New insights into early-life stress and behavioral outcomes
Introduction
Mental illnesses and cognitive disorders commence predominantly early in life [1, 2], suggesting the need to explore events early on that predispose and contribute to disease onset. Epidemiological data indicate that various forms of early-life stress in humans can have life-long impacts, ranging from memory deficits and poor executive functioning [3, 4, 5] to more explicitly stress-related disorders such as depression, anxiety, and post-traumatic stress disorders [6, 7, 8, 9, 10, 11]. Adverse early-life conditions, including poverty, loss of a parent, substance abuse by the mother or maternal depression, are consistently associated with vulnerability to various psychopathologies later in life [12, 13, 14, 15]. Understanding the mechanisms for the enduring consequences of early-life stress on brain function has been an active area of neuroscience research, as this knowledge is critical for identifying clinically plausible therapeutic strategies. This review will focus on the behavioral outcomes of early-life stress, with a particular emphasis on new findings emerging within the past few years, and conclude with a unifying theory for how these profound changes may occur.
Section snippets
What is early-life stress?
The type and severity of the perturbations that cause early-life stress seem to govern its consequences. In humans, chronic early-life stress has both physical and emotional components, but the emotional aspects are dominant. Among the most influential studies of the effects of early-life stress are those of institutionally raised children, where chronic impoverished care was associated with cognitive and emotional problems [4, 16]. Notably, the associated consequences were partially reversed
Modeling early-life stress
In mammals, including humans, monkeys and rodents, maternal input has perhaps the most significant influence on the environment experienced during development [20, 22, 23, 24, 25]. Thus, most animal models of early-life stress have manipulated maternal interaction, disrupting either the quantity or quality of maternal care early in life (see Refs. [26•, 27•] for recent reviews). Non-human primates, whose brains and sociality most closely resemble those of humans, have provided useful insights
Modeling the behavioral outcomes of early-life stress
The specific later-life consequences of early-life stress in humans are modeled in rodents using standardized cognitive and emotional tests that have been designed to optimize translation to the human condition. For example, rodent tests of depressive-like behavior, such as the forced-swim test (FST), have been validated to show improvement with human antidepressants [64]. Human cognitive function, though much more complex than in rodents, is subserved by areas of the brain that are homologous
A spectrum of cognitive consequences of chronic early-life stress
Diverse cognitive effects of early-life stress have been reported. For example, MS stress on postnatal day 9 has led to improved memory in the active avoidance test [70], whereas the same manipulation on postnatal day 4 has led to impaired memory in the same test [70]. This latter finding is more in line with the majority of the MS literature, which includes reports of impairments in the Morris Water maze test and OR [40, 71]. There may be several possible bases for these divergent outcomes,
Recent findings for emotional consequences of chronic early-life stress
A variety of emotional problems, based on rodent tasks considered indicative of depression or anxiety, have been reported after early-life stress [26•, 74, 75, 76]. More recently, anhedonia, a reduced capacity to experience pleasure which commonly heralds depression or schizophrenia in humans [77], has been identified following early-life stress. Already during adolescence, anhedonia, apparent both as a significant reduction in sucrose preference and a reduction of peer-play, was found in LBN
Conclusions
Stress has profound effects on the brain, manifesting as altered behavioral outcomes. This is especially true when the stress occurs during vulnerable developmental periods. Brain maturation involves multiple dynamic processes that are regulated both by genetic factors and environmental input [87, 88, 89, 90]. Many of these processes continue during postnatal life. Although it is impossible to directly compare rodent and human brain development and their trajectories, there is excellent
References and recommended reading
Papers of particular interest, published within the period of review, have been highlighted as:
• of special interest
•• of outstanding interest
Conflict of interest statement
The authors declare that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome.
Acknowledgements
This work was supported by the National Institutes of Health [grant numbers R01MH073136, R01S028912, P50MH096889] and the George E. Hewitt Foundation for Medical Research.
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