Name the question
Bad: “What causes lupus?” Better: “What mechanisms are studied in lupus-related kidney injury?”
EvidenceHelix explains biomedical concepts twice: first in accurate scientific language, then again in plain language. Use the Medical Book to learn the biology, and the Scientist Handbook to evaluate evidence, design experiments, challenge assumptions, and move findings into the Discovery Bench.
You do not need a medical degree to start asking good scientific questions. The trick is to turn a broad concern into a narrow, checkable research question.
Bad: “What causes lupus?” Better: “What mechanisms are studied in lupus-related kidney injury?”
Look up the disease, organ, biomarker, gene, medication, or exposure before comparing studies.
Start with an authoritative overview, then a review/article, then a trial, dataset, genetics record, or regulatory source.
For each claim record the population, design, outcome, date, source, and what the evidence does not prove.
Ask whether differences come from population, endpoint, dose/exposure, study design, follow-up, or confounding.
Only after the source trail is visible should you draft a candidate hypothesis and a possible falsifying experiment.
How can lupus affect kidney function, and what evidence distinguishes lupus nephritis from other causes of CKD?
That single question naturally teaches disease biology, kidney function, labs, pathology, study design, differential evidence, and source provenance—without asking the software to diagnose a person.
These starter chapters are deliberately structured the same way so the reader can compare diseases without pretending they all work alike.
Scientific: an inherited hemoglobin disorder caused by pathogenic variants in HBB that produce hemoglobin S and can alter red-cell shape, rheology, oxygen delivery, and vascular behavior.
Scientific: a heterogeneous metabolic disorder involving insulin resistance, impaired beta-cell function, altered glucose regulation, and multi-organ effects.
Scientific: a family of malignant breast tumors with clinically important variation in hormone-receptor status, HER2 status, genomic features, grade, stage, and treatment response.
Scientific: an aggressive diffuse glioma defined using modern histologic and molecular criteria; genomic and epigenomic context can materially change interpretation.
Scientific: a systemic autoimmune disease with heterogeneous immune dysregulation and variable involvement of skin, joints, kidneys, nervous system, blood cells, and other organs.
Scientific: a progressive neurodegenerative disease associated with characteristic neuropathology including amyloid and tau changes, while genetics, vascular biology, immunity, aging, and other mechanisms remain active research areas.
Scientific: an autosomal-recessive disorder caused by pathogenic variants in CFTR, affecting chloride and bicarbonate transport and multiple organs.
Scientific: a heterogeneous psychiatric syndrome defined clinically by patterns of mood, cognitive, physical, and functional symptoms; biology is multifactorial and no single biomarker explains all cases.
Scientific: a heterogeneous psychiatric disorder involving psychotic, cognitive, negative, and functional symptoms with complex genetic and environmental contributions.
The Human Atlas is a dedicated full-page EvidenceHelix lab at
/app/labs/visual-3d-lab. The production viewer renders real HuBMAP Human
Reference Atlas (HRA) GLB anatomy under CC BY 4.0. It keeps the realistic medical preview
visible while the high-detail mesh loads and fails closed rather than substituting fake
organ circles when a 3D asset is unavailable.
Trans reference views can expose educational research regions for chest masculinization, hysterectomy, phalloplasty, metoidioplasty, breast augmentation, vaginoplasty, orchiectomy, facial gender-affirming surgery, and endocrine context.
These overlays locate an evidence topic. They do not show operative steps, prescribe a technique, promise an outcome, or imply that a trans person has had or wants surgery.
A selected structure should become a research anchor for literature, provenance, contradictions, genes, biomarkers, pathways, public clinical trials, multi-omics, cohorts, hypotheses, and reproducibility.
| Layer | Current examples | Research direction |
|---|---|---|
| Organs | Brain, heart, lungs, liver, stomach, kidneys, intestines, bladder. | Disease overlays, biomarkers, tissue evidence. |
| Endocrine | Pituitary, thyroid, adrenal glands, pancreas, gonadal context. | Hormone pathways, biomarkers, pharmacology, cohorts. |
| Circulation | Major arterial/venous teaching paths. | Coronary, cerebral, renal, pulmonary and systemic circulation. |
| Musculoskeletal | Pectoral muscles, quadriceps, skull, spine, pelvis and major skeletal paths. | Named high-fidelity bones, muscles, joints, tendons and fascia. |
| Reproductive | Uterus/ovaries and prostate/testes where applicable. | Independent structure toggles; do not infer anatomy from identity. |
| Care / surgery overlays | Research regions for gender-affirming care. | Outcome, complication, follow-up and population-context evidence. |
This map is a teaching model for organizing research. An arrow means “scientists study a relationship here,” not “this definitely caused that in a particular person.”
