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389 Insights into the complex immune environment during pregnancy and association with the developing human connectome

Published online by Cambridge University Press:  24 April 2023

Ezra Aydin
Affiliation:
Columbia University Vagelos College of Physicians and Surgeons, New York, NY
Raimundo Rodriguez
Affiliation:
Yale University School of Medicine, New Haven, CT
Catherine Monk
Affiliation:
Columbia University Vagelos College of Physicians and Surgeons, New York, NY New York State Psychiatric Institute, New York, NY
Thirsten Stockton
Affiliation:
Columbia University Vagelos College of Physicians and Surgeons, New York, NY
Sanjana Murthy
Affiliation:
Columbia University Vagelos College of Physicians and Surgeons, New York, NY
Bradley S. Peterson
Affiliation:
Keck School of Medicine, University of Southern California, Los Angeles, CA Children’s Hospital Los Angeles, Los Angeles, CA
Dustin Scheinost
Affiliation:
Yale University School of Medicine, New Haven, CT
Marisa N. Spann
Affiliation:
Columbia University Vagelos College of Physicians and Surgeons, New York, NY New York State Psychiatric Institute, New York, NY
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Abstract

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OBJECTIVES/GOALS: Maternal health and exposures during pregnancy play a major role in shaping the neurodevelopment of our offspring—one influence is maternal immune activation (MIA). Here we explore the association of MIA during pregnancy and the developing human connectome through analysis of 46 markers of activation. METHODS/STUDY POPULATION: 74 healthy women with singleton pregnancies underwent blood draws between 34-37 weeks gestation. 46 markers of maternal immune activation, both adaptive (e.g., IgG) and innate (e.g., cytokines and acute phase reactants), were collected. In addition, for preliminary analyses of MIA in relation to the newborn brain, we utilized 30 participants with MRIs between the ages of 0-6 months. RESULTS/ANTICIPATED RESULTS: Principal component analysis (PCA) identified the first 5 PCs explains ~68% of the variance and the first 10 explains ~83% (top PC is 42.1%). Using the top PC each edge in the connectome was correlated with the immune profiles. Several regions trended towards significance–one survived correction and included 359 edges, showing. The highest number of edges was observed in the inferior parietal lobe of the left hemisphere–a region associated with functions from basic attention toa social cognition, suggesting that deviations in fetal exposure to MIA can longitudinally impact offspring behavior in areas essential for human interaction. DISCUSSION/SIGNIFICANCE: This is the first study in understanding how interruptions (i.e., MIA) influence later development. Identification of alterations, and long-term outcomes could lead to the development of mechanism-based healthcare, facilitate timely referral for appropriate interventions and provide family support.

Type
Precision Medicine/Health
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2023. The Association for Clinical and Translational Science