Cited by 352Stress Responses and CortisolChild Abuse and TraumaPosttraumatic Stress Disorder Research

Risk and resilience: genetic and environmental influences on development of the stress response

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Gillespie, Charles F., Phifer, Justine, Bradley, Bekh, Ressler, Kerry J.·2009·Depression and Anxiety

Abstract

Exposure to stressful events during development has consistently been shown to produce long-lasting alterations in the hypothalamic-pituitary-adrenal (HPA) axis, which may increase vulnerability to disease, including posttraumatic stress disorder and other mood and anxiety disorders. Recently reported genetic association studies indicate that these effects may be mediated, in part, by genexenvironment interactions involving polymorphisms within two key genes, CRHR1 and FKBP5. Data suggest that these genes regulate HPA axis function in conjunction with exposure to child maltreatment or abuse. In addition, a large and growing body of preclinical research suggests that increased activity of the amygdala-HPA axis induced by experimental manipulation of the amygdala mimics several of the physiological and behavioral symptoms of stress-related psychiatric illness in humans. Notably, interactions between the developing amygdala and HPA axis underlie critical periods for emotional learning, which are modulated by developmental support and maternal care. These translational findings lead to an integrated hypothesis: high levels of early life trauma lead to disease through the developmental interaction of genetic variants with neural circuits that regulate emotion, together mediating risk and resilience in adults.

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  • To date, findings mainly implicate two key genes: the GC response element (GRE) and the CRH-releasing hormone receptor 1 (CRHR1) of the FKBP5 gene.

    “To date, findings mainly implicate two key genes: the GC response element (GRE) and the CRH-releasing hormone receptor 1 (CRHR1) of the FKBP5 gene (383, 384).”

    From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [383]

    The section “Integration of Data on Variations of CRHR1 and FKBP5 and Childhood Abuse” (page unavailable) discusses CRHR1 and FKBP5 as distinct genes whose variation may affect risk after childhood abuse. It does not identify a glucocorticoid response element (GRE) as one of those genes or describe CRHR1 as part of FKBP5. (LLM, conf=0.88)

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  • ELS/CT during critical periods of brain development crucially affects the interaction between developing brain regions and neural circuits, exerts epigenetic influences and alters the functions of the HPA axis and GCs; it is associated with remarkable structural and functional brain changes even decades later in adulthood, defining both vulnerability and resilience.

    “ELS/CT during critical periods of brain development crucially affects the interaction between developing brain regions and neural circuits, exerts epigenetic influences and alters the functions of the HPA axis and GCs; indeed, it has been associated with remarkable structural and functional brain changes even decades later, in adulthood, defining both vulnerability and resilience (383, 415, 416) [”

    From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [383]

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  • More recent findings suggest a vital role of genes involved with HPA axis function and GC sensitivity, in conjunction with exposure to child maltreatment or abuse.

    “More recent findings suggest a vital role of genes involved with HPA axis function and GC sensitivity, in conjunction with exposure to child maltreatment or abuse (383).”
  • Extensive evidence documents perturbed hypothalamic-pituitary-adrenal axis function as a result of early life stress and in depression and certain anxiety disorders, particularly PTSD.

    “there is extensive evidence documenting perturbed HPA function both as a result of ELS and in the context of depression and certain anxiety disorders (particularly PTSD)”

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Authors
Gillespie, C. F., Phifer, J., Bradley, B., & Ressler, K. J.
Affiliations
  • Emory University (US)
  • Howard Hughes Medical Institute (US)
Corresponding author
Ressler, Kerry J.
Venue
Depression and Anxiety
Publisher
Wiley
Published
2009-11
Volume
26
Issue
11
Pages
984-992
ISSN
  • 1091-4269 (ISSN-L)
  • 1520-6394
OpenAlex
W2143123443
Cited by
351
References
82
Citations by year
2026: 8 · 2025: 11 · 2024: 15 · 2023: 9 · 2022: 12 · 2021: 18 · 2020: 32 · 2019: 21 · 2018: 21 · 2017: 18 · 2016: 23 · 2015: 23 · 2014: 31 · 2013: 24 · 2012: 38
FWCI
1.51
Type
journal article
Language
en
Open access
Locations
  • Depression and Anxiety (publishedVersion, public-domain)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Howard Hughes Medical Institute
  • American Foundation for Suicide Prevention
  • National Alliance for Research on Schizophrenia and Depression
  • National Institutes of Health (UL1TR000454)
  • National Institute of Mental Health (K23MH082256, MH082256, MH 071537, R01MH071537, R56MH071537)
  • National Center for Advancing Translational Sciences
Topics
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
stress response, hypothalamic-pituitary-adrenal axis, child abuse, early trauma, CRHR1, FKBP5, gene-environment interaction, amygdala, maternal care, emotional learning, post-traumatic stress disorder, anxiety disorders, resilience
MeSH terms
CRF Receptor, Type 1, Tacrolimus Binding Protein 5, Adult, Amygdala, Anxiety Disorders, Arousal, Child, Child Abuse, Emotions, Humans, Hypothalamo-Hypophyseal System, Life Change Events, Nerve Net, Pituitary-Adrenal System, Polymorphism, Genetic, Social Environment, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Receptors, Corticotropin-Releasing Hormone, Mood Disorders, Genetic Predisposition to Disease, Tacrolimus Binding Proteins, Resilience, Psychological

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