Background
Research suggests that posttraumatic stress disorder (PTSD) is
associated with metabolic syndrome (MetS) and that PTSD-associated MetS is
related to decreased cortical thickness. However, the role of genetic
factors in these associations is unclear. This study evaluated contributions
of polygenic obesity risk and PTSD to MetS and of MetS and polygenic obesity
risk to cortical thickness.
Methods
196 white, non-Hispanic veterans of the wars in Iraq and Afghanistan
underwent clinical diagnostic interviews, physiological assessments, and
genome-wide genotyping; 168 also completed magnetic resonance imaging scans.
Polygenic risk scores (PRSs) for obesity were calculated from results of a
prior genome-wide association study (Speliotes et al., 2010) and PTSD and MetS severity factor scores
were obtained.
Results
Obesity PRS (β = .15,
p = .009) and PTSD (β
= .17, p = .005)
predicted MetS and interacted such that the association between PTSD and
MetS was stronger in individuals with greater polygenic obesity risk
(β = .13, p =
.02). Whole-brain vertex-wise analyses suggested that obesity PRS interacted
with MetS to predict decreased cortical thickness in left rostral middle
frontal gyrus (β = −.40,
p < .001).
Conclusions
Results suggest that PTSD, genetic variability, and MetS are related
in a transactional fashion wherein obesity genetic risk increases
stress-related metabolic pathology, and compounds the ill health effects of
MetS on the brain. Genetic proclivity towards MetS should be considered in
PTSD patients when prescribing psychotropic medications with adverse
metabolic profiles. Results are consistent with a growing literature
suggestive of PTSD-related accelerated aging.