The potential of epigenetic methods to provide evidence of torture

Authors

  • Paula Suárez-López Human Rights Centre, University of Essex, Colchester

DOI:

https://doi.org/10.7146/torture.v30i2.118632

Keywords:

severity of suffering, trauma, epigenetics, DNA methylation, torture biomarkers

Abstract

Introduction: The last five decades have wit- nessed a transition from brutal forms of physi- cal torture to other physical and psychological methods that do not leave marks on the body. Providing evidence of these types of torture is often a challenge. Finding biological markers of torture would potentially contribute to solve this problem.

Methods: Scientific literature review.

Results: Methods to analyse certain biological marks present in the genetic material (the DNA), called epigenetic marks, have been developed in recent years. These marks can change in response to environmental factors, but these changes do not alter the genetic information contained in the DNA. Changes in epigenetic marks have been correlated with traumatic stress. Given that torture is an extreme form of trauma, this article argues that torture may also be associated with epigenetic changes.

Discussion: Epigenetic methods offer a new tool that might be useful for the medico-legal documentation of cases of torture. Given that these methods have not been used for this purpose yet, they should be tested. Whether they have potential to contribute to determine the severity of suffering, establish a severity threshold or design strategies for the rehabilitation of torture survivors is discussed. The advantages and limitations of these methods, as well as ethical implications, must be taken into account.

References

Adenauer, H., Pinösch, S., Catani, C., Gola, H., Keil, J., Kißler, J., & Neuner, F. (2010). Early processing of threat cues in posttraumatic stress disorder—Evidence for a cortical vigilance- avoidance reaction. Biological Psychiatry, 68(5), 451-458. doi: 10.1016/j.biopsych.2010.05.015

Amnesty International. (2018). Amnesty International report 2017/18:The state of the world's human rights. London: Amnesty International.

Başoğlu, M., Livanou, M., & Crnobarić, C. (2007). Torture vs other cruel, inhuman, and degrading treatment: Is the distinction real or apparent? Archives of General Psychiatry, 64(3), 277-285. doi: 10.1001/archpsyc.64.3.277

Başoğlu, M., Mineka, S., Paker, M., Aker, T., Livanou, M., & Gök, Ş. (1997). Psychological preparedness for trauma as a protective factor in survivors of torture. Psychological Medicine, 27(6), 1421-1433. doi: 10.1017/s0033291797005679

Başoğlu, M., Paker, M., Paker, Ö., Özmen, E., Marks, I., Incesu, C., . . . Sarimurat, N. (1994). Psychological effects of torture: A comparison of tortured with nontortured political activists in Turkey. American Journal of Psychiatry, 151, 76- 81. https://ajp.psychiatryonline.org/

Bowers, M. E., & Yehuda, R. (2016). Intergenerational transmission of stress in humans. Neuropsychopharmacology, 41(1), 232- 244. doi: 10.1038/npp.2015.247

Campbell, T. A. (2007). Psychological assessment, diagnosis, and treatment of torture survivors: A review. Clinical Psychology Review, 27(5), 628-641. doi: 10.1016/j.cpr.2007.02.003

Carinci, A. J., Mehta, P., & Christo, P. J. (2010). Chronic pain in torture victims. Current Pain and Headache Reports, 14(2), 73-79. doi: 10.1007/ s11916-010-0101-2

Catani, C., Adenauer, H., Keil, J., Gola, H., & Neuner, F. (2009). Pattern of cortical activation during processing of aversive stimuli in traumatized survivors of war and torture. European Archives of Psychiatry and Clinical Neuroscience, 259(6), 340-351. doi: 10.1007/ s00406-009-0006-4

Cavalli, G., & Heard, E. (2019). Advances in epigenetics link genetics to the environment and disease. Nature, 571(7766), 489-499. doi: 10.1038/s41586-019-1411-0

Cedernaes, J., Osler, M. E., Voisin, S., Broman, J.- E., Vogel, H., Dickson, S. L., . . . Benedict, C. (2015). Acute sleep loss induces tissue-specific epigenetic and transcriptional alterations to circadian clock genes in men. The Journal of Clinical Endocrinology & Metabolism, 100(9), E1255-E1261. doi: 10.1210/jc.2015-2284

Convention for the Protection of Human Rights and Dignity of the Human Being with Regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine, 1997.

