Authors: Zachary N. Blalock; Gwyneth W. Y Wu; Daniel Lindqvist; Caroline Trumpff; Janine D. Flory; Jue Lin; Victor I. Reus; Ryan Rampersaud; Rasha Hammamieh; Aarti Gautam; SBPBC; Francis J. Doyle III; Charles R. Marmar; Marti Jett; Rachel Yehuda; Owen M. Wolkowitz; Synthia H. Mellon · Research

How Does PTSD Affect Cell Energy and Stress Response in Combat Veterans?

New research explores the relationship between PTSD and cellular stress markers in military veterans

Source: Blalock, Z. N., Wu, G. W. Y., Lindqvist, D., Trumpff, C., Flory, J. D., Lin, J., ... & Mellon, S. H. (2024). Circulating cell-free mitochondrial DNA levels and glucocorticoid sensitivity in a cohort of male veterans with and without combat-related PTSD. Translational Psychiatry, 14(22). https://doi.org/10.1038/s41398-023-02721-x

What you need to know

  • Cell-free mitochondrial DNA (ccf-mtDNA) is a marker that indicates cellular stress and damage in the body
  • Veterans with PTSD who weren’t taking antidepressants or didn’t have diabetes showed lower levels of this marker
  • The findings suggest that PTSD may affect how cells respond to stress hormones like cortisol
  • These biological changes could help explain some physical health problems associated with PTSD

Understanding Cellular Stress in PTSD

When you experience stress, your body undergoes changes at multiple levels - from your racing heart to shifts happening inside individual cells. One way scientists can measure cellular stress is by looking at tiny pieces of DNA that leak out of the powerhouses of our cells (mitochondria) and into the bloodstream. This DNA is called cell-free mitochondrial DNA or ccf-mtDNA for short. Think of it like a smoke detector - when cells are under stress or damaged, they release more of this DNA, setting off an alarm in the body.

What the Research Found

Scientists studied two groups of combat veterans - those with PTSD and those without - to see if their ccf-mtDNA levels differed. Initially, they found no clear differences between the groups. However, when they looked more closely at veterans who weren’t taking antidepressants and didn’t have diabetes, an interesting pattern emerged: those with PTSD had lower levels of ccf-mtDNA than those without PTSD.

The Stress Hormone Connection

The study also revealed an important link between ccf-mtDNA and how the body responds to stress hormones called glucocorticoids (including cortisol). Veterans whose bodies were more sensitive to these hormones tended to have lower ccf-mtDNA levels. This is particularly relevant because PTSD is often associated with changes in stress hormone sensitivity.

Why This Matters for Health

The relationship between ccf-mtDNA, stress hormones, and PTSD may help explain why people with PTSD often experience physical health problems alongside their psychological symptoms. When cells don’t respond normally to stress signals, it can affect everything from energy levels to immune system function. The findings also highlight how medications like antidepressants might influence these cellular processes.

What This Means for You

If you or someone you know has PTSD, this research offers several important insights:

  • PTSD affects the body at a cellular level, not just the mind
  • Physical health symptoms in PTSD may be linked to changes in how cells respond to stress
  • Taking antidepressants might influence these cellular processes
  • Managing diabetes and other metabolic conditions is particularly important for people with PTSD

Conclusions

  • PTSD appears to affect cellular stress responses, particularly in people not taking antidepressants or managing diabetes
  • The relationship between stress hormones and cellular health is complex and influenced by multiple factors
  • Future treatments for PTSD might need to consider both psychological and cellular aspects of the condition
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