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Editorial

Dissecting the molecular mechanisms of gene x environment interactions: implications for diagnosis and treatment of stress-related psychiatric disorders

Disección de los mecanismos moleculares de las interacciones gen x entorno: Implicaciones para el diagnóstico y tratamiento de trastornos psiquiátricos relacionados con el estrés

解析基因X 环境交互的分子机制: 对应激相关的精神疾病的诊断和治疗的启示

Article: 1412745 | Received 19 Jul 2017, Accepted 03 Nov 2017, Published online: 17 Jan 2018

Figures & data

Figure 1. How FKBP5 genotype may shape risk vs. resilience to exposure to adversity during childhood. In the light of adversity, the genotype effect is unmasked and needs additional epigenetic changes at the FKBP5 locus to occur. This leads to a transcriptional disinhibition of FKBP5 and high FKBP5 levels, associated with increased anxiety and decreased stress coping. A combined FKBP5 risk genotype and exposure to childhood trauma has been associated with risk for a number of psychiatric disorders, suggesting that patients with high FKBP5 could represent a transdiagnostic subtype of patients who could benefit from common treatment strategies, such as FKBP5 antagonists.

Figure 1. How FKBP5 genotype may shape risk vs. resilience to exposure to adversity during childhood. In the light of adversity, the genotype effect is unmasked and needs additional epigenetic changes at the FKBP5 locus to occur. This leads to a transcriptional disinhibition of FKBP5 and high FKBP5 levels, associated with increased anxiety and decreased stress coping. A combined FKBP5 risk genotype and exposure to childhood trauma has been associated with risk for a number of psychiatric disorders, suggesting that patients with high FKBP5 could represent a transdiagnostic subtype of patients who could benefit from common treatment strategies, such as FKBP5 antagonists.