Browsing by Subject "pregnancy"
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Item Open Access A Mitochondrial Progesterone Receptor Increases Cardiac Beta-Oxidation and Remodeling.(Journal of the Endocrine Society, 2019-02) Dai, Qunsheng; Likes, Creighton E; Luz, Anthony L; Mao, Lan; Yeh, Jason S; Wei, Zhengzheng; Kuchibhatla, Maragatha; Ilkayeva, Olga R; Koves, Timothy R; Price, Thomas M; Price, Thomas MProgesterone is primarily a pregnancy-related hormone, produced in substantial quantities after ovulation and during gestation. Traditionally known to function via nuclear receptors for transcriptional regulation, there is also evidence of nonnuclear action. A previously identified mitochondrial progesterone receptor (PR-M) increases cellular respiration in cell models. In these studies, we demonstrated that expression of PR-M in rat H9c2 cardiomyocytes resulted in a ligand-dependent increase in oxidative cellular respiration and beta-oxidation. Cardiac expression in a TET-On transgenic mouse resulted in gene expression of myofibril proteins for remodeling and proteins involved in oxidative phosphorylation and fatty acid metabolism. In a model of increased afterload from constant transverse aortic constriction, mice expressing PR-M showed a ligand-dependent preservation of cardiac function. From these observations, we propose that PR-M is responsible for progesterone-induced increases in cellular energy production and cardiac remodeling to meet the physiological demands of pregnancy.Item Open Access Blood Lead Levels Among Pregnant Women: Historical Versus Contemporaneous Exposures(2012-11-01) Edwards, Sharon E; Miranda, Marie Lynn; Neelon, Brian Hugh; Paul, Christopher J; Swamy, Geeta KrishnaBlood lead among pregnant women, even at modest levels, may impair offspring cognitive development. We examine whether blood lead levels (BLLs) result from current versus historic exposures, among a cohort of pregnant women. Cumulative logit models were used to characterize the relationship between maternal risk factors and higher BLLs. Maternal blood lead levels more likely result from lead remobilization from historic versus contemporaneous exposures. Even if all lead sources were abated immediately, women and their fetuses would experience lead exposure for decades. This work emphasizes the importance of addressing sources of environmental lead exposure in the United States and internationally.Item Open Access Blood lead levels among pregnant women: historical versus contemporaneous exposures.(Int J Environ Res Public Health, 2010-04) Miranda, Marie Lynn; Edwards, Sharon E; Swamy, Geeta K; Paul, Christopher J; Neelon, BrianBlood lead among pregnant women, even at modest levels, may impair offspring cognitive development. We examine whether blood lead levels (BLLs) result from current versus historic exposures, among a cohort of pregnant women. Cumulative logit models were used to characterize the relationship between maternal risk factors and higher BLLs. Maternal blood lead levels more likely result from lead remobilization from historic versus contemporaneous exposures. Even if all lead sources were abated immediately, women and their fetuses would experience lead exposure for decades. This work emphasizes the importance of addressing sources of environmental lead exposure in the United States and internationally.Item Open Access Coronavirus disease 2019 vaccines in pregnancy.(American journal of obstetrics & gynecology MFM, 2020-12-10) Craig, Amanda M; Hughes, Brenna L; Swamy, Geeta KAs of December 1, 2020, nearly 64 million people have been infected with the severe acute respiratory syndrome coronavirus 2 worldwide with nearly 1.5 million global deaths. The impact of this virus has continued to overwhelm hospital infrastructure and demanded remodeling of healthcare systems. With rising concerns for a third, and possibly the largest, wave of individuals infected with the virus, national leaders are continuing to seek avenues by which we can further limit disease transmission and prevent infection with the use of vaccination. To our knowledge, no clinical trial evaluating vaccines to prevent coronavirus disease 2019 has included pregnant women. In December 2020, it was anticipated that the Food and Drug Administration will approve at least 1 or 2 mRNA-based coronavirus disease 2019 vaccine under the Emergency Use Authorization based on phase 3 clinical trial efficacy data. Both Pfizer and Moderna have manufactured mRNA-based vaccines with 95% and 94.1% efficacy against the severe acute respiratory syndrome coronavirus 2. AstraZeneca has manufactured a vaccine using a viral vector demonstrating early efficacy as well, and this next-generation platform has previously been utilized with the Ebola vaccine and safely administered during pregnancy with an acceptable safety profile. Approval of these vaccines will have a tremendous impact on the ongoing pandemic, yet there remains a lack of data for use of coronavirus disease 2019 vaccine in pregnant women. In this article, we seek to discuss the available data regarding treatment and prevention of coronavirus disease 2019 in pregnancy and address the growing questions regarding how best to approach vaccine access and administration in the pregnant population.Item Open Access Maternal childhood adversity and infant epigenetic