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Clinical and Diagnostic Laboratory Immunology, May 2001, p. 658-662, Vol. 8, No. 3
Rutgers University1
and UMDNJ-New Jersey Medical School,3
Newark, New Jersey, and Uniformed Services of the Health
Sciences, Bethesda, Maryland2
Received 24 May 2000/Returned for modification 25 July
2000/Accepted 5 February 2001
Neural-network classifiers were used to detect immunological
differences in groups of chronic fatigue syndrome (CFS) patients that
heretofore had not shown significant differences from controls. In the
past linear methods were unable to detect differences between CFS
groups and non-CFS control groups in the nonveteran population. An
examination of the cluster structure for 29 immunological factors revealed a complex, nonlinear decision surface. Multilayer neural networks showed an over 16% improvement in an n-fold
resampling generalization test on unseen data. A sensitivity analysis
of the network found differences between groups that are consistent with the hypothesis that CFS symptoms are a consequence of immune system dysregulation. Corresponding decreases in the CD19+
B-cell compartment and the CD34+ hematopoietic progenitor
subpopulation were also detected by the neural network, consistent with
the T-cell expansion. Of significant interest was the fact that, of all
the cytokines evaluated, the only one to be in the final model was
interleukin-4 (IL-4). Seeing an increase in IL-4 suggests a shift to a
type 2 cytokine pattern. Such a shift has been hypothesized, but until
now convincing evidence to support that hypothesis has been lacking.
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.3.658-662.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Detection of Immunologically Significant Factors
for Chronic Fatigue Syndrome Using Neural-Network Classifiers
*
Corresponding author. Mailing address: Department of
Psychology, Smith Hall, Rutgers University, Newark, NJ 07102. Phone: (973) 353-5440, ext. 5095. Fax: (973) 353-1171. E-mail:
jose{at}kreizler.rutgers.edu.
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