Lutz P-E, Turecki G
McGill Group for Suicide Studies, Douglas Mental Health University Institute, Montréal, Québec, Canada.
McGill Group for Suicide Studies, Douglas Mental Health University Institute, Montréal, Québec, Canada.
Neuroscience. 2014 Apr 4;264:142-56. doi: 10.1016/j.neuroscience.2013.07.069. Epub 2013 Aug 8.
Childhood maltreatment (CM) has estimated prevalence among Western societies between 10% and 15%. As CM associates with increased risk of several psychiatric disorders, early age of illness onset, increased comorbidity and negative clinical outcome, it imposes a major public health, social and economic impact. Although the clinical consequences of CM are well characterized, a major challenge remains to understand how negative early-life events can affect brain function over extended periods of time. We review here both animal and human studies indicating that the epigenetic mechanism of DNA methylation is a crucial mediator of early-life experiences, thereby maintaining life-long neurobiological sequelae of CM, and strongly determining psychopathological risk.
儿童期受虐(CM)在西方社会的估计患病率为10%至15%。由于CM与多种精神疾病的风险增加、发病年龄早、共病率上升及不良临床结局相关,它对公共卫生、社会和经济造成了重大影响。尽管CM的临床后果已得到充分描述,但如何理解早期生活中的负面事件如何在很长一段时间内影响脑功能仍是一个重大挑战。我们在此回顾动物和人类研究,这些研究表明DNA甲基化的表观遗传机制是早期生活经历的关键介导因素,从而维持CM的终生神经生物学后遗症,并强烈决定精神病理风险。