Evidence map›Paper›PMID 29452766›Full record

SynthesisPsychoneuroendocrinology2018

Traumatic stress and accelerated DNA methylation age: A meta-analysis.

Erika J Wolf, Hannah Maniates, Nicole Nugent, Adam X Maihofer, Don Armstrong, Andrew Ratanatharathorn, Allison E Ashley-Koch, Melanie Garrett, Nathan A Kimbrel, Adriana Lori and 22 more

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Psychoneuroendocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 7 pooled it
8.6field-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

144 citing papers in PubMed, 7 syntheses or guidelines pooled it, 245 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. A Systematic Review and Meta-analysis of Environmental, Lifestyle, and Health Factors Associated With DNA Methylation Age.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Pooled it
  7. Work-Related Stress, Physio-Pathological Mechanisms, and the Influence of Environmental Genetic Factors.International journal of environmental research and public health · 2019
    Pooled it
  8. Trial
  9. Trial
  10. DNA methylation GrimAge acceleration in US military veterans with PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Trial
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Lifetime trauma exposure and accelerated epigenetic aging among midlife women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article

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

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

32 authors at 19 institutions in 2 countries.

Erika J WolfNational Center for PTSD at VA Boston Healthcare System, United States; Department of Psychiatry, Boston University School of Medicine, United States. Electronic address: erika.wolf@va.gov.
Hannah ManiatesNational Center for PTSD at VA Boston Healthcare System, United States.
Nicole NugentBradley Hasbro Children's Research Center, Rhode Island Hospital, United States; Departments of Psychiatry and Human Behavior and Pediatrics, Brown Medical School, United States.
Adam X MaihoferUniversity of California San Diego, Department of Psychiatry, United States.
Don ArmstrongUniversity of Illinois Urbana-Champaign, Carl R. Woese Institute for Genomic Biology, United States.
Andrew RatanatharathornColumbia University, Department of Epidemiology, United States.
Allison E Ashley-KochDuke Molecular Physiology Institute, Duke University School of Medicine, United States.
Melanie GarrettDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, United States.
Nathan A KimbrelDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, United States; VA Mid-Atlantic, Mental Illness Research, Education, and Clinical Center, United States; Durham VA Medical Center, United States.
Adriana LoriDepartment of Psychiatry and Behavioral Sciences, Emory University, United States.
Va Mid-Atlantic Mirecc WorkgroupVA Mid-Atlantic, Mental Illness Research, Education, and Clinical Center, United States.
Allison E AielloDepartment of Epidemiology, University of North Carolina at Chapel Hill Gillings School of Global Public Health, United States.
Dewleen G BakerUniversity of California San Diego, Department of Psychiatry, United States; Veterans Affairs San Diego Healthcare System, United States; Veterans Affairs Center of Excellence for Stress and Mental Health, United States.
Jean C BeckhamDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, United States; VA Mid-Atlantic, Mental Illness Research, Education, and Clinical Center, United States; Durham VA Medical Center, United States.
Marco P BoksUniversity Medical Center Utrecht, Brain Center Rudolf Magnus, Department of Psychiatry, Utrecht, The Netherlands.
Sandro GaleaBoston University School of Public Health, United States.
Elbert GeuzeUniversity Medical Center Utrecht, Brain Center Rudolf Magnus, Department of Psychiatry, Utrecht, The Netherlands; Ministry of Defence, Military Mental Healthcare, Utrecht, The Netherlands.
Michael A HauserDuke Molecular Physiology Institute, Duke University School of Medicine, United States.
Ronald C KesslerHarvard Medical School, Department of Health Care Policy, United States.
Karestan C KoenenHarvard T.H. Chan School of Public Health, Department of Epidemiology, United States; Massachusetts General Hospital, Psychiatric and Neurodevelopmental Genetics Unit, Center for Human Genetic Research, and Department of Psychiatry, United States.
Mark W MillerNational Center for PTSD at VA Boston Healthcare System, United States; Department of Psychiatry, Boston University School of Medicine, United States.
Kerry J ResslerDepartment of Psychiatry, Harvard Medical School and McLean Hospital, Belmont, MA, United States.
Victoria RisbroughUniversity of California San Diego, Department of Psychiatry, United States; Veterans Affairs San Diego Healthcare System, United States; Veterans Affairs Center of Excellence for Stress and Mental Health, United States.
Bart P F RuttenSchool for Mental Health and Neuroscience and the European Graduate School of Neuroscience (EURON), Department of Psychiatry and Neuropsychology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Murray B SteinUniversity of California San Diego, Department of Psychiatry, United States; Veterans Affairs San Diego Healthcare System, United States; University of California San Diego, Department of Family Medicine and Public Health, United States.
Robert J UrsanoCenter for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, United States.
Eric VermettenUniversity Medical Center Utrecht, Brain Center Rudolf Magnus, Department of Psychiatry, Utrecht, The Netherlands; Ministry of Defence, Military Mental Healthcare, Utrecht, The Netherlands; Arq Psychotrauma Expert Group, The Netherlands.
Christiaan H VinkersUniversity Medical Center Utrecht, Brain Center Rudolf Magnus, Department of Psychiatry, Utrecht, The Netherlands.
Monica UddinUniversity of Illinois Urbana-Champaign, Carl R. Woese Institute for Genomic Biology, United States; University of Illinois Urbana-Champaign, Department of Psychology, United States.
Alicia K SmithDepartment of Psychiatry and Behavioral Sciences, Emory University, United States; Department of Gynecology and Obstetrics, Emory University, United States.
Caroline M NievergeltUniversity of California San Diego, Department of Psychiatry, United States; Veterans Affairs San Diego Healthcare System, United States; Veterans Affairs Center of Excellence for Stress and Mental Health, United States.
Mark W LogueNational Center for PTSD at VA Boston Healthcare System, United States; Department of Psychiatry, Boston University School of Medicine, United States; Biomedical Genetics, Boston University School of Medicine, United States.
Duke University · USMental Illness Research, Education and Clinical Centers · USUniversity Medical Center Utrecht · NLUniversity of California, San Diego · USBoston University · USColumbia University · USDuke Medical Center · USDuke University Hospital · USEmory University · USHarvard University · USHasbro Children's Hospital · USMassachusetts General Hospital · USMcLean Hospital · USMinistry of Defence · NLNational Center for PTSD · USUniformed Services University of the Health Sciences · USUniversity of Illinois Urbana-Champaign · USUniversity of North Carolina at Chapel Hill · USVA Boston Healthcare System · US

