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Telomere Dynamics in Post-Traumatic Stress Disorder: A Critical Synthesis.
1Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
Post-traumatic stress disorder (PTSD) is not reliably linked to changes in telomere length, a marker of cellular aging. Research indicates telomere length in PTSD is highly variable and not a consistent biomarker.
Area of Science:
- Psychiatry
- Gerontology
- Molecular Biology
Background:
- Post-traumatic stress disorder (PTSD) affects 5-10% of the global population.
- PTSD is linked to accelerated cellular aging and increased risk of comorbidities.
- Telomere length (TL) and telomerase activity are investigated as biomarkers for cellular aging in PTSD.
Purpose of the Study:
- To critically synthesize existing research on telomere length and telomerase in PTSD.
- To evaluate the reliability of TL and telomerase as biomarkers for cellular aging in PTSD.
Main Methods:
- Narrative review of 26 clinical studies.
- Analysis of data on telomere length and telomerase activity in individuals with PTSD.
- Inclusion of findings from animal research on traumatic stress and TL.
Main Results:
- Telomere length in PTSD is highly variable, influenced by methodological, demographic, trauma, and psychosocial factors.
- No consistent evidence supports altered telomerase activity in PTSD.
- Animal studies show traumatic stress shortens TL, but human data is mixed.
Conclusions:
- Telomere length is unlikely to be a reliable biomarker of cellular aging in PTSD.
- Other markers, such as epigenetic changes, may be more specific for cellular senescence in PTSD patients.
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