It has been a great disappointment to some psychiatrists that post-viral #MECFS hasn’t turned out to be psychiatric. This hasn’t stopped them from attempting to stake their claim over #LongCovid (or ME/CFS for that matter) to the detriment of biomedical research & patient care.
With #LongCovid we’re not starting from scratch. We have 30 years of research on post-viral #MECFS to build on.
Some studies are already looking for commonalities between #LongCovid and #MECFS which could point the way toward interventions that treat both.
Yet there are concerning signs #MECFS will be left out of forthcoming #LongCovid studies — would be a major missed opportunity for science & millions w/ chronic post-viral illness.
So what do we know about #MECFS & how might it apply to #LongCovid?
👉 Inflammation in brain & body driven by immune activation
👉 Cycle of oxidative stress driving inflammation
👉 Neuroendocrine imbalance
Don’t miss these 10 mins starting at 25m30s:
Dr. Klimas has long researched & treated Gulf War Illness (#GWI) with similar presentation to #MECFS. Remarkably, with supercomputer & animal modeling they have developed an intervention that appears to cure GWI in mice.
Their intervention involves suppressing neuro-inflammation and then reseting the neuroendocrine HPA axis to break out of the stable sickness state and simultaneously restore multiple systems to homeostasis. Dr. Klimas intends to develop something similar for #MECFS.
Cause for hope: the #GWI intervention is already being tested in humans and a phase 1 study is about to commence for #MECFS! Next up… #LongCovid? Dr. Klimas is seeking additional funding to continue this important work.
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As hard as it is to understand exertion intolerance in ME/CFS, it takes another full leap to grasp that over-exertion can reduce the threshold of what qualifies as exertion.
A reduced baseline is not just feeling worse even in your best hours, or developing new always-present symptoms. It's also finding that ever-smaller efforts trigger heightened illness and risk further debility.
This vicious cycle of exertion intolerance is what makes ME/CFS such a straitjacket, not just on the scale of hours and days, but months and years — the "annihilation of possibility" per @edyong209.
“Five people with severe autoimmune disease have become the first in the world to receive a groundbreaking therapy that uses genetically altered cells to drive the illness into remission.” theguardian.com/science/2022/s…@guardian
“In the latest work, doctors took T-cells from the lupus patients and modified them so that, on re-infusion, they attacked the patients’ B cells. In lupus, B cells churn out autoantibodies, which instead of defending against invading pathogens, attack healthy tissues instead.”
“The therapy in effect wiped out the patients’ aberrant B cells and dramatically improved their condition. The disease affected multiple organs… but after the therapy severe symptoms incl. arthritis, fatigue, fibrosis of the heart valves, and lung inflammation all cleared up.”
#MECFS may well be *the* lowest funded condition, in terms of aggregate disease burden, of any at the U.S. NIH. Funding is even worse in the UK and other countries.
Here are 10 factors that have led this devastating and common condition to be so badly neglected, all of which compound and mutually reinforce one another…
(Seeking additional ideas and feedback from #MECFS community for communicating to lay public…)
1. Invisible
ME/CFS is capable of leaving those afflicted housebound or bedbound for years... and yet even those with relatively severe cases may *look* just fine!
Body Politic has published an important open letter to the @NIH@NIHDirector urging the prioritization of #LongCOVID research that builds off prior research into #MECFS and related conditions.
In December, Congress provided $1.15 billion over 4 years for @NIH to “support research into the prolonged health consequences of #COVID19”. With many newcomers to the field there’s cause for concern that experienced #MECFS researchers may be overlooked. nih.gov/about-nih/who-…
#LongCovid and #MECFS have much in common and are increasingly joining forces to drive change that might lead to diagnostics, treatments, and a cure.
1/ At a recent @MEActNet briefing, Dr. Anthony Komaroff confirmed his earlier prediction that we had reason to expect some w/ COVID-19 would develop a debilitating chronic fatigue syndrome w/ symptoms similar to post-viral #MECFS (focusing on #LongCovid cases w/o organ damage).
2/ Komaroff alluded to abnormalities found in the brain in #MECFS, referencing theory of chronic low-grade activation of immune system in the brain — requires validation. Called for #LongCovid studies to build off past ME/CFS findings, plus research including both patient groups.
3/ Komaroff proposes that #MECFS is an illness “with a final common pathway that can be triggered by different things".