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Published in: BMC Psychiatry 1/2014

Open Access 01-12-2014 | Research article

The relationship between glucocorticoid receptor polymorphisms, stressful life events, social support, and post-traumatic stress disorder

Authors: Yulong Lian, Jing Xiao, Qian Wang, Li Ning, Suzhen Guan, Hua Ge, Fuye Li, Jiwen Liu

Published in: BMC Psychiatry | Issue 1/2014

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Abstract

Background

It is debatable whether or not glucocorticoid receptor (GR) polymorphisms moderate susceptibility to PTSD. Our objective was to examine the effects of stressful life events, social support, GR genotypes, and gene-environment interactions on the etiology of PTSD.

Methods

Three tag single nucleotide polymorphisms, trauma events, stressful life events, and social support were assessed in 460 patients with PTSD and 1158 control subjects from a Chinese Han population. Gene–environment interactions were analyzed by generalized multifactor dimensionality reduction (GMDR).

Results

Variation in GR at rs41423247 and rs258747, stressful life events, social support, and the number of traumatic events were each separately associated with the risk for PTSD. A gene–environment interaction among the polymorphisms, rs41423247 and rs258747, the number of traumatic events, stressful life events, and social support resulted in an increased risk for PTSD. High-risk individuals (a large number of traumatic events, G allele of rs258747 and rs41423247, high level stressful life events, and low social support) had a 3.26-fold increased risk of developing PTSD compared to low-risk individuals. The association was statistically significant in the sub-groups with and without childhood trauma.

