A mechanistic look at the effects of adversity early in life on cardiovascular disease risk during adulthood
Open accessAbstract
Early origins of adult disease may be defined as adversity or challenges during early life that alter physiological responses and prime the organism to chronic disease in adult life. Adverse childhood experiences or early life stress (ELS) may be considered a silent independent risk factor capable of predicting future cardiovascular disease risk. M aternal separation (M at S ep) provides a suitable model to elucidate the underlying molecular mechanisms by which ELS increases the risk to develop cardiovascular disease in adulthood. The aim of this review is to describe the links between behavioural stress early in life and chronic cardiovascular disease risk in adulthood. We will discuss the following: (i) adult cardiovascular outcomes in humans subjected to ELS, (ii) M at S ep as an animal model of ELS as well as the limitations and advantages of this model in rodents and (iii) possible ELS‐induced mechanisms that predispose individuals to greater cardiovascular risk. Overall, exposure to a behavioural stressor early in life sensitizes the response to a second stressor later in life, thus unmasking an exaggerated cardiovascular dysfunction that may influence quality of life and life expectancy in adulthood.
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Emerging epidemiologic evidence strongly supports that ELS/CT is an independent albeit silent risk factor of future chronic cardiovascular risk through various systemic and molecular mechanisms.
“Emerging epidemiologic evidence strongly supports that ELS/CT is an independent albeit silent risk factor of future chronic cardiovascular risk through various systemic and molecular mechanisms (267–272)”
From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [269]
The Abstract (page unavailable) describes ELS as a possible silent, independent predictor of future cardiovascular risk and discusses possible molecular mechanisms. The section “ELS and adult cardiovascular outcomes in humans” reports strong epidemiologic associations, but the paper does not establish that those associations operate through the proposed mechanisms; the claim presents that link more definitively than the review does. (LLM, conf=0.85)
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“…result from developmental plasticity, which is the ability of a single genotype to produce more than one alternative form of structure and/or function in response to environmental conditions (Barker et al. 2002, Gluckman & Hanson 2004, McMillen & Robinson 2005, Nuyt 2008, Nuyt & Alexander 2009).”
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“…with respect to the HPA axis and SAM system, specifically glucocorticoid receptor (GR) expression in the frontal cortex of the brain and the regulation of GR activity (Weaver et al. 2004, Meaney et al. 2007, Cameron et al. 2008, Szyf et al. 2005, Navailles et al. 2010, Klengel et al. 2013).”
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“Adult and juvenile rats and mice exposed to ELS display heightened reactivity to stressors, increased anxiety as well as depression-like behaviours such as reduced anhedonia (George et al. 2010, Uchida et al. 2010, Schmidt et al. 2011).”
BackgroundAnimal models of early life stress: Implications for understanding resilience
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Holness, M. J., LANGDOWN, M. L., & Sugden, M. C. (2000) · Biochemical Journal · doi:10.1042/bj3490657 · Cited by 132 · cited 2× · see citing works
“Immunological responses Kanitz et al. (2004), Tuchscherer et al.”
MethodSuppressed immune response in infant monkeys associated with maternal separation
Laudenslager, M. L., Reite, M. L., & Harbeck, R. J. (1982) · Behavioral and Neural Biology · doi:10.1016/s0163-1047(82)90223-0 · Cited by 118 · see citing works
Banerjee, S. B., Arterbery, A. S., Fergus, D. J., & Adkins–Regan, E. (2011) · Proceedings of the Royal Society B Biological Sciences · doi:10.1098/rspb.2011.1265 · Cited by 118 · cited 2× · see citing works
“pituitary-adrenal axis activation Mate choice Banerjee et al. (2012) and Spencer et al. (2009)”
BackgroundCardiovascular health of Finnish war evacuees 60 years later
Alastalo, H., Räikkönen, K., Pesonen, A.-K., Osmond, C., Barker, D. J. P., Kajantie, E., Heinonen, K., Forsén, T. J., & Eriksson, J. G. (2009) · Annals of Medicine · doi:10.1080/07853890802301983 · Cited by 116 · cited 1× · see citing works
“…2011 Finland Participants separated during childhood for safety reasons used medications for coronary heart disease more frequently 60 year later (Alastalo et al. 2009, 2012, 2013) Guangzhou Biobank 2003 2008 China ELS was negatively associated with some cardiovascular risk factors,…”
BackgroundBirthweight, childhood growth, and blood pressure at 43 years in a British birth cohort
Hardy, R. (2004) · International Journal of Epidemiology · doi:10.1093/ije/dyh027 · Cited by 110 · cited 1× · see citing works
“…et al. 2009) British Birth 1946 1985 UK Low socio-economic status correlated with higher blood pressure in 40-year-old patients (Wadsworth et al. 1985, Hardy et al. 2004, Kuh et al. 2008) Helsinki Birth 1934–1944 2011 Finland Participants separated during childhood for safety reasons…”
BackgroundMild early life stress enhances prefrontal-dependent response inhibition in monkeys
Parker, K. J., Buckmaster, C. L., Justus, K. R., Schatzberg, A. F., & Lyons, D. M. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.12.024 · Cited by 109 · see citing works
Animal models of early life stress: Implications for understanding resilience
Lyons, D. M., Parker, K. J., & Schatzberg, A. F. (2010) · Developmental Psychobiology · doi:10.1002/dev.20500 · Cited by 109 · cited 5× · see citing works
“This mismatch may explain why there is a disparity in effects between rodent models and primate models (Lyons et al. 2010).”
