Evidence map›Paper›PMID 25827033›Full record

ArticleThe American journal of psychiatry2015

Association of CRP genetic variation and CRP level with elevated PTSD symptoms and physiological responses in a civilian population with high levels of trauma.

Vasiliki Michopoulos, Alex O Rothbaum, Tanja Jovanovic, Lynn M Almli, Bekh Bradley, Barbara O Rothbaum, Charles F Gillespie, Kerry J Ressler

Open access · greenAbstract read
In one paragraph

Article in The American journal of psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 2% 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

119 citing papers in PubMed, 3 syntheses or guidelines pooled it, 195 citations in OpenAlex.

  1. Pooled it
  2. Genetic Contributions of Inflammation to Depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Pooled it
  3. Pooled it
  4. Trial
  5. Resting sympathetic transduction in veterans with PTSD.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  6. Review
  7. Post-traumatic stress disorder.Nature reviews. Disease primers · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Facing stress and inflammation: From the cell to the planet.World journal of experimental medicine · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Connecting the dots: sex, depression, and musculoskeletal health.The Journal of clinical investigation · 2024
    Review
  19. Microglia-mediated neuroimmune suppression in PTSD is associated with anhedonia.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  20. Article

59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Vasiliki MichopoulosFrom the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta; the Atlanta VA Medical Center, Atlanta; the Howard Hughes Medical Institute, Bethesda, Md.; and the Yerkes National Primate Research Center, Atlanta.
Alex O Rothbaum
Tanja Jovanovic
Lynn M Almli
Bekh Bradley
Barbara O Rothbaum
Charles F Gillespie
Kerry J Ressler
Atlanta Medical Center · USHoward Hughes Medical Institute · USOregon National Primate Research Center · US

Funding

X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 1985 to 2007
$21.3M
Genetic and Trauma-Related Risk Factors for PTSDR01MH071537 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2005 to 2014
$8.5M
Genetic and estrogen-dependent regulation of the human PAC1R receptor and PTSDR01MH096764 · NIMH · MCLEAN HOSPITAL · PI RESSLER, KERRY J. · 2012 to 2016
$2.1M
Mechanisms of Intergenerational Impact of Maternal TraumaR01HD071982 · NICHD · EMORY UNIVERSITY · PI BRADLEY, BEKH · 2013 to 2017
$2.1M
Trauma and the Genetics of the Endocannabinoid SystemK23MH082256 · NIMH · EMORY UNIVERSITY · PI GILLESPIE, CHARLES FREDERICK · 2008 to 2011
$704k
Fear inhibition in posttraumatic stress disorderF32MH070129 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2004 to 2006
$149k
Genetic and Trauma-Related Risk Factors for PTSD: From GWAS to FunctionR56MH071537 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2015 to 2015
$148k
Role of Allopregnanolone in Mediating the Adverse Effects of Psychosocial StressF31MH085445 · NIMH · EMORY UNIVERSITY · PI MICHOPOULOS, VASILIKI · 2009 to 2010
$58k
Howard Hughes Medical InstituteNCRR NIH HHS M01 RR000039NCRR NIH HHS M01RR00039NICHD NIH HHS R01 HD071982NIMH NIH HHS F31 MH085445NIMH NIH HHS F32 MH070129NIMH NIH HHS K23 MH082256NIMH NIH HHS MH070129NIMH NIH HHS MH071537NIMH NIH HHS MH082256NIMH NIH HHS MH096764NIMH NIH HHS R01 MH071537NIMH NIH HHS R01 MH096764NIMH NIH HHS R56 MH071537
6 · The paper itself

Abstract

objectiveIncreased systemic inflammation is associated with stress-related psychopathology. Specifically, levels of the proinflammatory marker C-reactive protein (CRP) are elevated in individuals with posttraumatic stress disorder (PTSD). Furthermore, single-nucleotide polymorphisms (SNPs) in the CRP gene are associated with CRP level, risk for cardiovascular disease, and obesity. The authors examined whether polymorphisms within the CRP gene and increased CRP levels are associated with PTSD symptoms and fear physiology in a civilian population with high levels of trauma.

methodCross-sectional data and DNA samples were collected from 2,698 individuals recruited from an inner-city public hospital that serves a primarily African American, low-socioeconomic-status population. A subgroup of 187 participants participated in further interviews, testing, and physiological measures; of these, 135 were assessed using the fear-potentiated startle paradigm to assess fear-related phenotypes of PTSD.

resultsOne SNP within the CRP gene, rs1130864, was significantly associated with increased PTSD symptoms (N=2,692), including "being overly alert" as the most significant individual symptom (N=2,698). Additionally, CRP genotype was associated with the odds of PTSD diagnosis (N=2,692). This SNP was also associated with increased CRP level (N=137), and high CRP levels (>3 mg/L) were positively associated with PTSD symptoms (N=187) and fear-potentiated startle to a safety signal (N=135).

conclusionsTogether, these data indicate that genetic variability in the CRP gene is associated with serum CRP level and PTSD symptom severity, including that of hyperarousal symptoms. Elevated CRP levels were also associated with exacerbated fear-related psychophysiology and PTSD symptom ratings and diagnosis. These findings suggest a potential mechanism by which an increased proinflammatory state may lead to heightened PTSD symptoms.

Indexed as

AdultAsianBlack or African AmericanC-Reactive ProteinCross-Sectional StudiesFearFemaleGenotypeHispanic or LatinoHumansLinear ModelsLogistic ModelsMaleMiddle AgedPolymorphism, Single NucleotideReflex, StartleC-Reactive Protein

Identifiers

PMID25827033
PMCPMC4440454
OpenAlexW2163146990

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.