Funding

Modifiable Risk and Protective Factors for Suicidal Behaviors in the US ArmyU01MH087981 · NIMH · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI STEIN, MURRAY B., URSANO, ROBERT J. · 2009 to 2013
$65.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Genetic and Trauma-Related Risk Factors for PTSDR01MH071537 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2005 to 2014
$8.5M
Psychiatric Genomics Consortium for PTSDR01MH106595 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARESTAN C KOENEN, Caroline M Nievergelt · 2016 to 2026
$8.4M
The Impact of Traumatic Stress on the Methylome: implications for PTSDR01MH108826 · NIMH · EMORY UNIVERSITY · PI LOGUE, MARK W, NIEVERGELT, CAROLINE M · 2016 to 2024
$5.8M
Ecologic Stressors, PTSD, and Drug Use in DetroitR01DA022720 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AIELLO, ALLISON E · 2007 to 2011
$4.7M
Biomarkers, Social and Affective Predictors of Suicidal Thoughts and Behaviors in AdolescentsR01MH105379 · NIMH · RHODE ISLAND HOSPITAL · PI NUGENT, NICOLE R · 2015 to 2019
$3.3M
Understanding the Interplay of Social Context and Physiology on Psychological Outcomes in Trauma-Exposed AdolescentsR01MH108641 · NIMH · RHODE ISLAND HOSPITAL · PI NUGENT, NICOLE R · 2016 to 2020
$3.3M
Genomic Predictors of Combat Stress Vulnerability and ResilienceR01MH093500 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NIEVERGELT, CAROLINE M · 2011 to 2013
$2.7M
3/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109536 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CHARNEY, ALEXANDER W, HUCKINS, LAURA MARIANNE · 2016 to 2020
$2.7M
Epigenetic Mechanisms of T Cell Dysregulation in PTSDR01AI129788 · NIAID · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI NAGARKATTI, MITZI · 2017 to 2021
$2.4M
Genetic and estrogen-dependent regulation of the human PAC1R receptor and PTSDR01MH096764 · NIMH · MCLEAN HOSPITAL · PI RESSLER, KERRY J. · 2012 to 2016
$2.1M
BLRD VA I01 BX002150BLRD VA I01 BX002577CSRD VA I01 CX000431CSRD VA I01 CX001276CSRD VA IK2 CX000525NIAID NIH HHS R01 AI129788NIA NIH HHS R03 AG051877NICHD NIH HHS P2C HD050924NIDA NIH HHS R01 DA022720NIMH NIH HHS R01 MH071537NIMH NIH HHS R01 MH079806NIMH NIH HHS R01 MH093500NIMH NIH HHS R01 MH096764NIMH NIH HHS R01 MH105379NIMH NIH HHS R01 MH106595NIMH NIH HHS R01 MH108641NIMH NIH HHS R01 MH108826NIMH NIH HHS R21 MH102834NIMH NIH HHS R56 MH071537NIMH NIH HHS RC1 MH088283NIMH NIH HHS U01 MH087981NIMH NIH HHS U01 MH109536
6 · The paper itself

Abstract

backgroundRecent studies examining the association between posttraumatic stress disorder (PTSD) and accelerated aging, as defined by DNA methylation-based estimates of cellular age that exceed chronological age, have yielded mixed results.

methodsWe conducted a meta-analysis of trauma exposure and PTSD diagnosis and symptom severity in association with accelerated DNA methylation age using data from 9 cohorts contributing to the Psychiatric Genomics Consortium PTSD Epigenetics Workgroup (combined N = 2186). Associations between demographic and cellular variables and accelerated DNA methylation age were also examined, as was the moderating influence of demographic variables.

resultsMeta-analysis of regression coefficients from contributing cohorts revealed that childhood trauma exposure (when measured with the Childhood Trauma Questionnaire) and lifetime PTSD severity evidenced significant, albeit small, meta-analytic associations with accelerated DNA methylation age (ps = 0.028 and 0.016, respectively). Sex, CD4T cell proportions, and natural killer cell proportions were also significantly associated with accelerated DNA methylation age (all ps < 0.02). PTSD diagnosis and lifetime trauma exposure were not associated with advanced DNA methylation age. There was no evidence of moderation of the trauma or PTSD variables by demographic factors.

conclusionsResults suggest that traumatic stress is associated with advanced epigenetic age and raise the possibility that cells integral to immune system maintenance and responsivity play a role in this. This study highlights the need for additional research into the biological mechanisms linking traumatic stress to accelerated DNA methylation age and the importance of furthering our understanding of the neurobiological and health consequences of PTSD.

Indexed as

DNA MethylationAdultCohort StudiesEpigenesis, GeneticFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedStress Disorders, Post-TraumaticTrauma Severity IndicesAccelerated agingDNA methylationEpigenetic clockMeta-analysisPTSDTraumatic stress

Identifiers

PMID29452766
PMCPMC5924645
OpenAlexW2776110333

What OpenQuestion holds

Textmetadata
LicenceTDM
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.