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Environmental stress and epigenetic transgenerational inheritance

Abstract

Previous studies have shown a wide variety of environmental toxicants and abnormal nutrition can promote the epigenetic transgenerational inheritance of disease. More recently a number of studies have indicated environmental stress can also promote epigenetic alterations that are transmitted to subsequent generations to induce pathologies. A recent study by Yao and colleagues demonstrated gestational exposure to restraint stress and forced swimming promoted preterm birth risk and adverse newborn outcomes generationally. This ancestral stress promoted the epigenetic transgenerational inheritance of abnormalities in the great-grand offspring of the exposed gestating female. Several studies now support the role of environmental stress in promoting the epigenetic transgenerational inheritance of disease. Observations suggest ancestral environmental stress may be a component of disease etiology in the current population.

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Background

The ability of environmental factors, such as stress [1], to promote the epigenetic transgenerational inheritance of disease and phenotypic variation has now been established in a number of organisms ranging from plants to humans, with a variety of environmental exposures [2]. One of the first studies found that environmental toxicants such as fungicides and pesticides promoted epigenetic transgenerational inheritance of reproductive disease [3]. Subsequently a large number of different types of toxicants (plastics, hydrocarbons, dioxin, biocides, dichlorodiphenyltrichloroethane (DDT)) have been shown to promote the transgenerational inheritance of disease [4] from obesity to cancer [5] (Table 1). Other critical environmental factors found to promote transgenerational disease are nutritional abnormalities such as caloric restriction or high fat diets [6]. In species such as insects and plants both drought and temperature have also been shown to be critical environmental factors [7],[8] (Table 1). Therefore, a large number of environmental factors have been shown to promote the epigenetic transgenerational inheritance of disease or phenotypic variation in a variety of different species, including humans [9]. This environmentally induced form of non-genetic inheritance will have a significant impact on disease etiology [2],[10] and areas of biology such as evolution [11].

Table 1 Examples of transgenerational inheritance studies

Epigenetic transgenerational inheritance is defined as ‘the germline (egg or sperm) transmission of epigenetic information between generations in the absence of any environmental exposure’ [10]. Direct environmental exposure does not involve a generational phenotype, only direct toxicity or physiological effects of the individual exposed [2]. As previously described [2],[32], the exposure of an individual any time during development (F0 generation) results in the exposure of that individual and the germline (sperm or egg) that will generate the next generation (F1 generation) (Figure 1). The exposure of a gestating female exposed the F0 generation female, F1 generation fetus and germline that will generate the F2 generation (Figure 1). The ability of an exposure to act on multiple generations is termed a multigenerational exposure [32]. Where direct exposure is involved, no transgenerational effects are observed. Unfortunately, many studies have misused the term transgenerational to refer to multigenerational exposure effects. By contrast, if studies are extending to generations with no direct environmental exposure then observed effects can be considered transgenerational because the germline is the only cell type able to transmit epigenetic information generationally (Figure 1).

Figure 1
figure 1

Schematic of multigenerational exposure and transgenerational inheritance.

Epigenetics is defined as ‘molecular factors/processes around DNA that regulates genome activity independent of DNA, and that are mitotically stable’ [10]. The types of molecular processes involved are DNA methylation, histone modifications, chromatin structure, and non-coding RNA (ncRNA). The best characterized epigenetic factor to be involved in germline transmission of epigenetic information is DNA methylation. An example is imprinted genes that mediate paternal or maternal allelic transmission of specific DNA methylation patterns [33]. A number of studies have shown that environmentally induced epigenetic transgenerational inheritance involves altered germline DNA methylation [4],[34]. More recently ncRNA has been suggested as an additional mechanism in germline transmission of epigenetic information [35]. Histone modifications have also been suggested in a variety of organisms [36]. Although DNA methylation has a critical role in fetal germline development and early embryonic development [37], all the epigenetic processes will likely be involved and have unique functions in regulating development [10]. Further studies regarding the role of all epigenetic processes in environmentally induced epigenetic transgenerational inheritance are required.

