Herpesvirus Infection of Endothelial Cells as a Systemic Pathological Axis in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Bibliographic Details
Title: Herpesvirus Infection of Endothelial Cells as a Systemic Pathological Axis in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Authors: Jean M. Nunes, Douglas B. Kell, Etheresia Pretorius
Source: Viruses, Vol 16, Iss 4, p 572 (2024)
Publisher Information: MDPI AG, 2024.
Publication Year: 2024
Collection: LCC:Microbiology
Subject Terms: myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), endothelial cells, herpesvirus, Microbiology, QR1-502
More Details: Understanding the pathophysiology of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is critical for advancing treatment options. This review explores the novel hypothesis that a herpesvirus infection of endothelial cells (ECs) may underlie ME/CFS symptomatology. We review evidence linking herpesviruses to persistent EC infection and the implications for endothelial dysfunction, encompassing blood flow regulation, coagulation, and cognitive impairment—symptoms consistent with ME/CFS and Long COVID. This paper provides a synthesis of current research on herpesvirus latency and reactivation, detailing the impact on ECs and subsequent systemic complications, including latent modulation and long-term maladaptation. We suggest that the chronicity of ME/CFS symptoms and the multisystemic nature of the disease may be partly attributable to herpesvirus-induced endothelial maladaptation. Our conclusions underscore the necessity for further investigation into the prevalence and load of herpesvirus infection within the ECs of ME/CFS patients. This review offers conceptual advances by proposing an endothelial infection model as a systemic mechanism contributing to ME/CFS, steering future research toward potentially unexplored avenues in understanding and treating this complex syndrome.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1999-4915
Relation: https://www.mdpi.com/1999-4915/16/4/572; https://doaj.org/toc/1999-4915
DOI: 10.3390/v16040572
Access URL: https://doaj.org/article/7821a992674a4d97b1952a3438ab9557
Accession Number: edsdoj.7821a992674a4d97b1952a3438ab9557
Database: Directory of Open Access Journals
Full text is not displayed to guests.
More Details
ISSN:19994915
DOI:10.3390/v16040572
Published in:Viruses
Language:English