Epigenetics of posttraumatic stress disorder: current evidence, challenges, and future directions
Open accessAbstract
Posttraumatic stress disorder (PTSD) is a stress-related psychiatric disorder that is thought to emerge from complex interactions among traumatic events and multiple genetic factors. Epigenetic regulation lies at the heart of these interactions and mediates the lasting effects of the environment on gene regulation. An increasing body of evidence in human subjects with PTSD supports a role for epigenetic regulation of distinct genes and pathways in the pathogenesis of PTSD. The role of epigenetic regulation is further supported by studies examining fear conditioning in rodent models. Although this line of research offers an exciting outlook for future epigenetic research in PTSD, important limitations include the tissue specificity of epigenetic modifications, the phenomenologic definition of the disorder, and the challenge of translating molecular evidence across species. These limitations call for studies that combine data from postmortem human brain tissue and animal models, assess longitudinal epigenetic changes in living subjects, and examine dimensional phenotypes in addition to diagnoses. Moreover, examining the environmental, genetic, and epigenetic factors that promote resilience to trauma may lead to important advances in the field.
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There is accumulating evidence for gene programming and epigenetic regulation of specific genes in the pathophysiology of PTSD in humans.
“There is accumulating evidence for gene programming and epigenetic regulation of specific genes in the pathophysiology of PTSD in humans (399–402).”
From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [401]
Epigenetic differences have been observed in presumably resilient individuals when comparing unaffected individuals to those with psychiatric disorders, including PTSD, depression, and anxiety disorders.
“Epigenetic differences have been observed in presumably resilient individuals when comparing unaffected individuals to those with psychiatric disorders, including PTSD, depression, and anxiety disorders. This has been thoroughly examined elsewhere.16,17,21,22”
From The role of epigenetics in psychological resilience (2021) · cites this paper as [17]
A wide range of epigenetic differences has been observed in individuals with good mental health compared to those with psychiatric disorders.
“A wide range of epigenetic differences has been observed in individuals with good mental health compared to those with psychiatric disorders.5,16,17”
From The role of epigenetics in psychological resilience (2021) · cites this paper as [17]
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Post-traumatic stress disorder.
Yehuda, R., Hoge, C. W., McFarlane, A. C., Vermetten, E., Lanius, R. A., Nievergelt, C. M., Hobfoll, S. E., Koenen, K. C., Neylan, T. C., & Hyman, S. E. (2015) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2015.57 · Cited by 870 · see citing works
Intergenerational transmission of trauma effects: putative role of epigenetic mechanisms
Yehuda, R., & Lehrner, A. (2018) · World Psychiatry · doi:10.1002/wps.20568 · Cited by 730 · see citing works
Post‐traumatic stress disorder: a state‐of‐the‐art review of evidence and challenges
Bryant, R. A. (2019) · World Psychiatry · doi:10.1002/wps.20656 · Cited by 528 · see citing works
Agorastos, A., Pervanidou, P., Chrousos, G. P., & Baker, D. G. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00118 · Cited by 385 · see citing works
Cahn, B. R., Goodman, M. S., Peterson, C. T., Maturi, R., & Mills, P. J. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00315 · Cited by 292 · see citing works
“Accumulating evidence links excessive adrenocortical activity and elevated basal cortisol levels to the progression of psychiatric and other medical illness (Brown et al., 2004; de Kloet et al., 2005; Zannas et al., 2015).”