Environmental stress and transgenerational phenotypes

A number of studies have shown multigenerational effects of stress [38]. One of the best initial examples was the work of Suderman and colleagues [39] showing the generational effects of maternal care on early postnatal life. Optimal early postnatal maternal care promoted epigenetic programming of the brain that created an adult female with good maternal care characteristics, which then passed on to subsequent generations. By contrast, bad early postnatal maternal care (environmental stress) promoted bad maternal characteristics later in life and altered epigenetic programming of the brain to propagate bad maternal care generationally [39]. This is a good example of an environmental exposure at each generation promoting epigenetic programming that leads to a specific phenotype in the individual, that is, a multigenerational exposure [32]. Other examples of multigenerational exposures influenced by stress have also been described [40]–[42]. Environmentally altered epigenetics is the critical molecular mechanism for these multigenerational exposures [32]. Somatic cell epigenetic effects will be the most predominant environmental impacts on an individual’s phenotype and disease. If these effects do not involve the germline, they will not be transmitted to subsequent generations.

One of the initial studies to demonstrate environmental stress promoting the epigenetic transgenerational inheritance of disease was a three-generation study involving maternal separation and maternal restraint stress [43]. Social abilities and brain function showed transgenerational alteration in the F2 and F3 generations. A recent study investigated the ability of a paternal olfactory stress experience to promote the transgenerational inheritance of an olfactory stress response in F2 generation progeny [44]. Correlations with DNA methylation patterns in the olfactory receptor system were documented in the transgenerational offspring. Although a limited number of transgenerational stress-induced pathologies have been observed (Table 2), there have been reviews on the topic [38],[45].

Table 2 Stress-induced transgenerational inheritance of pathologies

In addition to the ability of ancestral stress to induce the epigenetic transgenerational inheritance of disease, a previous study demonstrated altered stress responses in transgenerational individuals [46]. Toxicant (vinclozolin) lineage transgenerational (F3 generation) rats were found to have altered stress responses (adolescence restraint stress) later in life. These stress responses were sex specific and gene expression networks in brain regions were found to correlate with these transgenerational stress responses [47]. Therefore, stress can induce the transgenerational inheritance of disease, and ancestral exposures to a variety of factors can alter stress response transgenerationally.

Ancestral stress exposure promotes preterm birth and newborn abnormalities

Yao and colleagues [1] designed a study to investigate the ability of environmental stress to promote the epigenetic transgenerational inheritance of disease. The experimental design exposed a gestating female to restraint stress and forced swimming in the later stages of fetal development. The offspring (F1 generation) were bred to generate F2 and F3 generations. A non-stress control lineage, stress lineage (only F0 generation female stress) and chronic stress lineage (all generations stressed) were examined for preterm birth and newborn abnormalities. The F3 generation stress lineage animals had decreased pup weights and altered developmental behaviors. The gestational length progressively declined with each generation leading to a higher preterm birth risk. The F2 generation brain and uterus expression of ncRNA for selected miRNA were altered. Therefore, the study demonstrated that gestational stress promoted the epigenetic transgenerational inheritance of preterm birth risk and decreased brain development of early postnatal offspring.

This is the first study to suggest ancestral stress can influence transgenerational preterm birth risk. Preterm birth in humans is linked to a number of postnatal abnormalities [48]. There has been a dramatic increase in preterm birth rates in recent years. Although there have been a number of proposed factors for this rise in preterm births, the current study of Yao and colleagues [1] suggests ancestral gestational stress may be a component in the pathology. Although further research is needed, the concept that ancestral gestational stress may have a role in promoting transgenerational preterm birth risk is a novel component of the disease etiology to consider. Similar considerations can be proposed for early postnatal neurodevelopmental abnormalities.

