Evidence map›Paper›PMID 37396339›Full record

ArticleBrain, behavior, & immunity - health2023

Suppressed immune and metabolic responses to intestinal damage-associated microbial translocation in myalgic encephalomyelitis/chronic fatigue syndrome.

Melanie Uhde, Alyssa C Indart, Peter H R Green, Robert H Yolken, Dane B Cook, Sanjay K Shukla, Suzanne D Vernon, Armin Alaedini

Abstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Profiling Antibody Reactivity to Gut Microbes in ME/CFS Patients.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  7. Sex and disease severity-based analysis of steroid hormones in ME/CFS.Journal of endocrinological investigation · 2024
    Article
  8. Review
  9. 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

8 authors.

Melanie UhdeDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University, New York, NY, USA.
Alyssa C IndartDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University, New York, NY, USA.
Peter H R GreenDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University, New York, NY, USA.
Robert H YolkenThe Stanley Laboratory of Developmental Neurovirology, Johns Hopkins University, Baltimore, MD, USA.
Dane B CookDepartment of Kinesiology, University of Wisconsin - Madison, Madison, WI, USA.
Sanjay K ShuklaCenter for Human Genetics, Marshfield Clinic Research Institute, Marshfield, WI, USA.
Suzanne D VernonBateman Horne Center, Salt Lake City, UT, USA.
Armin AlaediniDivision of Digestive and Liver Diseases, Department of Medicine, Columbia University, New York, NY, USA.

Funding

CSRD VA IK6 CX002369
6 · The paper itself

Abstract

The etiology and mechanism of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) are poorly understood and no biomarkers have been established. Specifically, the relationship between the immunologic, metabolic, and gastrointestinal abnormalities associated with ME/CFS and their relevance to established symptoms of the condition remain unclear. Relying on data from two independent pairs of ME/CFS and control cohorts, one at rest and one undergoing an exercise challenge, we identify a state of suppressed acute-phase innate immune response to microbial translocation in conjunction with a compromised gut epithelium in ME/CFS. This immunosuppression, along with observed enhancement of compensatory antibody responses to counter the microbial translocation, was associated with and may be mediated by alterations in glucose and citrate metabolism and an IL-10 immunoregulatory response. Our findings provide novel insights into mechanistic pathways, biomarkers, and potential therapeutic targets in ME/CFS, including in the context of exertion, with relevance to both intestinal and extra-intestinal symptoms.

Indexed as

Acute-phase innate immune responseAntibodyB cellCitrateGlucoseGut epithelial barrierIL-10ImmunoregulationInflammationMetabolismMicrobial translocationMicrobiotaMyalgic encephalomyelitis/chronic fatigue syndromeTLR4

Identifiers

PMID37396339
PMCPMC10308215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.