BackgroundInfluentialNeural correlates of maternal separation in rhesus monkeys
Rilling, J. K., Winslow, J., O’Brien, D., Gutman, D. A., Hoffman, J. M., & Kilts, C. D. (2001) · Biological Psychiatry · doi:10.1016/s0006-3223(00)00977-x · Cited by 108 · see citing works
Genest, S., Gulemetova, R., Laforest, S., Drolet, G., & Kinkead, R. (2003) · The Journal of Physiology · doi:10.1113/jphysiol.2003.052894 · Cited by 108 · cited 1× · see citing works
“Dysregulation of the HPA axis sensitivity (Lippmann et al. 2007, Meaney et al. 2007, Genest et al. 2004, O’Mahony et al. 2008).”
BackgroundResistance to Early-Life Stress in Mice: Effects of Genetic Background and Stress Duration
Savignac, H. M., Dinan, T. G., & Cryan, J. F. (2011) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2011.00013 · Cited by 103 · cited 2× · see citing works
“Also, strain differences in MatSep mice have been extensively explored (Labarba et al. 1973, Savignac et al. 2011).”
BackgroundKermack, W. O., McKendrick, A. G., & Mckinlay, P. L. (1934) · Epidemiology and Infection · doi:10.1017/s0022172400043230 · Cited by 98 · cited 2× · see citing works
“Wales and Sweden 1751–1930 1934 UK Sweden Death rates fell as a result of better childhood living conditions (Kermack et al. 1934)”
BackgroundDesbonnet, L., Garrett, L., Daly, E., McDermott, K. W. G., & Dinan, T. G. (2008) · International Journal of Developmental Neuroscience · doi:10.1016/j.ijdevneu.2008.02.004 · Cited by 97 · see citing works
Bogdarina, I. G., Haase, A., Langley‐Evans, S. C., & Clark, A. (2010) · PLoS ONE · doi:10.1371/journal.pone.0009237 · Cited by 93 · cited 2× · see citing works
“Published by John Wiley & Sons Ltd, doi: 10.1111/apha.12189282 outcomes involved in the programming of the adult phenotype (Champagne & Meaney 2001, Cameron et al. 2008, Bogdarina et al. 2010).”
BackgroundInfluentialEarly life stress and novelty seeking behavior in adolescent monkeys
Parker, K. J., Rainwater, K. L., Buckmaster, C. L., Schatzberg, A. F., Lindley, S. E., & Lyons, D. M. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.05.008 · Cited by 89 · see citing works
Strain-specific cognitive deficits in adult mice exposed to early life stress.
Mehta, M., & Schmauss, C. (2011) · Behavioral Neuroscience · doi:10.1037/a0021952 · Cited by 84 · cited 1× · see citing works
“For example, the innately anxious Balb-c mice appear to be more susceptible to the cognitive ill-effects of MatSep than C57BL6 mice, such as reduced recognition and spatial working memory (Mehta & Schmauss 2011).”
BackgroundKanitz, E., Puppe, B., Tuchscherer, M., Heberer, M., Viergutz, T., & Tuchscherer, A. (2009) · Physiology & Behavior · doi:10.1016/j.physbeh.2009.05.007 · Cited by 81 · see citing works
Carlyle, B. C., Duque, A., Kitchen, R. R., Bordner, K. A., Coman, D., Doolittle, E., Papademetris, X., Hyder, F., Taylor, J. R., & Simen, A. A. (2012) · Development and Psychopathology · doi:10.1017/s095457941200079x · Cited by 80 · see citing works
Renard, G. M., Rivarola, M. A., & Suárez, M. M. (2007) · International Journal of Developmental Neuroscience · doi:10.1016/j.ijdevneu.2007.07.001 · Cited by 80 · cited 1× · see citing works
“Exaggerated behavioral and cardiovascular stress-related response (Enthoven et al. 2008b, Plotsky and Meaney, 1993, Renard et al. 2007).”
BackgroundLoria, A. S., Pollock, D. M., & Pollock, J. S. (2009) · Hypertension · doi:10.1161/hypertensionaha.109.145391 · Cited by 74 · cited 3× · see citing works
“Reduced NO buffering capacity and increased AngII-induced constriction (Loria et al. 2011, Loria et al. 2010a, Loria et al. 2010b).”
BackgroundSelf-citationMaternal behavior and offspring resiliency to maternal separation in c57bl/6 mice
Own, L. S., & Patel, P. D. (2012) · Hormones and Behavior · doi:10.1016/j.yhbeh.2012.11.010 · Cited by 72 · cited 1× · see citing works
“In primates, some researchers have detected resilience rather than a behavioural instability in the face of MatSep (Lyons et al. 2010, Own & Patel 2012).”
