Skip to main content
Log in

Candidate-Gene Approach in Posttraumatic Stress Disorder After Urban Violence: Association Analysis of the Genes Encoding Serotonin Transporter, Dopamine Transporter, and BDNF

  • Published:
Journal of Molecular Neuroscience Aims and scope Submit manuscript

Abstract

Posttraumatic stress disorder (PTSD) is a prevalent, disabling anxiety disorder marked by behavioral and physiologic alterations which commonly follows a chronic course. Exposure to a traumatic event constitutes a necessary, but not sufficient, factor. There is evidence from twin studies supporting a significant genetic predisposition to PTSD. However, the precise genetic loci still remain unclear. The objective of the present study was to identify, in a case–control study, whether the brain-derived neurotrophic factor (BDNF) val66met polymorphism (rs6265), the dopamine transporter (DAT1) three prime untranslated region (3′UTR) variable number of tandem repeats (VNTR), and the serotonin transporter (5-HTTPRL) short/long variants are associated with the development of PTSD in a group of victims of urban violence. All polymorphisms were genotyped in 65 PTSD patients as well as in 34 victims of violence without PTSD and in a community control group (n = 335). We did not find a statistical significant difference between the BDNF val66met and 5-HTTPRL polymorphism and the traumatic phenotype. However, a statistical association was found between DAT1 3′UTR VNTR nine repeats and PTSD (OR = 1.82; 95% CI, 1.20–2.76). This preliminary result confirms previous reports supporting a susceptibility role for allele 9 and PTSD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. APA, Washington DC

    Google Scholar 

  • Andreoli SB, Ribeiro WS et al (2009) Violence and post-traumatic stress disorder in Sao Paulo and Rio de Janeiro, Brazil: the protocol for an epidemiological and genetic survey. BMC Psychiatry 9:34

    Article  PubMed  Google Scholar 

  • Bailey JN, Goenjian AK et al (2010) PTSD and dopaminergic genes, DRD2 and DAT, in multigenerational families exposed to the Spitak earthquake. Psychiatry Res 178(3):507–510

    Article  PubMed  CAS  Google Scholar 

  • Ballenger JC, Davidson JR et al (2000) Consensus statement on posttraumatic stress disorder from the International Consensus Group on Depression and Anxiety. J Clin Psychiatry 61(Suppl 5):60–66

    PubMed  Google Scholar 

  • Beck AT, Ward CH et al (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    PubMed  CAS  Google Scholar 

  • Beck AT, Epstein N et al (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56(6):893–897

    Article  PubMed  CAS  Google Scholar 

  • Binder EB, Bradley RG et al (2008) Association of FKBP5 polymorphisms and childhood abuse with risk of posttraumatic stress disorder symptoms in adults. Jama 299(11):1291–1305

    Article  PubMed  CAS  Google Scholar 

  • Blake DD, Weathers FW et al (1995) The development of a Clinician-Administered PTSD Scale. J Trauma Stress 8(1):75–90

    Article  PubMed  CAS  Google Scholar 

  • Bremner JD, Vermetten E et al (2000) Development and preliminary psychometric properties of an instrument for the measurement of childhood trauma: the Early Trauma Inventory. Depress Anxiety 12(1):1–12

    Article  PubMed  CAS  Google Scholar 

  • Bremner JD, Vythilingam M et al (2003) MRI and PET study of deficits in hippocampal structure and function in women with childhood sexual abuse and posttraumatic stress disorder. Am J Psychiatry 160(5):924–932

    Article  PubMed  Google Scholar 

  • Breslau N (2001) The epidemiology of posttraumatic stress disorder: what is the extent of the problem? J Clin Psychiatry 62(Suppl 17):16–22

    PubMed  Google Scholar 

  • Breslau N, Anthony JC (2007) Gender differences in the sensitivity to posttraumatic stress disorder: an epidemiological study of urban young adults. J Abnorm Psychol 116(3):607–611

    Article  PubMed  Google Scholar 

  • Breslau N, Davis GC et al (1991) Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry 48(3):216–222

    PubMed  CAS  Google Scholar 

  • Breslau N, Davis GC et al (1997) Sex differences in posttraumatic stress disorder. Arch Gen Psychiatry 54(11):1044–1048

