Gulf War illness (GWI) as a neuroimmune disease

Gulf War illness (GWI) is a chronic disease characterized by the involvement of several organs, including the brain (Christova et al., Exp Brain Res doi: 10.1007/s00221-017-5010-8 , 2017 ). In a previous study (Georgopoulos et al., J Neural Eng 4:349–355, 2015 ), we identified six protective alleles...

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Veröffentlicht in:Experimental brain research 2017-10, Vol.235 (10), p.3217-3225
Hauptverfasser: Georgopoulos, Apostolos P., James, Lisa M., Carpenter, Adam F., Engdahl, Brian E., Leuthold, Arthur C., Lewis, Scott M.
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container_end_page 3225
container_issue 10
container_start_page 3217
container_title Experimental brain research
container_volume 235
creator Georgopoulos, Apostolos P.
James, Lisa M.
Carpenter, Adam F.
Engdahl, Brian E.
Leuthold, Arthur C.
Lewis, Scott M.
description Gulf War illness (GWI) is a chronic disease characterized by the involvement of several organs, including the brain (Christova et al., Exp Brain Res doi: 10.1007/s00221-017-5010-8 , 2017 ). In a previous study (Georgopoulos et al., J Neural Eng 4:349–355, 2015 ), we identified six protective alleles from Class II human leukocyte antigen (HLA) genes, and more recently, we investigated the brain correlates of this protection (James et al., EBioMedicine 13:72–79, 2016 ). Those and other studies (Israeli, Lupus, 21:190–194, 2012 ) suggested an involvement of the immune system in GWI. In a recent study (Engdahl et al., EBioMedicine doi: 10.1016/j.ebiom.2016.08.030 , 2016 ), we showed that the brain pattern of synchronous neural interactions (SNI; Georgopoulos et al., J Neural Eng 4:349–355, 2007 ) in GWI is distinctly different from that in healthy controls. Here we focused on the SNI itself, as a basic measure of neural communication (irrespective of specific connections) and compared it between GWI and seven other diseases that cover a broad spectrum of etiology and pathophysiology. Specifically, we sought to determine which, if any, of those diseases might resemble GWI SNI, overall and within the HLA protective domain, and thus gain further knowledge regarding the nature of GWI brain abnormality. We studied a total of 962 participants from a healthy control population ( N  = 583) and eight different diseases, including GWI ( N  = 40), schizophrenia (SZ; N  = 21), Alzheimer’s disease (AD; N  = 66), posttraumatic stress disorder (PTSD; N  = 159), major depressive disorder (MDD; N  = 10), relapsing–remitting multiple sclerosis (RRMS; N  = 43), Sjögren’s syndrome (SS; N  = 32), and rheumatoid arthritis (RA; N  = 8). They all underwent a resting-state magnetoencephalographic (MEG) scan to calculate SNIs. Data were analyzed using analysis of covariance (ANCOVA) with disease as fixed factor, and sex and age as covariates. We found that GWI SNIs differed significantly from control SZ, AD, PTSD and MDD but not from RRMS, SS and RA. In addition, we compared GWI to RRMS, SS and RA with respect to SNIs of MEG sensor pairs that were related to the HLA alleles protective for GWI (James et al., EBioMedicine 13:72–79, 2016 ). We found that GWI SNIs did not differ significantly from any of these three diseases but they did so from control SZ, AD, PTSD and MDD. These findings indicate that (a) GWI brain synchronicity does not differ significantly from that of known immune-rel
