The effects of trauma, with or without PTSD, on the transgenerational DNA methylation alterations in human offsprings
Open accessAbstract
Exposure to psychological trauma is a strong risk factor for several debilitating disorders including post-traumatic stress disorder (PTSD) and depression. Besides the impact on mental well-being and behavior in the exposed individuals, it has been suggested that psychological trauma can affect the biology of the individuals, and even have biological and behavioral consequences on the offspring of exposed individuals. While knowledge of possible epigenetic underpinnings of the association between exposure to trauma and risk of PTSD has been discussed in several reviews, it remains to be established whether trauma-induced epigenetic modifications can be passed from traumatized individuals to subsequent generations of offspring. The aim of this paper is to review the emerging literature on evidence of transgenerational inheritance due to trauma exposure on the epigenetic mechanism of DNA methylation in humans. Our review found an accumulating amount of evidence of an enduring effect of trauma exposure to be passed to offspring transgenerationally via the epigenetic inheritance mechanism of DNA methylation alterations and has the capacity to change the expression of genes and the metabolome. This manuscript summarizes and critically reviews the relevant original human studies in this area. Thus, it provides an overview of where we stand, and a clearer vision of where we should go in terms of future research directions.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
It has yet to be conclusively established if and how stress-induced epigenetic alterations can be passed on to subsequent generations.
“it has yet to be conclusively established ifand how -stress-induced epigenetic alterations can be passed on to subsequent generations (Jawaid, Roszkowski, & Mansuy, 2018;Youssef, Lockwood, Su, Hao, & Rutten, 2018).”
From The applied implications of epigenetics in anxiety, affective and stress-related disorders - A review and synthesis on psychosocial stress, psychotherapy and prevention (2020) · cites this paper as Youssef, Lockwood, Su, Hao, & Rutten, 2018
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Epigenetics: A landscape takes shape
Goldberg, A. D., Allis, C. D., & Bernstein, E. (2007) · Cell · doi:10.1016/j.cell.2007.02.006 · Cited by 2,466 · see citing works
Transposable elements: targets for early nutritional effects on epigenetic gene regulation
Waterland, R. A., & Jirtle, R. L. (2003) · Molecular and Cellular Biology · doi:10.1128/mcb.23.15.5293-5300.2003 · Cited by 2,019 · cited 1× · see citing works
“color gene) and causes permanent change in coat color [24,25] thus, suggesting that prenatal and natal environmental interventions could induce epigenetic alterations with robust impact on stress-related disorders.”
BackgroundDolinoy, D. C., Weidman, J. R., Waterland, R. A., & Jirtle, R. L. (2006) · Environmental Health Perspectives · doi:10.1289/ehp.8700 · Cited by 932 · see citing works
The Descriptive Epidemiology of Commonly Occurring Mental Disorders in the United States
Kessler, R. C., & Wang, P. S. (2008) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.29.020907.090847 · Cited by 888 · see citing works
Holocaust Exposure Induced Intergenerational Effects on FKBP5 Methylation
Yehuda, R., Daskalakis, N. P., Bierer, L. M., Bader, H. N., Klengel, T., Holsboer, F., & Binder, E. B. (2016) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.08.005 · Cited by 782 · cited 2× · see citing works
“[17] study, the DNA methylation seen in the offspring was noted to be opposite from that seen in their parents.”
BackgroundLong-Term Developmental Outcomes of Low Birth Weight Infants
Hack, M., Klein, N. K., & Taylor, H. G. (1995) · The Future of Children · doi:10.2307/1602514 · Cited by 716 · see citing works
True, W. R. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820160019002 · Cited by 704 · see citing works
Stein, M. B., Jang, K. L., Taylor, S. J., Vernon, P. A., & Livesley, W. J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.10.1675 · Cited by 602 · see citing works
Radtke, K. M., Ruf, M., Gunter, H. M., Dohrmann, K., Schauer, M., Meyer, A., & Elbert, T. (2011) · Translational Psychiatry · doi:10.1038/tp.2011.21 · Cited by 511 · cited 2× · see citing works
“For instance, maternal exposure to intimate partner violence during pregnancy was associated with increased NR3C1 DNA methylation in teenage children [20].”
