ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

4061–4080 of 6,162 studies

E3 PreliminaryGuidelinePEM requiredGuideline

Cardiovascular Considerations in the Management of People With Suspected Long COVID.

Quinn, Kieran L, Lam, Grace Y, Walsh, Jillian F et al.·The Canadian journal of cardiology·2023

This review examines how doctors should evaluate and treat heart-related symptoms in people with long COVID. It highlights that about 15% of Canadians infected with COVID-19 develop persistent symptoms lasting more than 12 weeks, including fatigue, shortness of breath, chest pain, and irregular heartbeats. The authors emphasize that doctors need to consider conditions like ME/CFS, postexertional malaise (symptom flare-ups after activity), and dysautonomia (problems with the autonomic nervous system) when evaluating these patients.

Post-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

Long COVID: major findings, mechanisms and recommendations.

Davis, Hannah E, McCorkell, Lisa, Vogel, Julia Moore et al.·Nature reviews. Microbiology·2023

Long COVID is a serious illness affecting at least 10% of people who had COVID-19, with an estimated 65 million people worldwide experiencing it. The condition causes over 200 different symptoms affecting many body systems, similar to ME/CFS and other post-viral illnesses. This review examines what scientists have learned about Long COVID's causes and effects, though better diagnostic tests and treatments are still urgently needed.

Long COVID OverlapPost-Exertional Malaise

E3 PreliminaryMechanismPEM unclearMechanistic

Altered TRPM7-Dependent Calcium Influx in Natural Killer Cells of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients.

Du Preez, Stanley, Eaton-Fitch, Natalie, Smith, Peter K et al.·Biomolecules·2023

This study looked at how calcium moves into immune cells called NK cells in ME/CFS patients compared to healthy people. Researchers found that calcium enters these cells differently in ME/CFS patients—it flows in more slowly when activated but responds more strongly when blocked. This suggests a problem with a specific calcium channel called TRPM7 that may be involved in why NK cells don't work properly in ME/CFS.

Immune System

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 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 PreliminaryBehavioralPEM unclearObservational

Acquiring a new understanding of illness and agency: a narrative study of recovering from chronic fatigue syndrome.

Bakken, Anne Karen, Mengshoel, Anne Marit, Synnes, Oddgeir et al.·International journal of qualitative studies on health and well-being·2023

This study interviewed 14 people who had severe ME/CFS and recovered to learn how healing happened. Researchers found that patients experienced a major shift in how they thought about their illness—moving from feeling helpless and trapped by the disease to taking an active role in their own recovery. The study shows that changes in mindset and taking personal agency in healing were important parts of the recovery process.

E3 PreliminaryDiagnosticPEM requiredMethods-Paper

What Long COVID investigators can learn from four decades of ME/CFS research.

Jason, Leonard A, Natelson, Benjamin H, Bonilla, Hector et al.·Brain behavior and immunity integrative·2023

This article reviews 40 years of research on ME/CFS to provide guidance for scientists studying Long COVID. The authors explain how ME/CFS researchers have developed reliable ways to diagnose the illness, define symptoms, and measure severity—lessons that can help Long COVID researchers do the same. By learning from ME/CFS experience, Long COVID researchers may be able to diagnose patients earlier, understand what causes the illness, and find treatments that actually work.

Diagnostics

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 PreliminaryReviewPEM requiredReview-Narrative

A review of cytokine-based pathophysiology of Long COVID symptoms.

Low, Russell N, Low, Ryan J, Akrami, Athena·Frontiers in medicine·2023

This review examines how Long COVID may develop through a chain reaction of immune system problems. When the virus infects the body, it can trigger ongoing inflammation that affects both the immune system and the brain, potentially causing blood clots in small vessels. This combination may explain symptoms like fatigue, brain fog, and pain that Long COVID and ME/CFS patients experience.

NeuroinflammationPost-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

The Link Between Empty Sella Syndrome, Fibromyalgia, and Chronic Fatigue Syndrome: The Role of Increased Cerebrospinal Fluid Pressure.

Hulens, Mieke, Dankaerts, Wim, Rasschaert, Ricky et al.·Journal of pain research·2023

This review explores a possible connection between three conditions—empty sella syndrome, fibromyalgia, and ME/CFS—that may all involve increased pressure from cerebrospinal fluid around the brain and pituitary gland. The authors found that these conditions share similar symptoms (fatigue, pain, headaches, vision problems) and similar hormone imbalances, suggesting that fluid pressure problems might be a common underlying cause worth investigating further.

Endocrine Disruption

E3 PreliminaryMechanismPEM unclearCross-Sectional

Investigating Antibody Reactivity to the Intestinal Microbiome in Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): A Feasibility Study.

Seton, Katharine A, Defernez, Marianne, Telatin, Andrea et al.·International journal of molecular sciences·2023

This study explored whether ME/CFS might be caused by a leaky gut that allows bacteria to escape into the bloodstream, triggering an abnormal immune response. Researchers compared antibody levels and immune reactions to gut bacteria in severely ill ME/CFS patients and healthy household members. They found that ME/CFS patients showed reduced immune responses to their gut bacteria, which was unexpected and suggests the immune system may not be working properly in ME/CFS.

Immune System

E3 PreliminaryReviewPEM unclearReview-Narrative

Cardiovascular and haematological pathology in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): A role for viruses.