Conclusions

Our data support the notion that stressful life events, the number of trauma events, and social support may play a contributing role in the risk for PTSD by interacting with GR gene polymorphisms.
Literature
1.
go back to reference Galea S, Ahern J, Resnick H, Kilpatrick D, Bucuvalas M, Gold J, Vlahov D: Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002, 346: 982-987.CrossRefPubMed Galea S, Ahern J, Resnick H, Kilpatrick D, Bucuvalas M, Gold J, Vlahov D: Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002, 346: 982-987.CrossRefPubMed
2.
go back to reference Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB: Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995, 52: 1048-1060.CrossRefPubMed Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB: Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995, 52: 1048-1060.CrossRefPubMed
3.
go back to reference Maes M, Mylle J, Delmeire L, Janca A: Pre- and post-disaster negative life events in relation to the incidence and severity of post-traumatic stress disorder. Psychiatry Res. 2001, 105: 1-12.CrossRefPubMed Maes M, Mylle J, Delmeire L, Janca A: Pre- and post-disaster negative life events in relation to the incidence and severity of post-traumatic stress disorder. Psychiatry Res. 2001, 105: 1-12.CrossRefPubMed
4.
go back to reference Frans O, Rimmö PA, Aberg L, Fredrikson M: Trauma exposure and post-traumatic stress disorder in the general population. Acta Psychiatr Scand. 2005, 111: 291-299.CrossRefPubMed Frans O, Rimmö PA, Aberg L, Fredrikson M: Trauma exposure and post-traumatic stress disorder in the general population. Acta Psychiatr Scand. 2005, 111: 291-299.CrossRefPubMed
5.
go back to reference Neria Y, DiGrande L, Adams BG: Posttraumatic stress disorder following the September 11, 2001, terrorist attacks: a review of the literature among highly exposed populations. Am Psychol. 2011, 66: 429-446.CrossRefPubMedPubMedCentral Neria Y, DiGrande L, Adams BG: Posttraumatic stress disorder following the September 11, 2001, terrorist attacks: a review of the literature among highly exposed populations. Am Psychol. 2011, 66: 429-446.CrossRefPubMedPubMedCentral
6.
go back to reference Adams RE, Boscarino JA: Predictors of PTSD and delayed PTSD after disaster: The impact of exposure and psychosocial resources. J Nerv Ment Dis. 2006, 194: 485-493.CrossRefPubMedPubMedCentral Adams RE, Boscarino JA: Predictors of PTSD and delayed PTSD after disaster: The impact of exposure and psychosocial resources. J Nerv Ment Dis. 2006, 194: 485-493.CrossRefPubMedPubMedCentral
7.
go back to reference Pietrzak RH, Feder A, Singh R, Schechter CB, Bromet EJ, Katz CL, Reissman DB, Ozbay F, Sharma V, Crane M, Harrison D, Herbert R, Levin SM, Luft BJ, Moline JM, Stellman JM, Udasin IG, Landrigan PJ, Southwick SM: Trajectories of PTSD risk and resilience in World Trade Center responders: an 8-year prospective cohort study. Psychol Med. 2014, 44: 205-219.CrossRefPubMed Pietrzak RH, Feder A, Singh R, Schechter CB, Bromet EJ, Katz CL, Reissman DB, Ozbay F, Sharma V, Crane M, Harrison D, Herbert R, Levin SM, Luft BJ, Moline JM, Stellman JM, Udasin IG, Landrigan PJ, Southwick SM: Trajectories of PTSD risk and resilience in World Trade Center responders: an 8-year prospective cohort study. Psychol Med. 2014, 44: 205-219.CrossRefPubMed
8.
go back to reference Kline A, Ciccone DS, Weiner M, Interian A, St Hill L, Falca-Dodson M, Black CM, Losonczy M: Gender differences in the risk and protective factors associated with PTSD: a prospective study of National Guard troops deployed to Iraq. Psychiatry. 2013, 76: 256-272.CrossRefPubMed Kline A, Ciccone DS, Weiner M, Interian A, St Hill L, Falca-Dodson M, Black CM, Losonczy M: Gender differences in the risk and protective factors associated with PTSD: a prospective study of National Guard troops deployed to Iraq. Psychiatry. 2013, 76: 256-272.CrossRefPubMed
9.