    PubMed  CAS  Google Scholar 

  • Breslau N, Kessler RC et al (1998) Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma. Arch Gen Psychiatry 55(7):626–632

    Article  PubMed  CAS  Google Scholar 

  • Bressan RA, Quarantini LC et al (2009) The posttraumatic stress disorder project in Brazil: neuropsychological, structural and molecular neuroimaging studies in victims of urban violence. BMC Psychiatry 9:30

    Article  PubMed  Google Scholar 

  • Broekman BF, Olff M et al (2007) The genetic background to PTSD. Neurosci Biobehav Rev 31(3):348–362

    Article  PubMed  CAS  Google Scholar 

  • Bueller JA, Aftab M et al (2006) BDNF Val66Met allele is associated with reduced hippocampal volume in healthy subjects. Biol Psychiatry 59(9):812–815

    Article  PubMed  CAS  Google Scholar 

  • Caspi A, Moffitt TE (2006) Gene–environment interactions in psychiatry: joining forces with neuroscience. Nat Rev Neurosci 7(7):583–590

    Article  PubMed  CAS  Google Scholar 

  • Caspi A, Sugden K et al (2003) Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 301(5631):386–389

    Article  PubMed  CAS  Google Scholar 

  • Ciliax BJ, Drash GW et al (1999) Immunocytochemical localization of the dopamine transporter in human brain. J Comp Neurol 409(1):38–56

    Article  PubMed  CAS  Google Scholar 

  • Comings DE, Muhleman D et al (1996) Dopamine D2 receptor (DRD2) gene and susceptibility to posttraumatic stress disorder: a study and replication. Biol Psychiatry 40(5):368–372

    Article  PubMed  CAS  Google Scholar 

  • de Jong JT, Komproe IH et al (2001) Lifetime events and posttraumatic stress disorder in 4 postconflict settings. Jama 286(5):555–562

    Article  PubMed  Google Scholar 

  • Drury SS, Theall KP et al (2009) The role of the dopamine transporter (DAT) in the development of PTSD in preschool children. J Trauma Stress 22(6):534–539

    PubMed  Google Scholar 

  • First M, Spitzer RL, Gibbon M, Williams JBW (1995) The structured clinical interview for DSM-III-R personality disorders (SCID-II). Part I: description. J Pers Disord 9:2

    Google Scholar 

  • Gorenstein C, Andrade L et al (1999) Psychometric properties of the Portuguese version of the Beck Depression Inventory on Brazilian college students. J Clin Psychol 55(5):553–562

    Article  PubMed  CAS  Google Scholar 

  • Gratacos M, Gonzalez JR et al (2007) Brain-derived neurotrophic factor Val66Met and psychiatric disorders: meta-analysis of case–control studies confirm association to substance-related disorders, eating disorders, and schizophrenia. Biol Psychiatry 61(7):911–922

    Article  PubMed  CAS  Google Scholar 

  • IBGE (2010) Características da vitimização e do acesso à justiça no Brasil, Governo Federal

  • Kessler RC, Sonnega A et al (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52(12):1048–1060

    PubMed  CAS  Google Scholar 

  • Kessler RC, Berglund P et al (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602

    Article  PubMed  Google Scholar 

  • Kilpatrick DG, Koenen KC et al (2007) The serotonin transporter genotype and social support and moderation of posttraumatic stress disorder and depression in hurricane-exposed adults. Am J Psychiatry 164(11):1693–1699

    Article  PubMed  Google Scholar 

  • Koenen KC, Nugent NR et al (2008) Gene–environment interaction in posttraumatic stress disorder: review, strategy and new directions for future research. Eur Arch Psychiatry Clin Neurosci 258(2):82–96

    Article  PubMed  Google Scholar 

  • Koenen KC, Aiello AE et al (2009) Modification of the association between serotonin transporter genotype and risk of posttraumatic stress disorder in adults by county-level social environment. Am J Epidemiol 169(6):704–711

    Article  PubMed  Google Scholar 

  • Kolassa IT, Kolassa S et al (2009) The risk of posttraumatic stress disorder after trauma depends on traumatic load and the catechol-o-methyltransferase Val(158)Met polymorphism. Biol Psychiatry 67(4):304–308

