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[Preprint]. 2025 Mar 19:2025.03.18.25324188.
doi: 10.1101/2025.03.18.25324188.

Structural covariance of early visual cortex is negatively associated with PTSD symptoms: A Mega-Analysis from the ENIGMA PTSD workgroup

Nathaniel G Harnett  1   2 Soumyaa Joshi  1 Poornima Kumar  1   2 Courtney Russell  3   4 Daniel G Dillon  5 Justin T Baker  2   6 Diego A Pizzagalli  7   8 Milissa L Kaufman  2 Lisa N Nickerson  2   9 Neda Jahanshad  10 Lauren E Salminen  10 Sophia I Thomopoulos  10 Jessie L Frijling  11   12 Dick J Veltman  12   13 Saskia B J Koch  12   14 Laura Nawijn  12   15 Mirjam van Zuiden  12   16 Ye Zhu  17   18 Gen Li  17   18 Jonathan Ipser  19 Xi Zhu  20   21 Orren Ravid  21 Sigal Zilcha-Mano  22 Amit Lazarov  23   24 Benjamin Suarez-Jimenez  25 Delin Sun  26   3   4 Ahmed Hussain  3   4 Ashley A Huggins  27 Tanja Jovanovic  28   29 Sanne J H van Rooij  29 Negar Fani  29 Anna R Hudson  30 Anika Sierk  31 Antje Manthey  31 Henrik Walter  31 Nic J A van der Wee  32   33 Steven J A van der Werff  32   33 Robert R J M Vermeiren  34 Pavel Říha  35   36   37 Lauren A M Lebois  2   38 Isabelle M Rosso  2   39 Elizabeth A Olson  40   39 Israel Liberzon  41 Mike Angstadt  42   43 Seth G Disner  44   43 Scott R Sponheim  44 Sheri-Michelle Koopowitz  19 David Hofmann  45 Rongfeng Qi  46 Adi Maron-Katz  47 Austin Kunch  48 Hong Xie  48 Wissam El-Hage  49 Hannah Berg  50 Steven E Bruce  51 Katie A McLaughlin  52 Matthew Peverill  53 Kelly Sambrook  54 Marisa Ross  55 Ryan J Herringa  56 Jack B Nitschke  57 Richard J Davidson  58   57   59 Terri A deRoon-Cassini  60   61 Carissa W Tomas  62   61 Jacklynn M Fitzgerald  63 Jennifer Urbano Blackford  64 Bunmi O Olatunji  65 Steven M Nelson  66   67   68   69 Evan M Gordon  70 Maria Densmore  71 Jean Théberge  71 Richard W J Neufeld  71 Miranda Olff  12   72 Li Wang  73   18 Dan J Stein  19 Yuval Neria  24   21 Jennifer S Stevens  29 Sven C Mueller  30 Judith K Daniels  74   75 Ivan Rektor  36 Anthony King  42 Nicholas D Davenport  44 Thomas Straube  45 Guangming Lu  46 Amit Etkin  47   76 Xin Wang  48 Yann Quidé  77   78 Shmuel Lissek  50 Josh Cisler  79 Daniel W Grupe  58 Christine Larson  80 Brandee Feola  81 Geoffrey May  68   67   66 Chadi G Abdallah  82   83 Ruth Lanius  84   71 Paul M Thompson  10 Rajendra A Morey  3 Kerry Ressler  1   2
Affiliations

Structural covariance of early visual cortex is negatively associated with PTSD symptoms: A Mega-Analysis from the ENIGMA PTSD workgroup

Nathaniel G Harnett et al. medRxiv. .

