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PTSD Severity-Related Accelerated Aging, Hippocampal Volume, and CLDN5 DNA Methylation.
Post-traumatic stress disorder (PTSD) severity is linked to accelerated aging and altered claudin-5 (CLDN5) DNA methylation. This epigenetic change may indicate neurodegeneration, including reduced hippocampal volume, with blood DNAm serving as a potential biomarker.
Area of Science:
- Neuroscience
- Genetics
- Psychiatry
Background:
- Claudin-5 (CLDN5) is crucial for blood-brain barrier integrity.
- Trauma exposure and PTSD are associated with CLDN5 DNA methylation (DNAm).
- CLDN5 DNAm may link traumatic stress, accelerated aging, and neurological disease.
Purpose of the Study:
- To investigate associations between CLDN5 DNAm loci, epigenetic aging, and hippocampal volume in trauma-exposed individuals.
- To examine CLDN5 DNAm in both blood and brain tissue.
- To explore the relationship between PTSD severity, CLDN5 DNAm, and hippocampal volume.
Main Methods:
- Analyzed data from 1302 trauma-exposed individuals (blood DNAm, psychiatric interviews) and 473 individuals (MRI).
- Examined postmortem brain tissue (vmPFC) DNAm from 109 PTSD decedents.
- Assessed CLDN5 DNAm associations with epigenetic age metrics and hippocampal volume.
Main Results:
- All CLDN5 DNAm loci associated with epigenetic age in blood and brain tissue.
- PTSD severity showed an indirect association with CLDN5 DNAm via GrimAge residuals.
- CLDN5 DNAm in blood correlated with reduced hippocampal volume and substructure volumes, mediating the PTSD-hippocampal volume link.
Conclusions:
- Accelerated aging in PTSD may involve altered CLDN5 DNAm, potentially signaling neurodegeneration.
- Blood CLDN5 DNAm may be a reliable proxy for brain CLDN5 DNAm.
- Future research should explore if PTSD treatments can modify CLDN5 epigenetics and mitigate neurodegeneration risk.
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