BackgroundEarly life stress and blood pressure levels in late adulthood
Alastalo, H., Räikkönen, K., Pesonen, A., Osmond, C., Barker, D. J. P., Heinonen, K., Kajantie, E., & Eriksson, J. G. (2012) · Journal of Human Hypertension · doi:10.1038/jhh.2012.6 · Cited by 67 · cited 2× · see citing works
“…1A. ELS consistently demonstrated a cardiovascular risk phenotype, including exacerbation of inflammatory markers and lipid profiles that may enhance the underlying risk of cardiovascular disease (Danese et al. 2007, Kelishadi et al. 2009, Chen et al. 2011, Vig et al. 2010, Alastalo et al. 2013).”
BackgroundTuchscherer, M., Kanitz, E., Puppe, B., Tuchscherer, A., & Stabenow, B. (2004) · Physiology & Behavior · doi:10.1016/j.physbeh.2004.04.056 · Cited by 66 · see citing works
O’Mahony, S. M., Chua, A., Quigley, E. M. M., Clarke, G. A., Shanahan, F., Keeling, P. W. N., & Dinan, T. G. (2008) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2007.01065.x · Cited by 64 · see citing works
SANDERS, B., & Anticevic, A. (2007) · Behavioural Brain Research · doi:10.1016/j.bbr.2007.05.020 · Cited by 61 · cited 2× · see citing works
“Published by John Wiley & Sons Ltd, doi: 10.1111/apha.12189 281 is elevated in response to acute stress in MatSep borderline hypertensive rats (Sanders & Anticevic 2007).”
BackgroundInfluentialEnthoven, L., Oitzl, M. S., Koning, N. R., van der Mark, M. H., & de Kloet, E. R. (2008) · Endocrinology · doi:10.1210/en.2008-0238 · Cited by 60 · cited 2× · see citing works
“…Maternal Separation in rodents Early life stress can influence mechanism(s) of metabolic and mental disorders as well as cardiovascular disease in animal models (Tucker & Johnson 1984, Kaufman et al. 2007, Sanders & Anticevic 2007, Enthoven et al. 2008a, Samuelsson et al. 2008, Loria et al. 2010a).”
BackgroundHennessy, M. B., Harvey, A. T., Schiml, P. A., & Lucot, J. B. (1989) · Physiology & Behavior · doi:10.1016/0031-9384(89)90101-7 · Cited by 52 · see citing works
Mathieu, G., Oualian, C., Denis, I., Lavialle, M., Gisquet-Verrier, P., & Vancassel, S. (2011) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2011.07.001 · Cited by 49 · see citing works
Hennessy, M. B., Schiml‐Webb, P. A., Miller, E. E., Maken, D. S., Bullinger, K. L., & Terrence Deak, B. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.03.004 · Cited by 49 · see citing works
Loria, A. S., Kang, K.-T., Pollock, D. M., & Pollock, J. S. (2011) · Hypertension · doi:10.1161/hypertensionaha.110.168674 · Cited by 48 · cited 3× · see citing works
“Reduced NO buffering capacity and increased AngII-induced constriction (Loria et al. 2011, Loria et al. 2010a, Loria et al. 2010b).”
BackgroundSelf-citationClinical depression, antidepressant use and risk of future cardiovascular disease
Rahman, I., Humphreys, K., Bennet, A., Ingelsson, E., Pedersen, N. L., & Magnusson, P. K. E. (2013) · European Journal of Epidemiology · doi:10.1007/s10654-013-9821-z · Cited by 47 · cited 1× · see citing works
“These ELS-induced pro-anxiety and prodepression traits have been suggested to correlate with the promotion of cardiovascular outcomes such as stroke, atherosclerosis and hypertension (Beutel et al. 2013, Rahman et al. 2013); however, these parameters have not been consistently measured and reported.”
BackgroundThe Relationship between Childhood Parental Loss and Metabolic Syndrome in Obese Subjects
Alciati, A., Gesuele, F., Casazza, G., & Foschi, D. (2011) · Stress and Health · doi:10.1002/smi.1435 · Cited by 47 · cited 1× · see citing works
“…commonly occurring in the first decade of life, is induced by behavioural stressors or adverse childhood experiences and is highly correlative with ischaemic heart disease in adulthood, more so than the traditional risk factors (Taylor & Seeman 1999, Chida & Steptoe 2009, Alciati et al. 2011).”
BackgroundRebollar, P. G., Milanés, A., Pereda, N., Millán, P., Cano, P., Esquifino, A. I., Villarroel, M., Silván, G., & Lorenzo, P. L. (2005) · Animal Reproduction Science · doi:10.1016/j.anireprosci.2005.06.032 · Cited by 47 · cited 1× · see citing works
“Some insight can be gained from rabbit models of MatSep where maternal lactation and circulating hormones have been shown to change during separation from pups (Cano et al. 2005b, Rebollar et al. 2006).”
BackgroundTuchscherer, M., Kanitz, E., Puppe, B., & Tuchscherer, A. (2006) · Hormones and Behavior · doi:10.1016/j.yhbeh.2006.06.026 · Cited by 45 · see citing works
Meagher, M. W., Sieve, A. N., Johnson, R. R., Satterlee, D. M., Belyavskyi, M., Mi, W., Prentice, T. W., Welsh, T. H., & Welsh, C. J. (2010) · Behavior Genetics · doi:10.1007/s10519-010-9333-5 · Cited by 45 · cited 2× · see citing works
“Exaggerated response to LPS and E coli infection (Meagher et al. 2010).”
