Evidence map›Paper›PMID 36950022›Full record

ArticleBrain, behavior, & immunity - health2023

Exercise-induced changes in gene expression do not mediate post exertional malaise in Gulf War illness.

Alexander E Boruch, Jacob B Lindheimer, Jacob V Ninneman, Glenn R Wylie, Thomas Alexander, Jacquelyn C Klein-Adams, Aaron J Stegner, Nicholas P Gretzon, Bishoy Samy, Michael J Falvo and 1 more

Open access · goldAbstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% of its field
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, 2 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 3 institutions in 1 country.

Alexander E BoruchWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Jacob B LindheimerWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Jacob V NinnemanWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Glenn R WylieWar Related Illness and Injury Study Center, Department of Veterans Affairs New Jersey Health Care System, East Orange, NJ, USA.
Thomas AlexanderWar Related Illness and Injury Study Center, Department of Veterans Affairs New Jersey Health Care System, East Orange, NJ, USA.
Jacquelyn C Klein-AdamsWar Related Illness and Injury Study Center, Department of Veterans Affairs New Jersey Health Care System, East Orange, NJ, USA.
Aaron J StegnerWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Nicholas P GretzonWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Bishoy SamyWar Related Illness and Injury Study Center, Department of Veterans Affairs New Jersey Health Care System, East Orange, NJ, USA.
Michael J FalvoWar Related Illness and Injury Study Center, Department of Veterans Affairs New Jersey Health Care System, East Orange, NJ, USA.
Dane B CookWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
University of Wisconsin–Madison · USVA New Jersey Health Care System · USRutgers, The State University of New Jersey · US

Funding

CSRD VA I01 CX001329CSRD VA IK2 CX001679CSRD VA IK6 CX002369
6 · The paper itself

Abstract

Background: Post-exertional malaise (PEM) is considered a characteristic feature of chronic multi-symptom illnesses (CMI) like Gulf War illness (GWI); however, its pathophysiology remains understudied. Previous investigations in other CMI populations (i.e., Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) have reported associations between PEM and expression of genes coding for adrenergic, metabolic, and immune function. Objectives: To investigate whether PEM is meditated by gene expression in Veterans with GWI. Methods: Veterans with GWI (n = 37) and healthy control Gulf War Veterans (n = 25) provided blood samples before and after 30-min of cycling at 70% of age-predicted heart rate reserve. Relative quantification of gene expression, symptom measurements, and select cardiopulmonary parameters were compared between groups at pre-, 30 minpost-, and 24 hpost-exercise using a doubly multivariate repeated measures analysis of variance (RM-MANOVA). Mediation analyses were used to test indirect effects of changes in gene expression on symptom responses (i.e., PEM) to the standardized exercise challenge. Results: Veterans with GWI experienced large symptom exacerbations following exercise compared to controls (Cohen's Conclusion: An acute bout of moderate intensity cycling reduced the expression of select structural, adrenergic, and immune genes in Veterans with GWI, but the pathophysiological relevance to PEM is unclear.

Indexed as

Exercise testGulf warMediation analysisMeSH terms: Gene expressionSymptom flare upVeterans health

Identifiers

PMID36950022
PMCPMC10027470
OpenAlexW4323928985

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.