No author has any conflict of interest to disclose.
Gene-environment interaction of ApoE genotype and combat exposure on PTSD
Version of Record online: 17 OCT 2013
© 2013 Wiley Periodicals, Inc.
American Journal of Medical Genetics Part B: Neuropsychiatric Genetics
Special Issue: Identifying the Origins of Mental Illness: A Festschrift in Honor of Ming T. Tsuang
Volume 162, Issue 7, pages 762–769, October 2013
How to Cite
2013. Gene-Environment Interaction of ApoE Genotype and Combat Exposure on PTSD. Am J Med Genet Part B 162B:762–769., , , , , , , , , , .
- Issue online: 17 OCT 2013
- Version of Record online: 17 OCT 2013
- Manuscript Accepted: 6 MAR 2013
- Manuscript Received: 3 JAN 2013
- NIH. Grant Numbers: R01 AG018386, R01 AG022982, R01 AG018384, R01 AG022381, K01 MH076100
- posttraumatic stress disorder;
- GxE interaction
Factors determining who develops PTSD following trauma are not well understood. The €4 allele of the apolipoprotein E (apoE) gene is associated with dementia and unfavorable outcome following brain insult. PTSD is also associated with dementia. Given evidence that psychological trauma adversely affects the brain, we hypothesized that the apoE genotype moderates effects of psychological trauma on PTSD pathogenesis. To investigate the moderation of the relationship between PTSD symptoms and combat exposure, we used 172 participants with combat trauma sustained during the Vietnam War. PTSD symptoms were the dependent variable and number of combat experiences, apoE genotype, and the combat experiences × apoE genotype interaction were predictors. We also examined the outcome of a diagnosis of PTSD (n = 39) versus no PTSD diagnosis (n = 131). The combat × apoE genotype interaction was significant for both PTSD symptoms (P = .014) and PTSD diagnosis (P = .009). ApoE genotype moderates the relationship between combat exposure and PTSD symptoms. Although the pathophysiology of PTSD is not well understood, the €4 allele is related to reduced resilience of the brain to insult. Our results are consistent with the €4 allele influencing the effects of psychological trauma on the brain, thereby affecting the risk of PTSD. © 2013 Wiley Periodicals, Inc.