Evidence map›Paper›PMID 41347690›Full record

SynthesisJournal of medical virology2025

The Neuroimmunome of Hepatitis Patients Associates With Disease Severity.

Adriel Leal Nóbile, Anny Silva Adri, Júlia Nakanishi Usuda, Fernando Yuri Nery do Vale, Yohan Lucas Gonçalves Corrêa, Débora Gomes de Albuquerque Freitas, Roseane Galdioli Nava, Pedro Marçal Barcelos, Lena F Schimke, Taj Ali Khan and 9 more

Abstract readMeta-Analysis
In one paragraph

Synthesis 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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

19 authors.

Adriel Leal NóbileLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Anny Silva AdriLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Júlia Nakanishi UsudaLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Fernando Yuri Nery do ValeLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.ORCID 0000-0003-1763-343X
Yohan Lucas Gonçalves CorrêaLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Débora Gomes de Albuquerque FreitasLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Roseane Galdioli NavaLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Pedro Marçal BarcelosLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Lena F SchimkeDepartment of Medicine, Division of Molecular Medicine, Laboratory of Medical Investigation 29, University of São Paulo (USP) School of Medicine, São Paulo, SP, Brazil.
Taj Ali KhanPublic Health Reference Laboratory, Khyber Medical University, Peshawar, Pakistan.
Renato Santana de AguiarDepartment of Genetics, Ecology and Evolution, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Niels Olsen CamaraDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Gustavo Cabral-MirandaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Rodrigo J S DalmolinBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte Brazil.
Helder I NakayaHospital Israelita Albert Einstein, São Paulo, Brazil.ORCID 0000-0001-5297-9108
Luiz Fernando OnuchicDepartment of Medicine, Division of Molecular Medicine, Laboratory of Medical Investigation 29, University of São Paulo (USP) School of Medicine, São Paulo, SP, Brazil.
Haroldo Dutra DiasLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Igor Salerno FilgueirasLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Otavio Cabral-MarquesLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.ORCID 0000-0002-3183-6236

Funding

We thank the São Paulo Research Foundation (FAPESP grants 2018/18886-9 to OCM, 2023/12268-0 to ASA, 2023/07806-2 to ISF, 2023/14417-2 to JNU, 2023/06086-6 to PMB) for financial support.
6 · The paper itself

Abstract

Hepatitis is a systemic disease marked by neuroimmune dysregulation beyond hepatic inflammation. Using a systems biology approach, we conducted transcriptomic meta-analyses across in vitro models, liver tissues, and PBMCs from hepatitis virus-infected patients to identify neuroimmune signatures. We found a robust neuroimmunome signature, with neuroimmune-related genes showing consistent differential expression across datasets. Functional enrichment revealed disruptions in neurotransmission (including synaptic, glutamatergic, noradrenergic and neuregulin pathways) and immune signaling (such as cytokines, interleukin-1 response, T cell receptor, and trans-synaptic signaling). Linear discriminant analysis (LDA) demonstrated that neuroimmune genes can predict disease severity. Several of these genes were also altered in hepatocellular carcinoma (HCC) samples from The Cancer Genome Atlas Program (TCGA), implicating them in oncogenic transformation. Ligand-receptor analysis revealed dysregulated neuroimmune interactions in liver tissue, notably involving DBH-ADRA1A/B/D, ADRA2A/B/C, ADRB1/2/3, IL33-IL1RL1, and NRG1-ERBB4. Critically, we observed an inverse correlation between neuroimmune gene expression and inflammation markers in advanced HCC, suggesting that neuroimmune suppression may facilitate immune evasion. These findings highlight the neuroimmunome as a potential biomarker and therapeutic target in hepatitis and its complications, reinforcing the role of neuroimmune crosstalk in liver disease progression.

Indexed as

NeuroimmunomodulationCarcinoma, HepatocellularGene Expression ProfilingHumansLeukocytes, MononuclearLiverLiver NeoplasmsSeverity of Illness IndexSystems BiologyTranscriptomeHepatocellular CarcinomaNeuroimmuneViral Hepatitis

Identifiers

PMID41347690
PMCPMC12679811

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.