go back to reference Horesh D, Solomon Z, Zerach G, Ein-Dor T: Delayed-onset PTSD among war veterans: the role of life events throughout the life cycle. Soc Psychiatry Psychiatr Epidemiol. 2011, 46: 863-870.CrossRefPubMed Horesh D, Solomon Z, Zerach G, Ein-Dor T: Delayed-onset PTSD among war veterans: the role of life events throughout the life cycle. Soc Psychiatry Psychiatr Epidemiol. 2011, 46: 863-870.CrossRefPubMed
10.
go back to reference Franz MR, Wolf EJ, MacDonald HZ, Marx BP, Proctor SP, Vasterling JJ: Relationships among predeployment risk factors, warzone-threat appraisal, and postdeployment PTSD symptoms. J Trauma Stress. 2013, 26: 498-506.CrossRefPubMed Franz MR, Wolf EJ, MacDonald HZ, Marx BP, Proctor SP, Vasterling JJ: Relationships among predeployment risk factors, warzone-threat appraisal, and postdeployment PTSD symptoms. J Trauma Stress. 2013, 26: 498-506.CrossRefPubMed
11.
go back to reference Tracie Shea M, Reddy MK, Tyrka AR, Sevin E: Risk factors for post-deployment posttraumatic stress disorder in national guard/reserve service members. Psychiatry Res. 2013, 210: 1042-1048.CrossRefPubMed Tracie Shea M, Reddy MK, Tyrka AR, Sevin E: Risk factors for post-deployment posttraumatic stress disorder in national guard/reserve service members. Psychiatry Res. 2013, 210: 1042-1048.CrossRefPubMed
12.
go back to reference DiGangi JA, Gomez D, Mendoza L, Jason LA, Keys CB, Koenen KC: Pretrauma risk factors for posttraumatic stress disorder: a systematic review of the literature. Clin Psychol Rev. 2013, 33: 728-744.CrossRefPubMed DiGangi JA, Gomez D, Mendoza L, Jason LA, Keys CB, Koenen KC: Pretrauma risk factors for posttraumatic stress disorder: a systematic review of the literature. Clin Psychol Rev. 2013, 33: 728-744.CrossRefPubMed
13.
go back to reference True WR, Rice J, Eisen SA, Heath AC, Goldberg J, Lyons MJ, Nowak J: A twin study of genetic and environmental contributions to liability for posttraumatic stress symptoms. Arch Gen Psychiatry. 1993, 50: 257-264.CrossRefPubMed True WR, Rice J, Eisen SA, Heath AC, Goldberg J, Lyons MJ, Nowak J: A twin study of genetic and environmental contributions to liability for posttraumatic stress symptoms. Arch Gen Psychiatry. 1993, 50: 257-264.CrossRefPubMed
14.
go back to reference Stein MB, Jang KL, Taylor S, Vernon PA, Livesley WJ: Genetic and environmental influences on trauma exposure and posttraumatic stress disorder symptoms: a twin study. Am J Psychiatry. 2002, 159: 1675-1681.CrossRefPubMed Stein MB, Jang KL, Taylor S, Vernon PA, Livesley WJ: Genetic and environmental influences on trauma exposure and posttraumatic stress disorder symptoms: a twin study. Am J Psychiatry. 2002, 159: 1675-1681.CrossRefPubMed
15.
go back to reference Afifi TO, Asmundson GJ, Taylor S, Jang KL: The role of genes and environment on trauma exposure and posttraumatic stress disorder symptoms: a review of twin studies. Clin Psychol Rev. 2010, 30: 101-112.CrossRefPubMed Afifi TO, Asmundson GJ, Taylor S, Jang KL: The role of genes and environment on trauma exposure and posttraumatic stress disorder symptoms: a review of twin studies. Clin Psychol Rev. 2010, 30: 101-112.CrossRefPubMed
16.
go back to reference Pitman RK, Rasmusson AM, Koenen KC, Shin LM, Orr SP, Gilbertson MW, Milad MR, Liberzon I: Biological studies of post -traumatic stress disorder. Nat Rev Neurosci. 2012, 13: 769-787.CrossRefPubMed Pitman RK, Rasmusson AM, Koenen KC, Shin LM, Orr SP, Gilbertson MW, Milad MR, Liberzon I: Biological studies of post -traumatic stress disorder. Nat Rev Neurosci. 2012, 13: 769-787.CrossRefPubMed
17.
go back to reference Skelton K, Ressler KJ, Norrholm SD, Jovanovic T, Bradley-Davino B: PTSD and gene variants: new pathways and new thinking. Neuropharmacology. 2012, 62: 628-637.CrossRefPubMed Skelton K, Ressler KJ, Norrholm SD, Jovanovic T, Bradley-Davino B: PTSD and gene variants: new pathways and new thinking. Neuropharmacology. 2012, 62: 628-637.CrossRefPubMed
18.
go back to reference Zoladz PR, Diamond DM: Current status on behavioral and biological markers of PTSD: a search for clarity in a conflicting literature. Neurosci Biobehav Rev. 2013, 37: 860-895.CrossRefPubMed Zoladz PR, Diamond DM: Current status on behavioral and biological markers of PTSD: a search for clarity in a conflicting literature. Neurosci Biobehav Rev. 2013, 37: 860-895.CrossRefPubMed
