Retrospective studies in humans suggest that chronic maternal stress during
pregnancy, associated with raised plasma levels of CRH, ACTH and cortisol
may increase the likelihood of preterm birth, developmental delays and beba
vioural abnormalities in the children. In adulthood, it may contribute to t
he significant association between the incidence of schizophrenia, increase
d left or mixed handedness, reduction in cerebral asymmetry and anomalies i
n brain morphology. Our studies and others have shown that prenatal stress
in rats can mimic these developmental and behavioural alterations. These ra
ts show a reduced propensity for social interaction, increased anxiety in i
ntimidating or novel situations and a reduction in cerebral asymmetry and d
opamine turnover, consistent with those in schizophrenic humans. Prenatally
-stressed (PS) rats also show behaviour consistent with depression, includi
ng a phase-shift in their circadian rhythm for corticosterone, sleep abnorm
alities, a hedonic deficit and greater acquisition of learned helplessness
under appropriate conditions. These behavioural abnormalities are associate
d with impaired regulation of the hypothalamic-pituitary-adrenal axis respo
nse to stress and increased CRH activity. PS males may show demasculinisati
on and feminisation of their sexual behaviour. The developmental and behavi
oural abnormalities in PS offspring could occur through sensitisation of th
e foetal brain by maternal stress hormones to the action of glucocorticoid
and CRH and to neurotransmitters affected by them. This may have long-lasti
ng consequences and could explain the precipitation of depressive symptoms
or schizophrenia by psychosocial stress in later life. The character of the
behavioural abnormalities probably depends on the timing of the maternal s
tress in relation to development of the particular neuronal systems. (C) 20
01 Elsevier Science Ltd. All rights reserved.