ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

21–40 of 1,186 studies

E0 ConsensusPEM not requiredPreliminarySystematic-ReviewEditor reviewed

Ear abnormalities in chronic fatigue syndrome (CFS), fibromyalgia (FM), Coronavirus-19 infectious disease (COVID) and long-COVID syndrome (PCS), sick-building syndrome (SBS), post-orthostatic tachycardia syndrome (PoTS), and autoimmune/inflammatory syndrome induced by adjuvants (ASIA): A systematic review.

Skare, Thelma L, de Carvalho, Jozélio Freire, de Medeiros, Italo Roberto Torres et al.·Autoimmunity reviews·2024

This review examined hearing and balance problems (including hearing loss, tinnitus, dizziness, and vertigo) reported across multiple conditions including ME/CFS, fibromyalgia, and long COVID. Researchers searched medical literature from 1990 to 2024 and found that while hearing problems are common, balance problems are less frequently reported. The study suggests these symptoms may stem from immune system dysfunction affecting the inner ear.

Immune System

E0 ConsensusPEM unclearPreliminarySystematic-ReviewEditor reviewed

Epigenetic changes in patients with post-acute COVID-19 symptoms (PACS) and long-COVID: A systematic review.

Shekhar Patil, Madhura, Richter, Emma, Fanning, Lara et al.·Expert reviews in molecular medicine·2024

This review examined research on how long-COVID changes the way genes are turned on and off in the body—a process called epigenetics. Researchers found that these changes may affect the immune system, nervous system, and how cells use energy. While the findings are interesting and promise better treatments in the future, current research is still limited in size and quality.

Immune System

E0 ConsensusPEM requiredPreliminaryReview-NarrativeEditor reviewed

The gastrointestinal microbiota in the development of ME/CFS: a critical view and potential perspectives.

Stallmach, Andreas, Quickert, Stefanie, Puta, Christian et al.·Frontiers in immunology·2024

This review examines whether changes in gut bacteria might play a role in ME/CFS, particularly in cases that develop after infections like COVID-19. The authors found that many ME/CFS patients do show differences in their gut bacteria compared to healthy people, and these changes might trigger immune and inflammatory problems. However, the review concludes that current research hasn't proven that gut bacteria changes actually cause ME/CFS—only that they often occur together.

Immune SystemPost-Exertional Malaise

E0 ConsensusPEM unclearModerate confidenceReview-NarrativeEditor reviewed

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: the biology of a neglected disease.

Arron, Hayley E, Marsh, Benjamin D, Kell, Douglas B et al.·Frontiers in immunology·2024

This review examines what we know about ME/CFS by looking at how the disease develops from a combination of genetic factors, infections, and immune problems. The researchers found that ME/CFS appears to result from multiple body systems going wrong at the same time—including the immune system, inflammation, digestive health, and energy production. The study argues that doctors and scientists need to stop looking at ME/CFS as a single problem and instead understand it as a complex condition involving many interconnected issues.

Energy MetabolismImmune System

E0 ConsensusPEM unclearPreliminaryReview-NarrativeEditor reviewed

Recent Research Trends in Neuroinflammatory and Neurodegenerative Disorders.

Cohen, Jessica, Mathew, Annette, Dourvetakis, Kirk D et al.·Cells·2024

This review examines how inflammation in the brain and nervous system contributes to several chronic diseases, including ME/CFS and Gulf War Illness. The authors discuss how immune cells and inflammatory molecules can damage the brain and cause persistent symptoms. They highlight promising new laboratory techniques using human stem cells to create brain cells for testing potential treatments.

NeuroinflammationImmune System

E0 ConsensusPEM not requiredPreliminaryReview-NarrativeEditor reviewed

Research progress on pathogenesis of chronic fatigue syndrome and treatment of traditional Chinese and Western medicine.

Liu, Tingting, Sun, Weibo, Guo, Shuhao et al.·Autonomic neuroscience : basic & clinical·2024

This review examines what scientists currently understand about ME/CFS—a debilitating condition characterized by extreme fatigue that doesn't improve with rest, along with other symptoms like muscle pain, sore throat, and sleep problems. The authors looked at research on possible causes (like viral infections, stress, and immune system problems) and discussed how both conventional medicine and Traditional Chinese Medicine approaches might help treat the condition.

