2021
DOI: 10.1038/s41593-021-00896-4
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Placental endocrine function shapes cerebellar development and social behavior

Abstract: Compromised placental function or premature loss has been linked to diverse neurodevelopmental disorders. Here we show that placenta allopregnanolone (ALLO), a progesterone-derived GABA-A receptor (GABAAR) modulator, reduction alters neurodevelopment in a sex-linked manner. A new conditional mouse model, in which the gene encoding ALLO’s synthetic enzyme (akr1c14) is specifically deleted in trophoblasts, directly demonstrated that placental ALLO insufficiency led to cerebellar white matter abnormalities that c… Show more

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Cited by 61 publications
(73 citation statements)
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“…However, the number of BA10 GABAproducing cells was decreased in preterm male infants, which is consistent with our former study (Lacaille et al, 2019) as well as other studies of preterm birth brain (Robinson et al, 2006;Panda et al, 2018) and psychiatric disorders (Hashimoto et al, 2008;Mellios et al, 2009;Hashemi et al, 2017). Pharmacological effects of neuroprotective agents such as the GABA agonist and anti-inflammatory compound allopregnanolone are being investigated in the context of preterm birth and show promising results (Vacher et al, 2021). New cellular models have been developed and will give the opportunity to investigate the environmental and genetic factors underlying injury in the developing human brain (Paşca et al, 2019).…”
Section: Discussionsupporting
confidence: 91%
“…However, the number of BA10 GABAproducing cells was decreased in preterm male infants, which is consistent with our former study (Lacaille et al, 2019) as well as other studies of preterm birth brain (Robinson et al, 2006;Panda et al, 2018) and psychiatric disorders (Hashimoto et al, 2008;Mellios et al, 2009;Hashemi et al, 2017). Pharmacological effects of neuroprotective agents such as the GABA agonist and anti-inflammatory compound allopregnanolone are being investigated in the context of preterm birth and show promising results (Vacher et al, 2021). New cellular models have been developed and will give the opportunity to investigate the environmental and genetic factors underlying injury in the developing human brain (Paşca et al, 2019).…”
Section: Discussionsupporting
confidence: 91%
“…Similar results were found in human preterm infants that were characterized by premature loss of the placenta ( 59 ). This study suggests that GABA A receptor function in female mice might not be disrupted by low ALLO levels or that female mice may recruit a compensatory mechanism in response to impairments in GABA A receptor function ( 59 ). Sex bias in ASD may be related to chromosomal and hormonal mechanisms, immune activation, or interactions among sex, genetics, and environmental factors ( 60 ).…”
Section: Discussionsupporting
confidence: 84%
“…A recent study reported that low placenta levels of allopregnanolone (ALLO), a progesterone-derived GABA A receptor modulator, resulted in sex-dependent alterations of neurodevelopment and behavior in offspring ( 59 ). Male plKO mice that were derived from pregnant plKO mice that have specific placental ALLO reduction exhibited ASD-like behaviors, including social deficits, and an increase in cerebellar myelin proteins on P30, whereas female plKO mice did not exhibit these changes ( 59 ). Similar results were found in human preterm infants that were characterized by premature loss of the placenta ( 59 ).…”
Section: Discussionmentioning
confidence: 99%
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“…The mechanisms underlying the association between ASD candidate genes and the neurobiology of autism are complex because genes encode multiple highly complex functions in different regions of the brain. To date, numerous studies have demonstrated associations between brain abnormalities and ASD (Maynard et al, 2021 ; Vacher et al, 2021 ; Rubin, 2022 ). Furthermore, studies have increasingly highlighted the cerebellum as a pathological area of the brain in ASD (Carta et al, 2019 ; Sathyanesan et al, 2019 ; Kelly et al, 2020 ; Vacher et al, 2021 ).…”
Section: Introductionmentioning
confidence: 99%