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In a previous study (Georgopoulos et al., J Neural Eng 4:349–355, 2015 ), we identified six protective alleles from Class II human leukocyte antigen (HLA) genes, and more recently, we investigated the brain correlates of this protection (James et al., EBioMedicine 13:72–79, 2016 ). Those and other studies (Israeli, Lupus, 21:190–194, 2012 ) suggested an involvement of the immune system in GWI. In a recent study (Engdahl et al., EBioMedicine doi: 10.1016/j.ebiom.2016.08.030 , 2016 ), we showed that the brain pattern of synchronous neural interactions (SNI; Georgopoulos et al., J Neural Eng 4:349–355, 2007 ) in GWI is distinctly different from that in healthy controls. Here we focused on the SNI itself, as a basic measure of neural communication (irrespective of specific connections) and compared it between GWI and seven other diseases that cover a broad spectrum of etiology and pathophysiology. Specifically, we sought to determine which, if any, of those diseases might resemble GWI SNI, overall and within the HLA protective domain, and thus gain further knowledge regarding the nature of GWI brain abnormality. We studied a total of 962 participants from a healthy control population ( N  = 583) and eight different diseases, including GWI ( N  = 40), schizophrenia (SZ; N  = 21), Alzheimer’s disease (AD; N  = 66), posttraumatic stress disorder (PTSD; N  = 159), major depressive disorder (MDD; N  = 10), relapsing–remitting multiple sclerosis (RRMS; N  = 43), Sjögren’s syndrome (SS; N  = 32), and rheumatoid arthritis (RA; N  = 8). They all underwent a resting-state magnetoencephalographic (MEG) scan to calculate SNIs. Data were analyzed using analysis of covariance (ANCOVA) with disease as fixed factor, and sex and age as covariates. We found that GWI SNIs differed significantly from control SZ, AD, PTSD and MDD but not from RRMS, SS and RA. In addition, we compared GWI to RRMS, SS and RA with respect to SNIs of MEG sensor pairs that were related to the HLA alleles protective for GWI (James et al., EBioMedicine 13:72–79, 2016 ). We found that GWI SNIs did not differ significantly from any of these three diseases but they did so from control SZ, AD, PTSD and MDD. These findings indicate that (a) GWI brain synchronicity does not differ significantly from that of known immune-related diseases (RRMS, SS, RA), and (b) that this SNI similarity is present within the HLA-related SNIs. In contrast, GWI SNIs differed significantly from those of the other diseases. We conclude that altered brain communication in GWI likely reflects immune-related processes, as postulated previously (James et al., EBioMedicine 13:72–79, 2016 ). By extension, these findings also indicate that functional brain abnormalities in RRMS, SS and RA might be, in part, due to lack of protective HLA alleles as documented for GWI (Georgopoulos et al., EBioMedicine 3:79–85, 2015 ).</description><identifier>ISSN: 0014-4819</identifier><identifier>EISSN: 1432-1106</identifier><identifier>DOI: 10.1007/s00221-017-5050-0</identifier><identifier>PMID: 28762055</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Alleles ; Alzheimer Disease - genetics ; Alzheimer Disease - physiopathology ; Alzheimer's disease ; Analysis of covariance ; Arthritis, Rheumatoid - genetics ; Arthritis, Rheumatoid - physiopathology ; Autoimmune Diseases - genetics ; Autoimmune Diseases - physiopathology ; Biomedical and Life Sciences ; Biomedicine ; Brain - physiopathology ; Brain Diseases - genetics ; Brain Diseases - physiopathology ; Data processing ; Depressive Disorder, Major - genetics ; Depressive Disorder, Major - physiopathology ; Electroencephalography Phase Synchronization - physiology ; Etiology ; Female ; Gulf War ; Gulf War syndrome ; Histocompatibility antigen HLA ; Histocompatibility Antigens Class II - genetics ; Humans ; Immune system ; Magnetoencephalography ; Magnetoencephalography - methods ; Male ; Mental depression ; Mental disorders ; Mental Disorders - genetics ; Mental Disorders - physiopathology ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis, Relapsing-Remitting - genetics ; Multiple Sclerosis, Relapsing-Remitting - physiopathology ; Neurodegenerative diseases ; Neurology ; Neurosciences ; Organs ; Persian Gulf syndrome ; Persian Gulf Syndrome - classification ; Persian Gulf Syndrome - genetics ; Persian Gulf Syndrome - physiopathology ; Persian Gulf War ; Physiological aspects ; Post traumatic stress disorder ; Research Article ; Rheumatoid arthritis ; Schizophrenia ; Schizophrenia - genetics ; Schizophrenia - physiopathology ; Sjogren's syndrome ; Stress Disorders, Post-Traumatic - genetics ; Stress Disorders, Post-Traumatic - physiopathology ; War</subject><ispartof>Experimental brain research, 2017-10, Vol.235 (10), p.3217-3225</ispartof><rights>Springer-Verlag GmbH Germany (outside the USA) 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Experimental Brain Research is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-86bcfcca3b4daa692d8fb0ec0bedcc67a585fb489ab2774946cf7bb42a7101003</citedby><cites>FETCH-LOGICAL-c439t-86bcfcca3b4daa692d8fb0ec0bedcc67a585fb489ab2774946cf7bb42a7101003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00221-017-5050-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00221-017-5050-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28762055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Georgopoulos, Apostolos P.</creatorcontrib><creatorcontrib>James, Lisa M.</creatorcontrib><creatorcontrib>Carpenter, Adam F.</creatorcontrib><creatorcontrib>Engdahl, Brian E.</creatorcontrib><creatorcontrib>Leuthold, Arthur C.</creatorcontrib><creatorcontrib>Lewis, Scott M.</creatorcontrib><title>Gulf War illness (GWI) as a neuroimmune disease</title><title>Experimental brain research</title><addtitle>Exp Brain Res</addtitle><addtitle>Exp Brain Res</addtitle><description>Gulf War illness (GWI) is a chronic disease characterized by the involvement of several organs, including the brain (Christova et al., Exp Brain Res doi: 10.1007/s00221-017-5010-8 , 2017 ). In a previous study (Georgopoulos et al., J Neural Eng 4:349–355, 2015 ), we identified six protective alleles from Class II human leukocyte antigen (HLA) genes, and more recently, we investigated the brain correlates of this protection (James et al., EBioMedicine 13:72–79, 2016 ). Those and other studies (Israeli, Lupus, 21:190–194, 2012 ) suggested an involvement of the immune system in GWI. In a recent study (Engdahl et al., EBioMedicine doi: 10.1016/j.ebiom.2016.08.030 , 2016 ), we showed that the brain pattern of synchronous neural interactions (SNI; Georgopoulos et al., J Neural Eng 4:349–355, 2007 ) in GWI is distinctly different from that in healthy controls. Here we focused on the SNI itself, as a basic measure of neural communication (irrespective of specific connections) and compared it between GWI and seven other diseases that cover a broad spectrum of etiology and pathophysiology. Specifically, we sought to determine which, if any, of those diseases might resemble GWI SNI, overall and within the HLA protective domain, and thus gain further knowledge regarding the nature of GWI brain abnormality. We studied a total of 962 participants from a healthy control population ( N  = 583) and eight different diseases, including GWI ( N  = 40), schizophrenia (SZ; N  = 21), Alzheimer’s disease (AD; N  = 66), posttraumatic stress disorder (PTSD; N  = 159), major depressive disorder (MDD; N  = 10), relapsing–remitting multiple sclerosis (RRMS; N  = 43), Sjögren’s syndrome (SS; N  = 32), and rheumatoid arthritis (RA; N  = 8). They all underwent a resting-state magnetoencephalographic (MEG) scan to calculate SNIs. Data were analyzed using analysis of covariance (ANCOVA) with disease as fixed factor, and sex and age as covariates. We found that GWI SNIs differed significantly from control SZ, AD, PTSD and MDD but not from RRMS, SS and RA. In addition, we compared GWI to RRMS, SS and RA with respect to SNIs of MEG sensor pairs that were related to the HLA alleles protective for GWI (James et al., EBioMedicine 13:72–79, 2016 ). We found that GWI SNIs did not differ significantly from any of these three diseases but they did so from control SZ, AD, PTSD and MDD. These findings indicate that (a) GWI brain synchronicity does not differ significantly from that of known immune-related diseases (RRMS, SS, RA), and (b) that this SNI similarity is present within the HLA-related SNIs. In contrast, GWI SNIs differed significantly from those of the other diseases. We conclude that altered brain communication in GWI likely reflects immune-related processes, as postulated previously (James et al., EBioMedicine 13:72–79, 2016 ). By extension, these findings also indicate that functional brain abnormalities in RRMS, SS and RA might be, in part, due to lack of protective HLA alleles as documented for GWI (Georgopoulos et al., EBioMedicine 3:79–85, 2015 ).