Early childhood stress is associated with elevated antibody levels to herpes simplex virus type 1
- aDepartment of Psychology, University of New Orleans, 2006 Geology/Psychology Building, New Orleans, LA 70148;
- bHarlow Center for Biological Psychology and Department of Psychology, University of Wisconsin, 22 North Charter Street, Madison, WI 53715; and
- cWaisman Center and Department of Psychology, University of Wisconsin, 1500 Highland Avenue, Madison, WI 53705
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Edited by Burton H. Singer, Princeton University, Princeton, NJ, and approved December 22, 2008 (received for review July 9, 2008)

Abstract
It is well known that children need solicitous parenting and a nurturing rearing environment to ensure their normal behavioral development. Early adversity often negatively impacts emotional and mental well-being, but it is less clearly established how much the maturation and regulation of physiological systems is also compromised. The following research investigated the effect of 2 different types of adverse childhood experiences, early deprivation through institutionalization and physical abuse, on a previously unexplored outcome: the containment of herpes simplex virus (HSV). The presence of HSV-specific antibody in salivary specimens was determined in 155 adolescents, including 41 postinstitutionalized, 34 physically-abused, and 80 demographically-similar control youth. Across 4 school and home days, HSV antibody was higher in both postinstitutionalized and physically-abused adolescents when compared with control participants. Because the prevalence of HSV infection was similar across the groups, the elevated antibody was likely indicative of viral recrudescence from latency. Total secretory Ig-A secretion was associated with HSV, but did not account for the group differences in HSV-specific antibody. These findings are likely caused by a failure of cellular immune processes to limit viral reactivation, indicating a persistent effect of early rearing on immune functioning. The fact that antibody profiles were still altered years after adoption into a more benevolent setting with supportive families suggests these results were not caused by contemporaneous factors, but rather reflect a lingering influence of earlier life experiences.
Footnotes
- 1To whom correspondence may be addressed. E-mail: eshirtcl{at}uno.edu or spollak{at}wisc.edu
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Author contributions: E.A.S., C.L.C., and S.D.P. designed research, performed research, analyzed data, and wrote the paper.
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The authors declare no conflict of interest.
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This article is a PNAS Direct Submission.
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This article contains supporting information online at www.pnas.org/cgi/content/full/0806660106/DCSupplemental.
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↵* Because of the methodological challenges of research with at-risk adolescents, we anticipated that some participants might not collect and return all saliva samples. Therefore, we collected samples from each participant during their initial laboratory visit so that any subjects who did not return a complete set of samples could be compared with those who did. As expected, physically abused adolescents were more likely to have missing home samples [χ2(2) = 10.42, P < 0.005]. However, there was no evidence that participants who failed to collect all home samples differed systematically from those participants who fully complied. All analyses were repeated by substituting the lab-day values for missing values. Postinstitutionalized and abused adolescents still had significantly higher HSV-sIgA than normal controls [F(2,151) = 4.73, P < 0.01]. All other findings also remained unchanged.
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Freely available online through the PNAS open access option.
- © 2009 by The National Academy of Sciences of the USA
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