ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

601–620 of 737 studies

E3 PreliminaryMechanismPEM requiredObservational

Exercise-induce hyperalgesia, complement system and elastase activation in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome - a secondary analysis of experimental comparative studies.

Polli, Andrea, Van Oosterwijck, Jessica, Meeus, Mira et al.·Scandinavian journal of pain·2019

This study explored whether exercise-triggered immune system changes in ME/CFS patients are connected to increased pain sensitivity. Researchers compared immune markers and pain thresholds in ME/CFS patients and healthy people before and after two different types of exercise. They found a link between changes in a immune protein called C4a and pain sensitivity in ME/CFS patients, but this connection was weak and only showed up in some measurements.

Immune SystemPost-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

Understanding neuromuscular disorders in chronic fatigue syndrome.

Jammes, Yves, Retornaz, Frédérique·F1000Research·2019

This study examined how muscles work differently in people with ME/CFS. Researchers found that both the brain's ability to signal muscles and the muscles' ability to respond are impaired in ME/CFS patients. The muscles also appear to have trouble managing harmful molecules called free radicals, especially after exercise, and they may not be producing enough protective proteins that normally shield cells from damage.

Energy MetabolismPost-Exertional Malaise

E3 PreliminaryCommentaryPEM requiredEditorial

Suggested pathology of systemic exertion intolerance disease: Impairment of the E3 subunit or crossover of swinging arms of the E2 subunit of the pyruvate dehydrogenase complex decreases regeneration of cofactor dihydrolipoic acid of the E2 subunit.

Bohne, Victoria J Berdikova, Bohne, Øyvind·Medical hypotheses·2019

This paper proposes that ME/CFS might result from a problem in how the body converts fuel into energy, specifically involving a protein complex called the pyruvate dehydrogenase complex. The researchers suggest that when this complex isn't working properly, it causes lactate (a byproduct of metabolism) to build up suddenly in the body, which could explain the exhaustion and post-exertional malaise (worsening after activity) that patients experience. They propose that the body isn't efficiently recycling important molecules needed for energy production, leading to low energy and fatigue.

Post-Exertional Malaise

E3 PreliminaryReviewPEM requiredReview-Narrative

Understanding Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and the Emerging Osteopathic Approach: A Narrative Review.

Larrimore, Christopher, Ramnot, Amanda, Jaghab, Annmarie et al.·The Journal of the American Osteopathic Association·2019

This article reviews what scientists know about ME/CFS, including its symptoms, how it affects the body, and why it's hard to diagnose. The authors discuss both traditional medical approaches and osteopathic treatment (a type of hands-on therapy that focuses on the body's structure and function) as possible ways to help people with ME/CFS feel better. The review emphasizes that ME/CFS is a real, serious illness that deserves more awareness among doctors and better treatment options.

Immune SystemCognitive ImpairmentPost-Exertional Malaise

E3 PreliminaryGuidelinePEM requiredEditorial

Medically Documenting Disability in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Cases.

Comerford, Barbara B, Podell, Richard·Frontiers in pediatrics·2019

This guideline addresses how doctors can properly document ME/CFS symptoms to support disability claims, especially for children and teens. Many ME/CFS patients see doctors unfamiliar with the condition, which can lead to misdiagnosis and rejected disability applications. The guideline emphasizes that ME/CFS is a real physical illness affecting multiple body systems, not a psychological condition.

Post-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

[From neurasthenia to post-exertion disease: Evolution of the diagnostic criteria of chronic fatigue syndrome/myalgic encephalomyelitis].

Murga, Íñigo, Lafuente, José-Vicente·Atencion primaria·2019

This study traces how ME/CFS has been named and diagnosed over the past 150+ years, from 'neurasthenia' in the 1800s to today's 'post-exertional malaise.' The researchers reviewed medical literature to show how our understanding of this disease has evolved, and highlight that doctors still diagnose it mainly by symptoms and by ruling out other conditions, since no single biological marker has been found.

