Evidence map›Paper›PMID 25634431›Full record

ArticleParkinsonism & related disorders2015

Inducible nitric oxide synthase gene methylation and parkinsonism in manganese-exposed welders.

Susan Searles Nielsen, Harvey Checkoway, Susan R Criswell, Federico M Farin, Patricia L Stapleton, Lianne Sheppard, Brad A Racette

Open access · greenAbstract read
In one paragraph

Article in Parkinsonism & related disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 12% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Welding Fume Exposure and Epigenetic Alterations: A Systematic Review.International journal of environmental research and public health · 2019
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  4. Epigenetic mechanisms of Parkinson's disease and potential epigenetic-based therapeutics.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

7 authors at 3 institutions in 2 countries.

Susan Searles NielsenUniversity of Washington, Department of Neurology, Seattle, WA, USA; University of Washington, Department of Environmental and Occupational Health Sciences, Seattle, WA, USA. Electronic address: ssn@uw.edu.
Harvey CheckowayUniversity of California San Diego, Department of Family and Preventive Medicine, La Jolla, CA, USA.
Susan R CriswellWashington University, Department of Neurology, St. Louis, MO, USA.
Federico M FarinUniversity of Washington, Department of Environmental and Occupational Health Sciences, Seattle, WA, USA.
Patricia L StapletonUniversity of Washington, Department of Environmental and Occupational Health Sciences, Seattle, WA, USA.
Lianne SheppardUniversity of Washington, Department of Environmental and Occupational Health Sciences, Seattle, WA, USA; University of Washington, Department of Biostatistics, Seattle, WA, USA.
Brad A RacetteWashington University, Department of Neurology, St. Louis, MO, USA; University of the Witwatersrand, School of Public Health, Parktown, South Africa.
University of Washington · USWashington University in St. Louis · USUniversity of California, San Diego · US

Funding

WILDLIFE BIOMARKER APPLICATIONS TO REMEDIATION DECISION MAKINGP42ES004696 · NIEHS · UNIVERSITY OF WASHINGTON · PI GALLAGHER, EVAN P · 1987 to 2021
$51.2M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI Sheela Sathyanarayana · 1995 to 2026
$42.5M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Imaging Biomarkers of Neurotoxicity in WeldersR01ES021488 · NIEHS · WASHINGTON UNIVERSITY · PI Brad A Racette · 2013 to 2026
$5.3M
Epidemiology of Parkinsonism in WeldersR01ES013743 · NIEHS · WASHINGTON UNIVERSITY · PI RACETTE, BRAD A · 2007 to 2011
$2.6M
Epidemiology and Biomarkers of Parkinsonism in WeldersK24ES017765 · NIEHS · WASHINGTON UNIVERSITY · PI RACETTE, BRAD A · 2009 to 2018
$1.5M
RESTING STATE FUNCTIONAL CONNECTIVITY MRI IN MANGANESE EXPOSED WELDERSK23ES021444 · NIEHS · WASHINGTON UNIVERSITY · PI CRISWELL, SUSAN · 2012 to 2016
$809k
NCATS NIH HHS UL1 TR000448NCRR NIH HHS UL1 RR024992NIEHS NIH HHS K23 ES021444NIEHS NIH HHS K23ES021444NIEHS NIH HHS K24 ES017765NIEHS NIH HHS K24ES017765NIEHS NIH HHS P30 ES007033NIEHS NIH HHS P30ES007033NIEHS NIH HHS P42 ES004696NIEHS NIH HHS P42ES004696NIEHS NIH HHS R01 ES013743NIEHS NIH HHS R01ES013743NIEHS NIH HHS R01 ES021488
6 · The paper itself

Abstract

introductionNeurologist-assessed parkinsonism signs are prevalent among workers exposed to manganese (Mn)-containing welding fume. Neuroinflammation may possibly play a role. Inducible nitric oxide synthase, coded by NOS2, is involved in inflammation, and particulate exposure increases the gene's expression through methylation of CpG sites in the 5' region.

methodsWe assessed DNA methylation at three CpG sites in the NOS2 exon 1 from blood from 201 welders. All were non-Hispanic Caucasian men 25-65 years old who were examined by a neurologist specializing in movement disorders. We categorized the workers according to their Unified Parkinson Disease Rating Scale motor subsection 3 (UPDRS3) scores as parkinsonism cases (UPDRS3 ≥ 15; n = 49), controls (UPDRS3 < 6; n = 103), or intermediate (UPDRS3 ≥ 6 to < 15; n = 49).

resultsWhile accounting for age, examiner and experimental plate, parkinsonism cases had lower mean NOS2 methylation than controls (p-value for trend = 0.04), specifically at CpG site 8329 located in an exonic splicing enhancer of NOS2 (p-value for trend = 0.07). These associations were not observed for the intermediate UPDRS3 group (both p-value for trend ≥ 0.59).

conclusionsInflammation mediated by inducible nitric oxide synthase may possibly contribute to the association between welding fume and parkinsonism, but requires verification in a longitudinal study.

Indexed as

DNA MethylationWeldingAdultAgedHumansMaleManganeseMiddle AgedNitric Oxide Synthase Type IIOccupational DiseasesOccupational ExposureParkinson Disease, SecondaryManganeseNitric Oxide Synthase Type IINOS2 protein, humanDNA methylationManganeseNitric oxide synthase type IIOccupational exposureParkinsonian disordersWelding

Identifiers

PMID25634431
PMCPMC4512640
OpenAlexW2008246454

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Registered trials

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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.