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alleles</subject><subject>Alzheimer Disease - genetics</subject><subject>Alzheimer Disease - physiopathology</subject><subject>Alzheimer's disease</subject><subject>Analysis of covariance</subject><subject>Arthritis, Rheumatoid - genetics</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Autoimmune Diseases - genetics</subject><subject>Autoimmune Diseases - physiopathology</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Brain - physiopathology</subject><subject>Brain Diseases - genetics</subject><subject>Brain Diseases - physiopathology</subject><subject>Data processing</subject><subject>Depressive Disorder, Major - genetics</subject><subject>Depressive Disorder, Major - physiopathology</subject><subject>Electroencephalography Phase Synchronization - physiology</subject><subject>Etiology</subject><subject>Female</subject><subject>Gulf War</subject><subject>Gulf War syndrome</subject><subject>Histocompatibility antigen HLA</subject><subject>Histocompatibility Antigens Class II - genetics</subject><subject>Humans</subject><subject>Immune system</subject><subject>Magnetoencephalography</subject><subject>Magnetoencephalography - methods</subject><subject>Male</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Disorders - genetics</subject><subject>Mental Disorders - physiopathology</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis, Relapsing-Remitting - genetics</subject><subject>Multiple Sclerosis, Relapsing-Remitting - physiopathology</subject><subject>Neurodegenerative diseases</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Organs</subject><subject>Persian Gulf syndrome</subject><subject>Persian Gulf Syndrome - 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Academic</collection><jtitle>Experimental brain research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Georgopoulos, Apostolos P.</au><au>James, Lisa M.</au><au>Carpenter, Adam F.</au><au>Engdahl, Brian E.</au><au>Leuthold, Arthur C.</au><au>Lewis, Scott M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gulf War illness (GWI) as a neuroimmune disease</atitle><jtitle>Experimental brain research</jtitle><stitle>Exp Brain Res</stitle><addtitle>Exp Brain Res</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>235</volume><issue>10</issue><spage>3217</spage><epage>3225</epage><pages>3217-3225</pages><issn>0014-4819</issn><eissn>1432-1106</eissn><abstract>Gulf War illness (GWI) is a chronic disease characterized by the involvement of several organs, including the brain (Christova et al., Exp Brain Res doi: 10.1007/s00221-017-5010-8 , 2017 ). In a previous study (Georgopoulos et al., J Neural Eng 4:349–355, 2015 ), we identified six protective alleles from Class II human leukocyte antigen (HLA) genes, and more recently, we investigated the brain correlates of this protection (James et al., EBioMedicine 13:72–79, 2016 ). Those and other studies (Israeli, Lupus, 21:190–194, 2012 ) suggested an involvement of the immune system in GWI. In a recent study (Engdahl et al., EBioMedicine doi: 10.1016/j.ebiom.2016.08.030 , 2016 ), we showed that the brain pattern of synchronous neural interactions (SNI; Georgopoulos et al., J Neural Eng 4:349–355, 2007 ) in GWI is distinctly different from that in healthy controls. Here we focused on the SNI itself, as a basic measure of neural communication (irrespective of specific connections) and compared it between GWI and seven other diseases that cover a broad spectrum of etiology and pathophysiology. Specifically, we