Publication
Circulating levels of hormones, lipids, and immune mediators in post-traumatic stress disorder - a 3-month follow-up study
Downloadable Content
- Persistent URL
- Last modified
- 02/20/2025
- Type of Material
- Authors
- Language
- English
- Date
- 2015-04-14
- Publisher
- Frontiers Media
- Publication Version
- Copyright Statement
- © 2015 Jergovic, Bendelja, Savic_mlakar, Vojvoda, Aberle, Jovanovic, Rabatic, Sabioncello and Vidovic.
- License
- Final Published Version (URL)
- Title of Journal or Parent Work
- ISSN
- 1664-0640
- Volume
- 6
- Issue
- MAR
- Start Page
- 49
- End Page
- 49
- Grant/Funding Information
- The study was supported by a grant from the Ministry of Science, Education and Sports of the Republic of Croatia (021-0212432-2434 to AS).
- Abstract
- A number of peripheral blood analytes have been proposed as potential biomarkers of posttraumatic stress disorder (PTSD). Few studies have investigated whether observed changes in biomarkers persist over time. The aim of this study was to investigate the association of combat-related chronic PTSD with a wide array of putative PTSD biomarkers and to determine reliability of the measurements, i.e. correlations over time. Croatian combat veterans with chronic PTSD (n=69) and age-matched healthy controls (n=32), all men, were assessed at two time points separated by three months. Serum levels of lipids, cortisol, dehydroepiandrosterone-sulfate (DHEA-S), prolactin, and CRP were determined. Multiplex assay was used for the simultaneous assessment of 13 analytes in sera: cytokines (IFN-γ, IL-1ß, IL-2, IL-4, IL-6, TNF-α), adhesion molecules (sPECAM-1, sICAM-1), chemokines (IL-8 and MIP-1a), sCD40L, NGF, and leptin. Group differences and changes over time were tested by parametric or nonparametric tests, including repeated measures analysis of covariance. Reliability estimates (intraclass correlation coefficient (ICC) and kappa) were also calculated. Robust associations of PTSD with higher levels of DHEA-S (F(1,75)= 8.14, p=0.006)) and lower levels of prolactin (F(1,75)=5.40, p=0.023) were found. Measurements showed good to excellent reproducibility (DHEA-S, ICC=0.50; prolactin, ICC=0.79). Serum lipids did not differ between groups but significant increase of LDL-C after three months was observed in the PTSD group (t=6.87, p<0.001). IL-8 was lower in the PTSD group (t=4.37, p<0.001) but assessments showed poor reproducibility (ICC=-0.08). Stable DHEA-S and prolactin changes highlight their potential to be reliable markers of PTSD. Change in lipid profiles after three months suggests that PTSD patients may be more prone to hyperlipidemia. High intra-individual variability in some variables emphasizes the importance of longitudinal studies in investigations of PTSD biomarkers.
- Author Notes
- Keywords
- leptin
- post-traumatic stress disorder
- DEHYDROEPIANDROSTERONE-SULFATE
- nerve growth factor
- EARTHQUAKE SURVIVORS
- cell adhesion molecules
- cholesterol
- Life Sciences & Biomedicine
- PROLACTIN RESPONSE
- Science & Technology
- veterans
- biological markers
- INFLAMMATORY BIOMARKERS
- CORONARY-ARTERY-DISEASE
- ENDOTHELIAL DYSFUNCTION
- CARDIOVASCULAR-DISEASE
- METABOLIC SYNDROME
- NEUROTROPHIC FACTOR
- Psychiatry
- SERUM CORTISOL
- cytokines
- Research Categories
- Psychology, Psychobiology
- Health Sciences, Immunology
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