Microorganisms in the Placenta: Links to Early-Life Inflammation and Neurodevelopment in Children

Clin Microbiol Rev. 2019 May 1;32(3):e00103-18. doi: 10.1128/CMR.00103-18. Print 2019 Jun 19.

Abstract

Prenatal exposure to various stressors can influence both early and later life childhood health. Microbial infection of the intrauterine environment, specifically within the placenta, has been associated with deleterious birth outcomes, such as preterm birth, as well as adverse neurological outcomes later in life. The relationships among microorganisms in the placenta, placental function, and fetal development are not well understood. Microorganisms have been associated with perinatal inflammatory responses that have the potential for disrupting fetal brain development. Microbial presence has also been associated with epigenetic modifications in the placenta, as well other tissues. Here we review research detailing the presence of microorganisms in the placenta and associations among such microorganisms, placental DNA methylation, perinatal inflammation, and neurodevelopmental outcomes.

Keywords: DNA methylation; bacteria; inflammation; neurodevelopmental disorders; placenta.

Publication types

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

MeSH terms

  • DNA Methylation
  • Female
  • Humans
  • Inflammation
  • Neurodevelopmental Disorders / etiology*
  • Placenta / microbiology*
  • Placenta Diseases / microbiology*
  • Placenta Diseases / pathology
  • Pregnancy