How nature nurtures

prenatal exposure to green space buffers the effects of maternal stress on neonatal BDNF methylation

Authored by

Sarah Nazzari, Grazia Zulian, Serena Grumi, Enrico Pisoni, Roberto Bergamaschi, Roberto Giorda, Renato Borgatti, Livio Provenzi

Abstract

Pregnancy constitutes a critical window of vulnerability during which maternal and environmental exposures may shape fetal development through epigenetic mechanisms. While prenatal maternal anxiety and exposure to green spaces have been independently associated with child neurodevelopment, their potential interactive effects on neonatal epigenetic profiles remain largely unexplored. This study examined the independent and interactive effects of maternal trait anxiety and residential green space exposure during pregnancy on neonatal DNA methylation (DNAm) of the brain-derived neurotrophic factor (BDNF) gene. A sample of 110 mother-infant dyads was enrolled at delivery. Maternal trait anxiety was assessed using the Stait-Trait Anxiety Inventory (STAI-Y) and infants’ BDNF DNAm at birth was assessed in 11 CpG sites in buccal cells. Prenatal residential addresses were geocoded and green space availability within 300, 500, and 1000 m buffers was calculated using the CLCplus Backbone 2021 land cover dataset. Hierarchical linear regression models were adjusted for infant sex and prenatal exposure to PM2.5. Results indicated that higher maternal trait anxiety was associated with increased BDNF DNAm at four CpG sites only among infants with lower exposure to green space within a 300 m buffer. This association was not significant at higher levels of greenness, suggesting a neuroprotective effect of natural environments during gestation. Findings provide novel evidence that urban green space may buffer the biological impact of maternal anxiety on neonatal BDNF methylation. This highlights the importance of integrating psychological and environmental-level exposures to elucidate early-life determinants of neurodevelopment.

Details

Organisation(s)
Physical Geography and Landscape Ecology Section
External Organisation(s)
University of Pavia
IRCCS Fondazione C. Mondino
European Commission Joint Research Centre (JRC)
IRCCS E. Medea
Type
Article
Journal
Molecular psychiatry
Volume
31
Pages
2418-2426
No. of pages
9
ISSN
1359-4184
Publication date
05.2026
Publication status
Published
Peer reviewed
Yes
ASJC Scopus subject areas
Molecular Biology, Psychiatry and Mental health, Cellular and Molecular Neuroscience
Sustainable Development Goals
SDG 3 - Good Health and Well-being, SDG 11 - Sustainable Cities and Communities
Electronic version(s)
https://doi.org/10.1038/s41380-025-03379-1 (Access: Open )