Immune System

E0 ConsensusPEM requiredModerate confidenceReview-NarrativeEditor reviewed

Chronic Fatigue Syndrome: Diagnosis, Treatment, and Future Direction.

Graves, B Sue, Patel, Mitsu, Newgent, Hailey et al.·Cureus·2024

ME/CFS is a serious illness that causes extreme tiredness that doesn't improve with rest and often gets worse with activity. People with ME/CFS also struggle with brain fog, pain, sleep problems, and immune system issues. Right now, doctors don't have a simple blood test or scan to diagnose ME/CFS, which makes it hard to identify and treat the condition properly.

BiomarkersImmune SystemCognitive ImpairmentPost-Exertional Malaise

E0 ConsensusPEM unclearHigher confidenceMeta-AnalysisEditor reviewed

Meta-analysis of natural killer cell cytotoxicity in myalgic encephalomyelitis/chronic fatigue syndrome.

Baraniuk, James N, Eaton-Fitch, Natalie, Marshall-Gradisnik, Sonya·Frontiers in immunology·2024

Researchers combined results from 28 previous studies to confirm that people with ME/CFS have natural killer (NK) cells—a type of immune cell that fights infections and abnormal cells—that work at about half the strength of healthy people's NK cells. This is one of the most reliable biological differences found in ME/CFS. The analysis confirms this is a real, consistent problem in the condition.

Immune System

E0 ConsensusPEM unclearModerate confidenceReview-NarrativeEditor reviewed

Advancing Research and Treatment: An Overview of Clinical Trials in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Future Perspectives.

Seton, Katharine A, Espejo-Oltra, José A, Giménez-Orenga, Karen et al.·Journal of clinical medicine·2024

This review examined research studies testing various treatments for ME/CFS, including medications and supplements that target different aspects of the illness like immune function, metabolism, and gut health. The authors found that current treatments mainly manage symptoms rather than address the root causes, with very few patients recovering fully. They emphasize that better-designed clinical trials are urgently needed to find treatments that actually work and can be used in real-world medical practice.

Immune SystemPost-Exertional Malaise

E0 ConsensusPEM unclearPreliminaryReview-NarrativeEditor reviewed

Identifying microRNAs Possibly Implicated in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Fibromyalgia: A Review.

Tsamou, Maria, Kremers, Fabiënne A C, Samaritakis, Keano A et al.·International journal of molecular sciences·2024

This review examined tiny molecules called microRNAs that may play a role in ME/CFS and fibromyalgia. Researchers looked at existing studies to identify which microRNAs appear to be abnormal in these conditions and what role they might play in causing symptoms. They found that certain microRNAs may be involved in immune system problems, energy production difficulties, and increased pain sensitivity—processes that could help explain why people with these diseases experience fatigue, pain, and other symptoms.

BiomarkersImmune System

E0 ConsensusPEM requiredPreliminaryReview-NarrativeEditor reviewed

Epigenetic reprograming in myalgic encephalomyelitis/chronic fatigue syndrome: A narrative of latent viruses.

Apostolou, Eirini, Rosén, Anders·Journal of internal medicine·2024

This review examines how viruses, particularly Epstein-Barr virus, may cause lasting changes to how our cells work in ME/CFS patients. The authors found that in about 70% of ME/CFS cases, the illness begins after a viral infection, and viruses can hide in the body while triggering long-term problems with energy, thinking, and immune function. Understanding these viral-triggered changes could help explain why different patients experience ME/CFS differently and may lead to better treatments.

Immune SystemPost-Exertional Malaise

E0 ConsensusPEM unclearWeak / uncertainReview-NarrativeEditor reviewed

Chronic inflammatory response syndrome: a review of the evidence of clinical efficacy of treatment.