Conclusions

The study of Yao and colleagues [1] supports a role of ancestral stress in the epigenetic transgenerational inheritance of disease. Although direct stress exposure of adults can influence pathologies in the individual and offspring, the multigenerational versus transgenerational inheritance characteristics of the pathology need to be considered. A direct exposure generally affects somatic tissues that will be critical for the individual’s disease, but a transgenerational effect requires a transmission of epigenetic information by the germline. Often, as shown in the current study [1], the transgenerational disease and pathology is distinct and/or has greater frequency than the direct exposure pathology [5]. The ability of stress to promote the epigenetic transgenerational inheritance of disease has now been shown in several different laboratories and animal model systems (Table 2).

A variety of environmental factors promote the epigenetic transgenerational inheritance of disease (Table 1). The observation that environmental stress can also promote transgenerational pathologies suggests ancestral stress conditions may be a significant factor in our own disease and what we pass down to our grandchildren. Several studies have considered the multigenerational impacts of stress on future generations, including World War 2 holocaust survivors’ offspring [49] and traumatic stress generational effects in several African countries [50],[51]. The concept that ancestral stress, particularly during gestation, may influence disease etiology for generations to come is an important aspect to consider in regards to our environment and society. This is a novel concept that will need to be seriously considered in our future health management and therapy.

Author information

MKS is an Eastlick Distinguished Professor in the School of Biological Sciences and founding Director of the Center for Reproductive Biology at Washington State University, Pullman Washington, USA. His research is in the area of environmental epigenetics and reproduction (see www.skinner.wsu.edu for more information).

References

  1. Yao Y, Robinson AM, Zucchi FCR, Robbins JC, Babenko O, Kovalchuk O, Kovalchuk I, Olson DM, Metz GAS: Ancestral exposure to stress epigenetically programs preterm birth risk and averse maternal and newborn outcomes. BMC Medicine. 2014, 12: 121-10.1186/s12916-014-0121-6.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Skinner MK, Manikkam M, Guerrero-Bosagna C: Epigenetic transgenerational actions of environmental factors in disease etiology. Trends Endocrinol Metab. 2010, 21: 214-222. 10.1016/j.tem.2009.12.007.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Anway MD, Cupp AS, Uzumcu M, Skinner MK: Epigenetic transgenerational actions of endocrine disruptors and male fertility. Science. 2005, 308: 1466-1469. 10.1126/science.1108190.

    Article  CAS  PubMed  Google Scholar 

  4. Manikkam M, Guerrero-Bosagna C, Tracey R, Haque MM, Skinner MK: Transgenerational actions of environmental compounds on reproductive disease and epigenetic biomarkers of ancestral exposures. PLoS One. 2012, 7: e31901-10.1371/journal.pone.0031901.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Skinner MK, Manikkam M, Tracey R, Nilsson E, Haque MM, Guerrero-Bosagna C: Ancestral DDT exposures promote epigenetic transgenerational inheritance of obesity. BMC Medicine. 2013, 11: 228-10.1186/1741-7015-11-228.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Dunn GA, Bale TL: Maternal high-fat diet effects on third-generation female body size via the paternal lineage. Endocrinology. 2011, 152: 2228-2236. 10.1210/en.2010-1461.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Zheng X, Chen L, Li M, Lou Q, Xia H, Wang P, Li T, Liu H, Luo L: Transgenerational variations in DNA methylation induced by drought stress in two rice varieties with distinguished difference to drought resistance. PLoS One. 2013, 8: e80253-10.1371/journal.pone.0080253.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Norouzitallab P, Baruah K, Vandegehuchte M, Van Stappen G, Catania F, Vanden Bussche J, Vanhaecke L, Sorgeloos P, Bossier P: Environmental heat stress induces epigenetic transgenerational inheritance of robustness in parthenogenetic Artemia model. FASEB J. 2014, 28: 3552-3563. 10.1096/fj.14-252049.

    Article  CAS  PubMed  Google Scholar 

  9. Pembrey M, Saffery R, Bygren LO: Human transgenerational responses to early-life experience: potential impact on development, health and biomedical research. J Med Genet. 2014, 51: 563-572. 10.1136/jmedgenet-2014-102577.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Skinner MK: Environmental epigenetic transgenerational inheritance and somatic epigenetic mitotic stability. Epigenetics. 2011, 6: 838-842. 10.4161/epi.6.7.16537.

