Department of Psychiatry and Behavioral Sciences, Stanford, USA.
Department of Neurology and Neurological Sciences, Stanford, USA.
Neuropsychopharmacology. 2021 Jun;46(7):1348-1356. doi: 10.1038/s41386-021-00956-0. Epub 2021 Jan 25.
Correlational studies of humans suggest that exposure to early life stress has long-term effects on neural circuits involved in vulnerability and resilience to mental health disorders. Stress-related mental health disorders are more prevalent in women than in men. Here, female squirrel monkeys are randomized to intermittently stressful (IS) social separations or a non-separated (NS) control condition conducted from 17 to 27 weeks of age. Nine years later in mid-life adulthood, resting-state functional magnetic resonance imaging was employed to parcellate prefrontal cortex (PFC). Resulting subdivisions were then used to characterize functional connectivity within PFC, and between PFC subdivisions and subcortical regions that are known to be altered by stress. Extensive hyper-connectivity of medial and orbitofrontal PFC with amygdala, hippocampus, and striatum was observed in IS compared to NS monkeys. Functional hyper-connectivity in IS monkeys was associated with previously reported indications of diminished anxiety-like behavior induced by prepubertal stress. Hyper-connectivity of PFC with amygdala and with hippocampus was also associated with increased ventral striatal dopamine D2 and/or D3 receptor (DRD2/3) availability assessed with positron emission tomography (PET) of [C]raclopride binding in adulthood. Ventral striatal DRD2/3 availability has been linked to cognitive control, which plays a key role in stress coping as an aspect of emotion regulation. These findings provide causal support for enduring neurobiological effects of early life stress and suggest novel targets for new treatments of stress-related mental health disorders.
对人类的相关性研究表明,早期生活压力暴露对易患和适应心理健康障碍的神经回路有长期影响。与压力相关的心理健康障碍在女性中比在男性中更为普遍。在这里,雌性松鼠猴被随机分配到间歇性应激(IS)社会分离或非分离(NS)对照条件中,从 17 周到 27 周龄进行。九年后,在中年成年期,进行静息状态功能磁共振成像(rs-fMRI)以分割前额叶皮层(PFC)。然后,将得到的细分用于描述 PFC 内的功能连接,以及 PFC 细分与已知受压力改变的皮质下区域之间的功能连接。与 NS 猴子相比,IS 猴子的内侧和眶额 PFC 与杏仁核、海马体和纹状体的广泛超连接。IS 猴子的功能超连接与以前报道的青春期前应激引起的焦虑样行为减少的迹象有关。PFC 与杏仁核和海马体的超连接也与成年后用 [C]raclopride 结合正电子发射断层扫描(PET)评估的腹侧纹状体多巴胺 D2 和/或 D3 受体(DRD2/3)可用性增加有关。腹侧纹状体 DRD2/3 可用性与认知控制有关,认知控制是情绪调节的一个方面,在应激应对中起着关键作用。这些发现为早期生活压力的持久神经生物学效应提供了因果支持,并为治疗与压力相关的心理健康障碍提供了新的治疗靶点。