Dooley, Ming, Vukelic, April, Jim, Lysander·Annals of medicine and surgery (2012)·2024

This review looked at studies about treatments for conditions involving long-term inflammation and fatigue, including ME/CFS. The researchers found that most published studies focused on a treatment approach called the Shoemaker Protocol, which was reported to work better than other treatments tested. However, this review only examined existing published articles rather than conducting new research, so the strength of the evidence depends heavily on the quality of those original studies.

Immune System

E0 ConsensusPEM unclearModerate confidenceEvidence-MapEditor reviewed

ME/CFS and Long COVID share similar symptoms and biological abnormalities: road map to the literature

Anthony L. Komaroff, W. Ian Lipkin·Frontiers in Medicine·2023

Harvard and Columbia researchers conducted a comprehensive review of biological abnormalities in ME/CFS and Long COVID. They found striking overlaps in immune dysregulation, autonomic dysfunction, metabolic disruption, and neurological features. The paper maps the literature to guide researchers working across both conditions.

Immune SystemLong COVID Overlap

E0 ConsensusPEM not requiredPreliminaryMeta-AnalysisEditor reviewed

DNA Methylation Changes in Blood Cells of Fibromyalgia and Chronic Fatigue Syndrome Patients.

Przybylowicz, Patrycja Kamila, Sokolowska, Katarzyna Ewa, Rola, Hubert et al.·Journal of pain research·2023

This study looked at chemical changes called 'methylation' in the blood cells of people with fibromyalgia and chronic fatigue syndrome. Researchers combined data from three previous studies and found that while the specific methylation patterns differed slightly between studies, they consistently affected genes involved in body processes that could explain symptoms like pain and exhaustion. This suggests that methylation changes may play a role in how these conditions develop.

BiomarkersImmune System

E0 ConsensusPEM unclearModerate confidenceSystematic-ReviewEditor reviewed

Evaluation of viral infection as an etiology of ME/CFS: a systematic review and meta-analysis.

Hwang, Jae-Hyun, Lee, Jin-Seok, Oh, Hyeon-Muk et al.·Journal of translational medicine·2023

Researchers analyzed 64 studies involving nearly 5,000 ME/CFS patients to see if viral infections might cause or trigger the illness. They found that certain viruses—particularly Borna disease virus, human herpesvirus-7, parvovirus B19, enterovirus, and Coxsackie B virus—appeared more frequently in ME/CFS patients compared to healthy people and those with other diseases. While these associations are promising leads, finding a virus more often in patients doesn't prove it causes ME/CFS.

Immune System

E0 ConsensusPEM unclearPreliminaryReview-NarrativeEditor reviewed

Persistent SARS-CoV-2 Infection, EBV, HHV-6 and Other Factors May Contribute to Inflammation and Autoimmunity in Long COVID.

Vojdani, Aristo, Vojdani, Elroy, Saidara, Evan et al.·Viruses·2023

This review examines how long COVID—a condition where symptoms persist months after a coronavirus infection—may develop through similar mechanisms to ME/CFS. The authors suggest that viral persistence, reactivation of old herpes viruses (like Epstein-Barr virus), immune system dysfunction, and gut microbiome changes may all contribute to ongoing inflammation and autoimmune problems. They propose testing for antibodies and other markers to better identify and treat long COVID.

Gut MicrobiomeImmune SystemLong COVID Overlap

E0 ConsensusPEM unclearPreliminaryReview-NarrativeEditor reviewed

Surveying the Metabolic and Dysfunctional Profiles of T Cells and NK Cells in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Maya, Jessica·International journal of molecular sciences·2023

This review examined research on how immune cells (T cells and NK cells) work differently in ME/CFS patients compared to healthy people. The authors found evidence that these immune cells may be exhausted or damaged, similar to what happens in chronic viral infections. Understanding why these immune cells aren't functioning properly could help explain ME/CFS symptoms and guide development of better treatments.

Immune System

E0 ConsensusPEM unclearModerate confidenceEditorialEditor reviewed

Understanding, diagnosing, and treating Myalgic encephalomyelitis/chronic fatigue syndrome - State of the art: Report of the 2nd international meeting at the Charité Fatigue Center.