19.
go back to reference Heim C, Nemeroff CB: Neurobiology of posttraumatic stress disorder. CNS Spectr. 2009, 14: 13-24.PubMed Heim C, Nemeroff CB: Neurobiology of posttraumatic stress disorder. CNS Spectr. 2009, 14: 13-24.PubMed
20.
go back to reference Rohleder N, Joksimovic L, Wolf JM, Kirschbaum C: Hypocortisolism and increased glucocorticoid sensitivity of pro-inflammatory cytokine production in Bosnian war refugees with posttraumatic stress disorder. Biol Psychiatry. 2004, 55: 745-751.CrossRefPubMed Rohleder N, Joksimovic L, Wolf JM, Kirschbaum C: Hypocortisolism and increased glucocorticoid sensitivity of pro-inflammatory cytokine production in Bosnian war refugees with posttraumatic stress disorder. Biol Psychiatry. 2004, 55: 745-751.CrossRefPubMed
21.
go back to reference Yehuda R, Boisoneau D, Lowy MT, Giller EL: Dose–response changes in plasma cortisol and lymphocyte glucocorticoid receptors following dexamethasone administration in combat veterans with and without posttraumatic stress disorder. Arch Gen Psychiatry. 1995, 52: 583-593.CrossRefPubMed Yehuda R, Boisoneau D, Lowy MT, Giller EL: Dose–response changes in plasma cortisol and lymphocyte glucocorticoid receptors following dexamethasone administration in combat veterans with and without posttraumatic stress disorder. Arch Gen Psychiatry. 1995, 52: 583-593.CrossRefPubMed
22.
go back to reference Yehuda R: Status of glucocorticoid alterations in posttraumatic stress disorder. Ann N Y Acad Sci. 2009, 1179: 56-69.CrossRefPubMed Yehuda R: Status of glucocorticoid alterations in posttraumatic stress disorder. Ann N Y Acad Sci. 2009, 1179: 56-69.CrossRefPubMed
23.
go back to reference van Zuiden M, Kavelaars A, Geuze E, Olff M, Heijnen CJ: Predicting PTSD: pre-existing vulnerabilities in glucocorticoid-signaling and implications for preventive interventions. Brain Behav Immun. 2013, 30: 12-21.CrossRefPubMed van Zuiden M, Kavelaars A, Geuze E, Olff M, Heijnen CJ: Predicting PTSD: pre-existing vulnerabilities in glucocorticoid-signaling and implications for preventive interventions. Brain Behav Immun. 2013, 30: 12-21.CrossRefPubMed
24.
go back to reference van Zuiden M, Geuze E, Willemen HL, Vermetten E, Maas M, Heijnen CJ, Kavelaars A: Pre-existing high glucocorticoid receptor number predicting development of posttraumatic stress symptoms after military deployment. Am J Psychiatry. 2011, 168: 89-96.CrossRefPubMed van Zuiden M, Geuze E, Willemen HL, Vermetten E, Maas M, Heijnen CJ, Kavelaars A: Pre-existing high glucocorticoid receptor number predicting development of posttraumatic stress symptoms after military deployment. Am J Psychiatry. 2011, 168: 89-96.CrossRefPubMed
25.
go back to reference van Zuiden M, Kavelaars A, Rademaker AR, Vermetten E, Heijnen CJ, Geuze E: A prospective study on personality and the cortisol awakening response to predict posttraumatic stress symptoms in response to military deployment. J Psychiatr Res. 2011, 45: 713-719.CrossRefPubMed van Zuiden M, Kavelaars A, Rademaker AR, Vermetten E, Heijnen CJ, Geuze E: A prospective study on personality and the cortisol awakening response to predict posttraumatic stress symptoms in response to military deployment. J Psychiatr Res. 2011, 45: 713-719.CrossRefPubMed
26.
go back to reference van Zuiden M, Geuze E, Willemen HL, Vermetten E, Maas M, Amarouchi K, Kavelaars A, Heijnen CJ: Glucocorticoid receptor pathway components predict posttraumatic stress disorder symptom development: a prospective study. Biol Psychiatry. 2012, 71: 309-316.CrossRefPubMed van Zuiden M, Geuze E, Willemen HL, Vermetten E, Maas M, Amarouchi K, Kavelaars A, Heijnen CJ: Glucocorticoid receptor pathway components predict posttraumatic stress disorder symptom development: a prospective study. Biol Psychiatry. 2012, 71: 309-316.CrossRefPubMed
27.
