Walk, Sheffield S10 2SF 7 ‡ Corresponding author (a.fazeli@sheffield.ac.uk) 8
Abstract
9Stress represents an unavoidable aspect of human life, and pathologies associated with dysregulation of 10 stress mechanisms -particularly psychiatric disorders -represent a significant global health problem. 11While it has long been observed that levels of stress experienced in the periconception period may 12 greatly affect the offspring's risk of psychiatric disorders, the mechanisms underlying these associations 13are not yet comprehensively understood. In order to address this question, this chapter will take a 'top-14 down' approach, by first defining stress and associated concepts, before exploring the mechanistic basis 15 of the stress response in the form of the hypothalamic-pituitary-adrenal (HPA) axis, and how 16 dysregulation of the HPA axis can impede our mental and physical health, primarily via imbalances in 17 glucocorticoids (GCs) and their corresponding receptors (GRs) in the brain. The current extent of 18 knowledge pertaining to the impact of stress on developmental programming and epigenetic inheritance 19 is then extensively discussed, including the role of chromatin remodelling associated with specific HPA 20 axis-related genes, and the possible role of regulatory RNAs as messengers of environmental stress both 21 in the intrauterine environment, and across the germ line. Furthering our understanding of the role of 22 stress on embryonic development is crucial if we are to increase our predictive power of disease risk 23 and devise effective treatments and intervention strategies. 24