Impact of Stress on Brain Morphology: Insights into Structural Biomarkers of Stress-related Disorders


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Abstract

Exposure to acute and chronic stress has a broad range of structural effects on the brain. The brain areas commonly targeted in the stress response models include the hippocampus, the amygdala, and the prefrontal cortex. Studies in patients suffering from the so-called stress-related disorders -embracing post-traumatic stress, major depressive and anxiety disorders- have fairly replicated animal models of stress response -particularly the neuroendocrine and the inflammatory models- by finding alterations in different brain areas, even in the early neurodevelopment. Therefore, this narrative review aims to provide an overview of structural neuroimaging findings and to discuss how these studies have contributed to our knowledge of variability in response to stress and the ulterior development of stress-related disorders. There are a gross number of studies available but neuroimaging research of stress-related disorders as a single category is still in its infancy. Although the available studies point at particular brain circuitries involved in stress and emotion regulation, the pathophysiology of these abnormalities -involving genetics, epigenetics and molecular pathways-, their relation to intraindividual stress responses -including personality characteristics, self-perception of stress conditions…-, and their potential involvement as biomarkers in diagnosis, treatment prescription and prognosis are discussed.

About the authors

Narcís Cardoner

Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Hospital de la Santa Creu i Sant Pau

Author for correspondence.
Email: info@benthamscience.net

Raül Andero

Centro de Investigación Biomédica En Red en Salud Mental (CIBERSAM, Instituto de Salud Carlos III

Email: info@benthamscience.net

Marta Cano

Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Hospital de la Santa Creu i Sant Pau

Email: info@benthamscience.net

Ignacio Marin-Blasco

Institut de Neurociències, Universitat Autònoma de Barcelona, Cerdanyola del Vallès

Email: info@benthamscience.net

Daniel Porta-Casteràs

Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU)

Email: info@benthamscience.net

Maria Serra-Blasco

Centro de Investigación Biomédica En Red en Salud Mental (CIBERSAM), Instituto de Salud Carlos III

Email: info@benthamscience.net

Esther Via

Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu

Email: info@benthamscience.net

Muriel Vicent-Gil

Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU)

Email: info@benthamscience.net

Maria Portella

Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU)

Email: info@benthamscience.net

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