Daud, A., Skoglund, E., & Rydelius, P.-A. (2005). Children in families of torture victims: Transgenerational transmission of parents’ traumatic experiences to their children. International Journal of SocialWelfare, 14(1), 23- 32. doi: 10.1111/j.1468-2397.2005.00336.x

de Kloet, E. R., Joëls, M., & Holsboer, F. (2005). Stress and the brain: From adaptation to disease. Nature Reviews Neuroscience, 6(6), 463-475. doi: 10.1038/nrn1683

Dekel, R., & Goldblatt, H. (2008). Is there intergenerational transmission of trauma? The case of combat veterans' children. American Journal of Orthopsychiatry, 78(3), 281-289. doi: 10.1037/a0013955

Fillingim, R. B. (2005). Individual differences in pain responses. Current Rheumatology Reports, 7(5), 342-347. doi: 10.1007/s11926-005-0018-7

Gibney, E. R., & Nolan, C. M. (2010). Epigenetics and gene expression. Heredity, 105(1), 4-13. doi: 10.1038/hdy.2010.54

Gilbertson, M. W., Shenton, M. E., Ciszewski, A., Kasai, K., Lasko, N. B., Orr, S. P., & Pitman, R. K. (2002). Smaller hippocampal volume predicts pathologic vulnerability to psychological trauma. Nature Neuroscience, 5(11), 1242-1247. doi: 10.1038/nn958

Gola, H., Engler, H., Schauer, M., Adenauer, H., Riether, C., Kolassa, S., . . . Kolassa, I.-T. (2012). Victims of rape show increased cortisol responses to trauma reminders: A study in individuals with war- and torture-related PTSD. Psychoneuroendocrinology, 37(2), 213-220. doi: 10.1016/j.psyneuen.2011.06.005

Good, A. (2004). 'Undoubtedly an expert'? Anthropologists in British asylum courts. The Journal of the Royal Anthropological Institute, 10(1), 113-133. doi: 10.1111/j.1467-9655.2004.00182.x

Gorman, W. (2001). Refugee survivors of torture: Trauma and treatment. Professional Psychology: Research and Practice, 32(5), 443-451. doi: 10.1037/0735-7028.32.5.443

Greenberg, I. (2015). From surveillance to torture: The evolution of US interrogation practices during the War on Terror. Security Journal, 28(2), 165-183. doi: 10.1057/sj.2015.7

Heinzelmann, M., & Gill, J. (2013). Epigenetic mechanisms shape the biological response to trauma and risk for PTSD: A critical review. Nursing Research and Practice, 2013, 417010. doi: 10.1155/2013/417010

Horsthemke, B. (2018). A critical view on transgenerational epigenetic inheritance in humans. Nature Communications, 9(1), 2973. doi: 10.1038/s41467-018-05445-5

Houtepen, L. C., Hardy, R., Maddock, J., Kuh, D., Anderson, E. L., Relton, C. L., . . . Howe, L. D. (2018). Childhood adversity and DNA methylation in two population-based cohorts. Translational Psychiatry, 8(1), 266. doi: 10.1038/s41398-018-0307-3

Jaenisch, R., & Bird, A. (2003). Epigenetic regulation of gene expression: How the genome integrates intrinsic and environmental signals. Nature Genetics, 33(Suppl), 245-254. doi: 10.1038/ ng1089

Jaranson, J. M., Butcher, J., Halcon, L., Johnson, D. R., Robertson, C., Savik, K., . . . Westermeyer, J. (2004). Somali and Oromo refugees: Correlates of torture and trauma history. American Journal of Public Health, 94(4), 591-598. doi: 10.2105/ ajph.94.4.591