go back to reference Niu N, Manickam V, Kalari KR, Moon I, Pelleymounter LL, Eckloff BW, Wieben ED, Schaid DJ, Wang L: Human glucocorticoid receptor alpha gene (NR3C1) pharmacogenomics: gene resequencing and functional genomics. J Clin Endocrinol Metab. 2009, 94: 3072-3084.CrossRefPubMedPubMedCentral Niu N, Manickam V, Kalari KR, Moon I, Pelleymounter LL, Eckloff BW, Wieben ED, Schaid DJ, Wang L: Human glucocorticoid receptor alpha gene (NR3C1) pharmacogenomics: gene resequencing and functional genomics. J Clin Endocrinol Metab. 2009, 94: 3072-3084.CrossRefPubMedPubMedCentral
28.
go back to reference Hauer D, Weis F, Papassotiropoulos A, Schmoeckel M, Beiras-Fernandez A, Lieke J, Kaufmann I, Kirchhoff F, Vogeser M, Roozendaal B, Briegel J, de Quervain D, Schelling G: Relationship ofacommon polymorphism of the glucocorticoid receptor gene to traumatic memories and posttraumatic stress disorder in patients after intensive care therapy. Crit Care Med. 2011, 39: 643-650.CrossRefPubMed Hauer D, Weis F, Papassotiropoulos A, Schmoeckel M, Beiras-Fernandez A, Lieke J, Kaufmann I, Kirchhoff F, Vogeser M, Roozendaal B, Briegel J, de Quervain D, Schelling G: Relationship ofacommon polymorphism of the glucocorticoid receptor gene to traumatic memories and posttraumatic stress disorder in patients after intensive care therapy. Crit Care Med. 2011, 39: 643-650.CrossRefPubMed
29.
go back to reference Bachmann AW, Sedgley TL, Jackson RV, Gibson JN, Young RM, Torpy DJ: Glucocorticoid receptor polymorphisms and post-traumatic stress disorder. Psychoneuroendocrinology. 2005, 30: 297-306.CrossRefPubMed Bachmann AW, Sedgley TL, Jackson RV, Gibson JN, Young RM, Torpy DJ: Glucocorticoid receptor polymorphisms and post-traumatic stress disorder. Psychoneuroendocrinology. 2005, 30: 297-306.CrossRefPubMed
30.
go back to reference Diagnostic and Statistical Manual of Mental Disorders. 2013, American Psychiatric Association, Alexandria, VA Diagnostic and Statistical Manual of Mental Disorders. 2013, American Psychiatric Association, Alexandria, VA
31.
go back to reference Huang G, Zhang Y, Momartin S, Cao Y, Zhao L: Prevalence and characteristics of trauma and posttraumatic stress disorder in female prisoners in China. Compr Psychiatry. 2006, 47: 20-29.CrossRefPubMed Huang G, Zhang Y, Momartin S, Cao Y, Zhao L: Prevalence and characteristics of trauma and posttraumatic stress disorder in female prisoners in China. Compr Psychiatry. 2006, 47: 20-29.CrossRefPubMed
32.
go back to reference Mueser KT, Salyers MP, Rosenberg SD, Ford JD, Fox L, Carty P: Psychometric evaluation of trauma and posttraumatic stress disorder assessments in persons with severe mental illness. Psychol Assess. 2001, 13: 110-117.CrossRefPubMed Mueser KT, Salyers MP, Rosenberg SD, Ford JD, Fox L, Carty P: Psychometric evaluation of trauma and posttraumatic stress disorder assessments in persons with severe mental illness. Psychol Assess. 2001, 13: 110-117.CrossRefPubMed
33.
go back to reference Yang DS, Zhang YL: Life event scale (LES). Rating Scales for Mental Health. Edited by: Wang XD, Wang XL, Ma H. 1999, Ment Health J, China, 25-29. Yang DS, Zhang YL: Life event scale (LES). Rating Scales for Mental Health. Edited by: Wang XD, Wang XL, Ma H. 1999, Ment Health J, China, 25-29.
34.
go back to reference Peng L, Zhang J, Li M, Li P, Zhang Y, Zuo X, Miao Y, Xu Y: Negative life events and mental health of Chinese medical students: the effect of resilience, personality and social support. Psychiatry Res. 2012, 196: 138-141.CrossRefPubMed Peng L, Zhang J, Li M, Li P, Zhang Y, Zuo X, Miao Y, Xu Y: Negative life events and mental health of Chinese medical students: the effect of resilience, personality and social support. Psychiatry Res. 2012, 196: 138-141.CrossRefPubMed
35.
go back to reference Sun N, Xu Y, Wang Y, Duan H, Wang S, Ren Y, Peng J, Du Q, Shen Y, Xu Q, Zhang K: The combined effect of norepinephrine transporter gene and negative life events in major depression of Chinese Han population. J Neural Transm. 2008, 115: 1681-1686.CrossRefPubMed Sun N, Xu Y, Wang Y, Duan H, Wang S, Ren Y, Peng J, Du Q, Shen Y, Xu Q, Zhang K: The combined effect of norepinephrine transporter gene and negative life events in major depression of Chinese Han population. J Neural Transm. 2008, 115: 1681-1686.CrossRefPubMed
36.
