Infant cries prompt breast milk release, new discovery shows

Women are programmed to quickly respond to their baby's cries. Now, researchers at New York University (NYU) have found that, at least in lab mice, hearing the sound of a newborn’s wail can trigger the release of oxytocin – a brain chemical that controls breast milk release in mothers.

The researchers found that once prompted, this flood of hormones continues for about five minutes before tapering off, enabling mothers to feed their young until they are sated or begin crying again.

Co-led by graduate student Habon Issa at NYU’s School of Medicine, the study explored a centuries-old observation in humans and other mammals that when a baby begins a feeding session, its cries alone can prompt its mother to release breast milk. Studies dating back decades have shown that such calls for food – and not suckling itself – prompts the largest oxytocin surges, but the mechanisms behind and purpose for this wail-to-milk pipeline had until now remained unclear.

According to the findings, published in the prestigious journal Nature under the title “Neural circuitry for maternal oxytocin release induced by infant cries,” when a mouse pup starts crying, sound information travels to an area of its mother’s brain called the posterior intralaminar nucleus of the thalamus (PIL). This sensory hub then sends signals to oxytocin-releasing brain cells (neurons) in another region called the hypothalamus, a control center for hormone activity.

'Crying infant primes its mother's brain'

Most of the time these hypothalamus neurons are “locked down” by proteins that act as gatekeepers to prevent false alarms and wasted milk. After 30 seconds of continuous crying, however, signals from the PIL were found to build up and overpower these inhibitory proteins, setting off the release of the vital neuropeptide.

“Our findings uncover how a crying infant primes its mother’s brain to ready her body for nursing,” said the study. “Without such preparation, there can be a delay of several minutes between suckling and milk flow, potentially leading to a frustrated baby and stressed parent.”

The results also revealed that the oxytocin boost only occurs in mother mice and not in females who have never given birth. In addition, the mother’s brain circuitry only responded to her pups’ cries and not to computer-generated tones designed to mimic natural wails.

According to Issa, the study offers the first description of how sensory experiences like hearing directly activate oxytocin neurons in mothers. She noted that the scientists used a relatively new kind of molecular sensor called iTango to measure actual oxytocin release from brain cells in real time. Previously, they could only take indirect measurements using proxies because the hormone degrades quickly given its small size.

For the study, the research team examined brain-cell activity in dozens of female mice. Then, in a form of “reverse engineering,” they traced how sound information travels through different areas of the brain to trigger milk flow.

Next, the team explored how this circuit affects parenting behavior. Normally, when pups stray or are removed from their nest, mothers will quickly retrieve them no matter how many times this occurs, says Issa. However, when the researchers chemically blocked the PIL from communicating with oxytocin neurons, the mice eventually tired and stopped fetching their young. Once the system was turned back on, the mothers pushed through their fatigue and continued caring for the infants.

“These results suggest that the crying-prompted brain circuit is not only important for nursing behavior but also for maintaining a mother’s attention over time and encouraging effective care of her young even when she is exhausted,” said study senior author and genetics Prof. Robert Froemke. Also a professor at NYU’s otolaryngology department, Froemke added that learning how the oxytocin system works and goes awry in our own species could offer new ways to help human mothers who want to breastfeed but struggle to do so. Froemke noted that the researchers did not measure lactation itself, only the hormone release that prompts it.