Official Title
Endothelial Dysfunction in Post-infection Fatigue Syndromes
Brief Summary

Post-infection chronic fatigue syndromes, such as myalgic encephalomyelitis/chronicfatigue syndrome (ME/CFS) and post-COVID-19 condition (Long Covid), are conditionsprimarily characterized by debilitating fatigue. This fatigue can range from mild, wherepatients are still able to participate in some social activities (e.g., school, work), tomoderate and severe, where sufferers are predominantly homebound and bedridden. As aresult, ME/CFS and Long Covid not only negatively impact the quality of life of affectedindividuals and their caregivers but also represent a substantial and often silent burdenon healthcare systems worldwide, including Austria. This is primarily because most casesremain undiagnosed due to the lack of standardized clinical assessments and diagnosticmarkers. Endothelial dysfunction, which is well known to affect blood flow, oxygen andnutrient delivery, and waste removal in the body, has been described as one of the keyfactors behind the symptoms experienced by ME/CFS and Long Covid patients. However, themechanisms that might explain the development of endothelial dysfunction remain largelyunexplored. Therefore, this project aims to evaluate key biological aspects related tothe function of endothelial cells - a layer of cells lining blood vessels - using plasmasamples from an Austrian cohort of ME/CFS and Long Covid patients. We expect that thefindings from our study will provide new insights to better understand endothelialdysfunction in post-infection chronic fatigue syndromes, leading to improved patientstratification and tailored treatment alternatives.

Detailed Description

Not Provided

Completed
Chronic Fatigue Syndrome
Long Covid
Eligibility Criteria

Inclusion Criteria:

The inclusion criteria for ME/CFS patients not infected with SARS-CoV-2 (n=17; females:
70.59%; age (years): 40.10 ± 10.80) and Long-Covid patients (n=30; females: 73.4%; age
(years): 37.70 ± 9.96) include profound fatigue and at least one of the following
symptoms: PEM, autonomic dysfunction, and/or orthostatic intolerance. All participants
were included only if they were at least 12 weeks past an acute EBV infection and/or 10
weeks past an acute SARS-CoV-2 infection, respectively. SARS-CoV-2 specific IgA (A) and
IgG (B) antibody titers were measured using commercial test kits (Anti-SARS-CoV-2-ELISA
(IgA) and Anti-SARS-CoV-2-QuantiVac-ELISA (IgG); Euroimmun, Germany) in plasma samples.

Exclusion Criteria:

Participants' exclusion criteria included evidence of acute malignant diseases, diabetes
mellitus, acute sepsis, chronic inflammatory gastrointestinal diseases, and frequent
intake of analgesics, antacids, or antibiotics. Furthermore, no previously hospitalized
SARS-CoV-2 patients were included, eliminating false-positive fatigue due to intensive
care treatment, such as artificial respiration.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: 60 Years
Countries
Austria
Locations

FH JOANNEUM University of Applied Sciences
Graz 2778067, Austria

Not Provided

FH Joanneum Gesellschaft mbH
NCT Number
Keywords
ME/CFS
long COVID
endothelial dysfunction
MeSH Terms
Fatigue Syndrome, Chronic
Post-Acute COVID-19 Syndrome