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Depression Linked To Fetal Flu Exposure
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NEW YORK (Reuters) -- Fetal exposure to the influenza virus may be linked
to an increased risk for adult depression, researchers conclude.

"Some mental disorders may stem, in part, from a disturbance in the
development of the fetal brain," conclude American and Finnish researchers
led by Dr. Ricardo Machon of Loyola Marymount University in Los Angeles.

Machon presented his findings, (published earlier this year in the Archives
of General Psychiatry), at a recent Chicago meeting of the American
Psychological Association.

Researchers compared the prenatal health records of individuals born to
mothers affected by a 1957 Finnish outbreak of Asian flu (virus type
A2/Singapore), with those born of uninfected mothers in the months before
the outbreak.

They found that 13% of the adults who had been exposed in utero to the flu
virus during the second trimester of fetal development suffered from one of
a number of mood disturbances collectively labeled "affective disorders."
In contrast, only 2% of adults without fetal flu exposure had a history of
these types of conditions.

Adult rates for affective disorder were higher for males exposed in utero
(16%) than females (8%), the researchers add.

Machon says it's too early to know just how fetal exposure to influenza
might affect the neurological development of humans. "We're not saying that
the flu is... specifically a cause for affective disorder," he said. And
Machon does not recommend that women take any "extraordinary steps" to
avoid influenza during pregnancy.

However, he points out that that the second trimester (the third through
sixth months) is a critical time period in fetal brain development, with
newly-created neurons migrating to their permanent homes within the brain.

Machon speculates that "any stressor" interfering with that process might
negatively affect later neurological function. "It could be flu, it could
be having been in an earthquake at a particular time. So it's more in the
timing."

Previous studies have pointed to links between fetal exposure to the same
flu strain and heightened risks for adult schizophrenia.

Machon said he and his Finnish partners are currently evaluating magnetic
resonance imaging (MRI) scans of adult schizophrenics "to see what the
areas might be that are disturbed in the brain."


By E.J. Mundell
SOURCE: Archives of General Psychiatry (1997;54:322-328)
1997, Reuters Health eLine]
http://www.medscape.com/reuters/fri/t1211-3f.html
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