2 Posttraumatic Stress Symptoms in a Prospective Gene Público
Quinn, Jeffrey Francis (2011)
Abstract
On February 18th, 2008 a lone gunman opened fire in a lecture hall at Northern Illinois
University (NIU) killing five and wounding 17 students before
taking his own life. As
part of an ongoing study at that university a large number of
female students had
completed several trauma related questionnaires before the shooting
(n=1045). Follow-up
surveys were launched 17 days after the shooting, and at several
time points afterwards,
providing a unique before and after perspective on these
individuals' psychological
response to the event. Of the individuals that completed the follow
up surveys (n=691)
we obtained salivary samples and successfully extracted DNA for
235. We examined this
cohort two loci previous linked to PTSD, the serotonin transporter
SLC6A4, and the
PAC-1 receptor ADCYAP1R1. At SLC6A4, all individuals were genotyped
at rs25531,
for the VNTR STin2, and for the length polymorphism 5-HTTLPR. At
ADCYAP1R1 we
genotyped all individuals at rs2267735. Using the Distressing
Events Questionnaire as
our PTSD measure, we demonstrated that the change in PTSD symptom
severity from
pre- to post-shooting was significantly associated with rs2267735,
rs25531 and the 5-
HTTLPR/rs25531 multi-marker genotype (p < 0.05). These
associations remained
significant after controlling for level of shooting exposure, which
was assessed during the
follow up survey. These results demonstrate gene by environment
interactions can be
predictive for differential PTSD symptom severity. When examined in
a relatively
homogenous sample with shared trauma and known prior levels of
child and adult
trauma, these loci may serve as useful predictors of risk for
PTSD-related symptoms in
the weeks and months following the trauma.
Table of Contents
7
Table of Contents
Introduction - 1
Methods - 11
Results - 17
Discussion - 22
References - 27
Tables/Figures - 31
Table 1 - 31
Table 2 - 32
Table 3 - 33
Table 4 - 34
Table 5 - 35
Figure 1 - 36
Figure 2 - 37
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