Evidence map›Paper›PMID 40392130›Full record

ArticleJournal of medical virology2025

Reactivation of Latent Herpesviruses and a Faulty Antiviral Response may Contribute to Chronic Multi-Symptom and Multi-System Illnesses in U.S. Military Veterans.

Brandon Cox, Paula Goolkasian, Irene Mena Palomo, Marshall V Williams, Sean R Maloney, Maria Eugenia Ariza

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. 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. Review
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.

Brandon CoxInstitute for Behavioral Medicine Research (IBMR), The Ohio State University Wexner Center, Columbus, Ohio, USA.
Paula GoolkasianDepartment of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Irene Mena PalomoInstitute for Behavioral Medicine Research (IBMR), The Ohio State University Wexner Center, Columbus, Ohio, USA.
Marshall V WilliamsInstitute for Behavioral Medicine Research (IBMR), The Ohio State University Wexner Center, Columbus, Ohio, USA.
Sean R MaloneyW.G. (Bill) Hefner VA Medical Center, Salisbury, North Carolina, USA.
Maria Eugenia ArizaInstitute for Behavioral Medicine Research (IBMR), The Ohio State University Wexner Center, Columbus, Ohio, USA.ORCID 0000-0003-2560-5367

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
NIAID NIH HHS R01 AI084898This workstudy was supported by the National Institutes of Health (NIH/NIAID) grant R01 AI084898 to M.E.A. and M.V.W., The Salisbury Foundation for Research and Education-Grant # 18-020, Project # 1575420-4 and The National Association of Veterans' Research and Education Foundation, NAVREF.
6 · The paper itself

Abstract

Chronic multi-symptom illness (CMI) is a broad term utilized by the Department of Veterans Affairs to refer to complex conditions of unknown etiology where individuals experience symptoms that lack a clear medical diagnosis. In this study, we sought to determine if herpesvirus reactivation and the antiviral response could be involved in CMI. Longitudinal serology studies conducted in two military veteran cohorts diagnosed with CMI or Gulf War Illness (GWI) revealed an increased prevalence of IgG (55% and 83%, respectively) and IgM antibodies (80%-90% and 100%, respectively) to the deoxyuridine triphosphate nucleotidohydrolase (dUTPase) protein of multiple herpesviruses compared to age/gender-matched healthy controls (5% and 7% for IgG and IgM respectively, p < 0.001) by ELISA. Despite the ongoing viral reactivation in CMI veterans, IFN-γ levels surprisingly stayed mostly unchanged from healthy control levels, while in GWI were significantly upregulated. Interestingly, MCP-1/CCL-2 levels were significantly increased in some CMI veterans compared to GWI and healthy controls (p = 0.0009). Our data provide evidence suggesting aberrant antiviral response and immune dysfunction in CMI veterans and supports the premise that decreased serum levels of IFN-γ together with heightened MCP-1 and dUTPase antibodies to multiple herpesviruses may be useful to identify CMI veterans with deficient antiviral response.

Indexed as

HerpesviridaeHerpesviridae InfectionsVeteransVirus ActivationAdultAgedAntibodies, ViralChronic DiseaseFemaleHumansImmunoglobulin GImmunoglobulin MInterferon-gammaLongitudinal StudiesMaleMiddle AgedAntibodies, ViraldUTP pyrophosphataseImmunoglobulin GImmunoglobulin MInterferon-gammaPyrophosphataseschronic multi‐system illnessgulf war illnessherpesvirus dUTPase antibodiesIFN‐γMCP‐1vitamin D

Identifiers

PMID40392130
PMCPMC12090972

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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.