STRUCTURAL AND FUNCTIONAL CONNECTIVITY IN POSTTRAUMATIC STRESS DISORDER: ASSOCIATIONS WITH FKBP5.
- Authors
- Fani, Negar; King, Tricia Z; Shin, Jaemin; Srivastava, Amita; Brewster, Ryan C; Jovanovic, Tanja; Bradley, Bekh; Ressler, Kerry J
- Year
- 2016
- Journal
- Depression and anxiety
- PMID
- 27038411
- DOI
- 10.1002/da.22483
- PMCID
- PMC4983452
BACKGROUND: The integrity of connections between the hippocampus and the anterior cingulate cortex (ACC) is critical for adaptive cognitive and emotional processing; these connections may be compromised in posttraumatic stress disorder (PTSD). However, there is a lack of PTSD research that combines structural and functional connectivity data, and no studies have examined whether abnormal ACC-hippocampal connectivity is associated with genetic variability, particularly for polymorphisms of a gene that has been previously associated with PTSD, FKBP5. This was the goal of the present study. METHODS: Fifty-four women with and without PTSD underwent diffusion tensor imaging and resting-state MRI. Probabilistic tractography was used to examine ACC-hippocampal structural connectivity; mean fractional anisotropy (FA) values were extracted from connectivity streamlines, which represent the cingulum bundle. Genotype data were collected for a single nucleotide polymorphism (SNP) of FKBP5, rs1360780. RESULTS: Participants with PTSD demonstrated poorer structural connectivity (lower cingulum FA) compared to traumatized controls (F1, 50 = 6.77, P < .05). An interaction of FKBP5 genotype and diagnostic group was also observed (F1, 37 = 4.52, P = .04), indicating lower cingulum FA in carriers of two risk alleles for this SNP, compared to other diagnostic and genotype groups. Carriers of two FKBP5 risk alleles also demonstrated poorer hippocampus-ACC connectivity at rest (P < .05). When cingulum FA was used a regressor in a brain-wide, seed-based regression analysis, significant associations were found between the hippocampus and dorsal regions of the ACC (P < .05). CONCLUSIONS: Individuals with PTSD demonstrated compromised structural connectivity of the hippocampus-ACC pathway. Altered hippocampus-ACC connectivity may represent a highly salient intermediate neural phenotype for PTSD.
Participants with two copies of the (T) risk allele for an FKBP5 polymorphism (rs1360780) and a diagnosis of PTSD demonstrate poorer cingulum connectivity compared to the other genotype and diagnostic groups.
When cingulum FA was used as a regressor in a whole-brain, seed-based analysis, the hippocampus demonstrated significant functional connectivity to dorsal regions of the anterior cingulate, exclusively (p<.05, FWE corrected across the whole brain). Left panel depicts atlas-based ACC mask; right panel depicts regions of ACC activation corresponding with hippocampal activation (unmasked image).
| Name | Type |
|---|---|
| ACC | anatomy |
| African-Americans | cohort |
| age | phenotype |
| Agencourt DNAdvance extraction kit local | drug |
| alcohol dependence | phenotype |
| amygdala | anatomy |
| anterior cingulate cortex | anatomy |
| anxious psychopathology local | phenotype |
| bipolar disorder | phenotype |
| CAPS subscale scores local | phenotype |
| CC/CT genotype local | variant |
| childhood trauma | phenotype |
| cingulum | anatomy |
| cingulum FA local | phenotype |
| contextual memory local | phenotype |
| controls | cohort |
| corpus callosum | anatomy |
| dementia | phenotype |
| depression | phenotype |
| depressive symptoms | phenotype |
| DNA | drug |
| dorsolateral prefrontal cortex | anatomy |
| entorhinal cortex | anatomy |
| extinction learning local | phenotype |
| fear-potentiated startle response | phenotype |
| Fkbp5 | gene |
| FKBP5 CC genotype local | variant |
| FKBP5 CT genotype local | variant |
| FKBP5 risk allele local | variant |
| FKBP5 TT genotype | variant |
| Fornix | anatomy |
| fractional anisotropy | phenotype |
| gel electrophoresis local | drug |
| glucocorticoids | drug |
| Harvard-Oxford Subcortical Structural Atlas local | anatomy |
| head injury with loss of consciousness >5 minutes local | phenotype |
| hippocampal functional connectivity local | phenotype |
| hippocampal-prefrontal connectivity local | anatomy |
| hippocampal-prefrontal pathway local | anatomy |
| hippocampus | anatomy |
| hippocampus-ACC functional connectivity local | phenotype |
| iPlex reagents local | drug |
| MassARRAY system local | drug |
| medial prefrontal cortex | anatomy |
| MNI space local | anatomy |
| mood disorders | phenotype |
| NanoDrop2000 local | drug |
| neurological illness local | phenotype |
| Oragene vials local | drug |
| parahippocampal gyrus | anatomy |
| parietal cortex | anatomy |
| participants | cohort |
| PC FA values local | phenotype |
| physical abuse | phenotype |
| Post-Traumatic Stress Disorder | phenotype |
| prefrontal cortex | anatomy |
| pregnancy | phenotype |
| psychosis | phenotype |
| psychotropic medication | drug |
| PTSD+ local | cohort |
| PTSD group local | cohort |
| Quantity One software local | drug |
| reinforcement learning | phenotype |
| Resting state connectivity local | phenotype |
| rs1360780 | variant |
| saliva | drug |
| schizophrenia | phenotype |
| Sequenom | drug |
| Study cohort (30 participants) local | cohort |
| substance use | phenotype |
| supplementary motor areas local | anatomy |
| TaqMan assay | drug |
| TaqMan Genotyping Master Mix | drug |
| Taqman GTXpress Master Mix local | drug |
| Taqman SNP Genotyping Assays | drug |
| Taqman ViiA7 Real-Time PCR system local | drug |
| Total trauma exposure local | phenotype |
| trauma | phenotype |
| trauma-exposed control group local | cohort |
| trauma exposure | phenotype |
| TT genotype | variant |
| white matter | anatomy |
| working memory | phenotype |
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