| Condition | Core biology to learn first | Common research measurements | Important “don’t assume” |
|---|---|---|---|
| Lupus (SLE) | Autoimmunity, inflammation, organ involvement, flare/remission. | Symptoms, autoantibodies, CBC, kidney labs/urine, organ-specific measures. | A positive ANA alone does not diagnose lupus. |
| Fibromyalgia | Chronic widespread pain/tenderness, increased pain sensitivity, sleep and fatigue biology. | Pain distribution, fatigue, sleep, cognition, function. | Pain severity does not map neatly to a single tissue-damage marker. |
| Chronic kidney disease | Persistent kidney damage or reduced filtration. | eGFR, creatinine, UACR/albuminuria, urine findings, blood pressure. | CKD in a person with diabetes is not automatically diabetic kidney disease. |
| Diabetes | Glucose regulation and insulin biology; type matters. | Glucose measures, A1C, complications, kidney/eye/nerve/cardiovascular outcomes. | Type 1 and type 2 have different underlying mechanisms. |
Scientific: persistent abnormalities of kidney structure or function can reduce filtration and/or allow substances such as albumin to appear abnormally in urine.
Beginner measurements: eGFR estimates filtration; UACR looks for albumin leaking into urine.
Scientific: kidney disease caused by systemic lupus erythematosus, where autoimmune inflammation can affect glomeruli and other kidney structures.
Scientific: a chronic disorder involving widespread pain and tenderness, fatigue, sleep problems, and increased sensitivity to pain; the cause is not fully understood.
Scientific: diabetes involves chronically elevated blood glucose because insulin production and/or insulin action is disrupted; the mechanism differs by diabetes type.
eGFR in mL/min/1.73 m². *G1/G2 only meet CKD criteria when other markers of kidney damage are present. Classification is educational and must be interpreted in clinical context.
| Type 1 diabetes | Type 2 diabetes | Gestational diabetes | |
|---|---|---|---|
| Core mechanism | Immune-mediated destruction of insulin-producing beta cells; little/no insulin production. | Insulin resistance plus inadequate insulin production over time. | Diabetes first diagnosed during pregnancy. |
| Research lens | Autoimmunity, beta cells, genetics, insulin replacement, technology. | Metabolism, beta-cell function, genetics, environment, complications. | Pregnancy physiology, maternal/child outcomes, later metabolic risk. |
| Kidney relevance | Long-term high blood glucose can contribute to kidney damage; kidney disease still requires its own evaluation. | ||
| Term | What it means | Common mistake to avoid |
|---|---|---|
| Pathogenic | Evidence supports a disease-causing role in a defined gene-disease context. | It does not by itself predict severity, age of onset, or treatment response. |
| Likely pathogenic | Evidence strongly leans disease-causing but is not at the highest certainty category. | Do not silently convert “likely” into certainty. |
| VUS | Variant of uncertain significance; current evidence is insufficient or conflicting. | Do not treat a VUS as a confirmed diagnosis. |
| Likely benign / benign | Evidence argues against the variant being disease-causing in that context. | Other variants, genes, or mechanisms can still matter. |
| Germline | Somatic | |
|---|---|---|
| Where it comes from | Present in egg/sperm lineage and typically across many body cells. | Acquired in a subset of cells during life. |
| Often relevant to | Inherited disease risk, family studies, reproductive genetics. | Cancer, clonal cell populations, tissue-specific processes. |
| Family interpretation | May have implications for relatives. | Usually not inherited in the same way. |
Helps identify or confirm a disease or biological state.
Associated with future disease course or outcome independent of a specific treatment.
Associated with differential response to a particular intervention.