BackgroundLindgärde, F., Furu, M., & Ljung, B. (1987) · Journal of Epidemiology & Community Health · doi:10.1136/jech.41.3.220 · Cited by 44 · cited 2× · see citing works
“The effects of ELS on the endocrine, inflammatory and neural system have been studied (Lindgarde et al. 1987).”
BackgroundInfluentialBernardi, J. R., Ferreira, C. F., Senter, G., Krolow, R., de Aguiar, B. W., Portella, A. K., Kauer-Sant'Anna, M., Kapczinski, F., Dalmaz, C., Goldani, M. Z., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062031 · Cited by 43 · see citing works
Early life stress sensitizes the renal and systemic sympathetic system in rats
Loria, A. S., Brands, M. W., Pollock, D. M., & Pollock, J. S. (2013) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00008.2013 · Cited by 43 · cited 3× · see citing works
“Impaired chronic blood pressure control (Loria et al. 2013).”
BackgroundInfluentialSelf-citationNavailles, S., Zimnisky, R. M., & Schmauss, C. (2010) · Developmental Neuroscience · doi:10.1159/000293989 · Cited by 41 · cited 1× · see citing works
“…with respect to the HPA axis and SAM system, specifically glucocorticoid receptor (GR) expression in the frontal cortex of the brain and the regulation of GR activity (Weaver et al. 2004, Meaney et al. 2007, Cameron et al. 2008, Szyf et al. 2005, Navailles et al. 2010, Klengel et al. 2013).”
BackgroundLoria, A. S., D’Angelo, G., Pollock, D. M., & Pollock, J. S. (2010) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00333.2009 · Cited by 41 · cited 6× · see citing works
“Maternal separation in rats involves the removal of pups from the dam for 3–4 h a day starting at postnatal day 2 (P2) and ending at P14 (Lehmann et al. 2000, Lippmann et al. 2007, Loria et al. 2010a).”
BackgroundResultInfluentialSelf-citationPostnatal maternal separation modifies the response to an obesogenic diet in adulthood
Paternain, L., Martisova, E., Milagro, F. I., Ramírez, M. J., Martínez, J. A., & Campión, J. (2012) · Disease Models & Mechanisms · doi:10.1242/dmm.009043 · Cited by 39 · see citing works
Enthoven, L., de Kloet, E. R., & Oitzl, M. S. (2008) · Brain Research · doi:10.1016/j.brainres.2008.04.009 · Cited by 37 · cited 2× · see citing works
“…Maternal Separation in rodents Early life stress can influence mechanism(s) of metabolic and mental disorders as well as cardiovascular disease in animal models (Tucker & Johnson 1984, Kaufman et al. 2007, Sanders & Anticevic 2007, Enthoven et al. 2008a, Samuelsson et al. 2008, Loria et al. 2010a).”
BackgroundTamborski, A., Lucot, J. B., & Hennessy, M. B. (1990) · Behavioral Neuroscience · doi:10.1037//0735-7044.104.4.607 · Cited by 34 · see citing works
Alastalo, H., Räikkönen, K., Pesonen, A.-K., Osmond, C., Barker, D. J. P., Heinonen, K., Kajantie, E., & Eriksson, J. G. (2012) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31825b3d76 · Cited by 32 · cited 2× · see citing works
“…low socio-economic status as well is a factor that strongly correlates with the presence of adversity and has been used to approximate ELS in many epidemiological studies (Taylor & Seeman 1999, Holness et al. 2000, Dong et al. 2004, Kelishadi et al. 2009, Chen et al. 2011, Alastalo et al. 2012).”
BackgroundMethodHennessy, M. B., Terrence Deak, B., Schiml‐Webb, P. A., Carlisle, C. W., & O'Brien, E. (2010) · Physiology & Behavior · doi:10.1016/j.physbeh.2010.02.024 · Cited by 31 · see citing works
Spencer‐Booth, Y., & Hinde, R. A. (1971) · Animal Behaviour · doi:10.1016/s0003-3472(71)80117-3 · Cited by 31 · see citing works
Trombini, M., Hulshof, H. J., Graiani, G., Carnevali, L., Meerlo, P., Quaini, F., & Sgoifo, A. (2011) · Stress · doi:10.3109/10253890.2011.639414 · Cited by 31 · cited 2× · see citing works
“Mild effects on cardiomyocyte hypertrophy and myocardial fibrosis (Trombini et al. 2012).”
BackgroundTamborski, A., Lucot, J. B., & Hennessy, M. B. (1990) · Behavioral Neuroscience · doi:10.1037/0735-7044.104.4.607 · Cited by 31 · see citing works
Hennessy, M. B. (1988) · Physiology & Behavior · doi:10.1016/0031-9384(88)90369-1 · Cited by 31 · cited 1× · see citing works
“Circulating cortisol levels and vocalization in novel environment Core temperature and behaviour Hennessy (1988), Hennessy et al.”
