Review Article

Epigenetic Mechanisms Shape the Biological Response to Trauma and Risk for PTSD: A Critical Review

Table 1

Epigenetics studies.

StudyAnalysis methodSampleFindings

Uddin et al., 2010 [18]DNA methylation;
>14,000 genes
100 individuals from DNHS (PTSD = 23)PTSD had greater methylation of toll-like receptors 1 and 3, IL-8, and others compared to controls and had a greater overall number of uniquely methylated genes.

Koenen et al., 2011 [22]DNA methylation and genotype; SLC6A4 100 individuals from DNHS (PTSD = 23)Neither genotype nor methylation of SLC6A4 was associated with PTSD; however, when controlling with genotype, lower methylation levels were associated with increased risk for developing PTSD among individuals with more traumatic events.

Ressler et al., 2011 [19]DNA methylation;
44 SNPs of PACAP and PAC1
64 individuals, primarily African American
(PTSD = 24)
An SNP in ADCYAP1R1, rs2267735, predicted PTSD diagnosis and symptoms in women; methylation of this gene was also associated with PTSD.

Smith et al., 2011 [23] DNA methylation; global and site specific110 African Americans
(PTSD = 50)
Global methylation was increased in subjects with PTSD, as compared to control subjects or subjects with a history of childhood trauma; CpG sites in TPR, CLEC9A, APC5, ANXA2, and TLR8 were differentially methylated in subjects with PTSD.

Uddin et al., 2011
[24]
DNA methylation;
33 candidate genes
100 individuals from DNHS (PTSD = 23)One candidate gene, MAN2C1, showed significantly higher methylation in subjects with lifetime PTSD.

Rusiecki et al., 2012 [25]DNA methylation; LINE-1 and Alu150 service members
(PTSD = 75)
LINE-1 was hypomethylated in PTSD versus controls postdeployment and hypermethylated postdeployment versus predeployment in controls; Alu was hypermethylated in PTSD versus controls predeployment.