Buenrostro-Jáuregui Mario Humberto, Muñóz-Sánchez Sinuhé, Rojas-Hernández Jorge, Alonso-Orozco Adriana Ixel, Vega-Flores German, Tapia-de-Jesús Alejandro, Leal-Galicia Perla
Departamento de Psicología, Universidad Iberoamericana Ciudad de México, Ciudad de México 01219, Mexico.
Facultad de Psicología, Universidad Nacional Autónoma de México, Ciudad de México 04510, Mexico.
Int J Mol Sci. 2025 Mar 26;26(7):3028. doi: 10.3390/ijms26073028.
Stress is a core concept in the mental health field that expands upon the seminal definition of stress as an acute response to the disruption of homeostasis. Stress is a complex process that involves both environmental challenges and the triggering of internal responses and impacts physiological, psychological, and behavioral systems. The capacity of the human brain to cope with stress is particularly crucial in early life, when neurodevelopment is highly plastic. Early-life stress (ELS), defined as exposure to severe chronic stress during sensitive periods of development, has been shown to cause lasting changes in brain structure and function. However, not all individuals exposed to ELS develop pathological outcomes, suggesting the presence of resilience mechanisms: adaptive processes that allow an individual to cope with adverse situations while maintaining psychological and neurobiological health. The aim of this review was to synthesize recent advances in the understanding of the neuroplasticity mechanisms underlying resilience to ELS. We discussed the neurobiological pathways implicated in stress response and adaptation, including the roles of neurogenesis, synaptic plasticity, and neural circuit remodeling. By focusing on the interplay between stress-induced neuroplastic changes and resilience mechanisms, we aimed to provide insights into potential therapeutic targets for stress-related psychopathology.
压力是心理健康领域的一个核心概念,它在压力的开创性定义基础上进行了拓展,即压力是对体内平衡被破坏的一种急性反应。压力是一个复杂的过程,既涉及环境挑战,也涉及内部反应的触发,并影响生理、心理和行为系统。在生命早期,当神经发育具有高度可塑性时,人类大脑应对压力的能力尤为关键。早期生活压力(ELS)被定义为在发育的敏感时期暴露于严重慢性压力之下,已被证明会导致大脑结构和功能的持久变化。然而,并非所有暴露于早期生活压力的个体都会出现病理结果,这表明存在复原力机制:即允许个体在保持心理和神经生物学健康的同时应对不利情况的适应性过程。本综述的目的是综合近期在理解早期生活压力复原力背后的神经可塑性机制方面取得的进展。我们讨论了与应激反应和适应相关的神经生物学途径,包括神经发生、突触可塑性和神经回路重塑的作用。通过关注应激诱导的神经可塑性变化与复原力机制之间的相互作用,我们旨在深入了解与压力相关的精神病理学的潜在治疗靶点。