BackgroundYoo, S. B., Ryu, V., Park, E. Y., Kim, B.-T., Kang, D. W., Lee, J.-H., & Jahng, J. W. (2011) · Neuropeptides · doi:10.1016/j.npep.2011.07.005 · Cited by 30 · see citing works
Incidence of Renal Stones in 18 British Towns A Collaborative Study
Power, C., Barker, D. J. P., & Blacklock, N. J. (1987) · British Journal of Urology · doi:10.1111/j.1464-410x.1987.tb04798.x · Cited by 29 · cited 1× · see citing works
“…revealed that increments across the distribution of childhood cognition are associated with the improvements in cardiovascular risk profile in midlife (Power et al. 1987, 2002, Power & Elliott 2006) ABCD-Amsterdam 2003 2014 Holland Explains socio-economic inequalities in childhood blood…”
BackgroundTucker, D. C., & Johnson, A. K. (1984) · Developmental Psychobiology · doi:10.1002/dev.420170603 · Cited by 26 · cited 1× · see citing works
“…Maternal Separation in rodents Early life stress can influence mechanism(s) of metabolic and mental disorders as well as cardiovascular disease in animal models (Tucker & Johnson 1984, Kaufman et al. 2007, Sanders & Anticevic 2007, Enthoven et al. 2008a, Samuelsson et al. 2008, Loria et al. 2010a).”
BackgroundSpivey, J. M., Padilla‐Tolentino, E., Shumake, J., & Gonzalez-Lima, F. (2010) · Brain Research · doi:10.1016/j.brainres.2010.10.038 · Cited by 26 · cited 1× · see citing works
“Insulin resistance and metabolic syndrome Increased body weight and metabolic syndrome (Spivey et al. 2011).”
BackgroundForsdahl, A. (1979) · International Journal of Rehabilitation Research · doi:10.1097/00004356-197905000-00008 · Cited by 25 · see citing works
Schooling, C. M., Jiang, C., Lam, T. H., Zhang, W., Cheng, K. K., & Leung, G. M. (2011) · PLoS ONE · doi:10.1371/journal.pone.0019675 · Cited by 23 · cited 1× · see citing works
“…et al. 2009, 2012, 2013) Guangzhou Biobank 2003 2008 China ELS was negatively associated with some cardiovascular risk factors, particularly among men (Schooling et al. 2011) (B) Prospective studies Study name Start End Population Outcomes Dunedin health and development 1972 2006 New Zealand…”
BackgroundVoluntary and involuntary maternal separation in guinea pig pups with mothers required to forage
Hennessy, M. B., & Sharp, K. (1990) · Developmental Psychobiology · doi:10.1002/dev.420230803 · Cited by 23 · see citing works
Beutel, M. E., Wiltink, J., Kirschner, Y., Sinning, C., Espinola–Klein, C., Wild, P. S., Münzel, T. F., Blettner, M., Zwiener, I., Lackner, K. J., et al. (2013) · Psychological Medicine · doi:10.1017/s0033291713001542 · Cited by 21 · see citing works
Herbert, C. A., Siegle, J. S., Shadie, A. M., Nikolaysen, S., Garthwaite, L. L., Hansbro, N. G., Foster, P. S., & Kumar, R. K. (2012) · Disease Models & Mechanisms · doi:10.1242/dmm.010728 · Cited by 19 · cited 1× · see citing works
“For example, in the human literature, ELS induces heightened inflammatory status that parallels what is observed in rodent models of ELS (Pace et al. 2006, Danese et al. 2007, O’Mahony et al. 2009, Herbert et al. 2012).”
BackgroundThe Effect of Early-Life Stress on Airway Inflammation in Adult Mice
VIG, R. S., Gordon, J., Thébaud, B., Befus, A. D., & Vliagoftis, H. (2010) · NeuroImmunoModulation · doi:10.1159/000290039 · Cited by 15 · cited 1× · see citing works
“…1A. ELS consistently demonstrated a cardiovascular risk phenotype, including exacerbation of inflammatory markers and lipid profiles that may enhance the underlying risk of cardiovascular disease (Danese et al. 2007, Kelishadi et al. 2009, Chen et al. 2011, Vig et al. 2010, Alastalo et al. 2013).”
