Evidence map›Paper›PMID 28303641›Full record

ArticleJournal of medical virology2017

Myalgic encephalomyelitis/chronic fatigue syndrome and gulf war illness patients exhibit increased humoral responses to the herpesviruses-encoded dUTPase: Implications in disease pathophysiology.

Peter Halpin, Marshall Vance Williams, Nancy G Klimas, Mary Ann Fletcher, Zachary Barnes, Maria Eugenia Ariza

Open access · greenAbstract read
In one paragraph

Article in Journal of medical virology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.5field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 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

6 authors at 4 institutions in 1 country.

Peter HalpinDepartment of Cancer Biology and Genetics, The Ohio State University, Columbus, Ohio.
Marshall Vance WilliamsDepartment of Cancer Biology and Genetics, The Ohio State University, Columbus, Ohio.
Nancy G KlimasNOVA Southeastern University, Institute for Neuro Immune Medicine, Fort Lauderdale, Florida.
Mary Ann FletcherNOVA Southeastern University, Institute for Neuro Immune Medicine, Fort Lauderdale, Florida.
Zachary BarnesNOVA Southeastern University, Institute for Neuro Immune Medicine, Fort Lauderdale, Florida.
Maria Eugenia ArizaDepartment of Cancer Biology and Genetics, The Ohio State University, Columbus, Ohio.ORCID 0000-0003-2560-5367
Institute for Behavioral Medicine · USNova Southeastern University · USThe Ohio State University · USUniversity of Miami · US

Funding

Stress Effects on Virus Protein induced Inflammation and Sickness BehaviorR01AI084898 · NIAID · OHIO STATE UNIVERSITY · PI ARIZA, MARIA-EUGENIA, WILLIAMS, MARSHALL VANCE · 2010 to 2024
$8.8M
Study of Chronic Fatigue Syndrome using comprehensive molecular profiling with neR01AR057853 · NIAMS · SOUTH FLORIDA VA FDN/RESEARCH/ EDUCATION · PI KLIMAS, NANCY GRACE · 2010 to 2013
$2.1M
Gender Differences in Myalgic Encephalomyelitis/Chronic Fatigue SyndromeR01NS090200 · NINDS · NOVA SOUTHEASTERN UNIVERSITY · PI FLETCHER, MARY A · 2014 to 2017
$2.0M
Immunologic Mechanisms,Biomarkers and Subsets in CFS/MER56AI065723 · NIAID · NOVA SOUTHEASTERN UNIVERSITY · PI FLETCHER, MARY A · 2013 to 2013
$355k
Microbial Translocation in Chronic Fatigue SyndromeR21AI099809 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FLETCHER, MARY A · 2012 to 2013
$333k
NIAID NIH HHS R01 AI084898NIAID NIH HHS R21 AI099809NIAID NIH HHS R56 AI065723NIAMS NIH HHS R01 AR057853NINDS NIH HHS R01 NS090200
6 · The paper itself

Abstract

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Gulf War Illness (GWI) are debilitating diseases with overlapping symptomology and there are currently no validated tests for definitive diagnosis of either syndrome. While there is evidence supporting the premise that some herpesviruses may act as possible triggers of ME/CFS, the involvement of herpesviruses in the pathophysiology of GWI has not been studied in spite of a higher prevalence of ME/CFS in these patients. We have previously demonstrated that the deoxyuridine triphosphate nucleotidohydrolases (dUTPase) encoded by Epstein-Barr virus (EBV), human herpesvirus-6 (HHV-6), and varicella-zoster virus (VZV) possess novel functions in innate and adaptive immunity. The results of this study demonstrate that a significant percentage of patients with ME/CFS (30.91-52.7%) and GWI (29.34%) are simultaneously producing antibodies against multiple human herpesviruses-encoded dUTPases and/or the human dUTPase when compared to controls (17.21%). GWI patients exhibited significantly higher levels of antibodies to the HHV-6 and human dUTPases than controls (P = 0.0053 and P = 0.0036, respectively), while the ME/CFS cohort had higher anti-EBV-dUTPase antibodies than in both GWI patients (P = 0.0008) and controls (P < 0.0001) as well as significantly higher anti-human dUTPase antibodies than in controls (P = 0.0241). These results suggest that screening of patients' sera for the presence of various combinations of anti-dUTPase antibodies could be used as potential biomarkers to help identify/distinguish patients with these syndromes and better direct treatment.

Indexed as

AdultAntibodies, ViralAutoantibodiesCohort StudiesDiagnosis, DifferentialFatigue Syndrome, ChronicFemaleHerpesvirus 4, HumanHerpesvirus 6, HumanHumansMaleMiddle AgedPersian Gulf SyndromePyrophosphatasesAntibodies, ViralAutoantibodiesdUTP pyrophosphatasePyrophosphatasesantibodieschronic fatigue syndromedeoxyuridine triphosphate nucleotidohydrolaseEpstein-Barr virushuman herpesvirus 6varicella-zoster virus

Identifiers

PMID28303641
PMCPMC5513753
OpenAlexW2595875457

What OpenQuestion holds

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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.