Evidence map›Paper›PMID 33131159›Full record

ReviewThe European journal of neuroscience2022

C-Reactive Protein: Marker of risk for post-traumatic stress disorder and its potential for a mechanistic role in trauma response and recovery.

Samantha F Friend, Rahul Nachnani, Susan B Powell, Victoria B Risbrough

Open access · bronzeAbstract readReview
In one paragraph

Review in The European journal of neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  13. Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  14. Stress-responsive biomarkers and sexual behaviors among young women in rural South Africa.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  15. Review
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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

4 authors at 2 institutions in 2 countries.

Samantha F FriendVeterans Affairs Center of Excellence for Stress and Mental Health, San Diego, CA, USA.ORCID 0000-0002-2936-5041
Rahul NachnaniDepartment of Pharmacology, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0003-1449-2010
Susan B PowellDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.ORCID 0000-0002-7474-9300
Victoria B RisbroughVeterans Affairs Center of Excellence for Stress and Mental Health, San Diego, CA, USA.ORCID 0000-0001-8347-3820
University of California San Diego · USPenn State Milton S. Hershey Medical Center · US

Funding

Structural & Network-Function Correlates of Fragmented Early-Life Across SpeciesP50MH096889 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI DAVIS, ELYSIA POGGI · 2013 to 2023
$25.4M
Psychiatry Research Residency Training TrackR25MH101072 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NEAL R SWERDLOW · 2013 to 2026
$2.8M
Developing rodent models of PTSD/AUD: leveraging clinic-based strategiesR01AA026560 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DER-AVAKIAN, ANDRE, RISBROUGH, VICTORIA B · 2017 to 2021
$1.2M
Validation Studies of CRF Receptor 1 as a Target for ADI01BX003040 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI RISSMAN, ROBERT · 2016 to 2020
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BLRD Research Career Scientist Award ApplicationIK6BX006186 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI Victoria B Risbrough · 2023 to 2026
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Neuronal exosomes to identify biomarkers and pathology of deployment-related TBII01BX004312 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI RISBROUGH, VICTORIA B, RISSMAN, ROBERT · 2019 to 2022
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Validation of PTSD signals across multiple biological domains for the development of diagnostic biomarkers for PTSD in military populations to improve clinical care of VeteransI21BX005872 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI RISBROUGH, VICTORIA B · 2022 to 2023
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BLRD VA I01 BX003040BLRD VA I01 BX004312BLRD VA I21 BX005872CSRD VA IK2 CX002343NIAAA NIH HHS R01 AA026560NIMH NIH HHS P50 MH096889NIMH NIH HHS R25 MH101072
6 · The paper itself

Abstract

Increasing evidence indicates that inflammation plays a role in PTSD and stress disorder pathophysiology. PTSD is consistently associated with higher circulating inflammatory protein levels. Rodent models demonstrate that inflammation promotes enduring avoidance and arousal behaviors after severe stressors (e.g., predator exposure and social defeat), suggesting that inflammation may play a mechanistic role in trauma disorders. C-reactive protein (CRP) is an innate acute phase reactant produced by the liver after acute infection and chronic disease. A growing number of investigations report associations with PTSD diagnosis and elevated peripheral CRP, CRP gene mutations, and CRP gene expression changes in immune signaling pathways. CRP is reasonably established as a potential marker of PTSD and trauma exposure, but if and how it may play a mechanistic role is unclear. In this review, we discuss the current understanding of immune mechanisms in PTSD with a particular focus on the innate immune signaling factor, CRP. We found that although there is consistent evidence of an association of CRP with PTSD symptoms and risk, there is a paucity of data on how CRP might contribute to CNS inflammation in PTSD, and consequently, PTSD symptoms. We discuss potential mechanisms through which CRP could modulate enduring peripheral and CNS stress responses, along with future areas of investigation probing the role of CRP and other innate immune signaling factors in modulating trauma responses. Overall, we found that CRP likely contributes to central inflammation, but how it does so is an area for further study.

Indexed as

C-Reactive ProteinStress Disorders, Post-TraumaticBiomarkersHumansInflammationBiomarkersC-Reactive ProteinbiomarkerC-reactive proteininflammationpost-traumatic stress disorder

Identifiers

PMID33131159
PMCPMC8087722
OpenAlexW3095090245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.