BackgroundMascitelli, L., Pezzetta, F., & Sullivan, J. L. (2006) · Gender Medicine · doi:10.1016/s1550-8579(06)80221-4 · Cited by 12 · see citing works
Kuh, D. J., Mishra, G. D., Black, S., Lawlor, D. A., Smith, G. D., Okell, L., Wadsworth, M. E. J., & Hardy, R. (2008) · Diabetic Medicine · doi:10.1111/j.1464-5491.2008.02427.x · Cited by 10 · cited 1× · see citing works
“…Birth 1946 1985 UK Low socio-economic status correlated with higher blood pressure in 40-year-old patients (Wadsworth et al. 1985, Hardy et al. 2004, Kuh et al. 2008) Helsinki Birth 1934–1944 2011 Finland Participants separated during childhood for safety reasons used medications for coronary…”
BackgroundCano, P., Jiménez, V., Alvarez, M. P., Alvariño, M., Cardinali, D. P., & Esquifino, A. I. (2005) · Journal of Circadian Rhythms · doi:10.1186/1740-3391-3-9 · Cited by 9 · see citing works
Compensatory social responses of older pigtailed monkeys to maternal separation
Bernstein, I. S., & Dobrofsky, M. (1981) · Developmental Psychobiology · doi:10.1002/dev.420140210 · Cited by 8 · see citing works
Cano, P., Jiménez‐Ortega, V., Alvarez, M. P., Alvariño, M., Cardinali, D. P., & Esquifino, A. I. (2005) · Reproductive Biology and Endocrinology · doi:10.1186/1477-7827-3-50 · Cited by 8 · see citing works
Maternal Separation and Emotional Reactivity in Balb/C Mice
Barba, R. C. L., Hibbs, S. E., & White, J. L. (1973) · Psychological Reports · doi:10.2466/pr0.1973.32.1.107 · Cited by 4 · see citing works
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Agorastos, A., Pervanidou, P., Chrousos, G. P., & Baker, D. G. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00118 · Cited by 385 · see citing works
Stress & sleep: A relationship lasting a lifetime
Martire, V. L., Caruso, D., Palagini, L., Zoccoli, G., & Bastianini, S. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.08.024 · Cited by 296 · see citing works
Fetal Programming and Cardiovascular Pathology
Alexander, B. T., Dasinger, J. H., & Intapad, S. (2015) · Comprehensive physiology · doi:10.1002/cphy.c140036 · Cited by 217 · see citing works
How age, sex and genotype shape the stress response
Novais, A., Monteiro, S., Roque, S., Correia‐Neves, M., & Sousa, N. (2016) · Neurobiology of Stress · doi:10.1016/j.ynstr.2016.11.004 · Cited by 140 · see citing works
“…from mothers with depression or neglected/abused infants, is associated with increased susceptibility to the effects of stress later in life and vulnerability to develop stress-related psychiatric disorders (Graham et al., 1999; Nugent et al., 2011) and cardiovascular diseases (Loria et al., 2014).”
BackgroundDevelopmental origins of cardiovascular disease: Impact of early life stress in humans and rodents
Murphy, M. O., Cohn, D. M., & Loria, A. S. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.07.018 · Cited by 117 · see citing works
“…associated with the consequences of emotional trauma have been shown to impact the cardiovascular system of rodents in a similar fashion to the observed in adult humans (Beutel et al., 2014; Loria et al., 2013a; Mascitelli et al., 2006; Rahman et al., 2013; Sanders and Anticevic, 2007).”
BackgroundResultInfluentialSelf-citationSuglia, S. F., Campo, R., Brown, A. G. M., Stoney, C. M., Boyce, C. A., Appleton, A. A., Bleil, M. E., Boynton‐Jarrett, R., Dube, S. R., Dunn, E. C., et al. (2020) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2019.12.063 · Cited by 88 · see citing works
Early life adversity as a risk factor for cognitive impairment and Alzheimer’s disease
Huang, Z., Jordan, J. D., & Zhang, Q. (2023) · Translational Neurodegeneration · doi:10.1186/s40035-023-00355-z · Cited by 92 · see citing works
Salinas‐Miranda, A., Salemi, J. L., King, L., Baldwin, J. A., Berry, E., Austin, D., Scarborough, K., Spooner, K. K., Zoorob, R., & Salihu, H. M. (2015) · Health and Quality of Life Outcomes · doi:10.1186/s12955-015-0323-4 · Cited by 80 · see citing works
“Our study confirms this association and is consistent with previous findings [7, 11–15].”
BackgroundResultUnderstanding Mental Health for the Prevention and Control of Cardiovascular Diseases
Mensah, G. A., & Collins, P. Y. (2015) · Global Heart · doi:10.1016/j.gheart.2015.08.003 · Cited by 60 · see citing works
Johnson, A. K., Zhang, Z., Clayton, S., Beltz, T. G., Hurley, S. W., Thunhorst, R. L., & Xue, B. (2015) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00037.2015 · Cited by 55 · see citing works
Loxton, D. J., Forder, P., Cavenagh, D., Townsend, N., Holliday, E. G., Chojenta, C., & Melka, A. S. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104771 · Cited by 55 · see citing works
Low on energy? An energy supply-demand perspective on stress and depression
Østergaard, L., Jørgensen, M. B., & Knudsen, G. M. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.08.007 · Cited by 52 · see citing works
Ho, D. H., Burch, M. L., Musall, B., Musall, J. B., Hyndman, K. A., & Pollock, J. S. (2016) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00016.2016 · Cited by 34 · see citing works
Self-citationPéterfalvi, Á., Németh, N., Herczeg, R., Tényi, T., Miseta, A., Czéh, B., & Simon, M. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01798 · Cited by 30 · see citing works
Solarz, A., Majcher‐Maślanka, I., & Chocyk, A. (2021) · Developmental Neurobiology · doi:10.1002/dneu.22846 · Cited by 29 · see citing works
Transgenerational Epigenetics: The Role of Maternal Effects in Cardiovascular Development
Ho, D. H. (2014) · Integrative and Comparative Biology · doi:10.1093/icb/icu031 · Cited by 26 · see citing works
“Convergent data from a wide variety of animals indicate that suboptimal maternal care sensitizes the offspring’s HPA axis to subsequent stressors by altering release of glucocorticoid and catecholamine, and the expression of glucocorticoid receptor (reviewed by Sanchez 2006; Meaney et al. 2007; Loria et al. 2014).”