go back to reference Xiao SY: Social support rating scale: the theoretical basis and research applications. J Clin Psychiatry. 1994, 4: 98-100. Xiao SY: Social support rating scale: the theoretical basis and research applications. J Clin Psychiatry. 1994, 4: 98-100.
37.
go back to reference Xie RH, He G, Koszycki D, Walker M, Wen SW: Prenatal social support, postnatal social support, and postpartum depression. Ann Epidemiol. 2009, 19: 637-643.CrossRefPubMed Xie RH, He G, Koszycki D, Walker M, Wen SW: Prenatal social support, postnatal social support, and postpartum depression. Ann Epidemiol. 2009, 19: 637-643.CrossRefPubMed
38.
go back to reference Kolassa IT, Kolassa S, Ertl V, Papassotiropoulos A, De Quervain DJ: The risk of posttraumatic stress disorder after trauma depends on traumatic load and the catechol-o-methyltransferase Val(158)Met polymorphism. Biol Psychiatry. 2010, 67: 304-308.CrossRefPubMed Kolassa IT, Kolassa S, Ertl V, Papassotiropoulos A, De Quervain DJ: The risk of posttraumatic stress disorder after trauma depends on traumatic load and the catechol-o-methyltransferase Val(158)Met polymorphism. Biol Psychiatry. 2010, 67: 304-308.CrossRefPubMed
39.
go back to reference Panarelli M, Holloway CD, Fraser R, Connell JM, Ingram MC, Anderson NH, Kenyon CJ: Glucocorticoid receptor polymorphism, skin vasoconstriction, and other metabolic intermediate phenotypes in normal human subjects. J Clin Endocrinol Metab. 1998, 83: 1846-1852.PubMed Panarelli M, Holloway CD, Fraser R, Connell JM, Ingram MC, Anderson NH, Kenyon CJ: Glucocorticoid receptor polymorphism, skin vasoconstriction, and other metabolic intermediate phenotypes in normal human subjects. J Clin Endocrinol Metab. 1998, 83: 1846-1852.PubMed
40.
go back to reference Derijk RH: Single nucleotide polymorphisms related to HPA axis reactivity. Neuroimmunomodulation. 2009, 16: 340-352.CrossRefPubMed Derijk RH: Single nucleotide polymorphisms related to HPA axis reactivity. Neuroimmunomodulation. 2009, 16: 340-352.CrossRefPubMed
41.
go back to reference Manenschijn L, van den Akker EL, Lamberts SW, van Rossum EF: Clinical features associated with glucocorticoid receptor polymorphisms: an overview. Ann N Y Acad Sci. 2009, 1179: 179-198.CrossRefPubMed Manenschijn L, van den Akker EL, Lamberts SW, van Rossum EF: Clinical features associated with glucocorticoid receptor polymorphisms: an overview. Ann N Y Acad Sci. 2009, 1179: 179-198.CrossRefPubMed
42.
go back to reference Krishnamurthy P, Romagni P, Torvik S, Gold PW, Charney DS, Detera-Wadleigh S, Cizza G: Glucocorticoid receptor gene polymorphisms in premenopausal women with major depression. Horm Metab Res. 2008, 40: 194-198.CrossRefPubMed Krishnamurthy P, Romagni P, Torvik S, Gold PW, Charney DS, Detera-Wadleigh S, Cizza G: Glucocorticoid receptor gene polymorphisms in premenopausal women with major depression. Horm Metab Res. 2008, 40: 194-198.CrossRefPubMed
43.
go back to reference Wüst S, Van Rossum EF, Federenko IS, Koper JW, Kumsta R, Hellhammer DH: Common polymorphisms in the glucocorticoid receptor gene are associated with adrenocortical responses to psychosocial stress. J Clin Endocrinol Metab. 2004, 89: 565-573.CrossRefPubMed Wüst S, Van Rossum EF, Federenko IS, Koper JW, Kumsta R, Hellhammer DH: Common polymorphisms in the glucocorticoid receptor gene are associated with adrenocortical responses to psychosocial stress. J Clin Endocrinol Metab. 2004, 89: 565-573.CrossRefPubMed
44.
go back to reference Kumsta R, Moser D, Streit F, Koper JW, Meyer J, Wüst S: Characterization of a glucocorticoid receptor gene (GR, NR3C1) promoter polymorphism reveals functionality and extends a haplotype with putative clinical relevance. Am J Med Genet B Neuropsychiatr Genet. 2009, 150B: 476-482.CrossRefPubMed Kumsta R, Moser D, Streit F, Koper JW, Meyer J, Wüst S: Characterization of a glucocorticoid receptor gene (GR, NR3C1) promoter polymorphism reveals functionality and extends a haplotype with putative clinical relevance. Am J Med Genet B Neuropsychiatr Genet. 2009, 150B: 476-482.CrossRefPubMed
45.