Changes in response to treatment or tracks biological status over time.
| Evidence object | What it can tell you | What it cannot prove alone |
|---|---|---|
| Mechanism / target | How a drug is expected to interact with biology. | That it will improve patient outcomes. |
| Clinical trial | Effects under a defined protocol and population. | That every patient will respond similarly. |
| FDA/official label | Approved indications, dosing framework, contraindications, warnings. | All future evidence or every off-label research question. |
| FAERS / spontaneous reports | Potential post-market safety signals. | Causation or incidence rates by itself. |
| Pharmacogenomics | Gene-drug relationships that may affect metabolism, efficacy, or safety. | That genetics is the only determinant of response. |
Exposome is a broad research idea covering environmental exposures across life—chemical, physical, social, behavioral, and biological.
| Evidence type | Strength / use | Important limitation |
|---|---|---|
| Personal measurement | Direct measure for a person/sample/time window. | May miss earlier or intermittent exposure. |
| Environmental monitor | Measures air/water/environment at a location. | Not identical to individual dose. |
| Modeled exposure | Estimates exposure where direct measurement is unavailable. | Depends on model assumptions and spatial/temporal resolution. |
| Ecological association | Useful for population-level patterns. | Cannot be assumed to describe individual causation. |
| Toxicology / bioassay | Explores biological activity and plausible mechanisms. | Experimental dose/context may differ from real-world exposure. |
| Term | Plain-language meaning | Typical denominator |
|---|---|---|
| Incidence | New cases appearing during a period. | People at risk over time. |
| Prevalence | How many people have the condition at a point/period. | Total defined population. |
| Mortality rate | Deaths in a defined population/time. | Population and time interval. |
| Relative risk | Risk in one group divided by risk in another. | Comparison groups. |
| Absolute risk difference | The actual difference in probability between groups. | Same defined time horizon. |
| Sensitivity | Specificity | |
|---|---|---|
| Question | Among people who truly have the condition, how many test positive? | Among people who truly do not have it, how many test negative? |
| High value helps | Reduce false negatives. | Reduce false positives. |
| Does not determine alone | Positive predictive value, negative predictive value, and real-world usefulness also depend on prevalence and context. | |
EvidenceHelix treats psychiatric research as first-class biomedical science: clinical phenotype, cognition, sleep, genetics, brain/circuit research, medication evidence, environment, physical comorbidity, function, and lived context. No condition is reduced to one gene or one neurotransmitter.
Depression can involve persistent low mood or loss of interest plus changes in sleep, energy, cognition, appetite, movement, and function. NIMH describes genetic, biological, environmental, and psychological contributors.
Anxiety disorders involve more than ordinary worry or fear and can interfere with daily life. Different disorders have different triggers and symptom patterns.
Bipolar disorders involve episodes with marked changes in mood, energy, activity, and concentration, including mania/hypomania and depressive episodes.
Research commonly separates psychotic, negative, cognitive, functional, developmental, genetic, and environmental dimensions rather than treating schizophrenia as a single measurable feature.
OCD involves recurring intrusive thoughts/urges/images (obsessions), repetitive behaviors or mental acts (compulsions), or both, with significant distress or interference.
PTSD can develop after traumatic exposure and is studied across intrusion/memory, avoidance, mood/cognition, arousal, sleep, stress biology, and functioning.
| Research layer | Examples | What to be careful about |
|---|---|---|
| Clinical phenotype | diagnostic interviews, symptom scales, functioning | A scale score is not the whole person or automatically a diagnosis. |
| Cognition | memory, attention, processing speed, executive tasks | Task performance depends on context, sleep, medication, practice, and many other factors. |
| Genetics | GWAS, polygenic signals, rare variants | Association is not destiny; no single common gene explains a complex psychiatric disorder. |
| Neurobiology | electrophysiology, circuits, molecular studies | Group-average brain differences are not individual diagnostic tests. |
| Medication | efficacy, adverse effects, pharmacogenomics, adherence | Average trial effects do not predict every individual's response. |
| Environment/context | trauma, stress, sleep, substance exposure, neighborhood/social factors | Environmental association does not automatically establish causation. |
Past-year U.S. adult estimates reported by NIMH from the National Comorbidity Survey Replication; these underlying survey data are historical and are shown here to teach how prevalence charts should be labeled, not as a claim about 2026 prevalence.
