Evidence map›Paper›PMID 27157394›Full record

ArticleClinical and experimental rheumatology

Genome-wide expression profiling in the peripheral blood of patients with fibromyalgia.

Kim D Jones, Terri Gelbart, Thomas C Whisenant, Jill Waalen, Tony S Mondala, David N Iklé, Daniel R Salomon, Robert M Bennett, Sunil M Kurian

Abstract read
In one paragraph

Article in Clinical and experimental rheumatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

27 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Role of the Endocannabinoid System in Fibromyalgia.Current issues in molecular biology · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Molecular endotypes of type 1 and type 2 SLE.Lupus science & medicine · 2023
    Article
  7. Article
  8. A compendium of validated pain genes.WIREs mechanisms of disease · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
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

9 authors at 3 institutions in 1 country.

Kim D JonesSchools of Nursing & Medicine, Oregon Health & Science University, Portland, OR, USA.
Terri GelbartDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA.
Thomas C WhisenantDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA.
Jill WaalenDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA.
Tony S MondalaDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA.
David N IkléRho Federal Systems Division, Chapel Hill, NC, USA.
Daniel R SalomonDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA.
Robert M BennettSchools of Nursing & Medicine, Oregon Health & Science University, Portland, OR, USA.
Sunil M KurianDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA. smkurian@scripps.edu.
Scripps Research Institute · USOregon Health & Science University · USRho (United States) · US

Funding

Peripheral blood genomic biomarkers for primary fibromyalgiaR21NR012572 · NINR · SCRIPPS RESEARCH INSTITUTE, THE · PI KURIAN, SUNIL MATHAN · 2011 to 2012
$495k
NINR NIH HHS R21 NR012572
6 · The paper itself

Abstract

objectivesFibromyalgia (FM) is a common pain disorder characterized by nociceptive dysregulation. The basic biology of FM is poorly understood. Herein we have used agnostic gene expression as a potential probe for informing its underlying biology and the development of a proof-of-concept diagnostic gene expression signature.

methodsWe analyzed RNA expression in 70 FM patients and 70 healthy controls. The isolated RNA was amplified and hybridized to Affymetrix® Human Gene 1.1 ST Peg arrays. The data was analyzed using Partek Genomics Suite version 6.6.

resultsFibromyalgia patients exhibited a differential expression of 421 genes (p<0.001), several relevant to pathways for pain processing, such as glutamine/glutamate signaling and axonal development. There was also an upregulation of several inflammatory pathways and downregulation of pathways related to hypersensitivity and allergy. Using rigorous diagnostic modeling strategies, we show "locked" gene signatures discovered on Training and Test cohorts, that have a mean Area Under the Curve (AUC) of 0.81 on randomized, independent external data cohorts. Lastly, we identified a subset of 10 probesets that provided a diagnostic sensitivity for FM of 95% and a specificity of 96%. We also show that the signatures for FM were very specific to FM rather than common FM comorbidities.

conclusionsThese findings provide new insights relevant to the pathogenesis of FM, and provide several testable hypotheses that warrant further exploration and also establish the foundation for a first blood-based molecular signature in FM that needs to be validated in larger cohorts of patients.

Indexed as

Gene Expression ProfilingAdultCarboxypeptidases AFemaleFibromyalgiaGATA2 Transcription FactorGenome-Wide Association StudyHumansMiddle AgedNociceptionReceptors, IgESignal TransductionTranscriptomeCarboxypeptidases ACPA3 protein, humanGATA2 protein, humanGATA2 Transcription FactorMS4A2 protein, humanReceptors, IgE

Identifiers

PMID27157394
PMCPMC4888802
OpenAlexW2418727604

What OpenQuestion holds

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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.