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Morning Sickness Mystery Solved? Science Offers Hope for Queasy Moms-to-Be

Kate Byrd, PharmD
Health Publication
Published in
5 min readJan 3, 2024

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Morning sickness is a dreaded phrase for many pregnant women and often dismissed as an inconvenience. But for some, it can be debilitating — leading to hospitalization and drastically impacting quality of life.

Now, a fascinating new study sheds light on the potential culprit behind this common pregnancy woe: a hormone produced by the developing fetus called GDF15. Here’s the science behind what this exciting research means for expectant mothers:

What is Morning Sickness?

Morning sickness is a common pregnancy symptom ranging from mild nausea to severe vomiting. About 70 to 80 percent of pregnant women will experience it. Though called “morning sickness,” it can occur any time of day and significantly affect a pregnant woman’s daily life.

Symptoms typically start around the 6th week of pregnancy and can last until the 12th week or even longer.

Morning Sickness Can Be Debilitating: Hyperemesis Gravidarum

About 0.5 to 2 percent of new mothers suffer the severe form of morning sickness called hyperemesis gravidarum. It can be life-threatening with persistent vomiting, dehydration, and weight loss. In some situations, hyperemesis gravidarum requires medical intervention to ensure proper hydration and nutrient intake.

The Possible Cause of Morning Sickness: GDF15

Researchers found a potential culprit behind morning sickness: a hormone called GDF15 produced by the developing fetus. The study, published in the journal Nature, highlights the role this hormone may play in the nausea and vomiting associated with this common pregnancy symptom.

Visualization of crystallized GDF15 protein from PDB identifier 5VT2 on UCSF Chimera software
Visualization of crystallized GDF15 protein from PDB identifier 5VT2 on UCSF Chimera software

What is GD15?

GDF15, or Growth Differentiation Factor 15, is a protein that acts as a hormone, meaning it sends messages to the body to perform specific tasks.

Various tissues produce the hormone, typically found in low amounts throughout the body. GDF15 has many functions:

  • Regulating Cell Growth and Development: GDF15 signals cells to grow and develop into specialized types. It’s vital in embryonic development and tissue repair.
  • Stress Response: GDF15 levels rise in response to stress or injury. The hormone signals other body parts, prompting them to initiate repair processes and manage inflammation.
  • Metabolism and Energy Balance: GDF15 plays a role in regulating appetite and food intake. It can suppress appetite, potentially contributing to weight loss. Studies suggest it might also regulate insulin sensitivity and glucose metabolism.
  • Disease and Inflammation: GDF15 levels rise in many disease states, including cancer, heart disease, and chronic inflammatory conditions. The hormone may be involved in disease progression and could potentially be a biomarker for diagnosis or monitoring.

GDF15’s Role in Pregnancy

GDF15 appears to have a powerful effect on the mother’s brain when produced at high levels. Scientists believe this interaction triggers the unpleasant sensations of morning sickness.

However, GDF15 has an important role in the growth of the fetus:

  • Placenta growth and function: GDF15 promotes proper development and activity of the placenta, the vital organ nourishing the developing baby.
  • Embryonic implantation: GDF15 supports the early stages of pregnancy by facilitating the embryo’s successful attachment to the uterine wall.
  • Fetal development: GDF15 influences the growth and differentiation of fetal tissues, contributing to healthy development.

Why Do Some Women Have Severe Morning Sickness But Others Don’t?

The spectrum of severity of morning sickness has long puzzled scientists. The findings of the recent study offer a possible explanation. Researchers think that individual sensitivity to GDF15 may explain why some pregnant women have only mild nausea, but others suffer severe vomiting.

Here’s how GDF15 sensitivity might play a role:

Building Tolerance to GDF15: A Potential Solution?

One of the most exciting takeaways from this research is the potential to prevent morning sickness altogether. The study suggests that gradually exposing women to GDF15 before pregnancy could build tolerance and reduce or eliminate the unpleasant symptoms of this common condition.

This idea is supported by research on mice, where pre-exposure to GDF15 prevented nausea in pregnant animals. Human trials are necessary to confirm the safety and effectiveness of this approach, but it offers hope for future mothers.

The Next Steps: The Focus of Further Research on GDF15

While the link between GDF15 and morning sickness is promising, further research is necessary.

New research is needed to determine:

  • Genes and GDF15: Researchers need to understand how GDF15 works and why some women are more sensitive to it than others. Studying its “brain connection” and identifying specific genes that might play a role are involved.
  • Tailoring Treatments: With a clearer picture of individual differences, doctors could create personalized plans to manage morning sickness. Imagine treatments specially chosen for each woman’s unique needs!
  • Finding Relief: Understanding GDF15 could lead to new ways to ease morning sickness altogether. Pfizer has already started research that could involve medication or pre-pregnancy interventions to build tolerance to the hormone.

More Than Just Nausea: A Call for Understanding

Besides the possibility of prevention, this study highlights the importance of understanding the challenges pregnant women face. Study co-author Dr. Marlena Fejzo has first-hand experience with the condition, “When I was pregnant, I became so ill that I could barely move without being sick. When I tried to find out why, I realized how little was known about my condition, despite pregnancy nausea being very common.

This research shows that morning sickness is not a minor annoyance but a condition that deserves attention and study. By understanding the causes and exploring solutions, we’ll have a future where pregnancy is free from morning sickness.

The Path Forward: A Bright Horizon for Morning Sickness Research

While the mystery of morning sickness still unfolds, the discovery of GDF15’s role marks a step forward. Future research focuses on safe and effective ways to change GDF15’s effects. Treatment personalized to individual sensitivity is a possibility.

These steps hold great promise for millions of women facing the challenges of morning sickness. By unlocking the secrets of GDF15, we can work toward a future where pregnancy is a more comfortable and joyful experience for all mothers-to-be.

Thanks for reading my article!

I’m a pharmacist turned health and wellness writer. I simplify medical jargon into easy-to-understand and relatable content. If you’re interested in how I can help your business grow, please email me at KateByrdPharmD@gmail.com

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Kate Byrd, PharmD
Health Publication

I’m a Pharmacist turned Freelance Writer! Health and Wellness Articles. Hoping to help us all improve our physical and mental health. KateByrdPharmD@gmail.com