Evidence map›Paper›PMID 28375204›Full record

ArticleTranslational psychiatry2017

Immune network analysis of cerebrospinal fluid in myalgic encephalomyelitis/chronic fatigue syndrome with atypical and classical presentations.

M Hornig, C G Gottschalk, M L Eddy, X Che, J E Ukaigwe, D L Peterson, W I Lipkin

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2017. 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
3.3field-weighted citation impact, top 8% 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, 38 citations in OpenAlex.

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  13. Frontiers in immunology · 2023
    Article
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  15. Cytokine Deficiencies in Patients with Long-COVID.Journal of clinical & cellular immunology · 2022
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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 2 institutions in 1 country.

M HornigCenter for Infection and Immunity, Columbia University Mailman School of Public Health, New York, NY, USA.
C G GottschalkSierra Internal Medicine at Incline Village, Incline Village, NV, USA.
M L EddyCenter for Infection and Immunity, Columbia University Mailman School of Public Health, New York, NY, USA.
X CheCenter for Infection and Immunity, Columbia University Mailman School of Public Health, New York, NY, USA.
J E UkaigweCenter for Infection and Immunity, Columbia University Mailman School of Public Health, New York, NY, USA.
D L PetersonSierra Internal Medicine at Incline Village, Incline Village, NV, USA.
W I LipkinCenter for Infection and Immunity, Columbia University Mailman School of Public Health, New York, NY, USA.
Columbia University · USSierra Nevada College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a persistent and debilitating disorder marked by cognitive and sensory dysfunction and unexplained physical fatigue. Classically, cases present after a prodrome consistent with infection; however, some cases are atypical and have a different presentation and comorbidities that pose challenges for differential diagnosis. We analyzed cerebrospinal fluid (CSF) from 32 cases with classical ME/CFS and 27 cases with atypical ME/CFS using a 51-plex cytokine assay. Atypical subjects differed in cytokine profiles from classical subjects. In logistic regression models incorporating immune molecules that were identified as potential predictor variables through feature selection, we found strong associations between the atypical ME/CFS phenotype and lower CSF levels of the inflammatory mediators, interleukin 17A and CXCL9. Network analysis revealed an absence of inverse inter-cytokine relationships in CSF from atypical patients, and more sparse positive intercorrelations, than classical subjects. Interleukin 1 receptor antagonist appeared to be a negative regulator in classical ME/CFS, with patterns suggestive of disturbances in interleukin 1 signaling and autoimmunity-type patterns of immune activation. Immune signatures in the central nervous system of ME/CFS patients with atypical features may be distinct from those with more typical clinical presentations.

Indexed as

AdultCerebrospinal FluidChemokine CXCL9CytokinesDiagnosis, DifferentialFatigue Syndrome, ChronicFemaleHumansInterleukin-17MaleMiddle AgedChemokine CXCL9CytokinesIL17A protein, humanInterleukin-17

Identifiers

PMID28375204
PMCPMC5416687
OpenAlexW2604974649

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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.