Kang, H.-J., Kim, J.-M., Stewart, R., Kim, S.-Y., Bae, K.-Y., Kim, S.-W., . . .Yoon, J.-S. (2013). Association of SLC6A4 methylation with early adversity, characteristics and outcomes in depression. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 44, 23-28. doi: 10.1016/j.pnpbp.2013.01.006

Kang, J. I., Kim,T.Y., Choi, J. H., So, H. S., & Kim, S. J. (2019). Allele-specific DNA methylation level of FKBP5 is associated with post-traumatic stress disorder. Psychoneuroendocrinology, 103, 1-7. doi: 10.1016/j.psyneuen.2018.12.226

Karl, A., Schaefer, M., Malta, L. S., Dörfel, D., Rohleder, N., & Werner, A. (2006). A meta- analysis of structural brain abnormalities in PTSD. Neuroscience & Biobehavioral Reviews, 30(7), 1004-1031. doi: 10.1016/j. neubiorev.2006.03.004

Kelly, T. (2011). What we talk about when we talk about torture. Humanity: An International Journal of Human Rights, Humanitarianism, and Development, 2(2), 327-343. https://muse.jhu.edu/ journal/499

Kim, T. Y., Kim, S. J., Chung, H. G., Choi, J. H., Kim, S. H., & Kang, J. I. (2017). Epigenetic alterations of the BDNF gene in combat-related post-traumatic stress disorder. Acta Psychiatrica Scandinavica, 135(2), 170-179. doi: 10.1111/ acps.12675

Kirschner, R. H., & Hannibal, K. E. (1994). The application of the forensic sciences to human rights investigations. Medicine and Law, 13, 451- 460.

Kolassa, I.-T., & Elbert, T. (2007). Structural and functional neuroplasticity in relation to traumatic stress. Current Directions in Psychological Science, 16(6), 321-325. doi: 10.1111/j.1467-8721.2007.00529.x

Kuroda, A., Rauch, T. A., Todorov, I., Ku, H. T., Al-Abdullah, I. H., Kandeel, F., . . . Ferreri, K. (2009). Insulin gene expression is regulated by DNA methylation. PLoS ONE, 4(9), e6953. doi: 10.1371/journal.pone.0006953

Labonté, B., Suderman, M., Maussion, G., Navaro, L.,Yerko,V., Mahar, I., . . . Turecki, G. (2012). Genome-wide epigenetic regulation by early-life trauma. Archives of General Psychiatry, 69(7), 722- 731. doi: 10.1001/archgenpsychiatry.2011.2287

Maculan, E. (2015). Judicial definition of torture as a paradigm of cross-fertilisation: Combining harmonisation and expansion. Nordic Journal of International Law, 84(3), 456-481. doi: 10.1163/15718107-08403005

Martín-Blanco, A., Ferrer, M., Soler, J., Salazar, J., Vega, D., Andión, O., . . . Pascual, J. C. (2014). Association between methylation of the glucocorticoid receptor gene, childhood maltreatment, and clinical severity in borderline personality disorder. Journal of Psychiatric Research, 57, 34-40. doi: 10.1016/j. jpsychires.2014.06.011

Marzi, S. J., Sugden, K., Arseneault, L., Belsky, D. W., Burrage, J., Corcoran, D. L., . . . Caspi, A. (2018). Analysis of DNA methylation in young people: Limited evidence for an association between victimization stress and epigenetic variation in blood. American Journal of Psychiatry, 175(6), 517-529. doi: 10.1176/appi.ajp.2017.17060693

Masmas, T. N., Møller, E., Buhmann, C., Bunch,V., Jensen, J. H., Hansen, T. N., . . . Ekstrøm, M. (2008). Asylum seekers in Denmark: A study of health status and grade of traumatization of newly arrived asylum seekers. Torture Journal, 18(2), 77-86. https://tidsskrift.dk/torture-journal