Post-Exertional Malaise

E3 PreliminaryReviewPEM not requiredReview-Narrative

Oxidative stress in exercise training: the involvement of inflammation and peripheral signals.

Magherini, Francesca, Fiaschi, Tania, Marzocchini, Riccardo et al.·Free radical research·2019

When we exercise, our bodies produce harmful molecules called free radicals that can damage cells. While some free radicals are normal and needed for muscle function, too many can cause problems. This review explains how intense exercise, stress, and not eating enough can create excessive free radicals and inflammation, which might lead to chronic fatigue and overtraining syndrome—conditions where the body cannot recover properly from exercise.

Immune SystemPost-Exertional Malaise

E3 PreliminaryMechanismPEM requiredMechanistic

Exercise challenge alters Default Mode Network dynamics in Gulf War Illness.

Rayhan, Rakib U, Washington, Stuart D, Garner, Richard et al.·BMC neuroscience·2019

This study looked at brain activity in Gulf War Illness patients before and after exercise to understand post-exertional malaise (PEM)—a condition where symptoms get worse after physical or mental effort. Using brain scans, researchers found that after exercise, patients showed unusual patterns of brain deactivation (regions that should 'turn off' during focused tasks) compared to healthy people. This suggests PEM may involve how the brain manages activity, providing a potential biological marker for the illness.

Post-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

The High Costs of Low-Grade Inflammation: Persistent Fatigue as a Consequence of Reduced Cellular-Energy Availability and Non-adaptive Energy Expenditure.

Lacourt, Tamara E, Vichaya, Elisabeth G, Chiu, Gabriel S et al.·Frontiers in behavioral neuroscience·2018

This study explores why people with ME/CFS experience persistent fatigue by examining how inflammation in the body may damage cells' ability to produce energy. The researchers propose that chronic inflammation forces cells to switch to a less efficient energy-production method, while at the same time the body may be spending energy at rates it cannot sustain, creating an energy crisis. Sleep problems and disrupted body rhythms may also play a role in this imbalance.

Energy MetabolismPost-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

Old muscle in young body: an aphorism describing the Chronic Fatigue Syndrome.

Pietrangelo, Tiziana, Fulle, Stefania, Coscia, Francesco et al.·European journal of translational myology·2018

This study found that muscles in people with ME/CFS show patterns similar to muscles in elderly people, even though the patients are young. The researchers discovered problems with how muscles use energy, handle calcium, and produce new muscle protein. Importantly, the findings suggest that appropriate physical activity may actually help rather than harm, though the right type and intensity still need to be determined.

Post-Exertional Malaise

E3 PreliminaryReviewPEM requiredReview-Narrative

Infection Elicited Autoimmunity and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: An Explanatory Model.

Blomberg, Jonas, Gottfries, Carl-Gerhard, Elfaitouri, Amal et al.·Frontiers in immunology·2018

This study proposes that ME/CFS may develop when a person's immune system mistakenly attacks their own body after an infection, particularly affecting energy production in muscles and the brain. The researchers suggest that some people may have a genetic tendency to develop these harmful immune responses, especially when their gut bacteria are out of balance. When exposed to a triggering infection, the immune system can begin attacking proteins involved in energy metabolism and nerve function, leading to the exhaustion and post-exertion symptoms that characterize ME/CFS.

Immune SystemPost-Exertional Malaise

E3 PreliminaryDiagnosticPEM requiredMethods-Paper

Cardiopulmonary Exercise Test Methodology for Assessing Exertion Intolerance in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Stevens, Staci, Snell, Chris, Stevens, Jared et al.·Frontiers in pediatrics·2018

This study explains how doctors can properly test ME/CFS patients using a special exercise test called CPET (cardiopulmonary exercise test) done on two consecutive days. The first test measures how much exercise a patient can do, while the second test 24 hours later shows how much the patient's performance has dropped due to post-exertional malaise (PEM)—the symptom flare that happens after exertion. This two-day approach objectively demonstrates one of the key features of ME/CFS: the inability to recover normal function after exercise.