BackgroundKrystal, J. H., Davis, L. L., Neylan, T. C., A. Raskind, M., Schnurr, P. P., Stein, M. B., Vessicchio, J., Shiner, B., Gleason, T. D., & Huang, G. D. (2017) · Biological Psychiatry · doi:10.1016/j.biopsych.2017.03.007 · Cited by 265 · see citing works
O’Neill, L., Fraser, T., Kitchenham, A., & McDonald, V. (2018) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-016-0117-9 · Cited by 177 · see citing works
The genetics and epigenetics of PTSD: overview, recent advances, and future directions
Sheerin, C. M., Lind, M. J., Bountress, K. E., Nugent, N. R., & Amstadter, A. B. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2016.09.003 · Cited by 118 · see citing works
The role of epigenetics in psychological resilience
Smeeth, D., Beck, S., Karam, E. G., & Pluess, M. (2021) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30515-0 · Cited by 108 · see citing works
An epigenome-wide DNA methylation study of PTSD and depression in World Trade Center responders
Kuan, P.-F., Waszczuk, M. A., Kotov, R., Marsit, C. J., Guffanti, G., Gonzalez, A., Yang, X., Koenen, K., Bromet, E., & Luft, B. J. (2017) · Translational Psychiatry · doi:10.1038/tp.2017.130 · Cited by 103 · see citing works
Bishop, J. R., Lee, A. M., Mills, L. J., Thuras, P. D., Eum, S., Clancy, D., Erbes, C. R., Polusny, M. A., Lamberty, G. J., & Lim, K. O. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00418 · Cited by 98 · see citing works
Inserra, A. (2018) · Frontiers in Pharmacology · doi:10.3389/fphar.2018.00330 · Cited by 91 · see citing works
Oxytocin receptor DNA methylation and alterations of brain volumes in maltreated children
Fujisawa, T. X., Nishitani, S., Takiguchi, S., Shimada, K., Smith, A. K., & Tomoda, A. (2019) · Neuropsychopharmacology · doi:10.1038/s41386-019-0414-8 · Cited by 85 · see citing works
Kim, T. Y., Kim, S. J., Chung, H. G., Choi, J. H., Kim, S. H., & Kang, J. I. (2017) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12675 · Cited by 76 · see citing works
Early life trauma, depression and the glucocorticoid receptor gene—An epigenetic perspective
Smart, C., Strathdee, G., Watson, S., Murgatroyd, C., & McAllister-Williams, R. H. (2015) · Psychological Medicine · doi:10.1017/s0033291715001555 · Cited by 61 · see citing works
Maurel, O. M., Torrisi, S. A., Barbagallo, C., Purrello, M., Salomone, S., Drago, F., Ragusa, M., & Leggio, G. M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22105157 · Cited by 44 · see citing works
Wiegand, A., Blickle, A., Brückmann, C., Weller, S., Nieratschker, V., & Plewnia, C. (2021) · Biomolecules · doi:10.3390/biom11111726 · Cited by 19 · see citing works
Bearer, E. L., & Mulligan, B. S. (2018) · Current Genomics · doi:10.2174/1389202919666180307150508 · Cited by 19 · see citing works
Genome to Phenome: A Systems Biology Approach to PTSD Using an Animal Model
Chakraborty, N., Meyerhoff, J., Jett, M., & Hammamieh, R. (2017) · Methods in Molecular Biology · doi:10.1007/978-1-4939-6952-4_6 · Cited by 14 · see citing works
Gene expression associated with PTSD in World Trade Center responders: An RNA sequencing study
Kuan, P.-F., Waszczuk, M. A., Kotov, R., Clouston, S., Yang, X., Singh, P. K., Glenn, S. T., Cortes Gomez, E., Wang, J., Bromet, E., et al. (2017) · Translational Psychiatry · doi:10.1038/s41398-017-0050-1 · Cited by 80 · see citing works
- Authors
- Zannas, A. S., Provençal, N., & Binder, E. B.
- Affiliations
- Duke University (US)
- Max Planck Institute of Psychiatry (DE)
- Emory University (US)
- Corresponding author
- Binder, Elisabeth B.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 78
- Issue
- 5
- Pages
- 327-335
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2040982509
- Semantic Scholar
- ef214d6d9f39fc1ae5a302f5771ee546d1c47cf2
- Cited by
- 218
- References
- 91
- Citations by year
- 2026: 6 · 2025: 14 · 2024: 10 · 2023: 19 · 2022: 18 · 2021: 11 · 2020: 22 · 2019: 28 · 2018: 39 · 2017: 26 · 2016: 20 · 2015: 4
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Funders
- FP7 Ideas: European Research Council (281338)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, epigenetics, epigenetic regulation, gene-environment interaction, fear conditioning, rodent models, human postmortem brain, PTSD pathogenesis, translational research limitations
- MeSH terms
- Animals, Gene Expression Regulation, Humans, Stress Disorders, Post-Traumatic, DNA Methylation, Epigenomics
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