Evidence map›Paper›PMID 32382136›Full record

ArticleMolecular psychiatry2021

A DNA methylation clock associated with age-related illnesses and mortality is accelerated in men with combat PTSD.

Ruoting Yang, Gwyneth W Y Wu, Josine E Verhoeven, Aarti Gautam, Victor I Reus, Jee In Kang, Janine D Flory, Duna Abu-Amara, PTSD Systems Biology Consortium, Leroy Hood and 7 more

Erratum issuedOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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, 3 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. DNA methylation GrimAge acceleration in US military veterans with PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Trial
  5. Article
  6. Article
  7. Article
  8. 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
  9. Article
  10. Quantification of Epigenetic Aging in Public Health.Annual review of public health · 2025
    Review
  11. Article
  12. Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  13. Article
  14. Review
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  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 3 countries.

Ruoting Yang *Medical Readiness Systems Biology, Walter Reed Army Institute of Research, Silver Spring, MD, USA. ruoting.yang.ctr@mail.mil.
Gwyneth W Y Wu *Weill Institute for Neurosciences and Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Josine E VerhoevenAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Aarti GautamMedical Readiness Systems Biology, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Victor I ReusWeill Institute for Neurosciences and Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Jee In KangInstitute of Behavioral Science in Medicine & Department of Psychiatry, Yonsei University College of Medicine, Seoul, South Korea.ORCID http://orcid.org/0000-0002-2818-7183
Janine D FloryJames J Peters VA Medical Center, Bronx, NY, USA.
Duna Abu-AmaraDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
PTSD Systems Biology Consortium
Leroy HoodInstitute for Systems Biology, Seattle, WA, USA.
Francis J DoyleJohn A. Paulson School of Engineering & Applied Sciences, Harvard University, Cambridge, MA, USA.
Rachel YehudaJames J Peters VA Medical Center, Bronx, NY, USA.
Charles R MarmarDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Marti JettMedical Readiness Systems Biology, Walter Reed Army Institute of Research, Silver Spring, MD, USA.ORCID http://orcid.org/0000-0002-2899-0216
Rasha HammamiehMedical Readiness Systems Biology, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Synthia H MellonDepartment of OB-GYN and Reproductive Sciences, UCSF School of Medicine, San Francisco, CA, USA.
Owen M WolkowitzWeill Institute for Neurosciences and Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Walter Reed Army Institute of Research · USUniversity of California, San Francisco · USJames J. Peters VA Medical Center · USNew York University · USAmsterdam University Medical Centers · NLHarvard University · USInstitute for Systems Biology · USYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

DNA methylation patterns at specific cytosine-phosphate-guanine (CpG) sites predictably change with age and can be used to derive "epigenetic age", an indicator of biological age, as opposed to merely chronological age. A relatively new estimator, called "DNAm GrimAge", is notable for its superior predictive ability in older populations regarding numerous age-related metrics like time-to-death, time-to-coronary heart disease, and time-to-cancer. PTSD is associated with premature mortality and frequently has comorbid physical illnesses suggestive of accelerated biological aging. This is the first study to assess DNAm GrimAge in PTSD patients. We investigated the acceleration of GrimAge relative to chronological age, denoted "AgeAccelGrim" in combat trauma-exposed male veterans with and without PTSD using cross-sectional and longitudinal data from two independent well-characterized veteran cohorts. In both cohorts, AgeAccelGrim was significantly higher in the PTSD group compared to the control group (N = 162, 1.26 vs -0.57, p = 0.001 and N = 53, 0.93 vs -1.60 Years, p = 0.008), suggesting accelerated biological aging in both cohorts with PTSD. In 3-year follow-up study of individuals initially diagnosed with PTSD (N = 26), changes in PTSD symptom severity were correlated with AgeAccelGrim changes (r = 0.39, p = 0.049). In addition, the loss of CD28 cell surface markers on CD8 + T cells, an indicator of T-cell senescence/exhaustion that is associated with biological aging, was positively correlated with AgeAccelGrim, suggesting an immunological contribution to the accelerated biological aging. Overall, our findings delineate cellular correlates of biological aging in combat-related PTSD, which may help explain the increased medical morbidity and mortality seen in this disease.

Indexed as

DNA MethylationStress Disorders, Post-TraumaticAgedAgingCross-Sectional StudiesEpigenesis, GeneticEpigenomicsFollow-Up StudiesHumansMale

Identifiers

PMID32382136
OpenAlexW3022283756

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.