Literature review and methodological considerations for understanding circulating risk biomarkers following trauma exposure.

Abstract:

:Exposure to traumatic events is common. While many individuals recover following trauma exposure, a substantial subset develop adverse posttraumatic neuropsychiatric sequelae (APNS) such as posttraumatic stress, major depression, and regional or widespread chronic musculoskeletal pain. APNS cause substantial burden to the individual and to society, causing functional impairment and physical disability, risk for suicide, lost workdays, and increased health care costs. Contemporary treatment is limited by an inability to identify individuals at high risk of APNS in the immediate aftermath of trauma, and an inability to identify optimal treatments for individual patients. Our purpose is to provide a comprehensive review describing candidate blood-based biomarkers that may help to identify those at high risk of APNS and/or guide individual intervention decision-making. Such blood-based biomarkers include circulating biological factors such as hormones, proteins, immune molecules, neuropeptides, neurotransmitters, mRNA, and noncoding RNA expression signatures, while we do not review genetic and epigenetic biomarkers due to other recent reviews of this topic. The current state of the literature on circulating risk biomarkers of APNS is summarized, and key considerations and challenges for their discovery and translation are discussed. We also describe the AURORA study, a specific example of current scientific efforts to identify such circulating risk biomarkers and the largest study to date focused on identifying risk and prognostic factors in the aftermath of trauma exposure.

journal_name

Mol Psychiatry

journal_title

Molecular psychiatry

authors

Linnstaedt SD,Zannas AS,McLean SA,Koenen KC,Ressler KJ

doi

10.1038/s41380-019-0636-5

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1986-1999

issue

9

eissn

1359-4184

issn

1476-5578

pii

10.1038/s41380-019-0636-5

journal_volume

25

pub_type

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