Evidence map›Paper›PMID 41619056›Full record

ReviewMolecular neurobiology2026

Gulf War Illness: Neurological Impacts, Pathophysiological Insights, and Therapeutic Prospects.

Fabian Mantilla, Nidhi Patel, Amanpreet K Cheema, Mayur S Parmar

Abstract readReview
PubMed Publisher
In one paragraph

Review in Molecular neurobiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Fabian MantillaDr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Tampa Bay Regional Campus, Clearwater, FL, USA.
Nidhi PatelDr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida, USA.
Amanpreet K CheemaInstitute for Neuro-Immune Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA.
Mayur S ParmarDr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Tampa Bay Regional Campus, Clearwater, FL, USA. mparmar@nova.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gulf War Illness (GWI) is a chronic, multi-system condition affecting a substantial proportion of veterans deployed during the 1990-1991 Gulf War. Neurological complications, including cognitive impairment, musculoskeletal pain, fatigue, depression, and migraine, represent a major clinical burden. Evidence implicates neuroinflammation, oxidative stress, mitochondrial dysfunction, and epigenetic dysregulation as central mechanisms, with emerging data suggesting early tauopathy and sex-specific immune responses. Neuroimaging studies reveal hippocampal atrophy, white matter disruptions, and increased translocator protein (TSPO) binding, while biomarker analyses identify elevated C-reactive protein (CRP), leptin, and matrix metalloproteinases. Genetic factors, such as HLA alleles, may modulate susceptibility. Animal models corroborate these findings, demonstrating hippocampal dysfunction, neurotransmitter imbalance, and neuroimmune activation following exposure to Gulf War-related chemicals. Therapeutic evidence supports cognitive behavioral therapy (CBT), exercise, and mindfulness-based interventions, with ongoing trials exploring vagus nerve stimulation, anti-inflammatory agents, and mitochondrial-targeted therapies. This review synthesizes current knowledge on GWI-related neurological dysfunction, highlights diagnostic and therapeutic advances, and underscores the need for biomarker-driven, sex-specific, and personalized approaches to improve outcomes for affected veterans.

Indexed as

Persian Gulf SyndromeAnimalsHumansChronic fatigueChronic multisymptom illnessCognitionDepressionEnvironmental exposuresGulf War Illness (GWI)HeadacheMigraineMusculoskeletal painNeuroimmune dysfunctionNeuroinflammationPTSD

Identifiers

What OpenQuestion holds

Textmetadata
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.