Evidence map›Paper›PMID 40371004›Full record

ArticleJournal of neurology & neuromedicine2020

Human Leukocyte Antigen (HLA) Alleles Prevent Metabolically-Induced Inflammation and Cerebrocortical Thinning in Gulf War Illness.

Peka Christova, Lisa M James, Adam F Carpenter, Scott M Lewis, Brian E Engdahl, Apostolos P Georgopoulos

Abstract read
In one paragraph

Article in Journal of neurology & neuromedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

6 authors.

Peka ChristovaBrain Sciences Center, Department of Veterans Affairs Health Care System, Minneapolis, MN, 55417, USA.
Lisa M JamesBrain Sciences Center, Department of Veterans Affairs Health Care System, Minneapolis, MN, 55417, USA.
Adam F CarpenterBrain Sciences Center, Department of Veterans Affairs Health Care System, Minneapolis, MN, 55417, USA.
Scott M LewisBrain Sciences Center, Department of Veterans Affairs Health Care System, Minneapolis, MN, 55417, USA.
Brian E EngdahlBrain Sciences Center, Department of Veterans Affairs Health Care System, Minneapolis, MN, 55417, USA.
Apostolos P GeorgopoulosBrain Sciences Center, Department of Veterans Affairs Health Care System, Minneapolis, MN, 55417, USA.

Funding

Intramural VA VA999999
6 · The paper itself

Abstract

Independent lines of research have demonstrated that GWI is associated with elevated inflammatory markers, metabolic disruptions, and alterations in brain morphometry. Possessing specific Class II human leukocyte antigen (HLA) alleles, on the other hand, has been shown to protect against GWI and to be inversely associated with symptom severity in a dose-dependent manner. The aim of the present study was to evaluate the association between C-reactive protein (CRP), a marker of inflammation, body mass index (BMI), and brain morphometry in GWI veterans with and without a protective HLA allele. Sixty-three veterans with GWI provided blood samples for evaluation of CRP and HLA, height and weight for calculating BMI, and underwent a 3T magnetic resonance imaging scan from which the volume, surface area, and cortical thickness of 68 cortical regions of interest (ROI) were determined. Results demonstrated that the CRP was highly significantly associated with BMI and cortical thinning in veterans lacking protective HLA alleles but not in those possessing a protective HLA allele. Given the role of HLA in antibody production against foreign antigens, the findings suggest that persistent foreign antigens stemming from lack of immunogenetic protection against them contribute to inflammation, metabolic disruption, and cortical thinning in GWI. The findings are discussed in terms of GW-related exposures that are known to result in inflammation.

Indexed as

Brain Atrophy Persistent AntigensGulf War IllnessInflammationMetabolic Human Leukocyte Antigen

Identifiers

PMID40371004
PMCPMC12077253

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.