    Article  PubMed  Google Scholar 

  • Kolassa IT, Ertl V et al (2010) Association study of trauma load and SLC6A4 promoter polymorphism in posttraumatic stress disorder: evidence from survivors of the Rwandan genocide. J Clin Psychiatry 71(5):543–547

    Article  PubMed  Google Scholar 

  • Kozlovsky N, Matar MA et al (2007) Long-term down-regulation of BDNF mRNA in rat hippocampal CA1 subregion correlates with PTSD-like behavioural stress response. Int J Neuropsychopharmacol 10(6):741–758

    Article  PubMed  CAS  Google Scholar 

  • Lagarde G, Doyon J et al (2010) Memory and executive dysfunctions associated with acute posttraumatic stress disorder. Psychiatry Res 177(1–2):144–149

    Article  PubMed  Google Scholar 

  • Lee HJ, Lee MS, Kang RH, Kim H (2005) Influence of the serotonin transporter promoter gene polymorphism on susceptibility to posttraumatic stress disorder. Depress Anxiety 21(3):135–139

    Article  PubMed  CAS  Google Scholar 

  • Lee H-J, Rhee-Hun Kang, Se-Won Lim, Jong-Woo Paik, Myoung-Jin Choi, Min-Soo Lee (2006) Short communication: no association between the brain-derived neurotrophic factor gene Val66Met polymorphism and post-traumatic stress disorder. Stress Health 22:115–119

    Article  Google Scholar 

  • Lesch KP, Bengel D, Heils A, Sabol SZ, Greenberg BD, Petri S et al (1996) Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science 274:1527–1531

    Google Scholar 

  • Martinez D, Gelernter J et al (2001) The variable number of tandem repeats polymorphism of the dopamine transporter gene is not associated with significant change in dopamine transporter phenotype in humans. Neuropsychopharmacology 24(5):553–560

    Article  PubMed  CAS  Google Scholar 

  • Martinowich K, Manji H et al (2007) New insights into BDNF function in depression and anxiety. Nat Neurosci 10(9):1089–1093

    Article  PubMed  CAS  Google Scholar 

  • Mello MF, Schoedl AF et al (2010) Early Trauma Inventory (ETI): cross-cultural adaptation and internal consistency. Cad Saúde Pública 26(4):713–724

    Article  PubMed  Google Scholar 

  • Miller GM, Madras BK (2002) Polymorphisms in the 3′-untranslated region of human and monkey dopamine transporter genes affect reporter gene expression. Mol Psychiatry 7(1):44–55

    Article  PubMed  CAS  Google Scholar 

  • Miller SA, Dykes DD et al (1988) A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 16(3):1215

    Article  PubMed  CAS  Google Scholar 

  • Olff M, Langeland W et al (2005) The psychobiology of PTSD: coping with trauma. Psychoneuroendocrinology 30(10):974–982

    Article  PubMed  Google Scholar 

  • Parra FC, Amado RC et al (2003) Color and genomic ancestry in Brazilians. Proc Natl Acad Sci USA 100(1):177–182

    Article  PubMed  CAS  Google Scholar 

  • Pezawas L, Verchinski BA et al (2004) The brain-derived neurotrophic factor val66met polymorphism and variation in human cortical morphology. J Neurosci 24(45):10099–10102

    Article  PubMed  CAS  Google Scholar 

  • Pimenta JR, Zuccherato LW et al (2006) Color and genomic ancestry in Brazilians: a study with forensic microsatellites. Hum Hered 62(4):190–195

    Article  PubMed  Google Scholar 

  • Pupo MC, Jorge MR et al (2011) The accuracy of the Clinician-Administered PTSD Scale (CAPS) to identify PTSD cases in victims of urban violence. Psychiatry Res 185(1–2):157–160

    Article  PubMed  Google Scholar 

  • Radant A, Tsuang D et al (2001) Biological markers and diagnostic accuracy in the genetics of posttraumatic stress disorder. Psychiatry Res 102(3):203–215

    Article  PubMed  CAS  Google Scholar 

  • Sack WH, Clarke GN et al (1995) Posttraumatic stress disorder across two generations of Cambodian refugees. J Am Acad Child Adolesc Psychiatry 34(9):1160–1166