Post-Exertional Malaise

E3 PreliminaryMechanismPEM requiredMechanistic

Pharmacological activation of AMPK and glucose uptake in cultured human skeletal muscle cells from patients with ME/CFS.

Brown, Audrey E, Dibnah, Beth, Fisher, Emily et al.·Bioscience reports·2018

This study looked at muscle cells from ME/CFS patients to understand why their muscles struggle to use energy properly. Researchers tested two drugs (metformin and compound 991) that can activate AMPK, a protein that helps cells use glucose for energy. Both drugs successfully improved how the muscle cells used glucose, suggesting that the problem in ME/CFS muscles is not AMPK itself, but something that happens before AMPK gets activated.

Energy MetabolismPost-Exertional Malaise

E3 PreliminaryDiagnosticPEM not requiredMethods-Paper

Myalgic Encephalomyelitis (ME) or What? An Operational Definition.

Twisk, Frank·Diagnostics (Basel, Switzerland)·2018

This paper proposes a clear, practical definition of ME (myalgic encephalomyelitis) to help doctors reliably identify and study the condition. The authors argue that ME is a distinct multi-system illness characterized by severe muscle exhaustion after minimal activity, neurological symptoms (like brain fog and autonomic problems), and a pattern of symptom fluctuation and relapse over months or years. Having a precise definition is essential so researchers can study the right patients and develop effective treatments.

Post-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

Unraveling the Molecular Determinants of Manual Therapy: An Approach to Integrative Therapeutics for the Treatment of Fibromyalgia and Chronic Fatigue Syndrome/Myalgic Encephalomyelitis.

Espejo, José Andrés, García-Escudero, María, Oltra, Elisa·International journal of molecular sciences·2018

This review examines how manual therapy—such as massage and physical manipulation—might help people with fibromyalgia and ME/CFS by studying what happens at the cellular and molecular level. The authors argue that manual therapy could work by triggering the body's natural healing responses, and they suggest it might be particularly helpful for ME/CFS patients because it can gently condition muscles without requiring strenuous exercise that typically worsens symptoms.

Post-Exertional Malaise

E3 PreliminaryCohortPEM unclearCross-Sectional

Integration of DNA methylation & health scores identifies subtypes in myalgic encephalomyelitis/chronic fatigue syndrome.

de Vega, Wilfred C, Erdman, Lauren, Vernon, Suzanne D et al.·Epigenomics·2018

Researchers studied 70 women with ME/CFS and found that their DNA showed different chemical patterns in immune cells. These chemical differences matched up with specific symptoms and health problems that patients reported. The study identified four distinct subtypes of ME/CFS, each with its own pattern of DNA changes and symptom profile, suggesting that ME/CFS may not be one uniform condition but rather several related conditions with different underlying biology.

Immune SystemPost-Exertional Malaise

E3 PreliminaryMechanismPEM unclearCase-Control

[Comparison of differential metabolites in urine of the middle school students with chronic fatigue syndrome before and after exercise].

Chi, Ai-Ping, Wang, Zi-Nan, Shi, Bing et al.·Zhongguo ying yong sheng li xue za zhi = Zhongguo yingyong shenglixue zazhi = Chinese journal of applied physiology·2018

This study looked at chemicals in the urine of teenagers with ME/CFS before and after exercise to understand how their bodies process energy differently. Researchers found that people with ME/CFS had abnormal levels of several metabolites (chemical byproducts), and these changes got worse after exercise, suggesting their bodies struggle to recover from physical activity.

Energy MetabolismPost-Exertional Malaise

E3 PreliminaryReviewPEM unclearReview-Narrative

Autonomic dysfunction and HPV immunization: an overview.

