ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

2422 studies

301–320 of 2,422 studies

E3 PreliminaryCommentaryPEM not requiredEditorial

[Chronic fatigue: What investigations? And what for?].

Gramont, B, Goutte, J, Féasson, L et al.·La Revue de medecine interne·2023

When people feel tired all the time, doctors need to figure out why. This article explains how doctors should approach chronic fatigue: by asking careful questions, doing a physical exam, and using only necessary blood tests. It emphasizes that chronic fatigue often has multiple causes—physical, emotional, and life circumstances—working together, and that exercise testing and personalized activity programs are the most helpful treatments.

Diagnostics

E3 PreliminaryMechanismPEM unclearMechanistic

In vitro B cell experiments explore the role of CD24, CD38, and energy metabolism in ME/CFS.

Armstrong, Christopher W, Mensah, Fane F K, Leandro, Maria J et al.·Frontiers in immunology·2023

This study examined immune cells called B cells from ME/CFS patients and healthy people to understand how they handle energy differently. Researchers found that B cells from ME/CFS patients struggle to produce enough energy and have to work harder, using more nutrients to keep functioning. These cells also showed signs of being under stress, which may help explain why ME/CFS patients feel exhausted.

Immune System

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

Bayesian Statistics Improves Biological Interpretability of Metabolomics Data from Human Cohorts.

Brydges, Christopher, Che, Xiaoyu, Lipkin, Walter Ian et al.·Metabolites·2023

This study compared blood chemistry samples from three different groups of ME/CFS patients and healthy people to find differences in metabolites—small molecules in the blood. Instead of using the traditional statistical method, researchers used a newer approach called Bayesian statistics that allows them to combine results from multiple studies to find patterns that traditional methods missed. They discovered several important differences in blood metabolites between ME/CFS patients and healthy controls, including abnormal fat molecules and reduced levels of prostaglandin F2alpha.

Biomarkers

E3 PreliminaryReviewPEM not requiredSystematic-Review

Understanding mental fatigue and its detection: a comparative analysis of assessments and tools.

Kunasegaran, Kaveena, Ismail, Ahamed Miflah Hussain, Ramasamy, Shamala et al.·PeerJ·2023

Mental fatigue is a common problem that makes it harder to concentrate, process information, and make decisions. Currently, doctors mainly ask patients to describe their fatigue using questionnaires, which can be unreliable because people's answers are subjective. This review compared different methods of detecting mental fatigue—including questionnaires, heart rate measurements, stress hormones, brain scans, and eye movement tests—to find the most objective and accurate tool.

Cognitive Impairment

E3 PreliminaryReviewPEM unclearReview-Narrative

Narrative Review of Postural Orthostatic Tachycardia Syndrome: Associated Conditions and Management Strategies.

Steinberg, Rebecca S, Dicken, Weston, Cutchins, Alexis·US cardiology·2023

This review examines POTS (Postural Orthostatic Tachycardia Syndrome), a condition where your heart rate jumps too quickly when you stand up, along with other symptoms like dizziness and fatigue. The authors combined research evidence with their clinical experience to explain how POTS is recognized, what other conditions often occur alongside it, and how doctors can treat it. Many patients and doctors find POTS frustrating to diagnose and manage because treatments haven't been well-studied and POTS shares symptoms with other conditions.

Autonomic Nervous System

E3 PreliminaryMechanismPEM unclearCross-Sectional

Detection of Elevated Level of Tetrahydrobiopterin in Serum Samples of ME/CFS Patients with Orthostatic Intolerance: A Pilot Study.

Gottschalk, Carl Gunnar, Whelan, Ryan, Peterson, Daniel et al.·International journal of molecular sciences·2023

This study looked at a molecule called BH4 in the blood of ME/CFS patients, particularly those who experience dizziness when standing up. The researchers found that ME/CFS patients have higher levels of BH4 than healthy people, and this may be connected to oxidative stress (harmful chemical reactions in the body). This finding could help explain why some ME/CFS patients struggle with dizziness and blood flow problems.

Biomarkers

E3 PreliminaryReviewPEM unclearReview-Narrative

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Comorbidities: Linked by Vascular Pathomechanisms and Vasoactive Mediators?

Wirth, Klaus J, Löhn, Matthias·Medicina (Kaunas, Lithuania)·2023

This study examines why ME/CFS patients often experience other conditions like POTS, mast cell activation, endometriosis, and small fiber neuropathy at the same time. The researchers analyzed how these conditions might share common problems with blood vessel function and chemical messengers in the body. They found strong evidence that excessive inflammatory chemicals and problems with a specific receptor in the body (β2AdR) may be the connecting link between all these conditions.

E3 PreliminaryMechanismPEM not requiredMechanistic

Electroacupuncture at BL15 attenuates chronic fatigue syndrome by downregulating iNOS/NO signaling in C57BL/6 mice.

