Evidence map›Paper›PMID 42354219›Full record

ReviewInternational journal of environmental research and public health2026

Built Environment-Modulated Epigenetics: The Epigenetic Consequences of Architecturally Mediated Allostatic Overload in the Built Environment.

Cleo Valentine, Heather Mitcheltree, Isabelle Sjövall, Mohamed Hesham Khalil

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Cleo ValentineDepartment of Architecture, University of Cambridge, Cambridge CB2 1PX, UK.ORCID 0000-0002-7814-1511
Heather MitcheltreeDepartment of Architecture, University of Cambridge, Cambridge CB2 1PX, UK.ORCID 0000-0003-1523-120X
Isabelle SjövallDivision of the Built Environment, RISE Research Institute of Sweden, 114 28 Stockholm, Sweden.ORCID 0009-0002-6604-2118
Mohamed Hesham KhalilDepartment of Architecture, University of Cambridge, Cambridge CB2 1PX, UK.ORCID 0009-0005-7754-6479

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The concept of architecturally mediated allostatic overload has established that chronic exposure to stress-inducing built environments can elicit stress responses within the body, overwhelming regulatory systems and contributing to adverse health outcomes through sustained activation of stress response pathways. Recent advances in epigenetics, combined with emerging evidence of environmental stress-induced epigenetic modifications, suggest that the health impacts of chronic built environment stress may extend far beyond previously understood physiological consequences. This paper introduces the theoretical concept of "built environment-modulated epigenetics" (BEME), extending the framework of architecturally mediated allostatic overload to consider how chronic exposure to stress-inducing built environments may create lasting epigenetic modifications with potential transgenerational implications. We propose that prolonged activation of the hypothalamic-pituitary-adrenal (HPA) and sympathetic-adreno-medullary (SAM) axes by built environment stressors may result in maladaptive DNA methylation and histone modifications affecting stress-responsive genes, similar to documented effects of environmental toxins, air pollution, and psychosocial stressors. Given robust evidence that environmental stressors can create transgenerational epigenetic effects, this theoretical framework suggests that stress-inducing built environments may impact not only current occupants, but future generations through heritable epigenetic modifications. This extension of architecturally mediated allostatic overload theory fundamentally challenges traditional approaches to architectural design and urban planning, positioning the built environment as a potential determinant of long-term epigenetic programming.

Indexed as

AllostasisBuilt EnvironmentEpigenesis, GeneticStress, PhysiologicalDNA MethylationEpigenetic MemoryHumansallostatic loadbuilt environment designbuilt environment-modulated epigeneticschronic stressDNA methylationneuroarchitecturetransgenerational inheritance

Identifiers

PMID42354219
PMCPMC13300097

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.