Blitshteyn, Svetlana, Brinth, Louise, Hendrickson, Jeanne E et al.·Immunologic research·2018

This review looked at case reports from multiple countries describing people who developed serious symptoms after HPV vaccination, including extreme fatigue, pain, dizziness, and cognitive problems. These symptoms are similar to those seen in ME/CFS, POTS, and other conditions. The authors suggest that in some genetically vulnerable people, the vaccine might trigger an immune system response that affects the nervous system, but they emphasize that timing alone doesn't prove the vaccine caused the illness.

Immune SystemPost-Exertional Malaise

E3 PreliminaryMechanismPEM requiredCross-Sectional

Exercise - induced changes in cerebrospinal fluid miRNAs in Gulf War Illness, Chronic Fatigue Syndrome and sedentary control subjects.

Baraniuk, James N, Shivapurkar, Narayan·Scientific reports·2017

Researchers studied brain fluid from people with Gulf War Illness and chronic fatigue syndrome (CFS) before and after exercise to understand why exercise makes symptoms worse. They found that exercise changes certain molecules called microRNAs in the brain fluid, and these changes were different in people with CFS compared to Gulf War Illness patients. This suggests that the biological reasons these conditions cause post-exertional exhaustion may be different, even though the symptoms look similar.

Post-Exertional Malaise

E3 PreliminaryGuidelinePEM requiredGuideline

Myalgic encephalomyelitis: International Consensus Criteria.

Journal of internal medicine·2017

This guideline establishes internationally agreed-upon criteria for diagnosing ME/CFS, helping doctors around the world recognize the condition consistently. It brings together expert knowledge to create clear standards for who has ME/CFS based on symptoms like post-exertional malaise (worsening after activity), sleep problems, cognitive difficulties, and pain. Having a shared definition makes it easier for patients to get accurate diagnoses and for researchers to study the same condition across different countries.

Post-Exertional Malaise

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Evidence browser

Exercise-induce hyperalgesia, complement system and elastase activation in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome - a secondary analysis of experimental comparative studies.

Understanding neuromuscular disorders in chronic fatigue syndrome.

Suggested pathology of systemic exertion intolerance disease: Impairment of the E3 subunit or crossover of swinging arms of the E2 subunit of the pyruvate dehydrogenase complex decreases regeneration of cofactor dihydrolipoic acid of the E2 subunit.

Understanding Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and the Emerging Osteopathic Approach: A Narrative Review.

Medically Documenting Disability in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Cases.

[From neurasthenia to post-exertion disease: Evolution of the diagnostic criteria of chronic fatigue syndrome/myalgic encephalomyelitis].

Oxidative stress in exercise training: the involvement of inflammation and peripheral signals.

Exercise challenge alters Default Mode Network dynamics in Gulf War Illness.

The High Costs of Low-Grade Inflammation: Persistent Fatigue as a Consequence of Reduced Cellular-Energy Availability and Non-adaptive Energy Expenditure.

Old muscle in young body: an aphorism describing the Chronic Fatigue Syndrome.

Infection Elicited Autoimmunity and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: An Explanatory Model.

Cardiopulmonary Exercise Test Methodology for Assessing Exertion Intolerance in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Pharmacological activation of AMPK and glucose uptake in cultured human skeletal muscle cells from patients with ME/CFS.

Myalgic Encephalomyelitis (ME) or What? An Operational Definition.

Unraveling the Molecular Determinants of Manual Therapy: An Approach to Integrative Therapeutics for the Treatment of Fibromyalgia and Chronic Fatigue Syndrome/Myalgic Encephalomyelitis.

Integration of DNA methylation & health scores identifies subtypes in myalgic encephalomyelitis/chronic fatigue syndrome.

[Comparison of differential metabolites in urine of the middle school students with chronic fatigue syndrome before and after exercise].

Autonomic dysfunction and HPV immunization: an overview.

Exercise - induced changes in cerebrospinal fluid miRNAs in Gulf War Illness, Chronic Fatigue Syndrome and sedentary control subjects.

Myalgic encephalomyelitis: International Consensus Criteria.

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