BackgroundSelf-citationMurphy, M. O., Herald, J. B., Wills, C., Unfried, S. G., Cohn, D. M., & Loria, A. S. (2016) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00308.2016 · Cited by 25 · see citing works
“It is widely accepted that maternal separation (MatSep), a chronic behavioral stress model during postnatal life in rodents, exerts long-term effects on the hypothalamic-pituitaryadrenal (HPA) axis function, negatively influencing behavioral responses (34, 39).”
BackgroundSelf-citationEarly life stress induces immune priming in kidneys of adult male rats
Miguel, C. D., Obi, I. E., Ho, D. H., Loria, A. S., & Pollock, J. S. (2017) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00590.2016 · Cited by 25 · see citing works
“In humans, ELS is defined as prolonged adverse childhood experiences (ACE) typically occurring during the first decade of life (38).”
BackgroundSelf-citationSolarz, A., Majcher‐Maślanka, I., Kryst, J., & Chocyk, A. (2022) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2022.11.005 · Cited by 24 · see citing works
Rodriguez‐Miguelez, P., Looney, J. C., Blackburn, M., Thomas, J., Pollock, J. S., & Harris, R. A. (2022) · Function · doi:10.1093/function/zqac029 · Cited by 23 · see citing works
“Results are presented as (1) maximal hyperemic response (Peak), (2) area under the curve (Area), and (3) time-to-peak (TTP), which represents the time from the start of the stimuli to the maximal hyperemic response.”
BackgroundMethodSelf-citationAdverse Childhood Experiences and Healthcare Costs in Adult Life
Loxton, D. J., Townsend, N., Dolja‐Gore, X., Forder, P., & Coles, J. Y. (2018) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2018.1523814 · Cited by 22 · see citing works
Kraav, S., Tolmunen, T., Kärkkäinen, O. K., Ruusunen, A. A., Viinamäki, H. T., Mäntyselkä, P. T., Koivumaa-Honkanen, H. T., Valkonen‐Korhonen, M., Honkalampi, K. M., Herzig, K., et al. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.12.108 · Cited by 22 · see citing works
Adverse childhood experiences, sex, and cardiovascular habituation to repeated stress
Tyra, A. T., Cook, T. E., Young, D. A., Hurley, P. E., Oosterhoff, B. J., John‐Henderson, N. A., & Ginty, A. T. (2021) · Biological Psychology · doi:10.1016/j.biopsycho.2021.108175 · Cited by 19 · see citing works
Fetal Programming and Cardiovascular Pathology
Alexander, B. T., Dasinger, J. H., & Intapad, S. (2015) · Comprehensive physiology · doi:10.1002/j.2040-4603.2015.tb00618.x · Cited by 19 · see citing works
“In addition, psychosocial stress in early life can impact later CV and metabolic health (for review, see 115).”
InfluentialSial, O. K., Gnecco, T., Cardona-Acosta, A. M., Vieregg, E., Cardoso, E. A., Parise, L. F., & Bolaños‐Guzmán, C. A. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.701919 · Cited by 18 · see citing works
H2S and Oxytocin Systems in Early Life Stress and Cardiovascular Disease
McCook, O., Denoix, N., Radermacher, P., Waller, C., & Merz, T. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10163484 · Cited by 16 · see citing works
Reho, J. J., & Fisher, S. A. (2015) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00567.2015 · Cited by 16 · see citing works
Denoix, N., McCook, O., Ecker, S., Wang, R., Waller, C., Radermacher, P., & Merz, T. (2020) · Antioxidants · doi:10.3390/antiox9080748 · Cited by 13 · see citing works
Persson, P. B., & Zakrisson, A. (2015) · Acta Physiologica · doi:10.1111/apha.12641 · Cited by 10 · see citing works
“…the maternal and the foetal organism seem to be somewhat disregarded, and also, the close connection between a behavioural stressor early in life and organic, for example, cardiovascular dysfunction appears as a relatively novel concept in the literature (Loria et al. 2014, Patchev et al. 2014).”
BackgroundAli, S., & Dwivedi, Y. (2024) · Molecular Neurobiology · doi:10.1007/s12035-024-04578-7 · Cited by 9 · see citing works
Coplan, J. D., Rozenboym, A. V., Fulton, S. L., Panthangi, V., Tang, J. E., Thiramangalakdi, L., Perera, T. D., Liu, Y., Kamran, H., Owens, M. J., et al. (2017) · Neurobiology of Stress · doi:10.1016/j.ynstr.2017.01.001 · Cited by 8 · see citing works
Maternal verbally aggressive behavior in early infancy is associated with blood pressure at age 5–6
Smarius, L. J. C. A., Strieder, T. G. A., DORELEIJERS, T. A. H., Vrijkotte, T. G. M., & de Rooij, S. R. (2018) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174418000041 · Cited by 8 · see citing works
“Increasing evidence indicates that early life stress such as adverse childhood experiences may have long-term consequences for cardiovascular health, possibly by altering the sensitivity of stress-related physiological systems predisposing to adverse cardiovascular outcomes.(1,2) Exposure to parental aggression in chi…”
BackgroundZarnello, L. (2018) · Nursing · doi:10.1097/01.nurse.0000530408.46074.64 · Cited by 7 · see citing works
Dietary supplements: health from the ocean?
