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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Special Article

Genes, Environments, and Time: The Biology of Adversity and Resilience

W. Thomas Boyce, Pat Levitt, Fernando D. Martinez, Bruce S. McEwen and Jack P. Shonkoff
Pediatrics February 2021, 147 (2) e20201651; DOI: https://doi.org/10.1542/peds.2020-1651
W. Thomas Boyce
aDepartments of Pediatrics and Psychiatry, University of California, San Francisco, San Francisco, California;
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Pat Levitt
bThe Saban Research Institute, Children’s Hospital Los Angeles, Los Angeles, California;
cKeck School of Medicine, University of Southern California, Los Angeles, California;
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Fernando D. Martinez
dAsthma and Airway Disease Research Center, The University of Arizona, Tucson, Arizona;
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Bruce S. McEwen
eThe Rockefeller University, New York, New York;
†Deceased.
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Jack P. Shonkoff
fCenter on the Developing Child and
kHarvard Graduate School of Education, Harvard University, Cambridge, Massachusetts;
jDepartment of Social & Behavioral Sciences, Harvard T.H. Chan School of Public Health and
gHarvard Medical School and Boston Children's Hospital, Harvard University, Boston, Massachusetts;
hBoston Children’s Hospital, Boston, Massachusetts; and
iDepartment of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts
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    FIGURE 1

    An interactive GET framework. An emerging developmental biology connects the triadic interactions among genetic variation, environmental threats and supports, and developmental time in the early origins of physical and mental health outcomes. Represented by the arrow and triangle, the combined, reciprocally interactive influences of genes, environments, and time on each other all contribute to healthy or pathogenic outcomes, such as highly adaptive behavior, heightened stress reactivity, inflammation, metabolic balance and imbalance, and modified organ architecture.

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    TABLE 1

    Three Forms of GxE Interplay, With Mechanisms and Examples

    Forms of GxE InterplayMechanismsExamples
    1. rGEIndividuals with certain genetic variants choose, alter, or create their environments.Children with particular genotypes may evoke specific parenting behaviors, such as harsh discipline.
    2. GxEEnvironmental influences are apparent only among individuals carrying a particular gene variant.Lack of early endotoxin exposure predisposes children to asthma, but only among children with a genetic variant in the CD14 gene.
    3. eGEEnvironmental exposures regulate or calibrate gene expression through epigenetic processes.Methylation of cytosine nucleotides within certain sets of genes is associated with increased sympathetic reactivity to stressors.
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Pediatrics
Vol. 147, Issue 2
1 Feb 2021
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Genes, Environments, and Time: The Biology of Adversity and Resilience
W. Thomas Boyce, Pat Levitt, Fernando D. Martinez, Bruce S. McEwen, Jack P. Shonkoff
Pediatrics Feb 2021, 147 (2) e20201651; DOI: 10.1542/peds.2020-1651

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Genes, Environments, and Time: The Biology of Adversity and Resilience
W. Thomas Boyce, Pat Levitt, Fernando D. Martinez, Bruce S. McEwen, Jack P. Shonkoff
Pediatrics Feb 2021, 147 (2) e20201651; DOI: 10.1542/peds.2020-1651
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