McColl, H., Bhui, K., & Jones, E. (2012). The role of doctors in investigation, prevention and treatment of torture. Journal of the Royal Society of Medicine, 105(11), 464-471. doi: 10.1258/ jrsm.2012.120100

McGowan, P. O., Sasaki, A., D'Alessio, A. C., Dymov, S., Labonté, B., Szyf, M., . . . Meaney, M. J. (2009). Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nature Neuroscience, 12(3), 342-348. doi: 10.1038/nn.2270

Nash, M., Galatzer-Levy, I., Krystal, J. H., Duman, R., & Neumeister, A. (2014). Neurocircuitry and neuroplasticity in PTSD. In M. J. Friedman, T. M. Keane & P. A. Resick (Eds.), Handbook of PTSD: Science and practice (2nd ed.). New York: The Guilford Press.

Nautiyal, K. M., & Hen, R. (2017). Serotonin receptors in depression: From A to B. F1000Research, 6, 123. doi: 10.12688/ f1000research.9736.1

Nickerson, A., Schick, M., Schnyder, U., Bryant, R. A., & Morina, N. (2017). Comorbidity of posttraumatic stress disorder and depression in tortured, treatment-seeking refugees. Journal of Traumatic Stress, 30(4), 409-415. doi: 10.1002/jts.22205

Nishi, M., & Nanjo, K. (2011). Insulin gene mutations and diabetes. Journal of Diabetes Investigation, 2(2), 92-100. doi: 10.1111/j.2040- 1124.2011.00100.x

OHCHR (2004). Istanbul Protocol: Manual on the Effective Investigation and Documentation of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. New York: United Nations (Istanbul Protocol).

Penney, J., & Tsai, L.-H. (2014). Histone deacetylases in memory and cognition. Science Signaling, 7(355), re12. doi: 10.1126/scisignal.aaa0069

Pérez-Sales, P. (2017). Psychological torture: Definition, evaluation and measurement. Abingdon: Routledge.

Pérez-Sales, P., Navarro-Lashayas, M. A., Plaza, A., Morentin, B., & Barrios Salina, O. (2016). Incommunicado detention and torture in Spain, part III: 'Five days is enough’: The concept of torturing environments. Torture Journal, 26(3), 21-33.

Pérez-Sales, P., Witcombe, N., & Otero Oyague, D. (2017). Rehabilitation of torture survivors and prevention of torture: Priorities for research through a modified Delphi Study. Torture Journal, 27(3), 3-37. doi:10.7146/torture.v27i3.103976

Perroud, N., Paoloni-Giacobino, A., Prada, P., Olié, E., Salzmann, A., Nicastro, R., . . . Malafosse, A. (2011). Increased methylation of glucocorticoid receptor gene (NR3C1) in adults with a history of childhood maltreatment: A link with the severity and type of trauma. Translational Psychiatry, 1, e59. doi: 10.1038/tp.2011.60

Petersen, H. D., & Morentin, B. (2019). Assessing the level of credibility of allegations of physical torture. Forensic Science International, 301, 263- 270. doi: 10.1016/j.forsciint.2019.05.043

Plant, D. T., Pawlby, S., Pariante, C. M., & Jones, F. W. (2018). When one childhood meets another

- maternal childhood trauma and offspring child psychopathology: A systematic review. Clinical Child Psychology and Psychiatry, 23(3), 483-500. doi: 10.1177/1359104517742186

Ramo-Fernández, L., Boeck, C., Koenig, A. M., Schury, K., Binder, E. B., Gündel, H., . . . Kolassa, I.-T. (2019). The effects of childhood maltreatment on epigenetic regulation of stress- response associated genes: An intergenerational approach. Scientific Reports, 9(1), 983. doi: 10.1038/s41598-018-36689-2

Rasmussen, A., Crager, M., Keatley, E., Keller, A. S., & Rosenfeld, B. (2011). Screening for torture: A narrative checklist comparing legal definitions in a torture treatment clinic. Journal of Psychology,219(3), 143–149. doi: 10.1027/2151-2604/a000061

Rejali, D. (2007). Torture and democracy. Princeton: Princeton University Press.

