Published: 11-06-2026 09:55 | Updated: 11-06-2026 10:56

Targeting a stress protein may prevent the effects of early trauma

A child is sitting alone in a room, leaning against the wall and with her head burried in her knees.
Photo: GettyImages

Early intervention targeting a key stress protein could protect against lasting behavioural and brain changes linked to childhood adversity, according to a study in Advanced Science led by researchers at Karolinska Institutet and Max Planck Institute of Psychiatry.

Early life adversity (ELA), such as childhood trauma, abuse, or neglect, is a major risk factor for developing psychiatric disorders, including depression, anxiety, and post-traumatic stress disorder later in life. However, how these experiences become biologically embedded in the brain has remained unclear. In a new study, the researchers show that pharmacological intervention during a critical developmental period can prevent long-term effects of early stress in a mouse model.

Interrupting social subordination with SAFit2

The study focused on the FKBP5 gene and its encoded protein, FKBP51, a well-established regulator of the body's stress hormone system and heavily implicated in psychiatric vulnerability.

To investigate the effects of early trauma on social dynamics, the researchers used a mouse model of early-life adversity combined with an advanced computer-vision-based tracking system called the Social Box. This semi-naturalistic living environment allowed for high-resolution, continuous analysis of complex social interactions within a group context.

The team discovered that mice exposed to early adversity developed profound, persistent deficits in social behaviour, manifesting as social subordination during both adolescence and adulthood. These stressed mice were disproportionately pushed into the lowest ranks of their social hierarchies. Strikingly, when SAFit2, a highly selective and brain-penetrant FKBP51 inhibitor, was administered during the early adversity period, these behavioural impairments were rescued. The treated mice successfully developed normative social hierarchy dynamics, showing no difference from non-stressed controls.

Portrait.
Xiuqi Ji. Photo: N/A

“The fact that a temporary treatment early in life can lead to lasting improvements in social behaviour and group interactions into adulthood is very encouraging,” says co‑first author Xiuqi Ji, PhD student in Juan Pablo Lopez's research group at the Department of Neuroscience at Karolinska Institutet.

Normalising the brain’s transcriptional landscape

To understand the biological basis of these behavioural changes, the researchers analysed gene expression in several stress-related brain regions. Early life adversity led to widespread changes in gene activity across the brain. However, treatment with SAFit2 largely reversed these alterations. The most pronounced effects were observed in the medial prefrontal cortex and the nucleus accumbens, areas involved in emotion regulation and reward. The findings suggest that the intervention helps restore normal molecular signalling, including pathways linked to immune and inflammatory responses.

Implications for mental health

The results highlight both the long-lasting impact of early life adversity and the potential for targeted intervention. Early stress has been shown to shape behaviour over time and alter brain function, but these effects can be prevented with timely treatment.

“Our findings establish FKBP51 as a critical pharmacological target for reversing the lasting impact of early trauma on brain function,” says co-lead author Mathias Schmidt, research group leader at the Max Planck Institute of Psychiatry, Munich, Germany.

The study points to new preventive approaches. Early, time-limited treatment restored both social behaviour and brain gene expression patterns, indicating a potential window in which the long-term effects of stress can be mitigated.

Close-up with Pablo Lopez standing in front of a green bush
Juan Pablo Lopez. Photo: Cristiana Cruceanu

"While we cannot always prevent the occurrence of early life adversity itself, this work opens up a vital preventative window. It offers a clear path toward developing targeted, proactive treatments that stop stress from becoming permanently embedded as psychiatric disease risk," says corresponding author Juan Pablo Lopez, assistant professor and research group leader at the Department of Neuroscience at Karolinska Institutet.

Publication

Pharmacological Inhibition of FKBP51 Mitigates Early Life Adversity-Induced Social Deficits in Male Mice, Joeri Bordes, Xiuqi Ji, Serena Gasperoni, Choham Sudre-Chinsky, Amirali Kalbasi, Daniela Harbich, Cornelia Flachskamm, Paula Fontanet, Sowmya Narayan, Manfred Uhr, Christian Namendorf, Camilla Bellone, Alon Chen, Felix Hausch, Juan Pablo Lopez, Mathias V. Schmidt, Advanced Science, online 9 June 2026, doi: 10.1002/advs.76040