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. 2011 Sep 20;1(9):e41. doi: 10.1038/tp.2011.36

Table 3. Overview of important specifications of the sample for the experimental and clinical studies.

Authorref. Polymorphism Ethnicity Screening Study N F/M Genotypes HWE Age Genotyping Measure Results
Garpenstrand et al.27 5-HTTLPR Swedish Caucasian No E 40 14/26 24s+/16ll ? 29.7 Post SCR • Participants good in acquisition had a higher frequency of the s-allele as compared to those with bad acquisition performance • No differences during (immediate) extinction
Lonsdorf et al.36 5-HTTLPR German Caucasian Yesa E 48 25/23 30s+/18ll N/Aa 23.9 Pre and post FPS SCR • CS+ potentiation s-carriers >l/l (FPS) during acquisition and (delayed) extinction • CS− inhibition s-carriers <l/l (FPS) during extinction
Crisan et al.29 5-HTTLPR Probably Romanian Caucasian Yesa E 32 6/26 18s+/14ll Yes 26.8 Post SCR Observational fear learning s-carrier >l/l • SCR reactivity during observation s-carrier >l/l
Bryant et al.35 5-HTTLPRb Australian Caucasian N/A C 42c 30/15d 29s+/13lle Yes ∼42 Post CAPS • More s-carriers than l/l fulfill criteria for PTSD diagnosis 6 months after CBT, despite no differences right after treatment
Lonsdorf et al.73 5-HTTLPR Swedish Caucasian N/A C 73 26/43 51s+/22ll 60s+/13lle Yes 35.4 Post HADS • No differences in response to exposure-based CBT after treatment or at 6 months follow-up • Main effect of symptom severity over time (s-carrier >l/l)
Kilpatrick et al.32 5-HTTLPRb Mainly Caucasian N/A C Total:589 PTSD:19 36.5%/63/5% ss: 120/sl:315/ll:154 ? ? Post PTSD risk • An association of the s/s genotype with PTSD in highly exposed adults with low social support
Koenen et al.33 5-HTTLPR Mainly Caucasian N/A C Total:590 PTSD:19 375 female ss: 120/sl:316/ll:154 ? ? Post PTSD risk • The s/s genotype to be associated with PTSD in high-risk environments (e.g., crime, unemployment), whereas the opposite was found for low-risk environments
Kolassa et al.34 5-HTTLPR African N/A C Total:408 190/218 ss:16/sl:109/ll:283 (whereof 8 ultra-l/l) Yes 34.7 Post PTSD risk • s-carriers exhibited an enhanced risk for lifetime PTSD irrespective of trauma load, whereas non-carriers exhibited a dose–response relationship
Lonsdorf et al.36 COMTv158met German Caucasian Yesa E 48 25/23 39val+/9mm N/A 23.9 Pre and post FPS, SCR • No differences during acquisition • CS+ potentiation met/met>val-carrier during extinction (FPS)
Kolassa et al.48 COMTv158met African N/A C 424 198/226 188vv/190vm/46mm ? 34.8 Post PTSD risk • met/met higher risk for lifetime PTSD even at low trauma load
Lonsdorf et al.73 COMTv158met Swedish Caucasian N/A C 69 26/43 40val+/29mm No 35.4 Post HADS • met/met less reactive to exposure-based CBT as compared to val-carrier
Valente et al.50 COMTv158met Brazilian Yesf C 99 PTSD 335 CSg 50/59 ?/? 20mm42vm/37vv 26mm/185vm/124vv Yes/Noh Yes 18–60 Post CAPS • Significantly higher frequency of the COMT met-allele in Brazilians that had developed PTSD as compared to those that had not developed PTSD after being exposed to a single urban trauma, as well as compared to a general community sample
Hajcak et al.72 BDNFv66met ? No E 57 26/31 44vv/13m+ ? ? Post FPS Shock likelihood • FPS to the CS+ only in val/val- not in met-carriers
Lonsdorf et al.37 BDNFv66met German Caucasian Yesa E 48 25/23 43vv/14m+ Yes 23.9 Post FPS, SCR • CS+ potentiation and CS discrimination val/val>met-carrier during late acquisition (FPS) • CS+ potentiation val/val>met-carriers during early extinction (FPS)
Soliman et al.74 BDNFv66met Mixed Yesd E 70/−72i 34/36 33/39 35vv/35m+ 36vv/36m+ ? 25.9 25.6 Post?j SCR, fMRI • Resistance to extinction in met/met (fMRI, SCR see text for severe problems interpreting these results due to methodological shortcomings)
Garpenstrand et al.27 DRD4 exon III Swedish Caucasian No E 40° 14/26 29 Short/11 long+ ? 29.7 Post SCR • No differences during acquisition • CS discrimination during extinction long allele <short/short
Garpenstrand et al.27 MAO-A VNTR Swedish Caucasian No E 40° 14/26 15 low/25 high ? 29.7 Post SCR • Differences during either acquisition or extinction
Huertas et al.79 DRD2 C957T Spanish Caucasian No E 63 31/32 51T+/9CC ? 19–27 Post SCR • Differential conditioning during acquisition CC>T-carriers • NS for extinction
Huertas et al.79 DRD2 Taq1A/ANKK1 Taq1A Spanish Caucasian No E 63 31/32 18A1−/42A1+ ? 19–27 Post SCR • Differences during either acquisition or extinction
Domschke et al.83 NPSR1 A/T German Caucasian ? E/C 205 151/54 25AA/150T+ ? 35.4 Post Subjective anxiety • Symptom reports during exposure (but not anticipation and recovery) T-carrier>AA
Raczka et al.75 NPSR1 A/T German Caucasian Yesk,l E 66 0/66 28AA/38T+ (13TT) ? 27.8 Post SCR, fear ratings, fMRI • Fear ratings to the CSs T-carrier>AA • CS− evoked brain activity in the rdmPFC T-carrier>AA
Ressler et al.87 ADCYAP1R1 rs2267735 ? ? E ? ? ? ? ? ? FPS • CS+/CS− discrimination in female CC<G-carriers • No differences in men

