Evidence map›Paper›PMID 22536069›Full record

ArticleNeuropsychiatric disease and treatment2012

Higher FKBP5, COMT, CHRNA5, and CRHR1 allele burdens are associated with PTSD and interact with trauma exposure: implications for neuropsychiatric research and treatment.

Joseph A Boscarino, Porat M Erlich, Stuart N Hoffman, Xiaopeng Zhang

Open access · goldAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
14.4field-weighted citation impact, top 1% of its field
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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Central amygdalaNeurobiology of stress · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Myelination defects in the medial prefrontal cortex of Fkbp5 knockout mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021
    Article
  9. Review
  10. Article
  11. FKBP5 Genotype Linked to Combined PTSD-Depression Symptom in Chinese Earthquake Survivors.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    Article
  12. Review
  13. Review
  14. Genomic updates in understanding PTSD.Progress in neuro-psychopharmacology & biological psychiatry · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Neurobiological Development in the Context of Childhood Trauma.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2017
    Article
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 at 2 institutions in 1 country.

Joseph A BoscarinoCenter for Health Research, Geisinger Clinic, Danville, PA.
Porat M Erlich
Stuart N Hoffman
Xiaopeng Zhang
Geisinger Medical Center · USTemple University · US

Funding

Developing PTSD Risk Assessment Tools Using the World Trade Center Outcome StudyR21MH086317 · NIMH · GEISINGER CLINIC · PI BOSCARINO, JOSEPH A · 2009 to 2010
$437k
NIMH NIH HHS R21 MH086317
6 · The paper itself

Abstract

objectiveThe study aim was to assess the cumulative burden of polymorphisms located within four genetic loci previously associated with posttraumatic stress disorder (PTSD) among outpatients at risk for PTSD.

methodsDiagnostic interviews were completed and DNA samples collected among 412 pain patients to determine if FKBP5 (rs9470080), COMT (rs4680), CHRNA5 (rs16969968), and CRHR1 (rs110402) single nucleotide polymorphisms were cumulatively associated with increased risk for PTSD.

resultsIn bivariate analyses, it was found that a count of specific PTSD risk alleles located within FKBP5, COMT, CHRNA5, and CRHR1 genetic loci (allele range = 0-6, mean count = 2.92, standard deviation = 1.36) was associated with lifetime (t [409] = 3.430, P = 0.001) and early onset PTSD (t [409] = 4.239, P = 0.000028). In logistic regression, controlling for demographic factors, personality traits, and trauma exposures, this risk allele count remained associated with both lifetime (odds ratio = 1.49, P = 0.00158) and early onset PTSD (odds ratio = 2.36, P = 0.000093). Interaction effects were also detected, whereby individuals with higher risk allele counts and higher trauma exposures had an increased risk of lifetime PTSD (allele count × high trauma, P = 0.026) and early onset PTSD (allele count × high trauma, P = 0.016) in these logistic regressions. Those with no or few risk alleles appeared resilient to PTSD, regardless of exposure history.

conclusionA cumulative risk allele count involving four single nucleotide polymorphisms located within the FKBP5, COMT, CHRNA5, and CRHR1 genes are associated with PTSD. Level of trauma exposure interacts with risk allele count, such that PTSD is increased in those with higher risk allele counts and higher trauma exposures. Since the single nucleotide polymorphisms studied encompass stress circuitry and addiction biology, these findings may have implications for neuropsychiatric research and treatment.

Indexed as

childhood adversitygenetic association studyneuroticismposttraumatic stress disorderrisk allelessingle nucleotide polymorphismtrauma exposure

Identifiers

PMID22536069
PMCPMC3333786
OpenAlexW2090682509

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.