Child maltreatment and NR3C1 exon 1 methylation, link with deregulated hypothalamus-pituitary-adrenal axis and psychopathology: A systematic review.

Journal: Child abuse & neglect

Volume: 122

Issue: 

Year of Publication: 2022

Affiliated Institutions:  I-Reach Lab, Unit of Clinical and Health Psychology, University of Fribourg, Switzerland. Electronic address: dany.nkonlack@unifr.ch. I-Reach Lab, Unit of Clinical and Health Psychology, University of Fribourg, Switzerland. Clinical psychology Lab, Department of Psychology, University of Yaoundé I, Cameroon. Department of Biology, University of Fribourg, Switzerland. Department of Psychiatric, University of Fribourg, Fribourg, Switzerland. Department of Consultant-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Switzerland.

Abstract summary 

Epigenetics offers one promising method for assessing the psychobiological response to stressful experiences during childhood. In particular, deoxyribonucleic acid (DNA) methylation has been associated with an altered hypothalamus-pituitary-adrenal (HPA) axis and the onset of mental disorders. Equally, there are promising leads regarding the association between the methylation of the glucocorticoid receptor gene (NR3C1-1) and child maltreatment and its link with HPA axis and psychopathology.The current study aimed to assess the evidence of a link among child maltreatment, NR3C1-1 methylation, HPA axis deregulation, and symptoms of psychopathology.We followed the Prisma guidelines and identified 11 articles that met our inclusion criteria.We found that eight studies (72.72%) reported increased NR3C1-1 methylation associated with child maltreatment, specifically physical abuse, emotional abuse, sexual abuse, neglect, and exposure to intimate partner violence, while three studies (27.27%) found no significant association. Furthermore, a minority of studies (36.36%) provided additional measures of symptoms of psychopathology or cortisol in order to examine the link among NR3C1-1 methylation, HPA axis deregulation, and psychopathology in a situation of child maltreatment. These results suggest that NR3C1-1 hypermethylation is positively associated with higher HPA axis activity, i.e. increased production of cortisol, as well as symptoms of psychopathology, including emotional lability-negativity, externalizing behavior symptoms, and depressive symptoms.NR3C1-1 methylation could be one mechanism that links altered HPA axis activity with the development of psychopathology.

Authors & Co-authors:  Wadji D L DL Tandon T T Ketcha Wanda G J M GJM Wicky C C Dentz A A Hasler G G Morina N N Martin-Soelch C C

Study Outcome 

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Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.chiabu.2021.105304
SSN : 1873-7757
Study Population
Male,Female
Mesh Terms
Child
Other Terms
Child maltreatment;DNA methylation;HPA axis;NR3C1 exon 1(F);Psychopathology
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Publication Country
England