Article 2026-04-21 under-review v1

Postnatal depression-associated breastmilk extracellular vesicles mediate intergenerational effects on offspring neurodevelopment

X
Xi Chen Nanjing University
Z
Zexu Wei Nanjing University
R
Ranran Yu Nanjing University
J
Junnan Xu Zhejiang University
C
Chenyu Tao Nanjing University
A
Aixia Zhang Nanjing Medical University
L
Longjie Li Nanjing University
X
Xiaoshan Zhang Nanjing University
J
Jin He Nanjing Medical University
J
Jiajun Yu Zhejiang University
X
Xuhuang Xiao Jinan University
J
Jiahui Guo Jinan University
T
Tong Wang Jinan University
W
Wei Gong Zhejiang University
Y
Yanbo Wang Nanjing University
C
Chen-Yu Zhang Nanjing University
D
Dijun Chen Nanjing University
Z
Zhang-Peng Chen Shanghai Jiao Tong University
C
Chenbo Ji Nanjing Medical University

Abstract

Postnatal depression (PND) increases the risk of neurodevelopmental impairments in offspring, yet the underlying mechanisms remain elusive. Here, we identify an intergenerational signaling pathway whereby maternal psychological state is encoded in breastmilk microRNAs (miRNAs) and transmitted to offspring via breastmilk small extracellular vesicles (sEVs). Using cross-fostering models, we demonstrate that maternal depression disrupts offspring hippocampal dentate gyrus (DG) newborn neuron maturation, causing cognitive deficits and depressive-like behaviors. Strikingly, gastric administration of PND-derived breastmilk sEVs to healthy pups recapitulates these neurodevelopmental phenotypes. Mechanistically, PND-induced miRNAs are packaged into breastmilk sEVs and delivered to infant brain, where they suppress mGluR8 expression in supramammillary nucleus (SuM) neurons projecting to the DG. This presynaptic mGluR8 deficiency dysregulates glutamate release, triggers aberrant synaptic transmission and calcium overload, and ultimately drives a pathological “high-frequency, low amplitude” neuronal activation pattern that compromises the functional integration of newborn neurons into hippocampal circuits. Critically, inhibiting sEV secretion from the mammary gland or sequestering the culprit miRNAs within offspring SuM neurons rescues these neurodevelopmental deficits. These findings not only uncover a novel mechanism underlying PND-related offspring neurodevelopmental impairments, but also provide a promising therapeutic target for clinical intervention of intergenerational transmission of maternal mental disorders.

Citation Information

@article{xichen2026,
  title={Postnatal depression-associated breastmilk extracellular vesicles mediate intergenerational 
effects on offspring neurodevelopment},
  author={Xi Chen and Zexu Wei and Ranran Yu and Junnan Xu and Chenyu Tao and Aixia Zhang and Longjie Li and Xiaoshan Zhang and Jin He and Jiajun Yu and Xuhuang Xiao and Jiahui Guo and Tong Wang and Wei Gong and Yanbo Wang and Chen-Yu Zhang and Dijun Chen and Zhang-Peng Chen and Chenbo Ji},
  journal={Nature Portfolio},
  year={2026},
  doi={https://doi.org/10.21203/rs.3.rs-9365315/v1}
}
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