STRUCTURAL AND FUNCTIONAL CONNECTIVITY IN POSTTRAUMATIC STRESS DISORDER: ASSOCIATIONS WITH FKBP5: 2015 Donald F Klein Investigator Award Finalist: Connectivity, PTSD, and FKBP5
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BACKGROUND: The integrity of connections between the hippocampus and the anterior cingulate cortex (ACC) is critical for adaptive cognitive and emotional processing; these connections may be compromised in posttraumatic stress disorder (PTSD). However, there is a lack of PTSD research that combines structural and functional connectivity data, and no studies have examined whether abnormal ACC-hippocampal connectivity is associated with genetic variability, particularly for polymorphisms of a gene that has been previously associated with PTSD, FKBP5. This was the goal of the present study. METHODS: Fifty-four women with and without PTSD underwent diffusion tensor imaging and resting-state MRI. Probabilistic tractography was used to examine ACC-hippocampal structural connectivity; mean fractional anisotropy (FA) values were extracted from connectivity streamlines, which represent the cingulum bundle. Genotype data were collected for a single nucleotide polymorphism (SNP) of FKBP5, rs1360780. RESULTS: Participants with PTSD demonstrated poorer structural connectivity (lower cingulum FA) compared to traumatized controls (F1, 50 = 6.77, P < .05). An interaction of FKBP5 genotype and diagnostic group was also observed (F1, 37 = 4.52, P = .04), indicating lower cingulum FA in carriers of two risk alleles for this SNP, compared to other diagnostic and genotype groups. Carriers of two FKBP5 risk alleles also demonstrated poorer hippocampus-ACC connectivity at rest (P < .05). When cingulum FA was used a regressor in a brain-wide, seed-based regression analysis, significant associations were found between the hippocampus and dorsal regions of the ACC (P < .05). CONCLUSIONS: Individuals with PTSD demonstrated compromised structural connectivity of the hippocampus-ACC pathway. Altered hippocampus-ACC connectivity may represent a highly salient intermediate neural phenotype for PTSD.
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Fani et al. found that civilians with PTSD had decreased structural connectivity via the cingulum bundle, which supports the hippocampus-dACC pathway.
“In addition, using DTI, Fani et al. [156] found that civilians with PTSD had decreased structural connectivity via the cingulum bundle, which supports the hippocampus-dACC pathway.”
From Prefrontal cortex, amygdala, and threat processing: implications for PTSD (2022) · cites this paper as [156]
The Methods (Participants; DTI Data Processing and Probabilistic Tractography) describe a civilian sample and DTI-derived hippocampus–ACC tracts constrained through the cingulum. The Results report poorer cingulum connectivity in participants with PTSD than in controls, but the structural analysis identifies the ACC generally, not the dACC specifically. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIndividuals with the "risk" allele of the FKBP5 genetic biomarker, associated with childhood maltreatment and PTSD risk, also had decreased cingulum structural integrity.
“Further analyses of this cohort found that individuals with the “risk” allele of the FKBP5 genetic biomarker, associated with childhood maltreatment and PTSD risk, also had decreased cingulum structural integrity.”
From Prefrontal cortex, amygdala, and threat processing: implications for PTSD (2022) · cites this paper as [156]
The Results report the lowest cingulum FA in participants with PTSD who carried two FKBP5 risk alleles, compared with the other genotype and diagnostic groups. The claim broadens this to individuals with a risk allele generally. The Results also say cingulum connectivity was not significantly associated with childhood maltreatment; the passages do not establish the claimed link between this allele and childhood maltreatment. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAltered hippocampus-ACC connectivity may represent a highly salient intermediate neural phenotype for PTSD.
“They suggest that altered hippocampus-ACC connectivity may represent a highly salient intermediate neural phenotype for PTSD.”
From Prefrontal cortex, amygdala, and threat processing: implications for PTSD (2022) · cites this paper as [156]
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- Authors
- Fani, N., King, T. Z., Shin, J., Srivastava, A., Brewster, R. C., Jovanovic, T., Bradley, B., & Ressler, K. J.
- Affiliations
- Emory University (US)
- Georgia State University (US)
- Georgia Institute of Technology (US)
- Morehouse School of Medicine (US)
- Department of Psychiatry and Behavioral Sciences; Emory University School of Medicine; Atlanta Georgia
- Corresponding author
- Fani, Negar
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2016-04
- Volume
- 33
- Issue
- 4
- Pages
- 300-307
- ISSN
- 1091-4269 (ISSN-L)
- PMC
- PMC4983452
- OpenAlex
- W2320359820
- Cited by
- 80
- References
- 54
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 15 · 2019: 12 · 2018: 4 · 2017: 11 · 2016: 4
- FWCI
- 13.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health (UL1TR000454)
- National Institute of Mental Health (K23MH101380, MH092576, R21MH098212, MH101380, MH098212, R01MH071537, R01MH094757, R21MH092576)
- National Center for Research Resources (M01-RR00039, UL1RR025008, MH071537, P20-RR16435, P20RR016435, RR025008, M01RR000039)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- post-traumatic stress disorder, FKBP5, rs1360780, hippocampus, anterior cingulate cortex, cingulum, structural connectivity, functional connectivity, genetic polymorphism, fractional anisotropy, women
- MeSH terms
- Tacrolimus Binding Protein 5, Adult, Black or African American, Brain, Brain Mapping, Female, Genotype, Gyrus Cinguli, Hippocampus, Humans, Magnetic Resonance Imaging, Middle Aged, Stress Disorders, Post-Traumatic, Tacrolimus Binding Proteins, Cerebrum, Young Adult, Diffusion Tensor Imaging
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