Steiner, Sophie, Fehrer, Annick, Hoheisel, Friederike et al.·Autoimmunity reviews·2023

Over 100 international researchers gathered in Berlin in May 2023 to discuss what we currently know about ME/CFS, how to diagnose it, and how to treat it. The conference highlighted that ME/CFS involves problems with the immune system, blood vessel function, and nervous system control, and that some cases may be triggered by viruses reactivating in the body. Despite growing interest due to Long COVID, ME/CFS remains under-researched and needs significantly more funding to find better diagnostic tests and targeted treatments.

Autonomic Nervous SystemImmune System

E0 ConsensusPEM requiredModerate confidenceReview-NarrativeEditor reviewed

Pathogenic mechanisms of post-acute sequelae of SARS-CoV-2 infection (PASC).

Sherif, Zaki A, Gomez, Christian R, Connors, Thomas J et al.·eLife·2023

This review examines how COVID-19 can lead to Long COVID, a condition where people experience ongoing fatigue, difficulty with exercise, and brain fog that can last months or years. The researchers explored multiple possible explanations for why this happens, including lingering virus in the body, problems with blood clotting, nerve signaling problems, immune system dysfunction, and reactivation of old viruses like Epstein-Barr. Since Long COVID affects different people in different ways, the authors suggest that different patients may need different treatments.

Immune SystemPost-Exertional Malaise

E0 ConsensusPEM unclearModerate confidenceSystematic-ReviewEditor reviewed

Aetiological Understanding of Fibromyalgia, Irritable Bowel Syndrome, Chronic Fatigue Syndrome and Classificatory Analogues: A Systematic Umbrella Review.

Kleinstäuber, Maria, Schröder, Andreas, Daehler, Sarah et al.·Clinical psychology in Europe·2023

This study reviewed hundreds of scientific articles about ME/CFS, fibromyalgia, and irritable bowel syndrome to understand what researchers think causes these conditions. The researchers found that most studies focus on biological factors like immune system problems, while far fewer examine psychological or social causes. The review suggests that the best understanding comes from looking at multiple factors together—biological, psychological, and social—rather than just one type of cause.

Immune System

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Epigenetic changes in patients with post-acute COVID-19 symptoms (PACS) and long-COVID: A systematic review.

The gastrointestinal microbiota in the development of ME/CFS: a critical view and potential perspectives.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: the biology of a neglected disease.

Recent Research Trends in Neuroinflammatory and Neurodegenerative Disorders.

Research progress on pathogenesis of chronic fatigue syndrome and treatment of traditional Chinese and Western medicine.

Chronic Fatigue Syndrome: Diagnosis, Treatment, and Future Direction.

Meta-analysis of natural killer cell cytotoxicity in myalgic encephalomyelitis/chronic fatigue syndrome.

Advancing Research and Treatment: An Overview of Clinical Trials in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Future Perspectives.

Identifying microRNAs Possibly Implicated in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Fibromyalgia: A Review.

Epigenetic reprograming in myalgic encephalomyelitis/chronic fatigue syndrome: A narrative of latent viruses.

Chronic inflammatory response syndrome: a review of the evidence of clinical efficacy of treatment.

ME/CFS and Long COVID share similar symptoms and biological abnormalities: road map to the literature

DNA Methylation Changes in Blood Cells of Fibromyalgia and Chronic Fatigue Syndrome Patients.

Evaluation of viral infection as an etiology of ME/CFS: a systematic review and meta-analysis.

Persistent SARS-CoV-2 Infection, EBV, HHV-6 and Other Factors May Contribute to Inflammation and Autoimmunity in Long COVID.

Surveying the Metabolic and Dysfunctional Profiles of T Cells and NK Cells in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Understanding, diagnosing, and treating Myalgic encephalomyelitis/chronic fatigue syndrome - State of the art: Report of the 2nd international meeting at the Charité Fatigue Center.

Pathogenic mechanisms of post-acute sequelae of SARS-CoV-2 infection (PASC).

Aetiological Understanding of Fibromyalgia, Irritable Bowel Syndrome, Chronic Fatigue Syndrome and Classificatory Analogues: A Systematic Umbrella Review.

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