Evidence map›Paper›PMID 22152193›Full record

Trial reportPsychological medicine2012

Molecular signatures of peripheral blood mononuclear cells during chronic interferon-α treatment: relationship with depression and fatigue.

J C Felger, S W Cole, T W W Pace, F Hu, B J Woolwine, G H Doho, C L Raison, A H Miller

Abstract readClinical Trial
In one paragraph

Trial report in Psychological medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

J C FelgerDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA 30322, USA. jfelger@gmail.com
S W Cole
T W W Pace
F Hu
B J Woolwine
G H Doho
C L Raison
A H Miller
Emory University · USUniversity of California, Los Angeles · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 1985 to 2007
$21.3M
Mechanisms of MeditationR01AT004698 · NCCIH · UNIVERSITY OF ARIZONA · PI RAISON, CHARLES · 2009 to 2013
$3.1M
Phenotyping Major Depression with Increased InflammationR01MH087604 · NIMH · EMORY UNIVERSITY · PI MILLER, ANDREW H · 2010 to 2014
$2.2M
Cytokine-CRH Interactions in IFN-alfa-Induced DepressionR01MH070553 · NIMH · EMORY UNIVERSITY · PI RAISON, CHARLES · 2005 to 2009
$1.6M
HIV/AIDS CLINICAL RESEARCH TRAINING PROGRAMT32MH020018 · NIMH · EMORY UNIVERSITY · PI MILLER, ANDREW H · 1998 to 2008
$1.3M
Pathophysiology of IFN-alpha-induced Sleep DisturbancesR01HL073921 · NHLBI · EMORY UNIVERSITY · PI MILLER, ANDREW H · 2004 to 2008
$1.3M
Inflammation, Stress, and Social Behavior: Using Ecological Assessments and ModelR01AT007297 · NCCIH · UNIVERSITY OF ARIZONA · PI RAISON, CHARLES · 2011 to 2012
$1.1M
Neuroimmune Mechanisms of Glucocorticoid ResistanceR01MH075102 · NIMH · EMORY UNIVERSITY · PI MILLER, ANDREW H · 2006 to 2010
$1.0M
Glucocorticoid Resistance in Immune-Based DepressionK23MH064619 · NIMH · EMORY UNIVERSITY · PI RAISON, CHARLES · 2002 to 2006
$648k
NCATS NIH HHS UL1 TR000454NCCIH NIH HHS R01 AT004698NCCIH NIH HHS R01 AT007297NCRR NIH HHS M01 RR000039NCRR NIH HHS M01 RR0039NCRR NIH HHS UL1 RR025008NHLBI NIH HHS R01 HL073921NIAID NIH HHS P30 AI050409NIMH NIH HHS F32 MH093054NIMH NIH HHS K05 MH069124NIMH NIH HHS K23 MH064619NIMH NIH HHS R01 MH070553NIMH NIH HHS R01 MH075102NIMH NIH HHS R01MH075102NIMH NIH HHS R01 MH087604NIMH NIH HHS T32 MH020018
6 · The paper itself

Abstract

backgroundInterferon-alpha (IFN-α) treatment for infectious disease and cancer causes high rates of depression and fatigue, and has been used to investigate the impact of inflammatory cytokines on brain and behavior. However, little is known about the transcriptional impact of chronic IFN-α on immune cells in vivo and its relationship to IFN-α-induced behavioral changes.

methodGenome-wide transcriptional profiling was performed on peripheral blood mononuclear cells (PBMCs) from 21 patients with chronic hepatitis C virus (HCV) either awaiting IFN-α therapy (n=10) or at 12 weeks of IFN-α treatment (n=11).

resultsSignificance analysis of microarray data identified 252 up-regulated and 116 down-regulated gene transcripts. Of the up-regulated genes, 2'-5'-oligoadenylate synthetase 2 (OAS2), a gene linked to chronic fatigue syndrome (CFS), was the only gene that was differentially expressed in patients with IFN-α-induced depression/fatigue, and correlated with depression and fatigue scores at 12 weeks (r=0.80, p=0.003 and r=0.70, p=0.017 respectively). Promoter-based bioinformatic analyses linked IFN-α-related transcriptional alterations to transcription factors involved in myeloid differentiation, IFN-α signaling, activator protein-1 (AP1) and cAMP responsive element binding protein/activation transcription factor (CREB/ATF) pathways, which were derived primarily from monocytes and plasmacytoid dendritic cells. IFN-α-treated patients with high depression/fatigue scores demonstrated up-regulation of genes bearing promoter motifs for transcription factors involved in myeloid differentiation, IFN-α and AP1 signaling, and reduced prevalence of motifs for CREB/ATF, which has been implicated in major depression.

conclusionsDepression and fatigue during chronic IFN-α administration were associated with alterations in the expression (OAS2) and transcriptional control (CREB/ATF) of genes linked to behavioral disorders including CFS and major depression, further supporting an immune contribution to these diseases.

Indexed as

2',5'-Oligoadenylate SynthetaseAntiviral AgentsComputational BiologyDepressionDrug Therapy, CombinationFatigueFemaleGene Expression ProfilingGene Expression RegulationHepatitis C, ChronicHumansInterferon-alphaLeukocytes, MononuclearLongitudinal StudiesMaleMicroarray Analysis2',5'-Oligoadenylate SynthetaseAntiviral AgentsInterferon-alphaRibavirinRNA, Messenger

Identifiers

PMID22152193
PMCPMC3433045
OpenAlexW2121815237

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.