Early life stress is associated with youth-onset depression for some types of stress but not others
July 15, 2020
Science Daily/Elsevier
A study in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP), published by Elsevier, reports that individuals exposed to early life stress (ELS) were more likely to develop a major depressive disorder (MDD) in childhood or adolescence than individuals who had not been exposed to ELS.
Examining the association between eight different types of ELS and youth-onset depression, the authors found that while some types of ELS (e.g., poverty) were not associated with MDD, other types of stress, including emotional abuse, were associated more strongly with MDD than a broader assessment of ELS.
"Researchers have documented that early life stress increases the risk for developing depression in adulthood. We wanted to know the degree to which it was associated with depression earlier in life -- specifically during childhood or adolescence," said lead author Joelle LeMoult, PhD, a researcher at the University of British Columbia, Vancouver, Canada. "Given that earlier onsets of depression often mean a more recurrent course across the lifespan. We found that exposure to early life stress more than doubled the likelihood someone will develop youth-onset depression.
"These findings indicate that there is a narrow window between adversity and depression during which we have the opportunity to intervene."
The findings are based on a meta-analysis of data from 62 journal articles and over 44,000 unique participants. Studies that assessed early life stress and the presence or absence of MDD before the age of 18 years were also included.
Compared to youth who were not exposed to ELS, youth who were exposed to ELS were 2.5 times more likely to develop MDD (OR=2.50; 95% CI [2.08, 3.00]).
The authors also conducted eight additional meta-analyses to examine the association between different types of ELS and a diagnosis of MDD during childhood or adolescence. Sexual abuse, physical abuse, death of a family member, domestic violence, and emotional abuse were associated with significantly higher risk for youth-onset MDD; in contrast, poverty, illness/injury, and exposure to a natural disaster were not.
Several variables moderated the association between ELS and youth-onset MDD. For example, studies that used interview-based assessments or included larger sample sizes reported stronger associations between ELS and depression.
Taken together, findings provide evidence that the adverse effects of ELS on risk for MDD manifests early in development, before adulthood, and varies by type of ELS. Further, findings support recommendations to use best-practice methods in early life stress research.
https://www.sciencedaily.com/releases/2020/07/200715142326.htm
Early life stress plus overexpressed FKBP5 protein increases anxiety behavior
A new preclinical study adds to mounting evidence about the interplay between genetics and environment in mental health
June 11, 2019
Science Daily/University of South Florida (USF Innovation)
A new preclinical study finds that anxiety-like behavior increases when early life adversity combines with high levels of FKBP5 -- a protein capable of modifying hormonal stress response. Moreover, the researchers demonstrate this genetic-early life stress interaction amplifies anxiety by selectively altering signaling of the enzyme AKT in the dorsal hippocampus, a portion of the brain primarily responsible for cognitive functions like learning and memory.
Researchers continue to dig for molecular clues to better understand how gene-environment interactions influence neuropsychiatric disease risk and resilience. An increasing number of studies point to a strong association between the FKBP5 gene and increased susceptibility to depression, anxiety, post-traumatic stress disorder and other mental health disorders.
Adding to the growing evidence, a new preclinical study by University of South Florida neuroscientists finds that anxiety-like behavior increases when early life adversity combines with high levels of FKBP5 -- a protein capable of modifying hormonal stress response. Moreover, the researchers demonstrate this genetic-early life stress interaction amplifies anxiety by selectively altering signaling of the enzyme AKT in the dorsal hippocampus, a portion of the brain primarily responsible for cognitive functions like learning and memory.
While more research is required, the study suggests that FKBP5 may be an effective target for treating anxiety and other mood disorders.
The findings were published June 4 in the International Journal of Molecular Sciences.
"We know that the combination of genetic variations and environmental factors can make people either more or less susceptible to mental illness -- even when they experience the same types of trauma," said senior author Laura Blair, PhD, assistant professor of molecular medicine at the USF Health Byrd Alzheimer's Center. Postdoctoral scholar Marangelie Criado-Marrero, PhD, was lead author of the study.
