Whole-genome DNA methylation status associated with clinical PTSD measures of OIF/OEF veterans
Open accessAbstract
Emerging knowledge suggests that post-traumatic stress disorder (PTSD) pathophysiology is linked to the patients' epigenetic changes, but comprehensive studies examining genome-wide methylation have not been performed. In this study, we examined genome-wide DNA methylation in peripheral whole blood in combat veterans with and without PTSD to ascertain differentially methylated probes. Discovery was initially made in a training sample comprising 48 male Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans with PTSD and 51 age/ethnicity/gender-matched combat-exposed PTSD-negative controls. Agilent whole-genome array detected ~5600 differentially methylated CpG islands (CpGI) annotated to ~2800 differently methylated genes (DMGs). The majority (84.5%) of these CpGIs were hypermethylated in the PTSD cases. Functional analysis was performed using the DMGs encoding the promoter-bound CpGIs to identify networks related to PTSD. The identified networks were further validated by an independent test set comprising 31 PTSD+/29 PTSD- veterans. Targeted bisulfite sequencing was also used to confirm the methylation status of 20 DMGs shown to be highly perturbed in the training set. To improve the statistical power and mitigate the assay bias and batch effects, a union set combining both training and test set was assayed using a different platform from Illumina. The pathways curated from this analysis confirmed 65% of the pool of pathways mined from training and test sets. The results highlight the importance of assay methodology and use of independent samples for discovery and validation of differentially methylated genes mined from whole blood. Nonetheless, the current study demonstrates that several important epigenetically altered networks may distinguish combat-exposed veterans with and without PTSD.
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These exposures have been associated with coordinated alterations in stress-response regulation, circadian and sleep-related pathways, and metabolic processes.
“These exposures have been associated with coordinated alterations in stress-response regulation, circadian and sleep-related pathways, and metabolic processes (102–115).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [109]
The Discussion (page unavailable) reports epigenetically altered HPA-axis networks, circadian-clock genes, and pathways associated with diabetes and metabolic syndrome in veterans with PTSD. It does not establish a sleep-related pathway alteration or show that the exposures themselves, rather than PTSD status, were associated with these changes. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThese changes have been associated with variation in memory processing, sleep duration, and circadian rhythm regulation, as well as differences in PTSD symptom severity.
“These changes have been associated with variation in memory processing, sleep duration, and circadian rhythm regulation, as well as differences in PTSD symptom severity (103, 109–111).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [109]
The Discussion reports epigenetically altered networks linked to learning and memory and circadian-clock regulation in veterans with PTSD. The Results also identify a network associated with REM sleep, but neither section establishes an association with sleep duration. The paper compares PTSD cases with controls and discusses clinical measures, but does not establish an association with variation in PTSD symptom severity. (LLM, conf=0.86)
Experimental — accuracy not yet measuredDifferential methylation of sleep and circadian genes such as PAX8 and LHX1 has been reported in veterans with PTSD.
“Differential methylation of sleep and circadian genes such as PAX8 and LHX1 has been reported in veterans with PTSD (103, 109–111).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [109]
The Discussion (page unavailable) reports epigenetic changes in circadian-clock networks in veterans with PTSD and identifies differentially methylated genes including CREB3 and GRIN2A. It does not identify PAX8 or LHX1 as differentially methylated genes; searches for both names found no such passage in our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measured
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Distinct Profiles of Cell-Free MicroRNAs in Plasma of Veterans with Post-Traumatic Stress Disorder
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Self-citationMicroRNAs as biomarker and novel therapeutic target for posttraumatic stress disorder in Veterans
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Effect of Combat Exposure and Posttraumatic Stress Disorder on Telomere Length and Amygdala Volume
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Self-citationDNA methylation and psychotherapy response in trauma-exposed men with appetitive aggression
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Epigenetic Alterations in Post-Traumatic Stress Disorder: Comprehensive Review of Molecular Markers
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Epigenetic Approach to PTSD: In the Aspects of Rat Models
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Epigenetic epidemiology of psychiatric disorders
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Computational Techniques to Recover Missing Gene Expression Data
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“Differential methylation of sleep and circadian genes such as PAX8 and LHX1 has been reported in veterans with PTSD (103, 109 – 111).”
A correlation based matrix completion approach to gene expression prediction
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Epigenetic Mechanisms in Blast-Induced Neurotrauma
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Posttraumatic stress disorder, major depressive disorder, and noncoding RNAs
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- Authors
- Hammamieh, R., Chakraborty, N., Gautam, A., Muhie, S., Yang, R., Donohue, D., Kumar, R., Daigle, B. J., Zhang, Y., Amara, D. A., Miller, S.-A., Srinivasan, S., Flory, J., Yehuda, R., Petzold, L., Wolkowitz, O. M., Mellon, S. H., Hood, L., Doyle, F. J., Marmar, C., & Jett, M.
- Affiliations
- United States Army (US)
- The Geneva Foundation (US)
- Frederick National Laboratory for Cancer Research (US)
- University of Memphis (US)
- Harvard University (US)
- NYU Langone Health (US)
- James J. Peters VA Medical Center (US)
- University of California, San Francisco (US)
- Institute for Systems Biology (US)
- Corresponding author
- Hammamieh, R
- ORCID
- Venue
- Translational Psychiatry
- Published
- 2017-07-11
- Volume
- 7
- Issue
- 7
- Pages
- e1169-e1169
- ISSN
- 2158-3188 (ISSN-L)
- PMC
- PMC5538114
- OpenAlex
- W2734636077
- Cited by
- 57
- References
- 56
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 9 · 2023: 5 · 2022: 5 · 2021: 8 · 2020: 11 · 2019: 4 · 2018: 8 · 2017: 3
- FWCI
- 8.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Translational Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Defense Health Agency
- Medical Research and Materiel Command (190040)
- 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, DNA methylation, epigenetics, combat veterans, Operation Enduring Freedom, Iraq War, differentially methylated genes, CpG islands, hypermethylation, whole blood, epigenetic networks
- MeSH terms
- Adult, Humans, Male, Middle Aged, Promoter Regions, Genetic, Stress Disorders, Post-Traumatic, Veterans, CpG Islands, DNA Methylation, Epigenesis, Genetic, Iraq War, 2003-2011, Young Adult, Afghan Campaign 2001-, Veterans Health
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