    Article  CAS  PubMed  Google Scholar 

  11. Skinner MK, Guerrero-Bosagna C, Haque MM, Koop JAH, Knutie SA, Clayton DH: Role of epigenetics in the speciation and evolution of Darwin’s finches. Genome Biol Evol. 2014, 6: 1972-1989. 10.1093/gbe/evu158.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Anway MD, Leathers C, Skinner MK: Endocrine disruptor vinclozolin induced epigenetic transgenerational adult-onset disease. Endocrinology. 2006, 147: 5515-5523. 10.1210/en.2006-0640.

    Article  CAS  PubMed  Google Scholar 

  13. Skinner MK, Anway MD, Savenkova MI, Gore AC, Crews D: Transgenerational epigenetic programming of the brain transcriptome and anxiety behavior. PLoS One. 2008, 3: e3745-10.1371/journal.pone.0003745.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Nilsson EE, Anway MD, Stanfield J, Skinner MK: Transgenerational epigenetic effects of the endocrine disruptor vinclozolin on pregnancies and female adult onset disease. Reproduction. 2008, 135: 713-721. 10.1530/REP-07-0542.

    Article  CAS  PubMed  Google Scholar 

  15. Manikkam M, Haque MM, Guerrero-Bosagna C, Nilsson E, Skinner M: Pesticide methoxychlor promotes the epigenetic transgenerational inheritance of adult onset disease through the female germline. PLoS One. 2014, 9: e102091-10.1371/journal.pone.0102091.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Manikkam M, Tracey R, Guerrero-Bosagna C, Skinner M: Pesticide and insect repellent mixture (permethrin and DEET) induces epigenetic transgenerational inheritance of disease and sperm epimutations. Reprod Toxicol. 2012, 34: 708-719. 10.1016/j.reprotox.2012.08.010.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Manikkam M, Tracey R, Guerrero-Bosagna C, Skinner MK: Dioxin (TCDD) induces epigenetic transgenerational inheritance of adult onset disease and sperm epimutations. PLoS One. 2012, 7: e46249-10.1371/journal.pone.0046249.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Bruner-Tran KL, Osteen KG: Developmental exposure to TCDD reduces fertility and negatively affects pregnancy outcomes across multiple generations. Reprod Toxicol. 2011, 31: 344-350. 10.1016/j.reprotox.2010.10.003.

    Article  CAS  PubMed  Google Scholar 

  19. Manikkam M, Tracey R, Guerrero-Bosagna C, Skinner M: Plastics derived endocrine disruptors (BPA, DEHP and DBP) induce epigenetic transgenerational inheritance of adult-onset disease and sperm epimutations. PLoS One. 2013, 8: e55387-10.1371/journal.pone.0055387.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Tracey R, Manikkam M, Guerrero-Bosagna C, Skinner M: Hydrocarbon (jet fuel JP-8) induces epigenetic transgenerational inheritance of adult-onset disease and sperm epimutations. Reprod Toxicol. 2013, 36: 104-116. 10.1016/j.reprotox.2012.11.011.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Nilsson E, Larsen G, Manikkam M, Guerrero-Bosagna C, Savenkova M, Skinner M: Environmentally induced epigenetic transgenerational inheritance of ovarian disease. PLoS One. 2012, 7: e36129-10.1371/journal.pone.0036129.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Doyle TJ, Bowman JL, Windell VL, McLean DJ, Kim KH: Transgenerational effects of di-(2-ethylhexyl) phthalate on testicular germ cell associations and spermatogonial stem cells in mice. Biol Reprod. 2013, 88: 112-10.1095/biolreprod.112.106104.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Chamorro-Garcia R, Sahu M, Abbey RJ, Laude J, Pham N, Blumberg B: Transgenerational inheritance of increased fat depot size, stem cell reprogramming, and hepatic steatosis elicited by prenatal exposure to the obesogen tributyltin in mice. Environ Health Perspect. 2013, 121: 359-366. 10.1289/ehp.1205701.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Wolstenholme JT, Edwards M, Shetty SR, Gatewood JD, Taylor JA, Rissman EF, Connelly JJ: Gestational exposure to bisphenol A produces transgenerational changes in behaviors and gene expression. Endocrinology. 2012, 153: 3828-3838. 10.1210/en.2012-1195.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Salian S, Doshi T, Vanage G: Perinatal exposure of rats to bisphenol A affects the fertility of male offspring. Life Sci. 2009, 85: 742-752. 10.1016/j.lfs.2009.10.004.

