Evidence map›Paper›PMID 41896945›Full record

ArticleHuman genomics2026

Genomic interplay between deployment exposures and Gulf War illness in Million Veteran Program participants.

Dan Qiu, Brenda Cabrera-Mendoza, Jun He, Lea Steele, Rachel Quaden, Kelly M Harrington, Sarah T Ahmed, J Michael Gaziano, Elizabeth J Gifford, Mihaela Aslan and 4 more

Abstract read
In one paragraph

Article in Human genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

14 authors.

Dan QiuCooperative Studies Program Clinical Epidemiology Research Center (CSP-CERC), VA Connecticut Healthcare System, West Haven, CT, USA.
Brenda Cabrera-MendozaCooperative Studies Program Clinical Epidemiology Research Center (CSP-CERC), VA Connecticut Healthcare System, West Haven, CT, USA.
Jun HeCooperative Studies Program Clinical Epidemiology Research Center (CSP-CERC), VA Connecticut Healthcare System, West Haven, CT, USA.
Lea SteeleVeterans Health Research Program, Yudofsky Division of Neuropsychiatry, Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Rachel QuadenMillion Veteran Program (MVP) Coordinating Center, VA Boston Healthcare System, Boston, MA, USA.
Kelly M HarringtonMillion Veteran Program (MVP) Coordinating Center, VA Boston Healthcare System, Boston, MA, USA.
Sarah T AhmedCenter for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, TX, USA.
J Michael GazianoMillion Veteran Program (MVP) Coordinating Center, VA Boston Healthcare System, Boston, MA, USA.
Elizabeth J GiffordDepartment of Veterans Affairs, VA Cooperative Studies Program Epidemiology Center-Durham, Durham, NC, USA.
Mihaela AslanCooperative Studies Program Clinical Epidemiology Research Center (CSP-CERC), VA Connecticut Healthcare System, West Haven, CT, USA.
Drew A HelmerCenter for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Elizabeth R HauserDepartment of Veterans Affairs, VA Cooperative Studies Program Epidemiology Center-Durham, Durham, NC, USA.
Renato PolimantiCooperative Studies Program Clinical Epidemiology Research Center (CSP-CERC), VA Connecticut Healthcare System, West Haven, CT, USA. renato.polimanti@yale.edu.
Department of Veterans Affairs Cooperative Studies Program #2006 and VA Million Veteran Program

Funding

U.S. Department of Veterans Affairs CSP #2006VA Cooperative Studies Program VA CSP #2006VA HSR&D CIN13-413VA Million Veteran Program MVP000VA Million Veteran Program MVP CORE PROJECT 029
6 · The paper itself

Abstract

Veterans of the 1990–1991 Gulf War (GW) experienced an elevated burden of chronic health conditions, most notably Gulf War Illness (GWI). While the disease etiology remains unclear, it is hypothesized that both genetic susceptibility and deployment exposures contribute to GWI risk. We investigated 6,882 GW-deployed Veterans, assessing genetic and epigenetic interactions with GW exposures (ground combat, insect baits, oil well smoke exposure, pyridostigmine bromide pills, biological/chemical warfare agents, and pesticides). We observed nominal evidence of a genome-wide gene–environment interaction variance component (0.38 ± 0.22) related to biological/chemical warfare-agent exposure and identified three loci showing genome-wide significant interactions (p < 5 × 10− 8; rs78441512, rs145790544, and rs117997207). Also, type-2 diabetes polygenic risk association with GWI is reduced in Veterans exposed to biological/chemical warfare agents, pesticides, and oil well fire smoke during GW deployment. An exploratory computational drug-repurposing analysis highlighted clebopride, rifampicin, and fisetin as compounds potentially targeting GWI-associated molecular pathways. Our GWI epigenome-wide association study identified five sites showing epigenetic interaction with four GW exposures: ground combat, biological/chemical warfare agents, pyridostigmine bromide pill use, and pesticide use. In conclusion, our study demonstrates that both genetic and epigenetic factors interact with GW military exposures to influence GWI vulnerability, highlighting potential druggable pathways to develop novel therapeutic interventions.

Indexed as

Diabetes Mellitus, Type 2Persian Gulf SyndromeVeteransChemical Warfare AgentsEnvironmental ExposureFemaleGene-Environment InteractionGenetic Predisposition to DiseaseGenome-Wide Association StudyGenomicsGulf WarHumansMalePesticidesPolymorphism, Single NucleotidePyridostigmine BromideChemical Warfare AgentsPesticidesPyridostigmine BromideEpigeneticsGene-environment interactionGulf War illnessMilitary exposurePolygenic riskVeterans

Identifiers

PMID41896945
PMCPMC13147720

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.