go back to reference van West D, Van Den Eede F, Del-Favero J, Souery D, Norrback KF, Van Duijn C, Sluijs S, Adolfsson R, Mendlewicz J, Deboutte D, Van Broeckhoven C, Claes S: Glucocorticoid receptor gene-based SNP analysis in patients with recurrent major depression. Neuropsychopharmacology. 2006, 31: 620-627.CrossRefPubMed van West D, Van Den Eede F, Del-Favero J, Souery D, Norrback KF, Van Duijn C, Sluijs S, Adolfsson R, Mendlewicz J, Deboutte D, Van Broeckhoven C, Claes S: Glucocorticoid receptor gene-based SNP analysis in patients with recurrent major depression. Neuropsychopharmacology. 2006, 31: 620-627.CrossRefPubMed
46.
go back to reference van West D, Del-Favero J, Deboutte D, Van Broeckhoven C, Claes S: Associations between common arginine vasopressin 1b receptor and glucocorticoid receptor gene variants and HPA axis responses to psychosocial stress in a child psychiatric population. Psychiatry Res. 2010, 179: 64-68.CrossRefPubMed van West D, Del-Favero J, Deboutte D, Van Broeckhoven C, Claes S: Associations between common arginine vasopressin 1b receptor and glucocorticoid receptor gene variants and HPA axis responses to psychosocial stress in a child psychiatric population. Psychiatry Res. 2010, 179: 64-68.CrossRefPubMed
47.
go back to reference Chung CC, Shimmin L, Natarajan S, Hanis CL, Boerwinkle E, Hixson JE: Glucocorticoid receptor gene variant in the 3′ untranslated region is associated with multiple measures of blood pressure. J Clin Endocrinol Metab. 2009, 94: 268-276.CrossRefPubMed Chung CC, Shimmin L, Natarajan S, Hanis CL, Boerwinkle E, Hixson JE: Glucocorticoid receptor gene variant in the 3′ untranslated region is associated with multiple measures of blood pressure. J Clin Endocrinol Metab. 2009, 94: 268-276.CrossRefPubMed
48.
go back to reference Perlis RH, Adams DH, Fijal B, Sutton VK, Farmen M, Breier A, Houston JP: Genetic association study of treatment response with olanzapine/fluoxetine combination or lamotrigine in bipolar I depression. J Clin Psychiatry. 2010, 71: 599-605.CrossRefPubMed Perlis RH, Adams DH, Fijal B, Sutton VK, Farmen M, Breier A, Houston JP: Genetic association study of treatment response with olanzapine/fluoxetine combination or lamotrigine in bipolar I depression. J Clin Psychiatry. 2010, 71: 599-605.CrossRefPubMed
49.
go back to reference Hauer D, Kolassa IT, Laubender RP, Mansmann U, Hagl C, Roozendaal B, de Quervain DJ, Schelling G: A genotype-specific, randomized controlled behavioral intervention to improve the neuroemotional outcome of cardiac surgery: study protocol for a randomized controlled trial. Trials. 2013, 14: 89-CrossRefPubMedPubMedCentral Hauer D, Kolassa IT, Laubender RP, Mansmann U, Hagl C, Roozendaal B, de Quervain DJ, Schelling G: A genotype-specific, randomized controlled behavioral intervention to improve the neuroemotional outcome of cardiac surgery: study protocol for a randomized controlled trial. Trials. 2013, 14: 89-CrossRefPubMedPubMedCentral
50.
go back to reference Velders FP, Dieleman G, Cents RA, Bakermans-Kranenburg MJ, Jaddoe VW, Hofman A, Van Ijzendoorn MH, Verhulst FC, Tiemeier H: Variation in the glucocorticoid receptor gene at rs41423247 moderates the effect of prenatal maternal psychological symptoms on child cortisol reactivity and behavior. Neuropsychopharmacology. 2012, 37: 2541-2549.CrossRefPubMedPubMedCentral Velders FP, Dieleman G, Cents RA, Bakermans-Kranenburg MJ, Jaddoe VW, Hofman A, Van Ijzendoorn MH, Verhulst FC, Tiemeier H: Variation in the glucocorticoid receptor gene at rs41423247 moderates the effect of prenatal maternal psychological symptoms on child cortisol reactivity and behavior. Neuropsychopharmacology. 2012, 37: 2541-2549.CrossRefPubMedPubMedCentral
Metadata
Title
The relationship between glucocorticoid receptor polymorphisms, stressful life events, social support, and post-traumatic stress disorder
Authors
Yulong Lian
Jing Xiao
Qian Wang
Li Ning
Suzhen Guan
Hua Ge
Fuye Li
Jiwen Liu
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2014
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-014-0232-9

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