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Table 1 Summary of selected studies

From: Autoimmunity’s enigmatic role: exploring the connection with myalgic encephalomyelitis/chronic fatigue syndrome

Author

Year

Diagnostic Criteria

Investigation

Findings

Study Size

Cohen’s Effect Size

Danilenko et al.

2022

Fukuda + CCC

Autoantibodies

Increased AAbs to neural antigens β2-glycoprotein-I (p < 0.01), NF-200 (p < 0.01), S100 (p < 0.01),MBP (p < 0.05),Hol-R (p < 0.0001),Gly-R (p < 0.01),GABA-R (p < 0.01),DA-R (p < 0.01),Ser-R (p < 0.001),ds-DNA (p < 0.001) IFN-γ (p < 0.01) and voltage-gated Ca2 + channels (p < 0.01).

33 ME/CFS and 20 HC

Not provided.

De Bellis et al.

2021

Fukuda

Autoantibodies

Higher APA and AHA titre; associated with HPA dysfunction (p < 0.01). Hormone levels GH (p < 0.001), Basal cortisol (p < 0.001), Cortisol peak (p < 0.002) and ACTH (p < 0.001)

30 ME/CFS and 25 HC

GH = -2.13

IGF-1 = -1.79

Basal cortisol = -5.37

Cortisol peak = -2.18

ACTH = -2.74

Ryabkova et al.

2022

Fukuda

CCC

Autoantibodies

Increased AAbs to GABA-receptors.

11 ME/CFS + FM, 11 ME/CFS-FM and 11 HC

Not provided

Skowera et al.

2002

Fukuda

Autoantibodies

ANAs are absent in ME/CFS patients.

100 ME/CFS and 111 HC

ANA = 1.576

Maes et al.

2012

Fukuda

Autoantibodies

Elevated serum IgM to anchorage molecules palmitic acid (p = 0.0001), myristic acid (p = 0.00003) and S-farnesyl-L-cysteine (p = 0.00001); and NO-phenylalanine (p < 0.005)

16 ME/CFS and 17 HC

Palmitic Acid = 1.91

Myristic Acid = None

S-farnesyl-L-cysteine = 1.99

NO-phenylalanine = -0225

Fonseca et al.

2024

CCC

Autoantibodies

ME/CFS patients with infectious triggered onset can be distinguished from healthy controls.

Peptide sequences associated with specific antibodies are unlikely to be inducers of autoimmune B-cell responses.

92 ME/CFS and 50 HC

Not Provided

Maes et al.

2013

Fukuda

Cytokines

Increased proinflammatory cytokines specific to 5-HT-receptor (p < 0.001). 5-HT-positive ME/CFS patients have exacerbated symptoms.

117 ME/CFS and 35 HC

TNFa = 1.69

IL-1 = 1.17

Neopterin = 1.20

Lande et al.

2020

CCC

Genetics

HLA class I and class II alleles are associated with ME/CFS compared to HC. HLA-C (p < 0.0001), HLA-B*57:01(p < 0.004), HLA-DBQ1 (p < 0.005), HLA-B*44:02 (p < 0.03), HLA-B*08:01 (p < 0.01) and HLA-DPB1 (p < 0.02).

426 ME/CFS and 4511 HC

HLA-C = 0.409

HLA-DBQ1 = 0.223

Proportionality of carrying either one or both alleles = 0.409

Wang et al.

2022

IOM

Genetics

Enriched immunomodulatory genes: IKZF2, IKZF3, ABCE1, BACH2, CD3D, and HSPA8 (p < 0.05). Females have significant enrichment of IFIT1, ISG15 and IF16 (p < 0.05).

166 ME/CFS and 201 HC

Not provided

Steiner et al.

2020

CCC

Immune Phenotype + Genetics

ME/CFS patients with w/ITO have decreased CD19 + B-cells (p < 0.05). However, no changes in CD4 + or CD8+.

ME/CFS + ITO have increased frequency of PTPN22 (p = 0.016) and CTLA-4 (p = 0.001).

305 ME/CFS and 201 HC

PTN22all = 0.223

PTN22ito = 0.269

PTN22w/ito = 0.047

CTLA4all = 0.161

CTLA4ito = 0.234

CTLAw/ito = -0.077

IRF5all = -0.0341

IRF5ito = -0.0341

IRF5w/ito = -0.212

TNFall = -0.0459

TNFito = -0.0642

TNFw/ito = 0.005

TNF1all = -0.144

TNF1ito = -0.0961

TNF1w/ito = -0.329

  1. 1 ME/CFS Myalgic encephalomyelitis/chronic fatigue syndrome, HC healthy control, ITO infection triggered onset, w/ITO without infection triggered onset, NK natural killer cells, PBMC peripheral blood mononuclear cell, ICC international consensus criteria, CCC Canadian consensus criteria, IOM Institute of medicine. HLA-A-B-C are MHC class I and HLA-DBQ1, DRB1, DQB1 and DQA1 are MHC class II. TNF and TNF1 are SNPs rs1800629 G > A and rs1799724 C > T respectively. Cohen’s term d effect sizes as small (d = 0.2), medium (d = 0.5), and large (d > 0.8).