Investigation of the Central and Peripheral Inflammatory Mechanisms of PTSD Onset

PTSD发病的中枢和外周炎症机制研究

基本信息

批准号：
10468470
负责人：
Jessica Mary Gill
金额：
$ 73.12万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10468470
关键词：
Aberrant DNA Methylation Acute Address Adult Advanced Development American Amygdaloid structure Anterior Biological Biological Markers Bolus Infusion Caring Child Abuse Chronic Post Traumatic Stress Disorder Complex DNA Methylation Development Disease Endocrine Endocrine system Environmental Risk Factor Epigenetic Process Exhibits Family Genes Genetic Genetic Risk Glucocorticoids Grant Health Care Costs Heterogeneity Hippocampus (Brain)Hormonal Hormones Hour Hydrocortisone Hypermethylation Immune Individual Inflammation Inflammatory Injury Investigation Knowledge Lead Link Measures Mediating Medical Mental Health Methods Modification Molecular Neurobiology Neurons Onset of illness Participant Pathway interactions Peripheral Pharmacologic Substance Placebos Positron-Emission Tomography Post-Traumatic Stress Disorders Pre-Clinical Model Preventive Prospective Studies Proteins Protocols documentation Regulation Reporting Research Risk Risk Factors Sampling Shapes Societies Stress Structure Suicide Survivors Tracer Trauma Trauma patient Traumatic injury United States United States National Institutes of Health acute traumatic stress disorder base biomarker discovery biomarker identification cingulate cortex combat cost cytokine disorder risk experience fluorodeoxyglucose gene function health related quality of life high risk individual response mRNA Differential Displays neuronal metabolism novel physical conditioning post-traumatic stress prevent preventive intervention programs psychological symptom receptor recruit response stressor technology development trauma centers trauma exposure traumatic event

项目摘要

DESCRIPTION (provided by applicant): Up to 90% of Americans experience a traumatic event, yet only 8 to 12% will then develop post-traumatic Stress disorder (PTSD), indicating that there is a high-level of inter-individual response to a trauma. The reasons for this heterogeneity are undoubtedly multi-factorial, and involve a complex interplay between genetic and environmental factors, that we are only starting to understand. Identification of biomarkers that are able to capture the genetic and environmental risks that contribute to PTSD risk would be of great benefit in directing preventive interventions; however, there are none currently available. We postulate that DNA methylation may be an ideal biomarker, as pre-existing PTSD risk factors result in altered DNA methylation of inflammatory regulating genes. High concentrations of inflammatory cytokines and insufficient endocrine regulation have been linked to PTSD onset. Therefore, it is plausible that epigenetic modifications serve to recalibrate an individual's biological response to a subsequent trauma, contributing to PTSD vulnerability. This relationship is not determined. These epigenetic modifications may also result in neuronal vulnerability, and contribute to PTSD onset. Previously we show that chronic PTSD is associated with inflammation which relates to alterations in glucocorticoid (GCR) sensitivity. Altered central GCR activity in the amygdala, hippocampus and anterior cingulate in preclinical models mediates neuronal vulnerability and PTSD onset. Central and peripheral GCR sensitivity changes may also contribute to inflammation and declines in health related quality of life (HRQOL). To address this critical issue the PI plans to develop a program of research to determine the biological predictors of PTSD onset, and the neurobiology that underlies PTSD onset. In this first study we will determine DNA methylation profiles in inflammatory regulating genes that predict PTSD onset, which may lead to the development of a biologically based method to identify individuals at highest risk for PTSD. In the second aim of this initial study, w will longitudinally examine the temporal development DNA methylation changes, and alterations in central and peripheral GCR sensitivity and HRQOL declines. We expect these findings to inform the development of effective preventative interventions.

描述（由申请人提供）：多达90％的美国人经历了创伤事件，但是只有8％至12％的人将发展创伤后应激障碍（PTSD），这表明对创伤有高度的个体间反应。这种异质性的原因无疑是多因素的，并且涉及遗传因素和环境因素之间的复杂相互作用，我们才刚刚开始理解。鉴定能够捕获有助于PTSD风险的遗传和环境风险的生物标志物在指导预防干预措施方面有很大的好处；但是，目前没有可用的。我们假设DNA甲基化可能是理想的生物标志物，因为预先存在的PTSD风险因素会导致炎症调节基因的DNA甲基化改变。高浓度的炎性细胞因子和内分泌调节不足已与PTSD发作有关。因此，表观遗传修饰可以重新校准个体对随后的创伤的生物学反应，从而导致PTSD脆弱性是合理的。这种关系尚未确定。这些表观遗传修饰也可能导致神经元脆弱性，并导致PTSD发作。以前，我们表明慢性PTSD与炎症有关，这与糖皮质激素（GCR）敏感性的改变有关。杏仁核，海马和临床前扣带回的中央GCR活性改变了临床前扣带回神经元脆弱性和PTSD发作。中央和外围GCR敏感性变化也可能导致与健康相关的生活质量（HRQOL）的炎症和下降。为了解决这个关键问题，PI计划开发一项研究计划，以确定PTSD发作的生物学预测因子以及PTSD发作的基础的神经生物学。在第一项研究中，我们将确定预测PTSD发作的炎症调节基因中的DNA甲基化谱，这可能会导致基于生物学的方法的发展，以鉴定具有最高风险PTSD风险的个体。在这项初步研究的第二个目的中，W将纵向研究时间发育DNA甲基化变化，以及中央和外围GCR敏感性和HRQOL的改变以及HRQOL下降。我们希望这些发现能够为有效的预防干预措施的发展提供信息。