Pregnancy, postpartum and parity: Resilience and vulnerability in brain health and disease

Front Neuroendocrinol. 2020 Apr:57:100820. doi: 10.1016/j.yfrne.2020.100820. Epub 2020 Jan 24.

Abstract

Risk and resilience in brain health and disease can be influenced by a variety of factors. While there is a growing appreciation to consider sex as one of these factors, far less attention has been paid to sex-specific variables that may differentially impact females such as pregnancy and reproductive history. In this review, we focus on nervous system disorders which show a female bias and for which there is data from basic research and clinical studies pointing to modification in disease risk and progression during pregnancy, postpartum and/or as a result of parity: multiple sclerosis (MS), depression, stroke, and Alzheimer's disease (AD). In doing so, we join others (Shors, 2016; Galea et al., 2018a) in aiming to illustrate the importance of looking beyond sex in neuroscience research.

Keywords: Allogregnanolone; Alzheimer’s disease; Estrogen; Fetal microchimerism; Immune; Maternal; Multiple sclerosis; Postpartum depression; Progesterone; Prolactin; Stroke.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Alzheimer Disease / epidemiology
  • Alzheimer Disease / physiopathology
  • Animals
  • Central Nervous System* / physiopathology
  • Depression, Postpartum / physiopathology
  • Female
  • Humans
  • Multiple Sclerosis / immunology
  • Multiple Sclerosis / physiopathology
  • Nervous System Diseases* / epidemiology
  • Nervous System Diseases* / physiopathology
  • Parity / physiology*
  • Postpartum Period / physiology*
  • Pregnancy / physiology*
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / physiopathology
  • Risk Factors
  • Sex Characteristics
  • Sex Factors
  • Stroke