This paper summarizes the effects of various early environmental manipulations (infantile handling, maternal separation, neonatal immune challenge) on the development of hypothalamic-pituitary-adrenal (HPA) responses to stressful stimuli. Each manipulation results in a permanent effect on HPA responsivity to stress, although the effects qualitatively are quite different. In each case the effects are apparent in terms of different levels of activity of the corticotrophin-releasing hormone/arginine vasopressin neurons in the paraventricular nucleus of the hypothalamus. These effects, in turn, seem to be derived from changes in forebrain corticosteroid receptor systems which determine glucocorticoid negative feedback sensitivity. We feel that these effects represent examples of early environmental 'programming' of CNS function and reflect naturally-occurring plasticity in neuroendocrine defense systems. This programming also seems to have important implications for health in later life by determining vulnerability to certain forms of pathology.
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