Persson, P. B., & Zakrisson, A. (2015) · Acta Physiologica · doi:10.1111/apha.12594 · Cited by 6 · see citing works
“…anti-inflammatory capacity and may thus beneficially affect diseases in whose pathophysiology inflammatory processes are involved – not only in the (adult) subject, but, given the appropriate circumstances, effects on their offspring are being discussed (Hou et al. 2014, Loria et al. 2014).”
BackgroundSmarius, L. J. C. A., Strieder, T. G. A., DORELEIJERS, T. A. H., Vrijkotte, T. G. M., Zafarmand, M. H., & de Rooij, S. R. (2019) · PLoS ONE · doi:10.1371/journal.pone.0216035 · Cited by 6 · see citing works
Merz, T., McCook, O., Denoix, N., Radermacher, P., Waller, C., & Kapapa, T. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22179192 · Cited by 6 · see citing works
Early life stress induces dysregulation of the heme pathway in adult mice
Pettway, Y. D., Neder, T. H., Ho, D. H., Fox, B. M., Burch, M., Colson, J. C., Liu, X., Kellum, C. E., Hyndman, K. A., & Pollock, J. S. (2021) · Physiological Reports · doi:10.14814/phy2.14844 · Cited by 5 · see citing works
“Rodent models of ELS, such as the mouse model utilized in this study, all demonstrate anxiety and depression in adulthood and have begun to provide insight into the role of ELS in CVD (Ho et al., 2016; Loria et al., 2014; Murphy et al., 2017; Obi et al., 2019).”
MethodSelf-citationEarly Life Stress, Coping, and Cardiovascular Reactivity to Acute Social Stress
Mrug, S., Pollock, J. S., Pollock, D. M., Seifert, M. E., Johnson, K. A., & Knight, D. C. (2022) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001165 · Cited by 6 · see citing works
“ELS is associated with elevated resting SBP and DBP as early as in adolescence and young adulthood (8,9) and serves as a robust risk factor for hypertension and CVD throughout the life span (10,11).”
BackgroundSelf-citationPrenatal exposition to haloperidol: A preclinical narrative review
Santos, A. V. S., Cardoso, D. S., Takada, S. H., & Echeverry, M. B. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105470 · Cited by 5 · see citing works
Perinatal asphyxia and Alzheimer's disease: is there a correlation?
Arruda, B. P., Martins, P. P., Kihara, A. H., & Takada, S. H. (2025) · Frontiers in Pediatrics · doi:10.3389/fped.2025.1567719 · Cited by 5 · see citing works
Epigenetics in the Developmental Origin of Cardiovascular Disorders
Gilbert, J. S. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-801383-0.00008-6 · Cited by 4 · see citing works
Persson, P. B. (2016) · Acta Physiologica · doi:10.1111/apha.12736 · Cited by 3 · see citing works
“So are early life events, whose underlying biological mechanisms are slowly being understood (Loria et al. 2014) (Patchev et al. 2014).”
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“Our findings, therefore, bring valuable support to the ‘two-hit hypothesis’ proposed by Loria, Ho and Pollock (Loria et al., 2013b) in which early life stress is the first hit that augments cardiovascular vulnerability, and experiencing a second environmental stressor later in life induces…”
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Neighbourhood socioeconomic disparities in immunohaematologic risk in a paediatric analytic cohort
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Chronic Immune System Activation
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A model that discusses human behavior entirelyPreprint
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The influence of captivity on cardiac structure and function across age, in rhesus macaquesPreprint
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The influence of age and captivity on cardiac structure and function in rhesus macaques
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Height variation independent of known genetic variants and health in later life: a cohort study
Zhang, Y., Li, Y., Xue, X., Wang, T., Moon, J., Isasi, C. R., Yu, B., Rohan, T. E., Kaplan, R. C., & Qi, Q. (2026) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2026.101425
- Authors
- Loria, A. S., Ho, D. H., & Pollock, J. S.
- Affiliations
- Augusta University (US)
- Corresponding author
- Pollock, J. S.
- Venue
- Acta Physiologica
- Publisher
- Wiley
- Published
- 2013-12-13
- Volume
- 210
- Issue
- 2
- Pages
- 277-287
- ISSN
- 1748-1708 (ISSN-L)
- 1748-1716
- PMC
- PMC4105322
- OpenAlex
- W2044259294
- Cited by
- 53
- References
- 123
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 5 · 2015: 9 · 2014: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Acta Physiologica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (P01HL069999, K99HL111354, R00HL111354)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- childhood adversity, adverse childhood experiences, early life stress, cardiovascular risk, maternal separation, behavioural stress, stress sensitization, cardiovascular dysfunction, chronic disease risk
- MeSH terms
- Animals, Cardiovascular Diseases, Humans, Maternal Deprivation, Risk Factors, Stress, Psychological
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