Evidence map›Paper›PMID 29249826›Full record

ArticleTranslational psychiatry2017

Gene expression associated with PTSD in World Trade Center responders: An RNA sequencing study.

Pei-Fen Kuan, Monika A Waszczuk, Roman Kotov, Sean Clouston, Xiaohua Yang, Prashant K Singh, Sean T Glenn, Eduardo Cortes Gomez, Jianmin Wang, Evelyn Bromet and 1 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2017. 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
8.4field-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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Mechanistic signatures of comorbid PTSD with cognitive impairment implicate cortisol-induced neural toxicity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  5. Article
  6. Article
  7. Neurobiology of stress · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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  19. Article
  20. Candidate biomarkers in psychiatric disorders: state of the field.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023
    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

11 authors at 3 institutions in 1 country.

Pei-Fen KuanDepartment of Applied Mathematics and Statistics, Stony Brook University, Stony Brook, NY, USA.
Monika A WaszczukDepartment of Psychiatry, Stony Book University, Stony Brook, NY, USA.
Roman KotovDepartment of Psychiatry, Stony Book University, Stony Brook, NY, USA.
Sean CloustonDepartment of Family and Preventive Medicine, Stony Book University, Stony Brook, NY, USA.ORCID http://orcid.org/0000-0002-6124-0329
Xiaohua YangDepartment of Biostatistics and Bioinformatics, Roswell Park Cancer Institute, Buffalo, NY, USA.
Prashant K SinghDepartment of Cancer Genetics, Roswell Park Cancer Institute, Buffalo, NY, USA.
Sean T GlennDepartment of Cancer Genetics, Roswell Park Cancer Institute, Buffalo, NY, USA.
Eduardo Cortes GomezDepartment of Biostatistics and Bioinformatics, Roswell Park Cancer Institute, Buffalo, NY, USA.
Jianmin WangDepartment of Biostatistics and Bioinformatics, Roswell Park Cancer Institute, Buffalo, NY, USA.
Evelyn BrometDepartment of Psychiatry, Stony Book University, Stony Brook, NY, USA.
Benjamin J LuftDepartment of Medicine, Stony Brook University, Stony Brook, NY, USA. Benjamin.luft@stonybrookmedicine.edu.
Roswell Park Comprehensive Cancer Center · USStony Brook University · USStony Brook Medicine · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
NCI NIH HHS P30 CA016056NIOSH CDC HHS U01 OH010416
6 · The paper itself

Abstract

The gene expression approach has provided promising insights into the pathophysiology of posttraumatic stress disorder (PTSD). However, few studies used hypothesis-free transcriptome-wide approach to comprehensively understand gene expression underpinning PTSD. A transcriptome-wide expression study using RNA sequencing of whole blood was conducted in 324 World Trade Center responders (201 with never, 81 current, 42 past PTSD). Samples from current and never PTSD reponders were randomly split to form discovery (N = 195) and replication (N = 87) cohorts. Differentially expressed genes were used in pathway analysis and to create a polygenic expression score. There were 448 differentially expressed genes in the discovery cohort, of which 99 remained significant in the replication cohort, including FKBP5, which was found to be up-regulated in current PTSD regardless of the genotypes. Several enriched biological pathways were found, including glucocorticoid receptor signaling and immunity-related pathways, but these pathways did not survive FDR correction. The polygenic expression score computed by aggregating 30 differentially expressed genes using the elastic net algorithm achieved sensitivity/specificity of 0.917/0.508, respectively for identifying current PTSD in the replication cohort. Polygenic scores were similar in current and past PTSD, with both groups scoring higher than trauma-exposed controls without any history of PTSD. Together with the pathway analysis results, these findings point to HPA-axis and immune dysregulation as key biological processes underpinning PTSD. A novel polygenic expression aggregate that differentiates PTSD patients from trauma-exposed controls might be a useful screening tool for research and clinical practice, if replicated in other populations.

Indexed as

Polymorphism, Single NucleotideAdultEmergency RespondersFemaleGene ExpressionHumansMaleMiddle AgedSeptember 11 Terrorist AttacksSequence Analysis, RNAStress Disorders, Post-Traumatic

Identifiers

PMID29249826
PMCPMC5802695
OpenAlexW2771499258

What OpenQuestion 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 OpenQuestion graph.