Reyes, H. (2007). The worst scars are in the mind: Psychological torture. International Review of the Red Cross, 89(867), 591-617.

Röder, P.V.,Wu, B., Liu,Y., & Han,W. (2016). Pancreatic regulation of glucose homeostasis. Experimental & Molecular Medicine, 48(3), e219. doi: 10.1038/emm.2016.6

Rodley, N., & Pollard, M. (2009). The treatment of prisoners under international law (3rd ed.). Oxford: Oxford University Press.

Rome Statute of the International Criminal Court, 1998, art. 7.2(e).

Ron, J. (1997). Varying methods of state violence. International Organization,51(2), 275-300. doi: 10.1162/002081897550366

Roth, B. (2013). How do you know when it is torture? Medicine and Law, 32, 327-346. https://wafml.memberlodge.org/page-1150634

Rusiecki, J. A., Chen, L., Srikantan, V., Zhang, L., Yan, L., Polin, M. L., & Baccarelli, A. (2012). DNA methylation in repetitive elements and post-traumatic stress disorder: a case- control study of US military service members. Epigenomics, 4(1), 29-40. doi: 10.2217/epi.11.116

Sangalang, C. C., & Vang, C. (2017). Intergenerational trauma in refugee families: A systematic review. Journal of Immigrant and Minority Health, 19(3), 745-754. doi: 10.1007/ s10903-016-0499-7

Sheerin, C. M., Lind, M. J., Bountress, K. E., Nugent, N. R., & Amstadter, A. B. (2017). The genetics and epigenetics of PTSD: Overview, recent advances, and future directions. Current Opinion in Psychology, 14, 5-11. doi: 10.1016/j. copsyc.2016.09.003

Skvortsova, K., Iovino, N., & Bogdanović, O. (2018). Functions and mechanisms of epigenetic inheritance in animals. Nature Reviews Molecular Cell Biology, 19(12), 774-790. doi: 10.1038/ s41580-018-0074-2

Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. JAMA, 302(5), 537-549. doi: 10.1001/jama.2009.1132

Steudte-Schmiedgen, S., Kirschbaum, C., Alexander, N., & Stalder, T. (2016). An integrative model linking traumatization, cortisol dysregulation and posttraumatic stress disorder: Insight from recent hair cortisol findings. Neuroscience & Biobehavioral Reviews, 69, 124-135. doi: 10.1016/j.neubiorev.2016.07.015

Tiffon, C. (2018). The impact of nutrition and environmental epigenetics on human health and disease. International Journal of Molecular Sciences, 19(11), 3425. doi: 10.3390/ijms19113425

Tsankova, N. M., Berton, O., Renthal,W., Kumar, A., Neve, R. L., & Nestler, E. J. (2006). Sustained hippocampal chromatin regulation in a mouse model of depression and antidepressant action. Nature Neuroscience, 9(4), 519-525. doi: 10.1038/ nn1659

Turner, S., & Gorst-Unsworth, C. (1990). Psychological sequelae of torture: A descriptive model. The British Journal of Psychiatry, 157(4), 475-480. doi: 10.1192/bjp.157.4.475

Uchida, S.,Yamagata, H., Seki,T., &Watanabe, Y. (2018). Epigenetic mechanisms of major depression: Targeting neuronal plasticity. Psychiatry and Clinical Neurosciences, 72(4), 212- 227. doi: 10.1111/pcn.12621

UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, 1984, art. 1.1

Van Ommeren, M., de Jong, J. T. V. M., Sharma, B., Komproe, I., Thapa, S. B., & Cardeña, E. (2001). Psychiatric disorders among tortured Bhutanese refugees in Nepal. Archives of General Psychiatry, 58(5), 475-482. doi: 10.1001/archpsyc.58.5.475

Vidaki, A., & Kayser, M. (2018). Recent progress, methods and perspectives in forensic epigenetics. Forensic Science International. Genetics, 37, 180- 195. doi: 10.1016/j.fsigen.2018.08.008