"We hypothesized that high FKBP5 and early life stress might yield neuropsychiatric symptoms through altered cellular stress response pathways in the brain."
In a series of experiments, newborn mice overexpressing human FKBP5 in the forebrain were divided into two groups -- one group was exposed to an early life stress (maternal separation), and the other was not. Two control groups were comprised of stressed and non-stressed mice without brain overexpression of FKBP5. At two months, when the mice were young adults, an elevated-plus maze with open and closed arms was used to test anxiety-like behavior. Compared to all other groups, the mice with high FKBP5 and early life stress showed more anxiety as measured by their tendency to stay within enclosed areas of the maze rather than naturally explore all arms of the maze.
The anxiety effect was more pronounced in the female mice than in males, an observation that aligns with sex differences noted in humans with anxiety disorders, Dr. Blair said.
The researchers also analyzed molecular changes in brains of the mice. They found that AKT signaling, specifically in the dorsal hippocampus, differed depending upon whether or not the mice with high FKBP5 had experienced maternal separation as newborns. AKT signaling -- shown to be altered in Alzheimer's disease and cancer as well as in mental health disorders -- affects brain cell survival and metabolism, and the brain's ability to adapt to new information.
"The AKT signaling pathway was inversely regulated as a result of early life stress. High FKBP5 normally decreases AKT signaling, but when early life stress was added to overexpressed FKBP5 that signaling activity increased," Dr. Blair said. "Overall, our findings highlight the importance of stress and genes (like FKBP5) in modulating vulnerability to mood disorders and learning impairments."
https://www.sciencedaily.com/releases/2019/06/190611133927.htm
Cold-parenting linked to premature aging, increased disease risk in offspring
Unsupportive parenting may have several negative health implications for children
May 30, 2019
Science Daily/Loma Linda University Adventist Health Sciences Center
New research suggests that unsupportive parenting styles may have several negative health implications for children, even into their adult years. The study found that the telomeres -- protective caps on the ends of the strands of DNA -- of subjects who considered their mothers' parenting style as 'cold' were on average 25% smaller compared to those who reported having a mother whose parenting style they considered 'warm.'
The study found that the telomeres -- protective caps on the ends of the strands of DNA -- of subjects who considered their mothers' parenting style as "cold" were on average 25% smaller compared to those who reported having a mother whose parenting style they considered "warm."
Research has found that early-life stress is associated with shorter telomeres, a measurable biomarker of accelerated cellular aging and increased disease risk later in life.
"Telomeres have been called a genetic clock, but we now know that as early life stress increases, telomeres shorten and the risk of a host of diseases increases, as well as premature death," said Raymond Knutsen, MD, MPH, lead author of the study and associate professor at Loma Linda University School of Public Health. "We know that each time a cell divides, the telomeres shorten, which shortens its lifespan."
Interestingly, mutations in genes maintaining telomeres cause a group of rare diseases resembling premature aging. "However, we know that some cells in the body produce an enzyme called telomerase, which can rebuild these telomeres," Knutsen said.
Released earlier this month, the study, "Cold parenting is associated with cellular aging in offspring: A retrospective study," uses data from 200 subjects who participated in two prospective cohort studies of Seventh-day Adventist men and women: the Adventist Health Study-1 (AHS-1) with 34,000 Californians in 1976 and AHS-2 with 96,000 subjects from the United States and Canada in 2002-2007.
The research takes a closer look at the impact parenting style has on telomere succession. "The way someone is raised seems to tell a story that is intertwined with their genetics," Knutsen said.
The study also examined the impact education and body mass index (BMI) may have on the association between cold parenting and telomere length.
"The association with parenting style was greatest among those with less education, and those who stayed overweight/obese or put on weight during follow-up, suggesting both higher education and normal BMI may provide some resilience against cold parenting and cellular aging," the study stated.
https://www.sciencedaily.com/releases/2019/05/190530101148.htm