Lei Zhang

By Xiaolong Jiang, Aiqin Chen, Stanley Smerin, Lei Zhang and He Li

Part of the book: Anxiety Disorders

By Lei Zhang, Xian-Zhang Hu, Xiaoxia Li, He Li and Robert Ursano

Part of the book: Anxiety Disorders

By Lei Zhang, Xian-Zhang Hu, He Li, Xiaoxia Li, Stanley Smerin, Dale W. Russell, Angela Boutte, Berwin Yuan, Nora Wang, Ze Chen and Robert J. Ursano

Post-traumatic stress disorder (PTSD) is a chronic and disabling anxiety disorder associated with a traumatic event [1]. It is linked to increased risk of suicide and deficits in social functioning [2, 3]. Despite extensive study in psychiatry, the underlying mechanisms of PTSD are still poorly understood [4, 5]. Currently, the diagnosis for PTSD is based on clinical observation and symptom checklist [4, 6-8] and no laboratory blood-based tests. Although biomarker discovery for PTSD is not easy [8], a reliable biomarker would significantly impact the diagnosis and therapeutic monitoring of PTSD. Developing interventions to identify and treat PTSD requires objective approaches to determining the presence of PTSD [8]. Substantial data indicate several potential biomarkers for PTSD. Of these candidate markers, p11 (S100A10) has been studied in PTSD animal models [7] and in human subjects with PTSD [6]. We found that p11 is over-expressed in both animal models and post-mortem brains of subjects with PTSD [7]. Incorporating testing of p11, a novel biomarker for PTSD, into clinical practice, along with more subjective measures, such as participants’ medical history, mental status, duration of symptoms, and symptom checklist or self-report, would provide additional power to predict impending PTSD. In this chapter, we discuss the biomarker concept and the potential clinical utility of PTSD biomarkers. We further discuss the potential of p11 as a PTSD biomarker and as a tool that may enhance PTSD diagnosis and intervention in health care practice.

Part of the book: A Fresh Look at Anxiety Disorders