Abbreviations: ADCYAP1R1, pituitary adenylate cyclase 1 receptor; ANKK1, ankyrin repeat and kinase domain containing; BDNF, brain-derived neurotrophic factor; CAPS, Clinician-Administered PTSD Scale; COMT, catechol-o-methyltransferase; CS, conditioned stimulus; FPS, fear-potentiated startle; fMRI, functional magnetic resonance imaging, 5-HTTLPR, 5-HTT linked polymorphic region; HWE, Hardy–Weinberg equilibrium; ITI, Inter-trial interval; MAO-A, monoamine oxidase A; NPS, neuropeptide S; SCR, skin conductance response; UCS, unconditioned stimulus; VNTR, variable number of tandem repeat region.

?, Not specified in the respective publication.

+, Mean carriers, for example, s+=carriers of the s-allele.

Note: For some studies HWE was not applicable (N/A) as individuals were selected or partly selected based on their respective genotype group.

a

Screening based on a questionnaire, telephone interview or interview, but not a clinical diagnostic interview.

b

Triallelic classification.

c

N=42 for the follow-up analyses that yielded genotype-specific findings, but N=45 in total, number of females and males is given for the post-treatment sample.

d

Drug screening using urine toxicological test.

e

Genotypes defined by the triallelic method (5-HTTLPR/rs25531). ‘High expression'=LA/LA; ‘low expression'=all other genotypes.

f

PTSD patients: The presence of lifetime history of bipolar disorder, psychotic disorders and the presence of substance dependence or abuse disorders (excluding nicotine and caffeine) in the previous 6 months were exclusion criteria. Community sample: Past history of drug abuse, use of an illegal drug, lifetime history of a psychiatric disorder or suffering from a psychiatric condition at the time of the evaluation was excluded. The presence of previous traumatic experiences was not evaluated in this group.

g

Community sample.

h

HWE PTSD+: yes; HWE PTSD−: no.

i

N=70 for the fMRI sample and N=72 for the SCR sample.

j

Although the genotype distributions suggest an a priori selection, as they do not reflect population allele frequencies, no information about participant selection is given, leaving open the possibility of a selective drop out, particularly in the light of the high drop-out rates reported.

k

Clinical diagnostic interview, for example, MINI.

l

Unclear as to how screening was performed.