aging: Moderation by restless sleep during pregnancy(Developmental Psychobiology, 2024-02-01) Sosnowski, David W; Rojo-Wissar, Darlynn M; Peng, Gang; Parade, Stephanie H; Sharkey, Katherine; Hoyo, Cathrine; Murphy, Susan K; Hernandez, Raquel G; Johnson, Sara BMaternal exposure to childhood adversity is associated with detrimental health outcomes throughout the life span and may have implications for offspring. Evidence links maternal adverse childhood experiences (ACEs) to detrimental birth outcomes, yet the impact on the infant's epigenome is unclear. Moreover, maternal sleep habits during pregnancy may influence this association. Here, we explore whether restless sleep during pregnancy moderates the association between exposure to maternal childhood adversity and infant epigenetic age acceleration in 332 mother–infant dyads (56% female; 39% Black; 25% Hispanic). During the second trimester, mothers self-reported childhood adversity and past-week restless sleep; DNA methylation from umbilical vein endothelial cells was used to estimate five epigenetic clocks. Multivariable linear regression was used to test study hypotheses. Despite no evidence of main effects, there was evidence of an interaction between maternal ACEs and restless sleep in predicting infant epigenetic age acceleration using the EPIC gestational age clock. Only infants whose mothers reported exposure to both ACEs and restless sleep demonstrated accelerated epigenetic aging. Results provide preliminary evidence that maternal childhood adversity and sleep may influence the infant epigenome.Item Open Access Maternal Effects of Respiratory Syncytial Virus Infection during Pregnancy.(Emerg Infect Dis, 2015-11) Wheeler, Sarahn M; Dotters-Katz, Sarah; Heine, R Phillip; Grotegut, Chad A; Swamy, Geeta KGiven the illness and deaths caused by respiratory syncytial virus (RSV) infection during the first year of life, preventing infant RSV infections through maternal vaccination is intriguing. However, little is known about the extent and maternal effects of RSV infection during pregnancy. We describe 3 cases of maternal RSV infection diagnosed at a US center during winter 2014. Case-patient 1 (26 years old, week 33 of gestation) received a diagnosis of RSV infection and required mechanical ventilation. Case-patient 2 (27 years old, week 34 of gestation) received a diagnosis of infection with influenza A(H1N1) virus and RSV and required mechanical ventilation. Case-patient 3 (21 years old, week 32 of gestation) received a diagnosis of group A streptococcus pharyngitis and RSV infection and was monitored as an outpatient. Clarifying the effects of maternal RSV infection could yield valuable insights into potential maternal and fetal benefits of an effective RSV vaccination program.Item Open Access Maternal stress, preterm birth, and DNA methylation at imprint regulatory sequences in humans.(Genetics & epigenetics, 2014-01) Vidal, Adriana C; Benjamin Neelon, Sara E; Liu, Ying; Tuli, Abbas M; Fuemmeler, Bernard F; Hoyo, Cathrine; Murtha, Amy P; Huang, Zhiqing; Schildkraut, Joellen; Overcash, Francine; Kurtzberg, Joanne; Jirtle, Randy L; Iversen, Edwin S; Murphy, Susan KIn infants exposed to maternal stress in utero, phenotypic plasticity through epigenetic events may mechanistically explain increased risk of preterm birth (PTB), which confers increased risk for neurodevelopmental disorders, cardiovascular disease, and cancers in adulthood. We examined associations between prenatal maternal stress and PTB, evaluating the role of DNA methylation at imprint regulatory regions. We enrolled women from prenatal clinics in Durham, NC. Stress was measured in 537 women at 12 weeks of gestation using the Perceived Stress Scale. DNA methylation at differentially methylated regions (DMRs) associated with H19, IGF2, MEG3, MEST, SGCE/PEG10, PEG3, NNAT, and PLAGL1 was measured from peripheral and cord blood using bisulfite pyrosequencing in a sub-sample of 79 mother-infant pairs. We examined associations between PTB and stress and evaluated differences in DNA methylation at each DMR by stress. Maternal stress was not associated with PTB (OR = 0.98; 95% CI, 0.40-2.40; P = 0.96), after adjustment for maternal body mass index (BMI), income, and raised blood pressure. However, elevated stress was associated with higher infant DNA methylation at the MEST DMR (2.8% difference, P < 0.01) after adjusting for PTB. Maternal stress may be associated with epigenetic changes at MEST, a gene relevant to maternal care and obesity. Reduced prenatal stress may support the epigenomic profile of a healthy infant.Item Open Access Pre-Pregnancy Weight and Symptoms of Attention Deficit Hyperactivity Disorder and Executive Functioning Behaviors in Preschool Children.