Cited by 339Telomeres, Telomerase, and SenescenceChild Abuse and TraumaStress Responses and Cortisol

Telomeres and early-life stress: an overview

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Price, Lawrence H., Kao, Hung-Teh, Burgers, Darcy E., Carpenter, Linda L., Tyrka, Audrey R.·2013·Biological Psychiatry

Abstract

The long-term sequelae of adverse early-life experiences have long been a focus in psychiatry, with a historic neurobiological emphasis on physiological systems that are demonstrably stress-responsive, such as the hypothalamic-pituitary-adrenal axis and neuroimmune function. However, there has been increasing recognition in the general medical literature that such sequelae might encompass more pervasive alterations in health status and physiology. Recent findings in telomere biology have suggested a new avenue for exploring the adverse health effects of childhood maltreatment. Telomere length in proliferative tissues declines with cell replication and the effect can be accelerated by such factors as inflammation, oxidative stress, radiation, and toxins. Reduced telomere length, as a proxy for cellular aging, has been associated with numerous chronic somatic diseases that are generally considered to be diseases of aging, such as diabetes, cancer, and heart disease. More recently, shorter telomeres have been demonstrated in several psychiatric conditions, particularly depression. Sustained psychosocial stress of a variety of types in adulthood appears to be associated with shorter telomeres. Now, emerging work suggests a robust, and perhaps dose-dependent, relationship with early-life stress. These findings present new opportunities to reconceptualize the complex relationships between experience, physical and psychiatric disease, and aging.

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Authors
Price, L. H., Kao, H.-T., Burgers, D. E., Carpenter, L. L., & Tyrka, A. R.
Affiliations
  • Brown University (US)
  • Butler Hospital (US)
Corresponding author
Tyrka, Audrey R.
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2013-01
Volume
73
Issue
1
Pages
15-23
ISSN
0006-3223 (ISSN-L)
OpenAlex
W2056403132
Cited by
339
References
109
Citations by year
2026: 6 · 2025: 14 · 2024: 13 · 2023: 12 · 2022: 24 · 2021: 35 · 2020: 20 · 2019: 35 · 2018: 23 · 2017: 36 · 2016: 43 · 2015: 35 · 2014: 25 · 2013: 15 · 2012: 2
FWCI
2.65
Type
journal article
Language
en
Open access
Locations
  • Biological Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • AstraZeneca
  • National Institutes of Health
  • Medtronic
  • Health Resources and Services Administration
  • NeoSync
  • Alberta Heritage Foundation for Medical Research
  • Abbott Laboratories
Topics
  • Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
telomere length, early life stress, child abuse, cellular aging, psychosocial stress, depression, oxidative stress, inflammation, hypothalamic-pituitary-adrenal axis, neuroimmune function
MeSH terms
Aging, Mental Disorders, Humans, Stress, Psychological, Telomere, Telomere Shortening

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