    Article  PubMed  CAS  Google Scholar 

  • Segman RH, Cooper-Kazaz R et al (2002) Association between the dopamine transporter gene and posttraumatic stress disorder. Mol Psychiatry 7(8):903–907

    Article  PubMed  CAS  Google Scholar 

  • Spitzer RL, Williams JB et al (1992) The Structured Clinical Interview for DSM-III-R (SCID). I: history, rationale, and description. Arch Gen Psychiatry 49(8):624–629

    PubMed  CAS  Google Scholar 

  • Swanson JM, Kinsbourne M et al (2007) Etiologic subtypes of attention-deficit/hyperactivity disorder: brain imaging, molecular genetic and environmental factors and the dopamine hypothesis. Neuropsychol Rev 17(1):39–59

    Article  PubMed  Google Scholar 

  • Tapia-Arancibia L, Rage F et al (2004) Physiology of BDNF: focus on hypothalamic function. Front Neuroendocrinol 25(2):77–107

    Article  PubMed  CAS  Google Scholar 

  • Team RDC (2008) R: A language and environment for statistical computing. http://www.r-project.org/. Accesed Oct 2010

  • True WR, Rice J et al (1993) A twin study of genetic and environmental contributions to liability for posttraumatic stress symptoms. Arch Gen Psychiatry 50(4):257–264

    PubMed  CAS  Google Scholar 

  • Valente NL, Vallada H et al (2011) Catechol-O-methyltransferase (COMT) val158met polymorphism as a risk factor for PTSD after urban violence. J Mol Neurosci 43(3):516–523

    Article  PubMed  CAS  Google Scholar 

  • Waiselfisz JJ (2010) Mapa da Violencia 2010 Anatomia dos Municipios do Brasil. I. Sangari, Instituto Sangari

  • Yehuda R, Schmeidler J et al (1998) Relationship between posttraumatic stress disorder characteristics of Holocaust survivors and their adult offspring. Am J Psychiatry 155(6):841–843

    PubMed  CAS  Google Scholar 

  • Yehuda R, Halligan SL et al (2001) Relationship of parental trauma exposure and PTSD to PTSD, depressive and anxiety disorders in offspring. J Psychiatr Res 35(5):261–270

    Article  PubMed  CAS  Google Scholar 

  • Yehuda R, Halligan SL et al (2002) Cortisol levels in adult offspring of Holocaust survivors: relation to PTSD symptom severity in the parent and child. Psychoneuroendocrinology 27(1–2):171–180

    Article  PubMed  CAS  Google Scholar 

  • Yehuda R, Flory JD et al (2010) Putative biological mechanisms for the association between early life adversity and the subsequent development of PTSD. Psychopharmacology (Berl) 212(3):405–417

    Article  CAS  Google Scholar 

  • Zahniser NR, Sorkin A (2004) Rapid regulation of the dopamine transporter: role in stimulant addiction? Neuropharmacology 47(Suppl 1):80–91

    Article  PubMed  CAS  Google Scholar 

  • Zhang H, Ozbay F et al (2006) Brain derived neurotrophic factor (BDNF) gene variants and Alzheimer's disease, affective disorders, posttraumatic stress disorder, schizophrenia, and substance dependence. Am J Med Genet B Neuropsychiatr Genet 141B(4):387–393

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study was partly funded by Fundacão de Amparo a Pesquisa do Estado de São Paulo (grant: 2004/15039-0). NLMV received a scholarship from the Ministry of Education (CAPES). JJM is a CNPq level I researcher, and MFM, RAB, and SBA are CNPq level II researchers. We would like to thank Thais Chile and Katia Ichi for their technical contribution for the lab work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nina Leão Marques Valente.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Valente, N.L.M., Vallada, H., Cordeiro, Q. et al. Candidate-Gene Approach in Posttraumatic Stress Disorder After Urban Violence: Association Analysis of the Genes Encoding Serotonin Transporter, Dopamine Transporter, and BDNF. J Mol Neurosci 44, 59–67 (2011). https://doi.org/10.1007/s12031-011-9513-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12031-011-9513-7

Keywords

Navigation