Evidence map›Paper›PMID 33510476›Full record

ArticleNature genetics2021

Genome-wide association analyses of post-traumatic stress disorder and its symptom subdomains in the Million Veteran Program.

Murray B Stein, Daniel F Levey, Zhongshan Cheng, Frank R Wendt, Kelly Harrington, Gita A Pathak, Kelly Cho, Rachel Quaden, Krishnan Radhakrishnan, Matthew J Girgenti and 10 more

Abstract read
In one paragraph

Article in Nature genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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

136 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  20. Post-traumatic stress disorder.Nature reviews. Disease primers · 2026
    Review

76 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

20 authors.

Murray B Stein *VA San Diego Healthcare System, Psychiatry Service, San Diego, CA, USA. mstein@health.ucsd.edu.ORCID http://orcid.org/0000-0001-9564-2871
Daniel F LeveyVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.ORCID http://orcid.org/0000-0001-8431-9569
Zhongshan ChengVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.
Frank R WendtVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.
Kelly HarringtonVA Boston Healthcare System, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA, USA.
Gita A PathakVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.
Kelly ChoVA Boston Healthcare System, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA, USA.
Rachel QuadenVA Boston Healthcare System, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA, USA.
Krishnan RadhakrishnanClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT, USA.
Matthew J GirgentiVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.ORCID http://orcid.org/0000-0003-1647-326X
Yuk-Lam Anne HoVA Boston Healthcare System, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3305-3830
Daniel PosnerVA Boston Healthcare System, Massachusetts Veterans Epidemiology Research and Information Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3056-6924
Mihaela AslanClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT, USA.
Ronald S DumanVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.
Hongyu ZhaoClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT, USA.ORCID http://orcid.org/0000-0003-1195-9607
Department of Veterans Affairs Cooperative Studies Program (no. 575B)
VA Million Veteran Program
Renato PolimantiVA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA.ORCID http://orcid.org/0000-0003-0745-6046
John ConcatoClinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT, USA.
Joel Gelernter *VA Connecticut Healthcare System, Psychiatry Service, West Haven, CT, USA. joel.gelernter@yale.edu.ORCID http://orcid.org/0000-0002-4067-1859

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Decoding the Sex-Specific Biological Mechanisms of Psychiatric Disorders Using Genome-Wide AnalysesF32MH122058 · NIMH · YALE UNIVERSITY · PI WENDT, FRANK · 2020 to 2021
$118k
Genomics of PTSD and Related TraitsI01CX001849 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI GELERNTER, JOEL, STEIN, MURRAY B. · 2019 to 2022
–
BLRD VA I01 BX006482CSRD VA I01 CX001849NCATS NIH HHS UL1 TR001863NIMH NIH HHS F32 MH122058
6 · The paper itself

Abstract

We conducted genome-wide association analyses of over 250,000 participants of European (EUR) and African (AFR) ancestry from the Million Veteran Program using electronic health record-validated post-traumatic stress disorder (PTSD) diagnosis and quantitative symptom phenotypes. Applying genome-wide multiple testing correction, we identified three significant loci in European case-control analyses and 15 loci in quantitative symptom analyses. Genomic structural equation modeling indicated tight coherence of a PTSD symptom factor that shares genetic variance with a distinct internalizing (mood-anxiety-neuroticism) factor. Partitioned heritability indicated enrichment in several cortical and subcortical regions, and imputed genetically regulated gene expression in these regions was used to identify potential drug repositioning candidates. These results validate the biological coherence of the PTSD syndrome, inform its relationship to comorbid anxiety and depressive disorders and provide new considerations for treatment.

Indexed as

Anxiety DisordersBlack or African AmericanCase-Control StudiesDrug RepositioningGenome-Wide Association StudyHumansLinkage DisequilibriumMental DisordersPolymorphism, Single NucleotideStress Disorders, Post-TraumaticUnited StatesVeteransWhite People

Identifiers

PMID33510476
PMCPMC7972521

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Registered trials

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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.