Matosin Natalie, Cruceanu Cristiana, Binder Elisabeth B
Department of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Chronic Stress (Thousand Oaks). 2017 Feb 1;1. doi: 10.1177/2470547017710764. Epub 2017 Jun 16.
Exposure to chronic stress, either repeated severe acute or moderate sustained stress, is one of the strongest risk factors for the development of psychopathologies such as post-traumatic stress disorder and depression. Chronic stress is linked with several lasting biological consequences, particularly to the stress endocrine system but also affecting intermediate phenotypes such as brain structure and function, immune function, and behavior. Although genetic predisposition confers a proportion of the risk, the most relevant molecular mechanisms determining those susceptible and resilient to the effects of stress and trauma may be epigenetic. Epigenetics refers to the mechanisms that regulate genomic information by dynamically changing the patterns of transcription and translation of genes. Mounting evidence from preclinical rodent and clinical population studies strongly support that epigenetic modifications can occur in response to traumatic and chronic stress. Here, we discuss this literature examining stress-induced epigenetic changes in preclinical models and clinical cohorts of stress and trauma occurring early in life or in adulthood. We highlight that a complex relationship between the timing of environmental stressors and genetic predispositions likely mediate the response to chronic stress over time, and that a better understanding of epigenetic changes is needed by further investigations in longitudinal and postmortem brain clinical cohorts.
暴露于慢性应激,无论是反复的严重急性应激还是中度持续应激,都是创伤后应激障碍和抑郁症等精神疾病发生的最强风险因素之一。慢性应激与多种持久的生物学后果相关,特别是与应激内分泌系统有关,但也会影响中间表型,如脑结构和功能、免疫功能及行为。尽管遗传易感性会带来一定比例的风险,但决定哪些人易受应激和创伤影响以及哪些人具有恢复力的最相关分子机制可能是表观遗传学。表观遗传学是指通过动态改变基因转录和翻译模式来调控基因组信息的机制。来自临床前啮齿动物和临床人群研究的越来越多的证据有力地支持,表观遗传修饰可因创伤性和慢性应激而发生。在此,我们讨论这一文献,该文献研究了临床前模型以及生命早期或成年期发生的应激和创伤的临床队列中应激诱导的表观遗传变化。我们强调,环境应激源的时机与遗传易感性之间的复杂关系可能会随着时间的推移介导对慢性应激的反应,并且需要通过对纵向和死后大脑临床队列的进一步研究来更好地理解表观遗传变化。