sought to determine which, if any, of those diseases might resemble GWI SNI, overall and within the HLA protective domain, and thus gain further knowledge regarding the nature of GWI brain abnormality. We studied a total of 962 participants from a healthy control population ( N  = 583) and eight different diseases, including GWI ( N  = 40), schizophrenia (SZ; N  = 21), Alzheimer’s disease (AD; N  = 66), posttraumatic stress disorder (PTSD; N  = 159), major depressive disorder (MDD; N  = 10), relapsing–remitting multiple sclerosis (RRMS; N  = 43), Sjögren’s syndrome (SS; N  = 32), and rheumatoid arthritis (RA; N  = 8). They all underwent a resting-state magnetoencephalographic (MEG) scan to calculate SNIs. Data were analyzed using analysis of covariance (ANCOVA) with disease as fixed factor, and sex and age as covariates. We found that GWI SNIs differed significantly from control SZ, AD, PTSD and MDD but not from RRMS, SS and RA. In addition, we compared GWI to RRMS, SS and RA with respect to SNIs of MEG sensor pairs that were related to the HLA alleles protective for GWI (James et al., EBioMedicine 13:72–79, 2016 ). We found that GWI SNIs did not differ significantly from any of these three diseases but they did so from control SZ, AD, PTSD and MDD. These findings indicate that (a) GWI brain synchronicity does not differ significantly from that of known immune-related diseases (RRMS, SS, RA), and (b) that this SNI similarity is present within the HLA-related SNIs. In contrast, GWI SNIs differed significantly from those of the other diseases. We conclude that altered brain communication in GWI likely reflects immune-related processes, as postulated previously (James et al., EBioMedicine 13:72–79, 2016 ). By extension, these findings also indicate that functional brain abnormalities in RRMS, SS and RA might be, in part, due to lack of protective HLA alleles as documented for GWI (Georgopoulos et al., EBioMedicine 3:79–85, 2015 ).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28762055</pmid><doi>10.1007/s00221-017-5050-0</doi><tpages>9</tpages></addata></record>
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identifier ISSN: 0014-4819
ispartof Experimental brain research, 2017-10, Vol.235 (10), p.3217-3225
issn 0014-4819
1432-1106
language eng
recordid cdi_proquest_miscellaneous_1925280196
source MEDLINE; SpringerLink Journals
subjects Adult
Aged
Aged, 80 and over
Alleles
Alzheimer Disease - genetics
Alzheimer Disease - physiopathology
Alzheimer's disease
Analysis of covariance
Arthritis, Rheumatoid - genetics
Arthritis, Rheumatoid - physiopathology
Autoimmune Diseases - genetics
Autoimmune Diseases - physiopathology
Biomedical and Life Sciences
Biomedicine
Brain - physiopathology
Brain Diseases - genetics
Brain Diseases - physiopathology
Data processing
Depressive Disorder, Major - genetics
Depressive Disorder, Major - physiopathology
Electroencephalography Phase Synchronization - physiology
Etiology
Female
Gulf War
Gulf War syndrome
Histocompatibility antigen HLA
Histocompatibility Antigens Class II - genetics
Humans
Immune system
Magnetoencephalography
Magnetoencephalography - methods
Male
Mental depression
Mental disorders
Mental Disorders - genetics
Mental Disorders - physiopathology
Middle Aged
Multiple sclerosis
Multiple Sclerosis, Relapsing-Remitting - genetics
Multiple Sclerosis, Relapsing-Remitting - physiopathology
Neurodegenerative diseases
Neurology
Neurosciences
Organs
Persian Gulf syndrome
Persian Gulf Syndrome - classification
Persian Gulf Syndrome - genetics
Persian Gulf Syndrome - physiopathology
Persian Gulf War
Physiological aspects
Post traumatic stress disorder
Research Article
Rheumatoid arthritis
Schizophrenia
Schizophrenia - genetics
Schizophrenia - physiopathology
Sjogren's syndrome
Stress Disorders, Post-Traumatic - genetics
Stress Disorders, Post-Traumatic - physiopathology
War
title Gulf War illness (GWI) as a neuroimmune disease
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