Effect of Combat Exposure and Posttraumatic Stress Disorder on Telomere Length and Amygdala Volume.
Amygdala
Autonomic nervous system
Combat trauma
PTSD
Stress
Telomere length
Journal
Biological psychiatry. Cognitive neuroscience and neuroimaging
ISSN: 2451-9030
Titre abrégé: Biol Psychiatry Cogn Neurosci Neuroimaging
Pays: United States
ID NLM: 101671285
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
06
01
2020
revised:
06
03
2020
accepted:
20
03
2020
pubmed:
23
5
2020
medline:
10
3
2021
entrez:
23
5
2020
Statut:
ppublish
Résumé
Traumatic stress can adversely affect physical and mental health through neurobiological stress response systems. We examined the effects of trauma exposure and posttraumatic stress disorder (PTSD) on telomere length, a biomarker of cellular aging, and volume of the amygdala, a key structure of stress regulation, in combat-exposed veterans. In addition, the relationships of psychopathological symptoms and autonomic function with telomere length and amygdala volume were examined. Male combat veterans were categorized as having PTSD diagnosis (n = 102) or no lifetime PTSD diagnosis (n = 111) based on the Clinician-Administered PTSD Scale. Subjects were assessed for stress-related psychopathology, trauma severity, autonomic function, and amygdala volumes by magnetic resonance imaging. A significant interaction was found between trauma severity and PTSD status for telomere length and amygdala volume after adjusting for multiple confounders. Subjects with PTSD showed shorter telomere length and larger amygdala volume than those without PTSD among veterans exposed to high trauma, while there was no significant group difference in these parameters among those exposed to low trauma. Among veterans exposed to high trauma, greater telomere shortening was significantly correlated with greater norepinephrine, and larger amygdala volume was correlated with more severe psychological symptoms and higher heart rates. These data suggest that the intensity of the index trauma event plays an important role in interacting with PTSD symptomatology and autonomic activity in predicting telomere length and amygdala volume. These results highlight the importance of trauma severity and PTSD status in predicting certain biological outcomes.
Sections du résumé
BACKGROUND
Traumatic stress can adversely affect physical and mental health through neurobiological stress response systems. We examined the effects of trauma exposure and posttraumatic stress disorder (PTSD) on telomere length, a biomarker of cellular aging, and volume of the amygdala, a key structure of stress regulation, in combat-exposed veterans. In addition, the relationships of psychopathological symptoms and autonomic function with telomere length and amygdala volume were examined.
METHODS
Male combat veterans were categorized as having PTSD diagnosis (n = 102) or no lifetime PTSD diagnosis (n = 111) based on the Clinician-Administered PTSD Scale. Subjects were assessed for stress-related psychopathology, trauma severity, autonomic function, and amygdala volumes by magnetic resonance imaging.
RESULTS
A significant interaction was found between trauma severity and PTSD status for telomere length and amygdala volume after adjusting for multiple confounders. Subjects with PTSD showed shorter telomere length and larger amygdala volume than those without PTSD among veterans exposed to high trauma, while there was no significant group difference in these parameters among those exposed to low trauma. Among veterans exposed to high trauma, greater telomere shortening was significantly correlated with greater norepinephrine, and larger amygdala volume was correlated with more severe psychological symptoms and higher heart rates.
CONCLUSIONS
These data suggest that the intensity of the index trauma event plays an important role in interacting with PTSD symptomatology and autonomic activity in predicting telomere length and amygdala volume. These results highlight the importance of trauma severity and PTSD status in predicting certain biological outcomes.
Identifiants
pubmed: 32439402
pii: S2451-9022(20)30076-8
doi: 10.1016/j.bpsc.2020.03.007
pii:
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
678-687Investigateurs
Leroy Hood
(L)
Kerry J Ressler
(KJ)
Daniel Lindqvist
(D)
Ji Hoon Cho
(JH)
Michelle Coy
(M)
Frank Desarnaud
(F)
Francesco Saverio Bersani
(FS)
Silvia Fossati
(S)
Allison Hoke
(A)
Raina Kumar
(R)
Meng Li
(M)
Iouri Makotkine
(I)
Stacy-Ann Miller
(SA)
Linda Petzold
(L)
Laura Price
(L)
Meng Qian
(M)
Kelsey Scherler
(K)
Seshamalini Srinivasan
(S)
Anna Suessbrick
(A)
Li Tang
(L)
Xiaogang Wu
(X)
David Baxter
(D)
Esther Blessing
(E)
Kelsey R Dean
(KR)
Bernie J Daigle
(BJ)
Guia Guffanti
(G)
Kai Wang
(K)
Lynn M Almli
(LM)
F Nabarun Chakraborty
(FN)
Duncan Donohue
(D)
Kimberly Kerley
(K)
Taek-Kyun Kim
(TK)
Eugene Laska
(E)
Inyoul Lee
(I)
Min Young Lee
(MY)
Adriana Lori
(A)
Liangqun Lu
(L)
Burook Misganaw
(B)
Seid Muhie
(S)
Jennifer Newman
(J)
Nathan Price
(N)
Shizhen Qin
(S)
Carole Siegel
(C)
Pramod R Somvanshi
(PR)
Gunjan S Thakur
(GS)
Young Zhou
(Y)
Ruoting Yang
(R)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
Copyright © 2020 Society of Biological Psychiatry. All rights reserved.