate only in men. Higher prenatal levels of IL-6 were significantly associated with higher hippocampal activity in women alone. When examined in relation to the anti-inflammatory effects of IL-10, the ratio TNF-α:IL-10 was associated with sex-dependent effects on hippocampal activity and functional connectivity with the hypothalamus. Collectively, results suggested that adverse levels of maternal in utero proinflammatory cytokines and the balance of pro- to anti-inflammatory cytokines impact brain development of offspring in a sexually dimorphic manner that persists across the lifespan.

Indexed as

ConnectomeAdultCytokinesFemaleHumansHypothalamusMagnetic Resonance ImagingMalePregnancyPrenatal Exposure Delayed EffectsSex FactorsStress, PsychologicalCytokinesfunctional brain imagingprenatal immune programmingprenatal stresssexstress circuitry

Identifiers

PMID33876747
PMCPMC8054010
OpenAlexW3147428953

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.