Zhu, Yang, Wang, Jingya, Yao, Lin et al.·Anatomical record (Hoboken, N.J. : 2007)·2023

This study tested whether electroacupuncture (a treatment involving tiny needles and electrical stimulation) could help mice with a condition similar to ME/CFS. Researchers found that electroacupuncture improved the mice's ability to move and strengthened their heart function by reducing levels of a particular chemical messenger (nitric oxide) in the body.

E3 PreliminaryReviewPEM unclearReview-Narrative

The Long Road of Long COVID: Specific Considerations for the Allergist/Immunologist.

Bellanti, Joseph A, Novak, Peter, Faitelson, Yoram et al.·The journal of allergy and clinical immunology. In practice·2023

Long COVID is a condition that develops after a COVID-19 infection and can cause symptoms affecting many parts of the body, including heart problems, blood clots, fatigue, and autoimmune issues. This review examines what causes Long COVID and which patients are most at risk, noting that certain groups like Hispanic and Latino communities face higher rates. The authors highlight that while vaccines help prevent severe acute COVID, we still need more research to understand how they affect Long COVID development and progression.

Immune SystemPost-Exertional Malaise

E3 PreliminaryCohortPEM unclear

Corona With Lyme: A Long COVID Case Study.

Thor, Danielle C, Suarez, Sergio·Cureus·2023

This study follows one 26-year-old medical student over three years as she developed and recovered from long COVID symptoms after an acute COVID-19 infection. The case documents her journey through various treatments and how her symptoms gradually improved over time. While this is just one person's experience, it provides insight into how long COVID can develop and potentially resolve.

Interventions

E3 PreliminaryCohortPEM unclearCross-Sectional

Myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia are indistinguishable by their cerebrospinal fluid proteomes.

Schutzer, Steven E, Liu, Tao, Tsai, Chia-Feng et al.·Annals of medicine·2023

Researchers examined the fluid surrounding the brain and spinal cord in people with ME/CFS—some of whom also had fibromyalgia and some who did not. Using advanced technology to measure thousands of proteins in this fluid, they found no significant differences between the two groups. This suggests that ME/CFS and fibromyalgia may not be completely separate diseases, but rather may overlap or be related conditions.

Diagnostics

E3 PreliminaryMechanismPEM unclearMechanistic

Serum from Myalgic encephalomyelitis/chronic fatigue syndrome patients causes loss of coherence in cellular circadian rhythms.

Wei, Heather, Adelsheim, Zoe, Fischer, Rita et al.·Journal of neuroimmunology·2023

This study found that blood serum from ME/CFS patients disrupts the internal 24-hour biological clock (circadian rhythm) in cells grown in the laboratory, compared to serum from healthy people. The disruption was linked to how severe patients' sleep problems were. While a protein called TGF-beta contributed to some rhythm changes, it didn't fully explain the effect, suggesting other unknown factors in ME/CFS patients' blood are responsible.

Immune System

E3 PreliminaryCohortPEM not requiredCase-Control

Life changing response to successive surgical interventions on cranial venous outflow: A case report on chronic fatigue syndrome.

Higgins, J Nicholas P, Axon, Patrick R, Lever, Andrew M L·Frontiers in neurology·2023

This case report describes one patient with ME/CFS who had narrowing in the veins that drain blood from the brain. Surgery to open one of these narrowed veins led to significant improvement in fatigue and other symptoms over the follow-up period. The authors suggest that blocked brain venous drainage might explain ME/CFS symptoms in some patients, similar to a related condition called intracranial hypertension.

E3 PreliminaryReviewPEM not requiredReview-Narrative

Role of Tau protein in long COVID and potential therapeutic targets.

Marwaha, Bharat·Frontiers in cellular and infection microbiology·2023

Long COVID causes ongoing fatigue, breathing problems, brain fog, and other symptoms that can last months or years. This review suggests that a protein called tau—which is known to damage the brain in other diseases—may also be involved in Long COVID. The authors propose that future research should look for tau damage in Long COVID patients and that treatments designed to stop tau buildup might help.

NeuroinflammationBiomarkers

E3 PreliminaryMechanismPEM unclearMechanistic

Genetic risk factors for severe and fatigue dominant long COVID and commonalities with ME/CFS identified by combinatorial analysis.

Taylor, Krystyna, Pearson, Matthew, Das, Sayoni et al.·Journal of translational medicine·2023

Researchers studied the genetic differences between people with long COVID to understand why some develop severe symptoms while others mainly experience extreme fatigue. They found that certain genetic variations, especially in genes related to brain function and metabolism, may influence how the disease develops. Importantly, they discovered that some of the same genetic patterns appear in both long COVID and ME/CFS patients, suggesting these conditions may share similar underlying biological mechanisms.

Energy MetabolismImmune System

E3 PreliminaryMechanismPEM requiredMechanistic

Stress-Induced Transcriptomic Changes in Females with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Reveal Disrupted Immune Signatures.

