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Impact of Depression and Selective Serotonin Reuptake Inhibitors (SSRIs) Treatment during Pregnancy on Iron Homeostasis-Related Protein Expression in Placental Tissue

Ok, Linda; Vaillancourt, Cathy ORCID logoORCID: https://orcid.org/0000-0003-0543-6244 et Oberlander, Tim F (2025). Impact of Depression and Selective Serotonin Reuptake Inhibitors (SSRIs) Treatment during Pregnancy on Iron Homeostasis-Related Protein Expression in Placental Tissue In: IFPA 2025, 17th-20th September 2020, Erfurt-Jena, Germany.

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Résumé


Objectives: Antenatal depression affects up to 20% of pregnancies and is frequently treated with selective serotonin reuptake inhibitors (SSRIs). Several studies have suggested an association between abnormal iron status and depression. Pregnancy involves significant changes in iron homeostasis, and disruptions in placental iron regulation—potentially linked to SSRI treatment—may increase vulnerability in pregnant individuals with depressive symptoms. Despite the widespread use of SSRIs during pregnancy, their impact on placental iron regulation remains unexplored. In this study, we investigate the potential relationship between antenatal depression, SSRI treatment during pregnancy, and alterations in the placental iron system.

Methods: Full-term placental tissues were obtained from the healthy (n=18), depressed/SSRIs treated (n=18), and depressed/no SSRI (n=34) pregnant individuals. Snap-frozen tissues were powdered, extracted, and then digested with trypsin. Bottom-up proteomics analysis was conducted with data-independent LC-MS/MS and TripleTOF 5600 (Sciex). Differential expression analysis was performed using the DEP package for R, followed by the identification of iron-related proteins based on Reactome. The effect of depression and SSRIs were separately assessed by comparing the expression between healthy vs. depressed/ no-SSRI and depressed/no-SSRI vs. depressed/SSRI treated groups, respectively.

Results: In placentas from individuals with depression not treated with SSRIs, compared to healthy controls, the expression of iron storage proteins (transferrin and lactotransferrin) and heme-regulating proteins (hemoglobin subunits γ1, γ2, α, ϕ; α-hemoglobin stabilizing protein; hemopexin; and biliverdin reductase B) was significantly increased (adj. p < 0.05). In contrast, the expression of iron transporters, including the transferrin receptor, ferroportin, and LDL receptor-related protein 1, was reduced. In placentas from depressed individuals treated with SSRIs, compared to depressed/no-SSRI group, both iron storage and transport proteins expression showed a reversed pattern.

Conclusion: Our findings suggest that maternal depression and SSRI treatment during pregnancy may alter the placental iron transport and homeostasis.

Type de document: Document issu d'une conférence ou d'un atelier
Informations complémentaires: Affiche scientifique: P2.92 Placenta(2025) 171:e322 https://ifpa2025.com/wp-content/uploads/2025/09/Abstract-Book_IFPA2025-1.pdf
Mots-clés libres: -
Centre: Centre INRS-Institut Armand Frappier
Date de dépôt: 16 juin 2026 14:52
Dernière modification: 16 juin 2026 14:52
URI: https://espace.inrs.ca/id/eprint/16781

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