Fighting Post-COVID and ME/CFS - development of curative therapies.

COVID-19 ME/CFS autoantibodies clinical trials endothelial dysfunction inflammation post-COVID

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2023
Historique:
received: 27 03 2023
accepted: 26 05 2023
medline: 3 7 2023
pubmed: 3 7 2023
entrez: 3 7 2023
Statut: epublish

Résumé

The sequela of COVID-19 include a broad spectrum of symptoms that fall under the umbrella term post-COVID-19 condition or syndrome (PCS). Immune dysregulation, autoimmunity, endothelial dysfunction, viral persistence, and viral reactivation have been identified as potential mechanisms. However, there is heterogeneity in expression of biomarkers, and it is unknown yet whether these distinguish different clinical subgroups of PCS. There is an overlap of symptoms and pathomechanisms of PCS with postinfectious myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). No curative therapies are available for ME/CFS or PCS. The mechanisms identified so far provide targets for therapeutic interventions. To accelerate the development of therapies, we propose evaluating drugs targeting different mechanisms in clinical trial networks using harmonized diagnostic and outcome criteria and subgrouping patients based on a thorough clinical profiling including a comprehensive diagnostic and biomarker phenotyping.

Identifiants

pubmed: 37396922
doi: 10.3389/fmed.2023.1194754
pmc: PMC10309204
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1194754

Informations de copyright

Copyright © 2023 Scheibenbogen, Bellmann-Strobl, Heindrich, Wittke, Stein, Franke, Prüss, Preßler, Machule, Audebert, Finke, Zimmermann, Sawitzki, Meisel, Toelle, Krueger, Aschenbrenner, Schultze, Beyer, Ralser, Mülleder, Sander, Konietschke, Paul, Stojanov, Bruckert, Hedderich, Knolle, Riemekasten, Vehreschild, Cornely, Behrends and Burock.

Déclaration de conflit d'intérêts

The Charité Universitaetsmedizin Berlin holds a patent for the use of vericiguat in Post-COVID Syndrome. CS, JB-S, CH, KW, ES, CaF, HPru, HPre, M-LM, HA, ChF, HZ, BS, CM, MT, AK, MR, MM, LS, FKo, FP, LB, and SB are employed at Charité Universitaetsmedizin Berlin. CM was employed by Labor Berlin - Charité Vivantes GmbH. The remaining authors declare that the research was conducted in the absence of any comercial or financial relationships that could be construed as a potential conflict of interest. The Handling Editor NS declared a past collaboration with the Author CS.

Références

J Infect. 2022 Feb;84(2):158-170
pubmed: 34813820
Chest. 2022 Nov;162(5):1116-1126
pubmed: 35526605
J Investig Med. 2022 Jan;70(1):61-67
pubmed: 34611034
Intern Med. 2021 Aug 15;60(16):2577-2584
pubmed: 33896862
Int J Mol Sci. 2022 Nov 08;23(22):
pubmed: 36430175
Front Neurol. 2023 Feb 24;14:1090747
pubmed: 36908615
N Engl J Med. 2020 Oct 8;383(15):1497-1498
pubmed: 33027579
Nat Med. 2022 Jul;28(7):1461-1467
pubmed: 35614233
Front Immunol. 2020 Apr 09;11:578
pubmed: 32328064
Cell. 2022 Mar 3;185(5):881-895.e20
pubmed: 35216672
PLoS One. 2020 Oct 29;15(10):e0240403
pubmed: 33119613
Nat Rev Microbiol. 2023 Mar;21(3):133-146
pubmed: 36639608
Nat Commun. 2022 Apr 5;13(1):1812
pubmed: 35383197
J Transl Med. 2021 Feb 3;19(1):50
pubmed: 33536023
J Transl Med. 2022 Mar 22;20(1):138
pubmed: 35317812
Genome Med. 2021 Jan 13;13(1):7
pubmed: 33441124
Front Neurol. 2019 Jan 10;9:1033
pubmed: 30687207
Ann Intern Med. 2019 May 7;170(9):585-593
pubmed: 30934066
Acta Clin Belg. 2016 Dec;71(6):407-414
pubmed: 27351244
PLoS One. 2023 Feb 2;18(2):e0280942
pubmed: 36730360
Bioelectron Med. 2023 Jan 18;9(1):2
pubmed: 36650574
EClinicalMedicine. 2022 Jul;49:101495
pubmed: 35702332
Curr Opin Immunol. 2022 Aug;77:102228
pubmed: 35724449
PLoS One. 2015 Jul 01;10(7):e0129898
pubmed: 26132314
Nat Commun. 2022 Aug 30;13(1):5104
pubmed: 36042189
Drugs Today (Barc). 2021 May;57(5):321-336
pubmed: 34061127
J Neurol. 2023 Apr;270(4):2096-2105
pubmed: 36598575
Brain Behav Immun. 2021 Jul;95:245-255
pubmed: 33794313
Lancet. 2022 Aug 6;400(10350):452-461
pubmed: 35934007
Proc Natl Acad Sci U S A. 2017 Aug 22;114(34):E7150-E7158
pubmed: 28760971
Sci Adv. 2015 Feb;1(1):
pubmed: 26079000
Brain Behav Immun Health. 2022 Oct;24:100485
pubmed: 35814187
Ann Clin Transl Neurol. 2022 Feb;9(2):141-154
pubmed: 35060361
Biomedicines. 2021 Oct 26;9(11):
pubmed: 34829769
Multidiscip Respir Med. 2022 Dec 23;17:886
pubmed: 36636645
Front Immunol. 2022 Sep 27;13:981532
pubmed: 36238301
Psychiatry Res. 2013 May 15;207(1-2):127-33
pubmed: 23062791
Nat Med. 2022 May;28(5):911-923
pubmed: 35585196
EClinicalMedicine. 2023 Apr;58:101874
pubmed: 36873426
Medicina (Kaunas). 2021 May 19;57(5):
pubmed: 34069603
J Clin Invest. 2021 Jul 15;131(14):
pubmed: 34263741
Clin Drug Investig. 2020 May;40(5):433-447
pubmed: 32222912
Cell Syst. 2020 Jul 22;11(1):11-24.e4
pubmed: 32619549
Cell. 2020 Sep 17;182(6):1419-1440.e23
pubmed: 32810438
Nat Med. 2022 Aug;28(8):1706-1714
pubmed: 35879616
Sci Rep. 2022 Jul 12;12(1):11252
pubmed: 35821512
Nature. 2022 Aug;608(7922):258-260
pubmed: 35945375
Eur J Epidemiol. 2022 Aug;37(8):849-870
pubmed: 35904671
Bioorg Med Chem Lett. 2021 Apr 15;38:127862
pubmed: 33609659
Clin Infect Dis. 2021 Dec 6;73(11):e3740-e3746
pubmed: 33367564
Brain Behav Immun. 2023 Mar;109:139-143
pubmed: 36657623
Drugs. 2021 Sep;81(14):1605-1626
pubmed: 34609725
J Transl Med. 2021 Apr 19;19(1):159
pubmed: 33874961
Public Health Rev. 2022 Mar 15;43:1604501
pubmed: 35359614
Lancet. 2022 Jul 30;400(10349):359-368
pubmed: 35908569
Eur Respir J. 2023 Jan 12;61(1):
pubmed: 36137590
PLoS Med. 2022 Nov 10;19(11):e1004122
pubmed: 36355754

