Evidence map›Paper›PMID 31039430›Full record

ArticleBrain, behavior, and immunity2019

Gene expression differences in PTSD are uniquely related to the intrusion symptom cluster: A transcriptome-wide analysis in military service members.

Heather L Rusch, Jeffrey Robinson, Sijung Yun, Nicole D Osier, Christiana Martin, Chris R Brewin, Jessica M Gill

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
1.7field-weighted citation impact, top 19% 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

28 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Microglial Feimin Alleviates Cognitive Impairment in High-Fat Diet-Fed Mice.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Review
  9. Article
  10. Circulating long noncoding RNA: New frontiers in biomarker research for mood disorders.Genomic psychiatry : advancing science from genes to society · 2025
    Article
  11. Review
  12. Exploring heterogeneity in PTSD symptoms and associated predictors and outcomes in Afghanistan veterans: A latent profile analysis.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

7 authors at 2 institutions in 2 countries.

Heather L RuschNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, United States. Electronic address: heather.rusch@nih.gov.
Jeffrey RobinsonNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, United States.
Sijung YunYotta Biomed, LLC, Bethesda, MD 20817, United States.
Nicole D OsierNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, United States.
Christiana MartinNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, United States.
Chris R BrewinUniversity College London, London WC1E 6BT, United Kingdom.
Jessica M GillNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, United States.
National Institutes of Health · USUniversity College London · GB

Funding

Intramural NIH HHS Z99 NR999999
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is associated with wide-spread immune dysregulation; however, little is known about the gene expression differences attributed to each PTSD symptom cluster. This is an important consideration when identifying diagnostic and treatment response markers in highly comorbid populations with mental and physical health conditions that share symptoms. To this aim, we utilized a transcriptome-wide analysis of differential gene expression in peripheral blood by comparing military service members: (1) with vs. without PTSD, (2) with high vs. low PTSD cluster symptom severity, and (3) with improved vs. not improved PTSD symptoms following 4-8 weeks of evidenced-based sleep treatment. Data were analyzed at a ±2.0-fold change magnitude with subsequent gene ontology-based pathway analysis. In participants with PTSD (n = 39), 89 differentially expressed genes were identified, and 94% were upregulated. In participants with high intrusion symptoms (n = 22), 1040 differentially expressed genes were identified, and 98% were upregulated. No differentially expressed genes were identified for the remaining two PTSD symptom clusters. Ten genes (C5orf24, RBAK, CREBZF, CD69, PMAIP1, AGL, ZNF644, ANKRD13C, ESCO1, and ZCCHC10) were upregulated in participants with PTSD and high intrusion symptoms at baseline and downregulated in participants with improved PTSD symptoms following treatment. Pathway analysis identified upregulated immune response systems and metabolic networks with a NF-kB hub, which were downregulated with symptom reduction. Molecular biomarkers implicated in intrusion symptoms and PTSD symptom improvement may inform the development of therapeutic targets for precise treatment of PTSD.

Indexed as

AcetyltransferasesAdultAntigens, CDAntigens, Differentiation, T-LymphocyteBasic-Leucine Zipper Transcription FactorsBehavioral SymptomsCD69 AntigensCluster AnalysisExtracellular Matrix ProteinsFemaleGene ExpressionGene Expression ProfilingHumansLectins, C-TypeMaleMembrane ProteinsAcetyltransferasesANKRD13C protein, humanAntigens, CDAntigens, Differentiation, T-LymphocyteBasic-Leucine Zipper Transcription FactorsCD69 AntigensCREBZF protein, humanDMP1 protein, humanESCO1 protein, humanExtracellular Matrix ProteinsLectins, C-TypeMembrane ProteinsMolecular ChaperonesPhosphoproteinsPMAIP1 protein, humanProto-Oncogene Proteins c-bcl-2RBaK protein, humanRepressor ProteinsTranscription FactorsZNF644 protein, humanCluster analysisFlashbacksGene expressionImmune responseInflammationIntrusion symptomsMetabolic processesMilitaryPosttraumatic stress disorderTranscriptome-wide

Identifiers

PMID31039430
PMCPMC6752960
OpenAlexW2941428287

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.