| Observation | What it supports | What is still needed |
|---|---|---|
| Exposure X is more common in people with outcome Y. | An association worth investigating. | Temporal order, confounder control, replication, dose-response, mechanistic plausibility, stronger designs where possible. |
| Gene variant correlates with phenotype. | Genetic association. | Replication, functional evidence, population context, segregation where relevant, careful causal inference. |
| Adverse event appears after a medication. | A temporal signal. | Background rate, dechallenge/rechallenge context, alternative causes, denominator, controlled evidence. |
| Design item | Question to write down before running |
|---|---|
| Hypothesis | What specific, falsifiable relationship are we testing? |
| Population / model | Which people, cells, animals, tissues, datasets, or samples does this claim apply to? |
| Comparison | What is the control/reference group? |
| Outcome | What exact measurement determines whether the prediction held? |
| Confounders | What else could create the same pattern? |
| Missing data | How will missingness be handled? |
| Analysis plan | Which analysis is primary, and which are exploratory? |
| Replication | How could another team or dataset reproduce the result? |
| Layer | What it measures | Typical research question |
|---|---|---|
| Genomics | DNA sequence and variation. | Which variants are associated with disease or function? |
| Epigenomics | Regulatory marks and chromatin state. | Which regions are active, repressed, or differently regulated? |
| Transcriptomics | RNA expression. | Which genes are being transcribed, in which cells or conditions? |
| Proteomics | Protein abundance/modification. | Which proteins or pathways are changing? |
| Metabolomics | Small molecules and metabolic products. | Which biochemical processes appear altered? |
| Single-cell / spatial | Cell-level identity and location. | Which cell populations drive the signal, and where? |
Age, diagnosis criteria, disease subtype, prior treatment, labs, geography, ancestry descriptors, comorbidities.
How long participants were observed and how many were lost to follow-up.
Which measurements are absent, whether absence is systematic, and how analyses handle it.
Whether results plausibly generalize beyond the people or samples actually studied.
| Difference to inspect | Why it can change the result |
|---|---|
| Population | Age, ancestry, disease severity, subtype, comorbidities, prior treatment. |
| Design | Randomized vs observational vs case series vs preclinical model. |
| Dose / exposure | Different amounts, duration, route, timing, or real-world exposure. |
| Endpoint | Biomarker change may not equal symptom or survival benefit. |
| Follow-up | Short studies may miss long-term benefit or harm. |
| Bias / confounding | Selection, measurement, publication, and residual confounding can shift estimates. |
The Discovery Bench should never produce “magic certainty.” It assembles governed evidence into a transparent candidate explanation.
Claim, supporting evidence, contradicting evidence, confounders, source provenance, population, mechanisms, falsifiers, next experiments.
“Here is the pattern we found, why it might matter, what does not fit yet, and what would need to be tested next.”
Dataset/version, query, filters, source IDs, retrieval date, licensing decision.
Code version, environment, package versions, random seeds where relevant, analysis parameters.
Jupyter notebook, inputs, outputs, figures, assumptions, unresolved warnings.
Contradictions reviewed, alternative explanations, failed analyses, negative results, changes to the hypothesis.
| Decision | Meaning | System behavior |
|---|---|---|
| ALLOW | Terms support the declared production use. | Connector can ingest while preserving required attribution/provenance. |
| CONDITIONAL | Use is possible only after a documented condition is satisfied. | Fail closed until condition is proven. |
| DENY | Terms are incompatible or rights are unknown. | No production ingestion. |
| EXTERNAL ONLY | Useful research tool, but not a safe core-data dependency. | Link out; do not scrape or mirror. |
Disease concepts plus a rotatable, zoomable anatomy lab with named body-system layers and structure-to-evidence research paths.
Psychiatry, neurology, cognition, sleep, medication, genetics, environment, comorbidity.
Variants, ClinVar, GWAS, expression, sequencing, perturbations, single-cell studies.
RxNorm, labels, mechanisms, targets, pharmacogenomics, safety signals.
Exposure, toxicology, pollution, population burden, geography, demographics.
Phenotype, labs, genetics, medications, exposures, course, outcomes—without claiming identical disease.
Pin source-backed findings, organize questions, reproduce analysis in Jupyter.
Grounded synthesis with citations, uncertainty, contradictions, and discussion questions.