    Article  CAS  PubMed  Google Scholar 

  26. Bygren LO, Tinghog P, Carstensen J, Edvinsson S, Kaati G, Pembrey ME, Sjostrom M: Change in paternal grandmothers’ early food supply influenced cardiovascular mortality of the female grandchildren. BMC Genet. 2014, 15: 12-10.1186/1471-2156-15-12.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Padmanabhan N, Watson ED: Lessons from the one-carbon metabolism: passing it along to the next generation. Reprod Biomed Online. 2013, 27: 637-643. 10.1016/j.rbmo.2013.09.008.

    Article  CAS  PubMed  Google Scholar 

  28. Suter L, Widmer A: Environmental heat and salt stress induce transgenerational phenotypic changes in Arabidopsis thaliana. PLoS One. 2013, 8: e60364-10.1371/journal.pone.0060364.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Wei Y, Yang CR, Wei YP, Zhao ZA, Hou Y, Schatten H, Sun QY: Paternally induced transgenerational inheritance of susceptibility to diabetes in mammals. Proc Natl Acad Sci U S A. 2014, 111: 1873-1878. 10.1073/pnas.1321195111.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Rehan VK, Liu J, Sakurai R, Torday JS: Perinatal nicotine-induced transgenerational asthma. Am J Physiol Lung Cell Mol Physiol. 2013, 305: L501-L507. 10.1152/ajplung.00078.2013.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Govorko D, Bekdash RA, Zhang C, Sarkar DK: Male germline transmits fetal alcohol adverse effect on hypothalamic proopiomelanocortin gene across generations. Biol Psychiatry. 2012, 72: 378-388. 10.1016/j.biopsych.2012.04.006.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Skinner MK: What is an epigenetic transgenerational phenotype? F3 or F2. Reprod Toxicol. 2008, 25: 2-6. 10.1016/j.reprotox.2007.09.001.

    Article  CAS  PubMed  Google Scholar 

  33. Kaneda M: Genomic imprinting in mammals-epigenetic parental memories. Differentiation. 2011, 82: 51-56. 10.1016/j.diff.2011.05.004.

    Article  CAS  PubMed  Google Scholar 

  34. Guerrero-Bosagna C, Settles M, Lucker B, Skinner M: Epigenetic transgenerational actions of vinclozolin on promoter regions of the sperm epigenome. PLoS One. 2010, 5: e13100-10.1371/journal.pone.0013100.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Gapp K, Jawaid A, Sarkies P, Bohacek J, Pelczar P, Prados J, Farinelli L, Miska E, Mansuy IM: Implication of sperm RNAs in transgenerational inheritance of the effects of early trauma in mice. Nat Neurosci. 2014, 17: 667-669. 10.1038/nn.3695.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Kelly WG: Transgenerational epigenetics in the germline cycle of Caenorhabditis elegans. Epigenetics Chromatin. 2014, 7: 6-10.1186/1756-8935-7-6.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Seisenberger S, Peat JR, Hore TA, Santos F, Dean W, Reik W: Reprogramming DNA methylation in the mammalian life cycle: building and breaking epigenetic barriers. Philos Trans R Soc Lond B Biol Sci. 2013, 368: 20110330-10.1098/rstb.2011.0330.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Gapp K, von Ziegler L, Tweedie-Cullen RY, Mansuy IM: Early life epigenetic programming and transmission of stress-induced traits in mammals: how and when can environmental factors influence traits and their transgenerational inheritance?. Bioessays. 2014, 36: 491-502. 10.1002/bies.201300116.