Van Booven, Derek J, Gamer, Jackson, Joseph, Andrew et al.·International journal of molecular sciences·2023

This study looked at how the bodies of women with ME/CFS respond to exercise compared to healthy women. Researchers collected blood samples at three points: before exercise, during maximum effort, and during recovery. While healthy women's immune cells showed normal changes during exercise, women with ME/CFS showed unusual immune system activity specifically during the recovery period—the time when post-exertional malaise (worsening of symptoms) typically occurs.

Immune SystemPost-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

[Myalgic encephalomyelitis/chronic fatigue syndrome: an overview of current evidence].

Ludwig, Birgit, Olbert, Elisabeth, Trimmel, Karin et al.·Der Nervenarzt·2023

This review examines what we currently know about ME/CFS, including how it is diagnosed and what treatments have been studied. The authors note that after many years of research, we still don't have clear answers about what causes ME/CFS or proven treatments that work for everyone. They suggest that the high rates of depression and anxiety seen in ME/CFS patients should make us consider whether psychological factors play a role in the condition.

E3 PreliminaryReviewPEM not requiredReview-Narrative

[Asthenia, mental fatigue and cognitive dysfunction].

Titova, N V, Bezdolny, Yu N, Katunina, E A·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·2023

This article discusses asthenia, which is a condition characterized by extreme tiredness that affects daily functioning and productivity. The authors explain that it's important to distinguish between simple chronic tiredness and chronic fatigue syndrome (CFS), and that fatigue can affect both the body and the mind. The article reviews how the brain may be involved in causing fatigue and cognitive problems, and suggests that a combination treatment using specific medications may help patients with fatigue and thinking difficulties.

Cognitive Impairment

E3 PreliminaryCohortPEM unclearObservational

First insights into multidisciplinary and multispecialty long COVID networks-a SWOT analysis from the perspective of ambulatory health care professionals.

Stengel, Sandra, Gölz, Lea, Kolb, Joachim et al.·Frontiers in medicine·2023

This study looked at how two regional networks in Germany organized care for long COVID patients by having different doctors and therapists work together. Researchers interviewed healthcare professionals from these networks to understand what worked well, what was difficult, and what could be improved. Both networks focused on primary care doctors coordinating care with specialists, though they took slightly different approaches—one emphasized treating individual patients in clinics, while the other connected hospitals and community services across a wider region.

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

Accelerating discovery: A novel flow cytometric method for detecting fibrin(ogen) amyloid microclots using long COVID as a model.

Turner, Simone, Laubscher, Gert Jacobus, Khan, M Asad et al.·Heliyon·2023

Long COVID patients often have abnormal blood clotting that creates tiny, sticky clots resistant to the body's natural clot-dissolving processes. This study developed a faster, more reliable laboratory test using imaging flow cytometry to detect these microclots in blood samples. The new method successfully identified larger and more numerous microclots in Long COVID patients compared to healthy controls, and it could potentially be used in regular hospital labs to help diagnose and treat affected patients.

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Evidence Atlas

Evidence browser

[Chronic fatigue: What investigations? And what for?].

In vitro B cell experiments explore the role of CD24, CD38, and energy metabolism in ME/CFS.

Bayesian Statistics Improves Biological Interpretability of Metabolomics Data from Human Cohorts.

Understanding mental fatigue and its detection: a comparative analysis of assessments and tools.

Narrative Review of Postural Orthostatic Tachycardia Syndrome: Associated Conditions and Management Strategies.

Detection of Elevated Level of Tetrahydrobiopterin in Serum Samples of ME/CFS Patients with Orthostatic Intolerance: A Pilot Study.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Comorbidities: Linked by Vascular Pathomechanisms and Vasoactive Mediators?

Electroacupuncture at BL15 attenuates chronic fatigue syndrome by downregulating iNOS/NO signaling in C57BL/6 mice.

The Long Road of Long COVID: Specific Considerations for the Allergist/Immunologist.

Corona With Lyme: A Long COVID Case Study.

Myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia are indistinguishable by their cerebrospinal fluid proteomes.

Serum from Myalgic encephalomyelitis/chronic fatigue syndrome patients causes loss of coherence in cellular circadian rhythms.

Life changing response to successive surgical interventions on cranial venous outflow: A case report on chronic fatigue syndrome.

Role of Tau protein in long COVID and potential therapeutic targets.

Genetic risk factors for severe and fatigue dominant long COVID and commonalities with ME/CFS identified by combinatorial analysis.

Stress-Induced Transcriptomic Changes in Females with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Reveal Disrupted Immune Signatures.

[Myalgic encephalomyelitis/chronic fatigue syndrome: an overview of current evidence].

[Asthenia, mental fatigue and cognitive dysfunction].

First insights into multidisciplinary and multispecialty long COVID networks-a SWOT analysis from the perspective of ambulatory health care professionals.

Accelerating discovery: A novel flow cytometric method for detecting fibrin(ogen) amyloid microclots using long COVID as a model.

Curated Collections

Neuroinflammation Evidence

Metabolism & Mitochondria

Biomarkers

PEM-Specific Research