Auteurs

Carmen Scheibenbogen (C)

Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Judith Theresia Bellmann-Strobl (JT)

Experimental and Clinical Research Center, a cooperation between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité Universitätsmedizin Berlin, Berlin, Germany.
NeuroCure Clinical Research Center, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.

Cornelia Heindrich (C)

Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Kirsten Wittke (K)

Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Elisa Stein (E)

Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Christiana Franke (C)

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Harald Prüss (H)

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Berlin, Germany.

Hannah Preßler (H)

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Marie-Luise Machule (ML)

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Heinrich Audebert (H)

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Carsten Finke (C)

Department of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Hanna Gwendolyn Zimmermann (HG)

Experimental and Clinical Research Center, a cooperation between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité Universitätsmedizin Berlin, Berlin, Germany.
NeuroCure Clinical Research Center, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.

Birgit Sawitzki (B)

Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Center of Immunomics, Berlin, Germany.

Christian Meisel (C)

Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Department of Immunology, Labor Berlin - Charité Vivantes GmbH, Berlin, Germany.

Markus Toelle (M)

Department of Nephrology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Anne Krueger (A)

Department of Nephrology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Anna C Aschenbrenner (AC)

Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany.

Joachim L Schultze (JL)

Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany.
PRECISE Platform for Single Cell Genomics and Epigenomics, DZNE and University of Bonn, Bonn, Germany.
Genomics and Immunoregulation, Life and Medical Sciences Institute, University of Bonn, Bonn, Germany.

Marc D Beyer (MD)

Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany.
PRECISE Platform for Single Cell Genomics and Epigenomics, DZNE and University of Bonn, Bonn, Germany.

Markus Ralser (M)

Institute of Biochemistry, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
The Wellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.

Michael Mülleder (M)

Institute of Biochemistry, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Leif Erik Sander (LE)

Department of Infectious Diseases and Respiratory Medicine, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Frank Konietschke (F)

Institute of Biochemistry, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Friedemann Paul (F)

Experimental and Clinical Research Center, a cooperation between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité Universitätsmedizin Berlin, Berlin, Germany.
NeuroCure Clinical Research Center, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.

Silvia Stojanov (S)

Childrens' Hospital, School of Medicine, Technical University of Munich, Munich, Germany.

Lisa Bruckert (L)

Clinical Trial Office, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Dennis M Hedderich (DM)

Department of Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.

Franziska Knolle (F)

Department of Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.

Gabriela Riemekasten (G)

Department of Rheumatology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.

Maria J G T Vehreschild (MJGT)

Department of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.

Oliver A Cornely (OA)

Department of Internal Medicine, University Hospital Cologne, Cologne, Germany.
German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Germany.
University of Cologne, Faculty of Medicine, Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Cologne, Germany.

Uta Behrends (U)

Childrens' Hospital, School of Medicine, Technical University of Munich, Munich, Germany.
German Center for Infection Research (DZIF), Berlin, Germany.
AGV Research Unit Gene Vectors, Helmholtz Center Munich (HMGU), Munich, Germany.

Susen Burock (S)

Clinical Trial Office, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Classifications MeSH