Evidence map›Paper›PMID 31800452›Full record

ArticleJournal of occupational and environmental medicine2019

Integrative Network Analysis Linking Clinical Outcomes With Environmental Exposures and Molecular Variations in Service Personnel Deployed to Balad and Bagram.

Juilee Thakar, Thomas H Thatcher, Matthew Ryan Smith, Collynn F Woeller, Douglas I Walker, Mark J Utell, Philip K Hopke, Timothy M Mallon, Pamela L Krahl, Patricia Rohrbeck and 3 more

Abstract read
In one paragraph

Article in Journal of occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

13 authors.

Juilee ThakarDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, Emory University, Atlanta, Georgia (Dr Smith, Dr Walker, Dr Go, Dr Jones, Dr Uppal); Department of Microbiology & Immunology and Department of Biostatistics & computational Biology (Dr Thakar); Department of Environmental Medicine (Dr Thakar, Dr Utell); Department of Medicine, Pulmonary Division (Dr Thatcher, Dr Woeller, Dr Utell); Department of Public Health Sciences (Dr Hopke), University of Rochester Medical Center, Rochester, New York; Department of Preventive Medicine & Biostatistics, Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Bethesda (Dr Mallon, Dr Krahl); Armed Forces Health Surveillance Center, Silver Spring (Ms Rohrbeck), Maryland.
Thomas H Thatcher
Matthew Ryan Smith
Collynn F Woeller
Douglas I Walker
Mark J Utell
Philip K Hopke
Timothy M Mallon
Pamela L Krahl
Patricia Rohrbeck
Young-Mi Go
Dean P Jones
Karan Uppal

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Sally W Thurston · 1985 to 2026
$42.8M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
MULTIDISCIPLINARY TRAINING IN PULMONARY RESEARCHT32HL066988 · NHLBI · UNIVERSITY OF ROCHESTER · PI GEORAS, STEVE N, O'REILLY, MICHAEL A · 2001 to 2021
$8.1M
Cytoplasmic-nuclear redox signaling: Disruption by dietary cadmium levelsR01ES023485 · NIEHS · EMORY UNIVERSITY · PI GO KANG, YOUNG-MI, JONES, DEAN PAUL · 2014 to 2018
$1.8M
Orbitrap Elite/H-ESI BundleS10OD018006 · OD · EMORY UNIVERSITY · PI JONES, DEAN PAUL · 2014 to 2014
$600k
NHLBI NIH HHS L30 HL138905NHLBI NIH HHS T32 HL066988NIEHS NIH HHS P30 ES001247NIEHS NIH HHS P30 ES019776NIEHS NIH HHS R01 ES023485NIH HHS S10 OD018006
6 · The paper itself

Abstract

objectiveTo develop a computational approach to link clinical outcomes with environmental exposures and molecular variations measured in Department of Defense (DOD) serum-repository samples.

methodsInternational Classification of Diseases, Ninth Division codes which corresponded to cardiopulmonary symptoms for service personnel were selected to test for associations with deployment-related inhalation hazards and metabolomics, micro-RNA, cytokine, plasma markers, and environmental exposure analyses for corresponding samples. xMWAS and Mummichog were used for integrative network and pathway analysis.

resultsComparison between 41 personnel exhibiting new cardio-pulmonary diagnoses after deployment start-date to 25 personnel exhibiting no symptoms identified biomarkers associated with cardiopulmonary conditions. Integrative network and pathway analysis showed communities of clinical, molecular, and environmental markers associated with fatty acid, lipid, nucleotide, and amino acid metabolism pathways.

conclusionsThe current proof of principle study establishes a computational framework for integrative analysis of deployment-related exposures, molecular responses, and health outcomes.

Indexed as

Afghan Campaign 2001-Iraq War, 2003-2011AdultBlood ProteinsCytokinesEnvironmental ExposureFemaleHealth StatusHeart DiseasesHumansLung DiseasesMaleMicroRNAsMilitary PersonnelYoung AdultBlood ProteinsCytokinesMicroRNAs

Identifiers

PMID31800452
PMCPMC6897323

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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.