BackgroundMulligan, C., D'Errico, N., Stees, J., & Hughes, D. (2012) · Epigenetics · doi:10.4161/epi.21180 · Cited by 342 · see citing works
Perroud, N., Rutembesa, E., Paoloni-Giacobino, A., Mutabaruka, J., Mutesa, L., Stenz, L., Malafosse, A., & Karege, F. (2014) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2013.866693 · Cited by 336 · see citing works
Transgenerational transmission of cortisol and PTSD risk
Yehuda, R., & Bierer, L. M. (2007) · Progress in Brain Research · doi:10.1016/s0079-6123(07)67009-5 · Cited by 306 · see citing works
Hegarty, K. L., Sheehan, M. C., & Schonfeld, C. C. (1999) · Journal of Family Violence · doi:10.1023/a:1022834215681 · Cited by 275 · see citing works
Sartor, C. E., McCutcheon, V. V., Pommer, N. E., Nelson, E. C., Grant, J. D., Duncan, A. E., Waldron, M., Bucholz, K. K., Madden, P. A. F., & Heath, A. C. (2010) · Psychological Medicine · doi:10.1017/s0033291710002072 · Cited by 221 · see citing works
Sartor, C. E. (2012) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.1385 · Cited by 212 · see citing works
Xian, H., Chantarujikapong, S., Scherrer, J. F., Eisen, S. A., Lyons, M. J., Goldberg, J. H., Tsuang, M. T., & True, W. R. (2000) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(00)00127-7 · Cited by 209 · see citing works
Mental and physical health in Rwanda 14 years after the genocide
Munyandamutsa, N., Mahoro Nkubamugisha, P., Gex-Fabry, M., & Eytan, A. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0494-9 · Cited by 149 · see citing works
Rutten, B. P. F., Vermetten, E., Vinkers, C. H., Ursini, G., Daskalakis, N. P., Pishva, E., de Nijs, L., Houtepen, L. C., Eijssen, L., Jaffe, A. E., et al. (2018) · Molecular Psychiatry · doi:10.1038/mp.2017.120 · Cited by 142 · see citing works
Self-citationLong-term consequences of low birth weight
Reyes, L., & Mañalich, R. J. P. (2005) · Kidney International · doi:10.1111/j.1523-1755.2005.09718.x · Cited by 129 · see citing works
Traumatic stress and human DNA methylation: A critical review
Vinkers, C. H., Kalafateli, A. L., Rutten, B. P., Kas, M. J., Kaminsky, Z., Turner, J. D., & Boks, M. P. (2015) · Epigenomics · doi:10.2217/epi.15.11 · Cited by 112 · see citing works
Self-citationRatanatharathorn, A. D., Boks, M. P., Maihofer, A. X., Aiello, A. E., Amstadter, A. B., Ashley‐Koch, A. E., Baker, D. G., Beckham, J. C., Bromet, E. J., Dennis, M. F., et al. (2017) · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · doi:10.1002/ajmg.b.32568 · Cited by 87 · see citing works
Self-citationRodney, N. C., & Mulligan, C. J. (2014) · American Journal of Physical Anthropology · doi:10.1002/ajpa.22568 · Cited by 76 · see citing works
Maternal Exposure to the Holocaust and Health Complaints in Offspring
Flory, J. D., Bierer, L. M., & Yehuda, R. (2011) · Disease Markers · doi:10.1155/2011/250470 · Cited by 67 · see citing works
The role of epigenetics in depression and suicide: A platform for gene–environment interactions
Lockwood, L. E., Su, S., & Youssef, N. A. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.05.071 · Cited by 61 · see citing works
Self-citationEpigenetic alterations associated with war trauma and childhood maltreatment
Ramo‐Fernández, L., Schneider, A., Wilker, S., & Kolassa, I. (2015) · Behavioral Sciences & the Law · doi:10.1002/bsl.2200 · Cited by 59 · see citing works
Hao, G., Youssef, N. A., Davis, C. L., & Su, S. (2017) · International Journal of Cardiology · doi:10.1016/j.ijcard.2017.12.063 · Cited by 36 · see citing works
Self-citationSystematic Review of Epigenetic Effects of Pharmacological Agents for Bipolar Disorders
Lockwood, L. E., & Youssef, N. A. (2017) · Brain Sciences · doi:10.3390/brainsci7110154 · Cited by 20 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Schiele, M. A., Gottschalk, M. G., & Domschke, K. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101830 · Cited by 156 · see citing works
Paternal adverse childhood experiences: Associations with infant DNA methylation
Merrill, S. M., Moore, S. R., Gladish, N., Giesbrecht, G. F., Dewey, D., Konwar, C., MacIssac, J. L., Kobor, M. S., & Letourneau, N. L. (2021) · Developmental Psychobiology · doi:10.1002/dev.22174 · Cited by 42 · see citing works
Wrigglesworth, J., Ryan, J., Vijayakumar, N., & Whittle, S. (2019) · Psychiatry Research: Neuroimaging · doi:10.1016/j.pscychresns.2018.12.012 · Cited by 34 · see citing works
On the role of epigenetic modifications of HPA axis in posttraumatic stress disorder and resilience
Khan, Z., Messiri, N. E., Iqbal, E., Hassan, H., Tanweer, M. S., Sadia, S. R., Taj, M., Zaidi, U., Yusuf, K., Syed, N. I., et al. (2025) · Journal of Neurophysiology · doi:10.1152/jn.00345.2024 · Cited by 32 · see citing works
Cordero, M. I., Stenz, L., Moser, D. A., Rusconi Serpa, S., Paoloni-Giacobino, A., & Schechter, D. S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.919820 · Cited by 27 · see citing works
- Authors
- Youssef, N. A., Lockwood, L., Su, S., Hao, G., & Rutten, B. P. F.
- Affiliations
- Augusta University (US)
- University of Alabama at Birmingham (US)
- Maastricht University Medical Centre (NL)
- Corresponding author
- Youssef, Nagy A.
- Venue
- Brain Sciences
- Publisher
- MDPI AG
- Published
- 2018-05-08
- Volume
- 8
- Issue
- 5
- Pages
- 83
- ISSN
- 2076-3425 (ISSN-L)
- PMC
- PMC5977074
- OpenAlex
- W2799972953
- Cited by
- 125
- References
- 29
- Citations by year
- 2026: 3 · 2025: 26 · 2024: 9 · 2023: 8 · 2022: 22 · 2021: 9 · 2020: 30 · 2019: 14 · 2018: 4
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Augusta University
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- psychological trauma, post-traumatic stress disorder, transgenerational epigenetic inheritance, DNA methylation, offspring, depression, gene expression, metabolome, epigenetics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review