    Article  PubMed  Google Scholar 

  39. Suderman M, McGowan PO, Sasaki A, Huang TC, Hallett MT, Meaney MJ, Turecki G, Szyf M: Conserved epigenetic sensitivity to early life experience in the rat and human hippocampus. Proc Natl Acad Sci U S A. 2012, 109: 17266-17272. 10.1073/pnas.1121260109.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Dietz DM, Laplant Q, Watts EL, Hodes GE, Russo SJ, Feng J, Oosting RS, Vialou V, Nestler EJ: Paternal transmission of stress-induced pathologies. Biol Psychiatry. 2011, 70: 408-414. 10.1016/j.biopsych.2011.05.005.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Morgan CP, Bale TL: Early prenatal stress epigenetically programs dysmasculinization in second-generation offspring via the paternal lineage. J Neurosci. 2011, 31: 11748-11755. 10.1523/JNEUROSCI.1887-11.2011.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Ward ID, Zucchi FC, Robbins JC, Falkenberg EA, Olson DM, Benzies K, Metz GA: Transgenerational programming of maternal behaviour by prenatal stress. BMC Pregnancy Childbirth. 2013, 13: S9-10.1186/1471-2393-13-S1-S9.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Franklin TB, Linder N, Russig H, Thony B, Mansuy IM: Influence of early stress on social abilities and serotonergic functions across generations in mice. PLoS One. 2011, 6: e21842-10.1371/journal.pone.0021842.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Dias BG, Ressler KJ: Parental olfactory experience influences behavior and neural structure in subsequent generations. Nat Neurosci. 2014, 17: 89-96. 10.1038/nn.3594.

    Article  CAS  PubMed  Google Scholar 

  45. Matthews SG, Phillips DI: Transgenerational inheritance of stress pathology. Exp Neurol. 2012, 233: 95-101. 10.1016/j.expneurol.2011.01.009.

    Article  PubMed  Google Scholar 

  46. Crews D, Gillette R, Scarpino SV, Manikkam M, Savenkova MI, Skinner MK: Epigenetic transgenerational inheritance of altered stress responses. Proc Natl Acad Sci U S A. 2012, 109: 9143-9148. 10.1073/pnas.1118514109.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Gillette R, Miller-Crews I, Nilsson EE, Skinner MK, Gore AC, Crews D: Sexually dimorphic effects of ancestral exposure to vinclozolin on stress reactivity in rats.Endocrinology 2014, [Epub ahead of print]..

  48. Iams JD, Donovan EF: Spontaneous late preterm births: what can be done to improve outcomes?. Semin Perinatol. 2011, 35: 309-313. 10.1053/j.semperi.2011.05.007.

    Article  PubMed  Google Scholar 

  49. Dekel S, Mandl C, Solomon Z: Is the Holocaust implicated in posttraumatic growth in second-generation Holocaust survivors? A prospective study. J Trauma Stress. 2013, 26: 530-533. 10.1002/jts.21836.

    Article  PubMed  Google Scholar 

  50. Saile R, Ertl V, Neuner F, Catani C: Does war contribute to family violence against children? Findings from a two-generational multi-informant study in Northern Uganda. Child Abuse Negl. 2014, 38: 135-146. 10.1016/j.chiabu.2013.10.007.

    Article  PubMed  Google Scholar 

  51. Roth M, Neuner F, Elbert T: Transgenerational consequences of PTSD: risk factors for the mental health of children whose mothers have been exposed to the Rwandan genocide. Int J Ment Health Syst. 2014, 8: 12-10.1186/1752-4458-8-12.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

I thank Dr. Eric Nilsson for critical review of the manuscript and Ms. Heather Johnson for assistance in preparation of the manuscript. This research was supported by National Institutes of Health grants to MKS.

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Skinner, M.K. Environmental stress and epigenetic transgenerational inheritance. BMC Med 12, 153 (2014). https://doi.org/10.1186/s12916-014-0153-y

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