Authors: Adam X. Maihofer; Andrew Ratanatharathorn; Sian M. J. Hemmings; Karen H. Costenbader; Vasiliki Michopoulos; Renato Polimanti; Alex O. Rothbaum; Soraya Seedat; Elizabeth A. Mikita; Alicia K. Smith; Rany M. Salem; Richard A. Shaffer; Tianying Wu; Jonathan Sebat; Kerry J. Ressler; Murray B. Stein; Karestan C. Koenen; Erika J. Wolf; Jennifer A. Sumner; Caroline M. Nievergelt · Research

How Does PTSD Increase Risk for Autoimmune Disorders? New Genetic Evidence Points to Answers

Research reveals genetic links between PTSD and autoimmune conditions, suggesting PTSD may directly increase risk for certain disorders

Source: Maihofer, A. X., Ratanatharathorn, A., Hemmings, S. M. J., Costenbader, K. H., Michopoulos, V., Polimanti, R., Rothbaum, A. O., Seedat, S., Mikita, E. A., Smith, A. K., Salem, R. M., Shaffer, R. A., Wu, T., Sebat, J., Ressler, K. J., Stein, M. B., Koenen, K. C., Wolf, E. J., Sumner, J. A., & Nievergelt, C. M. (2024). Effects of genetically predicted posttraumatic stress disorder on autoimmune phenotypes. Translational Psychiatry, 14, 172. https://doi.org/10.1038/s41398-024-02869-0

What you need to know

  • PTSD appears to directly increase risk for autoimmune thyroid disease through genetic mechanisms
  • PTSD and various autoimmune conditions share genetic risk factors
  • The relationship between PTSD and inflammation is more complex than previously thought

The Connection Between Mental and Physical Health

When Sara first developed PTSD after a traumatic car accident, she never imagined it could affect her physical health years later. Yet emerging research suggests that the mental and physical impacts of trauma are deeply interconnected - not just through lifestyle changes or stress, but through our very genes.

A groundbreaking new study examining genetic data from over 1.2 million people has uncovered compelling evidence that PTSD can directly increase the risk of developing certain autoimmune disorders. This research helps explain why people with PTSD often develop physical health problems, particularly those related to inflammation and immune system function.

A Complex Genetic Picture

The study revealed that PTSD has a more complex genetic architecture than most autoimmune diseases. While autoimmune conditions typically involve a few hundred genetic variants with strong effects, PTSD involves over 10,000 genetic variants that each have small influences. Despite these differences, there is significant genetic overlap between PTSD and several autoimmune conditions.

Think of it like a massive orchestra: autoimmune diseases might involve just the string section playing loudly, while PTSD involves nearly every instrument playing softly. Yet somehow, they can still produce harmonious (or in this case, problematic) effects together.

The Thyroid Connection

One of the study’s most striking findings was that PTSD appears to directly increase risk for autoimmune thyroid disease through genetic pathways. This builds on previous research showing that people with PTSD are more likely to develop thyroid problems, but now we understand there may be a direct causal link.

The relationship appears to be independent of inflammation levels, suggesting there are other biological mechanisms at work that we don’t yet fully understand. This could have important implications for how we monitor and treat patients with PTSD.

Inflammation and Immune Response

The study also examined the relationship between PTSD and inflammation markers in the body, particularly C-reactive protein (CRP). While PTSD does appear to increase CRP levels, the relationship is more nuanced than previously thought. The research suggests that shared genetic factors might explain why both PTSD and elevated inflammation often occur together, rather than one directly causing the other.

What This Means for You

If you or someone you know has PTSD, these findings emphasize the importance of comprehensive healthcare that considers both mental and physical health:

  • Regular monitoring of thyroid function may be beneficial for people with PTSD
  • Early intervention for PTSD symptoms could help prevent later autoimmune complications
  • A holistic treatment approach addressing both psychological and physical symptoms may be most effective
  • Healthcare providers should be aware of the increased autoimmune risk in PTSD patients

Conclusions

  • PTSD and autoimmune conditions share genetic risk factors, helping explain their frequent co-occurrence
  • The relationship between PTSD and inflammation is complex and likely involves shared genetic influences
  • Early identification and treatment of PTSD may help prevent future autoimmune complications
  • More research is needed to understand the exact mechanisms linking PTSD to autoimmune disorders
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