The
time babies spend in the womb is far from idle. The brain is changing
more rapidly during this time than at any other time in development. It
is an active time for the fetus to grow and explore, and of course
connect to its mother. And new evidence from in-utero fetal brain scans
shows, for the first time, that this connection directly affects brain
development: A mother's stress during pregnancy changes neural
connectivity in the brain of her unborn child.
"It has long been thought that the stress of a mother during her
pregnancy may imprint on the brain of her developing child," says the author who is presenting this new work today.
"Despite the clear importance of this time frame, we presently possess
very little understanding of how functional macroscale neural networks
build during this precious time in human life, or the relevance of this
to future human health and development."
This prenatal work is part of a growing body of research to better
understand how the human brain develops across its lifespan, from fetus
to old age. "We are interested in how a human brain constructs over time
to become the adult brain," says the author
whose work focuses on identifying sensitive periods of brain development
from childhood into adolescence. She is chairing a session on new
findings in brain development at the meeting: "The talks aim to
bridge across the very long brain development that gives rise to mature
functioning."
Seeing the changing fetal brain
Research in newborns and older children to understand prenatal
influences has been confounded by the postnatal environment, the Dr.
explains. But recent advancements in fetal imaging allowed her and her
team to gain insight into a critical time period in brain development
never previously accessible.
Using fetal resting-state fMRI, they examined functional connectivity
in 47 human fetuses scanned between the 30th and 37th week of
gestation. The researchers recruited the participating mothers from a
low-resource and high-stress urban setting, with many reporting
high-levels of depression, anxiety, worry, and stress.
They found that mothers reporting high stress had fetuses with a
reduced efficiency in how their neural functional systems are organized.
It is the first time, imaging has shown a direct influence of maternal
stress on fetal brain development, independent of influences of the
postnatal environment.
"The major thrill is that we have demonstrated what has long been
theorized, but not yet observed in a human, which is that the stress of a
mother during her pregnancy is reflected in connectional properties of
her child's developing brain," the Dr. says. The data suggest that the
brain does not develop in a sequence from simplest systems (e.g.,
vision, motor) to more complex high-order systems, but perhaps instead
first develops the areas that will be most critical in bridging across
systems.
The researchers found that the cerebellum played a central role in
the observed effects, suggesting it may be especially vulnerable to the
effects of prenatal or early life stress. The cerebellum has the highest
density of glucocorticoid receptors, which are involved in stress
responses, than any other place in the brain. The Dr. and her team plan
to further investigate this as a possible mechanism for the stress
responses they observed.
Although conducting in-utero brain scans are challenging -- first and
foremost because of the always wriggling babies -- working with
expectant mothers is quite rewarding, the Dr. says. "A lot of our moms
are interested in being part of this research, not because of concerns
they have in their pregnancy," she says, "but because they appreciate
the heightened vulnerability of budding human life, and this is an
opportunity to help other women that may not have the same fortune in
their circumstances."
Making connections into adulthood
Cognitive neuroscientists are especially interested in understanding
sensitive periods of time when the environment has the largest influence
on future brain functions. To identify such times, the team has honed in on connections between the prefrontal
cortex (PFC) and the amygdala.
"A majority of developmental change during childhood and adolescence
are the changes in connections," she explains. "We have largely focused
on the connections between the amygdala and prefrontal cortex because of
the very large changes we have observed there across childhood and
adolescence and their central role in emotional behaviors."
Studying awake children as young as 4-years old, the researchers identified developmental periods when the nature of the
communication between the amygdala and the PFC operates differently than
in an adult. The connections develop very slowly over childhood, with a
dramatic shift toward the end of childhood when the transition to
adolescence brings about more adult-like characteristics. Looking at
coincidental environmental events in childhood, the researchers also
found data to suggest that amygdala-medial PFC connections are highly
impressionable to external forces.
"The human brain is designed to learn from the environment. This is
thanks to the long period of infancy, childhood, and adolescence that
humans enjoy," the Dr. says. "What has amazed me most about the
developing brain is that it is not simply an immature version of the
adult brain but instead is designed to collaborate with the expected
care-giving ecology."
Indeed, says the Dr.: "We must consider the developing brain in
context, thinking about the role of the environment in shaping the
brain. It is a topic that inspires us to promote healthy brain growth,
to ask what it is that we do for children in the lifestyles,
opportunities, and learning conditions we create for them."
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