After listening to Dr. Prusty's interview I really cannot understand why we are not as the whole ME/CFS community persuing clinical trials with anti-purinergic therapy.
On the following post I have compiled a lot of literature indicating that anti-purinergic therapy seems to revert the abnormalities described by Dr Prusty and Dr Phair as part of their HHV-6/Fibronectin1 and itaconate/IFNa etiopathigenic models for ME/CFS, respectively:
https://forums.phoenixrising.me/thr...d-abnormalities-in-me-cfs.90173/#post-2435206
https://link.springer.com/article/10.1007/s11302-022-09852-8
I think he said both plasma and cellular is elevated. Cant remember what source i heard that from though, maybe it was in Tess Falors live tweets.Yes, I fear we might have to re-listen to the podcast again and I think even after that it won't be clear since he might just have forgotten to mention if it's cFn or pFn, plus the talk was a little unstructured.
Unfortunately, I don't have the energy to re-listen to the podcast (I can't listen to things well), but I've been trying to use a transciption software for audio and video files. It's currently transcribing. If it turns out any good I will upload the transcript here.
In Isabel Ramirez-Burnett Tweets it says "Both cellular and plasma fibronectin is increased in mecfs", however from there onwards it isn't clear when he is talking about what, the same holds for the interview. For the nIgM I think we can maybe assume it's lower for the set of pFn and cFn. We'll have to wait for the paper for the proper details.I think he said both plasma and cellular is elevated. Cant remember what source i heard that from though, maybe it was in Tess Falors live tweets.
Did I just found a connection with the clotting and platelets theory ?
Has the coagulation factor X/Xa, which is somehow the problem here and is the thing with which the nIgM LR04 competes and in turn lowers coagulation, been looked at before in ME/CFS or LC research? (I don't really find anything relevant, I can find someone mentioning it for acute Covid, but not specifically or very relevant as by now anything that exists has been mentioned in connection to acute Covid). In Pretorius' work for example factor XIII seems more relevant.Natural IgM antibodies inhibit microvesicle-driven coagulation and thrombosis
In Isabel Ramirez-Burnett Tweets it says "Both cellular and plasma fibronectin is increased in mecfs", however from there onwards it isn't clear when he is talking about what, the same holds for the interview. For the nIgM I think we can maybe assume it's lower for the set of pFn and cFn. We'll have to wait for the paper for the proper details.
Scuse my ignorance but is this the sane thing being talked about post COVID infection
Bhupesh Prusty is good at making waves. He and Bob Naviaux raised eyebrows in 2020 when their study showed that an HHV-6 infection might not only be damaging the mitochondria – putting the cell into a cell danger state – but also appeared to cause the cell to be pumping something into the serum that was doing the same thing to other cells.
Explaining ME/CFS? Prusty / Naviaux Study Ties Infections to Energy Breakdowns
Then last year Prusty found that miRNA’s produced by herpesvirus-infected cells were at least in part responsible for the mitochondrial fragmentation found. Plus in a small autopsy study he found evidence of widespread HHV-6/EBV activation across the brains of people with ME/CFS.
The Prusty Files: HHV-6 Found in the Brains of ME/CFS Patients
An enthusiastic researcher Prusty primed the pump in the weeks leading up to the Charite and Invest in ME conference he recently presented at on his Twitter account stating:
“We will announce a biomarker for #MECFS and #LongCovid very soon. A very interesting piece of the puzzle to unfold in coming weeks. Knowingly I did not use the word ‘Novel Biomarker’ as a lot is known about it and that is actually a very good news. Fingers crossed!”
I saw Prusty’s presentation at the Charité conference, but it was so complex that I got completely lost halfway through. How good it was, then, to find (thanks to Jutta) the TLC Living with Long-COVID podcast where Prusty talked about his recent findings. Without that podcast, which focused on what appears to be a very large paper with multiple authors and multiple cohorts that was recently submitted, this blog would not exist.
I thought it could be interesting to go through Prusty's Twitter profile and there are only two comments relevant for this dicussion that Prusty recently liked:
The first one is about the high levels of anti-C1q aabs we’ve already talked about.
- “The thing causing mito fragmentation was for a pwME subset the C1q auto abs. So when you showed that in 2019 I ran to get tested & I was positive. So maybe there’s something missing in the complement system (innate immunity), which is the first line of defence, now malfunctioning”
- “Does a MBL2 gene mutation and subsequent mannose-binding lectin deficiency establish a vulnerability/predisposition for disease in your model?”
The second one is a comment about a MBL2 gene mutation which leads to a deficiency in the protein mannose-binding lectin (MBL). MBL plays an important role in the immune system by fighting foreign invaders by attaching to them. This attachment then activates the lectin complement system. It is an alternative pathway to the classical complement C1q pathway with a similar mechanism. The clinical significance of MBL-Deficiency is debated and it seems like it only leads to a higher susceptibility to infections (unlike C1q deficiency, which leads to Lupus-like diseases). As of today reduced MBL levels seem to play some role in ME/CFS, but the results aren’t really significant, especially when compared to controls https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465819/ (funnily enough Prusty was the editor of this paper!). It is something that also sees to play a part in Post-Covid Syndrome (https://www.nature.com/articles/s41467-022-32507-6) and is something that for example Scheibenbogen tests for in her current IA trial (https://clinicaltrials.gov/ct2/show/NCT05710770). Both C1q and MBL modulate cytokine production at the mRNA and protein levels and as such play an important role at in the inflammatory response and the avoidance of autoimmunity.
MBL also has a second role, sort of as dirt “cleaner”, in which it binds senescent and apoptotic cells and enhances engulfment of apoptotic cells, as well as cell debris by phagocytes.
MBL is known to bind to SARS-COV-2, HIV, influenza A and seems to play a very small role in HSV-2, HSV-1. The relationship between MBL deficiency and HHV-6 and EBV is not really proven by anything substantial/interesting to us.
Finally there are no treatments at all, or that I could find, that address MBL deficiency. Furthermore it’s mostly produced in the liver and hardly has a connection to the bone marrow.
To summarise: Something to keep an eye on for the future, but probably nothing revolutionary, unless one of you can find out something that I was not able to.
really outstanding summary....overview/ THANK YOU