Sep 2026· Neuroscience and Biobehavioral Reviews· pp.
106989
· 0 citations· 242 references
Medicine
Abstract
Early life adversity (ELA) is associated with long-lasting alterations in socio-emotional behavior, stress regulation, and psychopathology risk. A growing literature implicates the oxytocinergic system in these outcomes, yet findings across human and animal studies remain highly heterogeneous. This review advances a cross-level model to explain why oxytocinergic findings after early adversity diverge across studies, proposing that this heterogeneity reflects context-dependent recalibration rather than methodological noise or a uniform deficit. We integrate evidence from human studies, preclinical models, and gene-environment research to show that ELA-related oxytocinergic outcomes vary according to adversity dimensions, developmental timing, sex, species, biological compartment, brain region, and genetic or epigenetic susceptibility. Rather than framing ELA as producing a uniform oxytocin deficit, we argue that early adversity can reshape oxytocin signaling at multiple levels, including peripheral release, central receptor expression, epigenetic regulation, neural circuit function, and pharmacological responsivity. This cross-level framework may help explain divergent findings and guide future studies toward dimensional, developmentally informed, and sex-sensitive models of oxytocinergic plasticity after early adversity.
It is argued that integrating immune embedding with stress- reward recalibration may clarify one pathway by which ACEs confer SUD vulnerability and may inform trauma- informed, neurobiologically grounded approaches to prevention and treatment.
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