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      Developmental and adult stress: effects of steroids and neurosteroids

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          Abstract

          In humans, exposure to early life adversity has profound implications for susceptibility to developing neuropsychiatric disorders later in life. Studies in rodents have shown that stress experienced during early postnatal life can have lasting effects on brain development. Glucocorticoids and sex steroids are produced in endocrine glands and the brain from cholesterol; these molecules bind to nuclear and membrane-associated steroid receptors. Unlike other steroids that can also be made in the brain, neurosteroids bind specifically to neurotransmitter receptors, not steroid receptors. The relationships among steroids, neurosteroids, and stress are multifaceted and not yet fully understood. However, studies demonstrating altered levels of progestogens, androgens, estrogens, glucocorticoids, and their neuroactive metabolites in both developmental and adult stress paradigms strongly suggest that these molecules may be important players in stress effects on brain circuits and behavior. In this review, we discuss the influence of developmental and adult stress on various components of the brain, including neurons, glia, and perineuronal nets, with a focus on sex steroids and neurosteroids. Gaining an enhanced understanding of how early adversity impacts the intricate systems of brain steroid and neurosteroid regulation could prove instrumental in identifying novel therapeutic targets for stress-related conditions.

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          Most cited references194

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          Physiology of microglia.

          Microglial cells are the resident macrophages in the central nervous system. These cells of mesodermal/mesenchymal origin migrate into all regions of the central nervous system, disseminate through the brain parenchyma, and acquire a specific ramified morphological phenotype termed "resting microglia." Recent studies indicate that even in the normal brain, microglia have highly motile processes by which they scan their territorial domains. By a large number of signaling pathways they can communicate with macroglial cells and neurons and with cells of the immune system. Likewise, microglial cells express receptors classically described for brain-specific communication such as neurotransmitter receptors and those first discovered as immune cell-specific such as for cytokines. Microglial cells are considered the most susceptible sensors of brain pathology. Upon any detection of signs for brain lesions or nervous system dysfunction, microglial cells undergo a complex, multistage activation process that converts them into the "activated microglial cell." This cell form has the capacity to release a large number of substances that can act detrimental or beneficial for the surrounding cells. Activated microglial cells can migrate to the site of injury, proliferate, and phagocytose cells and cellular compartments.
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            Stress Effects on Neuronal Structure: Hippocampus, Amygdala, and Prefrontal Cortex.

            The hippocampus provided the gateway into much of what we have learned about stress and brain structural and functional plasticity, and this initial focus has expanded to other interconnected brain regions, such as the amygdala and prefrontal cortex. Starting with the discovery of adrenal steroid, and later, estrogen receptors in the hippocampal formation, and subsequent discovery of dendritic and spine synapse remodeling and neurogenesis in the dentate gyrus, mechanistic studies have revealed both genomic and rapid non-genomic actions of circulating steroid hormones in the brain. Many of these actions occur epigenetically and result in ever-changing patterns of gene expression, in which there are important sex differences that need further exploration. Moreover, glucocorticoid and estrogen actions occur synergistically with an increasing number of cellular mediators that help determine the qualitative nature of the response. The hippocampus has also been a gateway to understanding lasting epigenetic effects of early-life experiences. These findings in animal models have resulted in translation to the human brain and have helped change thinking about the nature of brain malfunction in psychiatric disorders and during aging, as well as the mechanisms of the effects of early-life adversity on the brain and the body.
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              Depression as a microglial disease.

              Despite decades of intensive research, the biological mechanisms that causally underlie depression are still unclear, and therefore the development of novel effective antidepressant treatments is hindered. Recent studies indicate that impairment of the normal structure and function of microglia, caused by either intense inflammatory activation (e.g., following infections, trauma, stroke, short-term stress, autoimmune or neurodegenerative diseases) or by decline and senescence of these cells (e.g., during aging, Alzheimer's disease, or chronic unpredictable stress exposure), can lead to depression and associated impairments in neuroplasticity and neurogenesis. Accordingly, some forms of depression can be considered as a microglial disease (microgliopathy), which should be treated by a personalized medical approach using microglial inhibitors or stimulators depending on the microglial status of the depressed patient.
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                Author and article information

                Journal
                9617529
                21099
                Stress
                Stress
                Stress (Amsterdam, Netherlands)
                1025-3890
                1607-8888
                11 April 2024
                January 2024
                02 April 2024
                26 April 2024
                : 27
                : 1
                : 2317856
                Affiliations
                Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
                Author notes

                Notes on contributors

                Isha R. Gore is a PhD student at the Princeton Neuroscience Institute (PNI) studying the effects of stress on neural mechanisms underlying avoidance behavior in mice. Prior to joining PNI, Gore received a Master’s degree from Columbia University.

                Elizabeth Gould , PhD is a Professor of Neuroscience and head of laboratory at the Princeton Neuroscience Institute. Her lab focuses on plasticity mechanisms affected by genes, experience, and steroids in developing and adult mice. Prior to joining the Princeton faculty, Gould received her PhD from UCLA and was a postdoctoral fellow and assistant professor at The Rockefeller University.

                [] CONTACT: E. Gould, goulde@ 123456princeton.edu , Princeton Neuroscience Institute, Princeton University, Princeton, NJ, USA
                Article
                NIHMS1978155
                10.1080/10253890.2024.2317856
                11046567
                38563163
                dd7d933c-73e6-4510-ac3b-f65572861abd

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

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                Categories
                Article

                Health & Social care
                sex steroids,glucocorticoids,neurosteroids,perineuronal nets,sex differences,glia
                Health & Social care
                sex steroids, glucocorticoids, neurosteroids, perineuronal nets, sex differences, glia

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