Vijayendran, M., Beach, S. R. H., Plume, J. M., Brody, G. H., & Philibert, R. A. (2012). Effects of genotype and child abuse on DNA methylation and gene expression at the serotonin transporter. Frontiers in Psychiatry, 3, 55. doi: 10.3389/fpsyt.2012.00055

Vinkers, C. H., Kalafateli, A. L., Rutten, B. P. F., Kas, M. J., Kaminsky, Z., Turner, J. D., & Boks, M. P. M. (2015). Traumatic stress and human DNA methylation: A critical review. Epigenomics, 7(4), 593-608. doi: 10.2217/epi.15.11

Wankerl, M., Miller, R., Kirschbaum, C., Hennig, J., Stalder,T., & Alexander, N. (2014). Effects of genetic and early environmental risk factors for depression on serotonin transporter expression and methylation profiles. Translational Psychiatry, 4(6), e402. doi: 10.1038/tp.2014.37

Weaver, I. C. G., Cervoni, N., Champagne, F. A., D'Alessio, A. C., Sharma, S., Seckl, J. R., . . . Meaney, M. J. (2004). Epigenetic programming by maternal behavior. Nature Neuroscience, 7(8),847-854. doi: 10.1038/nn1276

Weisleder, P., & Rublee, C. (2018). The neuropsychological consequences of armed conflicts and torture. Current Neurology and Neuroscience Reports, 18(3), 9. doi: 10.1007/ s11910-018-0818-6

Williams, A. C. d. C., & Amris, K. (2017). Treatment of persistent pain from torture: Review and commentary. Medicine, Conflict and Survival, 33(1), 60-81. doi: 10.1080/13623699.2016.1242050

Williams, R., & Wienroth, M. (2017). Social and ethical aspects of forensic genetics: A critical review. Forensic Science Review, 29(2), 146-169. http://forensicsciencereview.com

WMA. (2013). World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191. doi: 10.1001/ jama.2013.281053

Yehuda, R., Daskalakis, N. P., Lehrner, A., Desarnaud, F., Bader, H. N., Makotkine, I., . . . Meaney, M. J. (2014). Influences of maternal and paternal PTSD on epigenetic regulation of the glucocorticoid receptor gene in Holocaust survivor offspring. American Journal of Psychiatry, 171(8), 872-880. doi: 10.1176/appi. ajp.2014.13121571

Yehuda, R., Flory, J. D., Bierer, L. M., Henn-Haase, C., Lehrner, A., Desarnaud, F., . . . Meaney, M. J. (2015). Lower methylation of glucocorticoid receptor gene promoter 1F in peripheral blood of veterans with posttraumatic stress disorder. Biological Psychiatry, 77(4), 356-364. doi: 10.1016/j.biopsych.2014.02.006

Yehuda, R., Daskalakis, N. P., Bierer, L. M., Bader, H. N., Klengel, T., Holsboer, F., & Binder, E. B. (2016). Holocaust exposure induced intergenerational effects on FKBP5 methylation. Biological Psychiatry, 80(5), 372-380. doi: 10.1016/j.biopsych.2015.08.005

Zannas, A. S., Provençal, N., & Binder, E. B. (2015). Epigenetics of posttraumatic stress disorder: Current evidence, challenges, and future directions. Biological Psychiatry, 78(5), 327-335. doi: 10.1016/j.biopsych.2015.04.003

Zhang, L., Benedek, D. M., Fullerton, C. S., Forsten, R. D., Naifeh, J. A., Li, X. X., . . . Ursano,

R. J. (2014). PTSD risk is associated with BDNF Val66Met and BDNF overexpression. Molecular Psychiatry, 19(1), 8-10. doi: 10.1038/ mp.2012.180

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2020-11-09

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Suárez-López, P. (2020). The potential of epigenetic methods to provide evidence of torture. Torture Journal, 30(2), 19–34. https://doi.org/10.7146/torture.v30i2.118632