(International journal of environmental research and public health, 2019-02-25) Fuemmeler, Bernard F; Zucker, Nancy; Sheng, Yaou; Sanchez, Carmen E; Maguire, Rachel; Murphy, Susan K; Kollins, Scott H; Hoyo, CathrineThis study examines pre-pregnancy Body Mass Index (BMI) and gestational weight gain (GWG) in relation to early childhood Attention Deficit Hyperactivity Disorder (ADHD) symptoms and related executive self-regulation behaviors. The analyses sample (n = 331) included a subsample of participants from a birth cohort recruited from prenatal clinics and hospital facilities from April 2005 to June 2011 in Durham, North Carolina. Pre-pregnancy BMI was calculated from weight at the last menstrual period and height was extracted from medical records. Gestational weight gain was calculated from pre-pregnancy weight and weight measured at the time of delivery. ADHD symptoms and executive self-regulation behaviors were assessed by maternal report (mean age = 3 years). Multivariable regression methods with inverse probability weighting (IPW) were used to evaluate associations accounting for sample selection bias and confounding. Pre-pregnancy BMI at levels ≥35 was positively associated with higher ADHD symptoms and worse executive self-regulation behaviors (inhibitory control and attention). Compared to adequate GWG, less than adequate GWG was related to more ADHD hyperactive-impulsive symptoms, whereas greater than adequate GWG was related to more problematic behaviors related to working memory and planning. The findings support a link between maternal weight and child neurodevelopment. Continued research that help identify biological mechanisms are needed.Item Embargo Sociodemographic and Psychological Profiles of Pregnant Women Who Consume Alcohol in Moshi, Tanzania: A Latent Class Analysis(2024) West, KirstinBackground: Despite CDC advisories, many pregnant women in Northern Tanzania consume alcohol. The WHO SAFER initiative calls for tailored interventions to target alcohol use during pregnancy in Moshi, Tanzania. Addressing this issue involves understanding the complex alcohol use patterns among pregnant women. Yet, data on pregnant female subgroups and their associated drinking habits in Moshi are lacking, Methods: This cross-sectional study uses secondary data from pregnant women enrolled from Kilimanjaro Christian Medical Centre's (KCMC’s) Reproductive Health Center (RHC) and Emergency Department (ED). Structured survey questionnaires assess sociodemographic and psychological traits, and alcohol consumption patterns. Basic summary statistics were used to compare pregnant women who consumed alcohol with those who did not. Latent class analysis (LCA) identified distinct subgroups among enrolled pregnant women based on sociodemographic and psychological attributes. Associations between latent classes and alcohol use patterns were evaluated using logistic odds regression (LOR). Results: No significant associations were found between latent groups of pregnant women and alcohol use patterns such as drinking quantity, frequency, or AUD status. Differences in individual sociodemographic and psychological traits between pregnant women who consume alcohol and those who do not were non-significant, except for age. Conclusions: Understanding variations in alcohol use among unique subgroups of pregnant women is essential for the development of targeted interventions to alleviate the burden of alcohol use during pregnancy. LCA identified unique subgroups, yet the study's limited sample size warrants caution. Future efforts should consider the interplay of cultural norms, societal stigma, and personal attitudes toward prenatal alcohol consumption, going beyond traditional sociodemographic factors. Addressing drinking habits among young women is also crucial, as these behaviors may persist into pregnancy.
Item Open Access The effects of depression and use of antidepressive medicines during pregnancy on the methylation status of the IGF2 imprinted control regions in the offspring.(Clinical epigenetics, 2011-10-26) Soubry, A; Murphy, Sk; Huang, Z; Murtha, A; Schildkraut, Jm; Jirtle, Rl; Wang, F; Kurtzberg, J; Demark-Wahnefried, W; Forman, Mr; Hoyo, CIn utero exposures to environmental factors may result in persistent epigenetic modifications affecting normal development and susceptibility to chronic diseases in later life. We explored the relationship between exposure of the growing fetus to maternal depression or antidepressants and DNA methylation at two differentially methylated regions (DMRs) of the imprinted Insulin-like Growth Factor 2 (IGF2) gene. Aberrant DNA methylation at the IGF2 and neighboring H19 DMRs has been associated with deregulated IGF2 expression, childhood cancers and several chronic diseases during adulthood. Our study population is comprised of pregnant mothers and their newborns (n = 436), as part of the Newborn Epigenetics Study (NEST). A standardized questionnaire was completed and medical record data were abstracted to ascertain maternal depression and antidepressive drug use. DMR methylation levels in umbilical cord blood leukocytes were quantified using pyrosequencing. From the 436 newborns, laboratory data were obtained for 356 individuals at the IGF2 DMRs, and for 411 individuals at the H19 DMRs; about half of each group was African American or Caucasian. While overall no association between depression and methylation profiles was found, we observed a significant hypermethylation of the H19 DMRs in newborns of African American (n = 177) but not Caucasian (n = 168) mothers who reported the use of antidepressive drugs during pregnancy (β = +6.89, p = 0.01). Of note, our data reveal a race-independent association between smoking during pregnancy and methylation at the IGF2 DMR (+3.05%, p = 0.01). In conclusion, our findings suggest a race-dependent response related to maternal use of antidepressants at one of the IGF2 DMRs in the offspring.