Update in

  • Structural covariance of early visual cortex is negatively associated with PTSD symptoms: A Mega-Analysis from the ENIGMA PTSD workgroup.
    Harnett NG, Joshi S, Kumar P, Russell C, Dillon DG, Baker JT, Pizzagalli DA, Kaufman ML, Nickerson LN, Jahanshad N, Salminen LE, Thomopoulos SI, Frijling JL, Veltman DJ, Koch SBJ, Nawijn L, van Zuiden M, Zhu Y, Li G, Ipser J, Zhu X, Ravid O, Zilcha-Mano S, Lazarov A, Suarez-Jimenez B, Sun D, Hussain A, Huggins AA, Jovanovic T, van Rooij SJH, Fani N, Hudson AR, Sierk A, Manthey A, Walter H, van der Wee NJA, van der Werff SJA, Vermeiren RRJM, Říha P, Lebois LAM, Rosso IM, Olson EA, Liberzon I, Angstadt M, Disner SG, Sponheim SR, Koopowitz SM, Hofmann D, Qi R, Maron-Katz A, Kunch A, Xie H, El-Hage W, Berg H, Bruce SE, McLaughlin KA, Peverill M, Sambrook K, Ross M, Herringa RJ, Nitschke JB, Davidson RJ, deRoon-Cassini TA, Tomas CW, Fitzgerald JM, Blackford JU, Olatunji BO, Nelson SM, Gordon EM, Densmore M, Théberge J, Neufeld RWJ, Olff M, Wang L, Stein DJ, Neria Y, Stevens JS, Mueller SC, Daniels JK, Rektor I, King A, Davenport ND, Straube T, Lu G, Etkin A, Wang X, Quidé Y, Lissek S, Cisler J, Grupe DW, Larson C, Feola B, May G, Abdallah CG, Lanius R, Thompson PM, Morey RA, Ressler K. Harnett NG, et al. Biol Psychiatry Cogn Neurosci Neuroimaging. 2025 Jul 23:S2451-9022(25)00221-6. doi: 10.1016/j.bpsc.2025.07.005. Online ahead of print. Biol Psychiatry Cogn Neurosci Neuroimaging. 2025. PMID: 40712699

Abstract

Background: Identifying robust neural signatures of posttraumatic stress disorder (PTSD) symptoms is important to facilitate precision psychiatry and help in understanding and treatment of the disorder. Emergent research suggests structural covariance of early visual regions is associated with later PTSD development. However, large-scale analyses are needed - in heterogeneous samples of trauma-exposed and trauma naive individuals - to determine if such a neural signature is a robust - and potentially a pretrauma - marker of vulnerability.

Methods: We analyzed data from the ENIGMA-PTSD dataset (n = 2,814) and the Human Connectome Project - Young Adult (HCP-YA) dataset (n = 890) to investigate whether structural covariance of early visual cortex is associated with either PTSD symptoms or perceived stress. Structural covariance was derived from a multimodal pattern previously identified in recent trauma survivors, and participant loadings on the profile were included in linear mixed effects models to evaluate associations with stress.

Results: Early visual cortex covariance loadings were negatively associated with PTSD symptoms in the ENIGMA-PTSD dataset. The relationship persisted when accounting for prior childhood maltreatment; supporting PTSD symptom specificity, no relationship was observed with depressive symptoms and no association was observed between loadings and perceived stress measures in the HCP-YA dataset.

Conclusion: Structural covariance of early visual cortex was robustly associated with PTSD symptoms across an international, heterogeneous sample of trauma survivors. Future studies should aim to identify specific mechanisms that underlie structural alterations in the visual cortex to better understand posttrauma psychopathology.

Keywords: PTSD; Structural MRI; Trauma; Ventral visual stream.

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Figures

Figure 1.
Figure 1.
Early visual structural covariance is associated with PTSD symptoms in the ENIGMA-PGC cohort. Voxel-based morphometry (VBM) and pial surface area (PSA) features of a previously identified multimodal structural covariance network (SCN) [12] were projected onto data from the ENIGMA-PTSD and HCP-YA (A). Within the ENIGMA-PTSD dataset, individual participant loadings for the SCN were negatively correlated with PTSD symptoms (B), however no relationship was observed between loadings and perceived stress in the HCP-YA dataset (C). Graphs represent the partial plots from linear mixed effects models. Solid lines represent the unique association from the model and the shaded bars represent the confidence intervals.

References

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