Blog – Page 7

Many studies have confirmed that exposure to severe stress during childhood has long-lasting negative health effects. One of the most convincing has been the Adverse Childhood Experience (ACE) Study, which is supported by over 100 publications¹. It was initiated by collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente’s Department of Preventive Medicine. It led to the ACE Study Questionnaire (see http://www.acestudy.org/index.html), where anonymous yes or no answers to 10 questions involving participant’s experiences at home until the age of 18 are quantified. Five are personal questions about physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect. Five relate to other family members: an alcoholic parent, a victim of domestic violence, incarceration, diagnosed with a mental illness, and the disappearance of a parent through divorce, death, or abandonment. A score ≥4 puts one at serious risk for future mental and physical health problems, such as a 4.6-fold increased rate of depression² and a ~30-fold increased rate of suicidal ideation and attempts in adults³. Remarkably, 10% of the population reports scores of ≥4.

There is a growing appreciation that clinicians should be aware of patients’ traumatic experiences, particularly when young, because they add to their risk for physical and psychiatric maladies^4,5. Moreover, sensitivity to PTSD has been shown to correlate with ACE score^6,7,8 implying it can be used as a screening tool to identify people who should take extra precaution to avoid trauma. However, some may not answer the ACE questionnaire accurately due to suppressed memories or because of the sensitive nature of many of the questions, particularly in settings that do not allow anonymity. Thus, discovery of unbiased markers for early trauma could complement ACE surveys in some clinical settings.

Moreover, offspring of those exposed to early life trauma are at elevated risk for psychiatric disorders⁹. This phenomena has also been demonstrated in rodents^10,11. For example, transmission of the effects of stress across generations has been observed after exposing male mice to a wide variety of psychological stresses, including social defeat¹², chronic physical restraint¹³, multiple variable perturbations in adults¹⁴, social instability beginning in adolescence¹⁵, and early maternal separation¹⁶. While some evidence in mice points to environmentally induced changes in sperm DNA methylation as a mechanism for transmission of stress phenotypes¹⁶, the best evidence to date supports small RNA species in sperm. Recent studies show that sperm contain various types of cytoplasmic RNAs (e.g., mRNAs, miRNAs, siRNAs, lnc-RNAs, piwi-interacting RNAs, and fragments of tRNAs) that have the potential to contribute to embryo development^17,18,19.