Nunes, Jean M, Kell, Douglas B, Pretorius, Etheresia·Blood reviews·2023

This review examines how the heart, blood vessels, and blood clotting system may be affected in ME/CFS. Research shows that ME/CFS patients often have problems with blood flow to the brain, abnormal blood clotting, and damaged blood vessel linings—similar to what happens in Long COVID. These cardiovascular and blood abnormalities may contribute to ME/CFS symptoms and could potentially become targets for new treatments.

Autonomic Nervous System

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.

E3 PreliminaryMechanismPEM unclearMechanistic

Suppressed immune and metabolic responses to intestinal damage-associated microbial translocation in myalgic encephalomyelitis/chronic fatigue syndrome.

Uhde, Melanie, Indart, Alyssa C, Green, Peter H R et al.·Brain, behavior, & immunity - health·2023

This study found that people with ME/CFS have a weakened immune response to bacteria that leak through a damaged gut lining, along with unusual changes in how their bodies process glucose and other nutrients. The immune system appears to be suppressed in some ways while overactive in others, and these patterns were linked to metabolic changes. These findings suggest that gut health and metabolic dysfunction may play important roles in ME/CFS symptoms.

Energy MetabolismImmune SystemPost-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

Association of multiple sclerosis with chronic fatigue syndrome, restless legs syndrome, and various sleep disorders, along with the recent updates.

Prajjwal, Priyadarshi, Kalluru, Pavan K R, Marsool, Mohammed Dheyaa et al.·Annals of medicine and surgery (2012)·2023

This review examines how multiple sclerosis (MS) and ME/CFS are similar, particularly in how they cause fatigue and affect sleep. Both conditions involve damage to similar brain regions and may share genetic risk factors. The authors discuss how treatments like supervised exercise can help manage fatigue in both illnesses, though the underlying causes differ.

E3 PreliminaryCohortPEM unclearCase-Control

Case report: Recurrent cervical spinal stenosis masquerading as myalgic encephalomyelitis/chronic fatigue syndrome with orthostatic intolerance.

Edwards, Charles C, Edwards, Charles C, Heinlein, Scott et al.·Frontiers in neurology·2023

This case report describes a woman who was thought to have ME/CFS and experienced symptoms of dizziness upon standing (orthostatic intolerance). Doctors discovered she actually had cervical spinal stenosis—a narrowing of the spinal canal in her neck that was compressing her spinal cord. After surgery to relieve the compression, her ME/CFS and orthostatic intolerance symptoms improved significantly. Years later, her symptoms returned because the surgical implant shifted, compressing the spinal cord again. A second surgery provided similar improvement, suggesting that spinal stenosis may have been causing or worsening her ME/CFS symptoms rather than the other way around.

Autonomic Nervous 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 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 PreliminaryReviewPEM unclearReview-Narrative

Long COVID: mechanisms, risk factors and recovery.

Astin, Rónan, Banerjee, Amitava, Baker, Mark R et al.·Experimental physiology·2023

This review examines Long COVID—a prolonged illness affecting some people after COVID-19 infection—and compares it to similar post-viral conditions like ME/CFS. Researchers found that Long COVID involves problems with the heart and lungs, muscle function, and how the body regulates its nervous system. The review discusses various treatment approaches being tested, including exercise programs, breathing exercises, and techniques to help calm an overactive nervous system.

Post-Exertional Malaise

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

A synthetic data generation system for myalgic encephalomyelitis/chronic fatigue syndrome questionnaires.

Lacasa, Marcos, Prados, Ferran, Alegre, José et al.·Scientific reports·2023

This study created an artificial intelligence tool that can predict what ME/CFS patients might answer on symptom questionnaires. Researchers trained the tool using responses from 2,522 ME/CFS patients from a hospital in Spain, and it learned to predict answers accurately. The tool could help researchers study the disease more easily by generating realistic patient data for testing new ideas.

Diagnostics

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Cardiovascular Considerations in the Management of People With Suspected Long COVID.

Long COVID: major findings, mechanisms and recommendations.

Altered TRPM7-Dependent Calcium Influx in Natural Killer Cells of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients.

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

Corona With Lyme: A Long COVID Case Study.

Acquiring a new understanding of illness and agency: a narrative study of recovering from chronic fatigue syndrome.

What Long COVID investigators can learn from four decades of ME/CFS research.

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

A review of cytokine-based pathophysiology of Long COVID symptoms.

The Link Between Empty Sella Syndrome, Fibromyalgia, and Chronic Fatigue Syndrome: The Role of Increased Cerebrospinal Fluid Pressure.

Investigating Antibody Reactivity to the Intestinal Microbiome in Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): A Feasibility Study.

Cardiovascular and haematological pathology in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): A role for viruses.

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

Suppressed immune and metabolic responses to intestinal damage-associated microbial translocation in myalgic encephalomyelitis/chronic fatigue syndrome.

Association of multiple sclerosis with chronic fatigue syndrome, restless legs syndrome, and various sleep disorders, along with the recent updates.

Case report: Recurrent cervical spinal stenosis masquerading as myalgic encephalomyelitis/chronic fatigue syndrome with orthostatic intolerance.

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

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

Long COVID: mechanisms, risk factors and recovery.

A synthetic data generation system for myalgic encephalomyelitis/chronic fatigue syndrome questionnaires.

Curated Collections

Neuroinflammation Evidence

Metabolism & Mitochondria

Biomarkers

PEM-Specific Research