Prusty talks about his upcoming research on a podcast

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600
I think it says in the interview that he added more research to his paper so maybe thats why its drawing out.

He does contend that there is complement dysfunction in mecfs. I wonder if this could explain the reactivation of adenovirus (IIRC) after covid infection found in the recent Swedish study. Or would that involve something else such as t-cells or nk cells or something.
 

Research 1st

Severe ME, POTS & MCAS.
Messages
768
The interview was recorded before he said that he's submitted to the journal.
The following quotes from the aforementioned podcast may explain people's confusion over the timeline and my own.

00:02:31
Emily Kate Stephens: "You've added new results into your paper".

00:03:03
Bhupesh Prusty: "This week we're going to submit the paper".

01:11:37
Bhupesh Prusty: :Today or tomorrow it will be published".

Source: TLC Sessions: Episode 58. (June 1st, 2023). NB: Recorded before the London conference.
 
Messages
93
The following quotes from the aforementioned podcast may explain people's confusion over the timeline and my own.

00:02:31
Emily Kate Stephens: "You've added new results into your paper".

00:03:03
Bhupesh Prusty: "This week we're going to submit the paper".

01:11:37
Bhupesh Prusty: :Today or tomorrow it will be published".

Source: TLC Sessions: Episode 58. (June 1st, 2023). NB: Recorded before the London conference.

Don't understand, what's the confusion?
It was submitted in the week following June 1st, no?
 

Osaca

Senior Member
Messages
344
I don't think there's any confusion, at least not anymore. The paper was submitted sometime before 31.05 and the interview was recorded a few days prior to that.
 

Tsukareta

Senior Member
Messages
150
Sorry to go a bit off topic but was there ever anything else that came out from that big event on June 2nd in the UK where many big name researchers presented ? Prusty also talked there if I remember right, we often get videos of those type of presentations but I haven't seen anything yet.
 

Osaca

Senior Member
Messages
344
Sorry to go a bit off topic but was there ever anything else that came out from that big event on June 2nd in the UK where many big name researchers presented ? Prusty also talked there if I remember right, we often get videos of those type of presentations but I haven't seen anything yet.
https://forums.phoenixrising.me/thr...e-conference-cambridge-uk.90160/#post-2435069.

Videos haven't been posted yet afaik. In a very short summary: Nothing too interesting or particularly new revealed.
 
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29
A person with more MS knowledge would definitely know the details much better than me.
What this means for ME/CFS and EBV’s involvement in it remains to be seen. MS and ME/CFS have long since been described as sibling diseases, possibly even with the same cause where the progression then branches into two distinct diseases.
I'm a person with MS (28 years) and I definitely feel like a sibling to y'all, that's why I've been lurking here for years, Y'all are very proactive and great at research! Some MS friends and I formed the nonprofit Solving MS to focus on the cure for MS. I put together a database to track all the trials, and it has a column for EBV Rx; currently 5 trials and 5 vaccines focused at EBV. https://solvingms.org/research-database

The profile on Antivirals/Antiretrovirals for EBV in MS is 10 pages. Much of it you are already familiar with, but the intro includes a grouping of the 3 different approaches to treating EBV.
I would love any feedback, especially if anything looks wonky! Collaboration across EBV diseases from autoimmune, CFS to cancer will get us there faster!
 

Osaca

Senior Member
Messages
344
I'm a person with MS (28 years) and I definitely feel like a sibling to y'all, that's why I've been lurking here for years, Y'all are very proactive and great at research! Some MS friends and I formed the nonprofit Solving MS to focus on the cure for MS. I put together a database to track all the trials, and it has a column for EBV Rx; currently 5 trials and 5 vaccines focused at EBV. https://solvingms.org/research-database

The profile on Antivirals/Antiretrovirals for EBV in MS is 10 pages. Much of it you are already familiar with, but the intro includes a grouping of the 3 different approaches to treating EBV.
I would love any feedback, especially if anything looks wonky! Collaboration across EBV diseases from autoimmune, CFS to cancer will get us there faster!

Thanks so much for commenting here! I've read your description and have bookmarked the database to track any progress. Nothing looks wonky to me. Well done on setting up a NPO for this cause! I've long since believed that something similar would be a good idea for ME/CFS and especially for Long-Covid, since patients and doctors aren't aware of many of the trials happening and on the other hand many trials are struggling with decent patient recruitment.

What's the general medical and what's the patient consensus on the EBV and MS connection? ME/CFS and Long-Covid researchers are always very keen to mention the EBV and MS connection, but what do those MS researchers or patients say that believe in a different mechanism? Do they try to explain Ascherio's research or just nod it of by saying it hasn't been reproduced? Or do they argue that it's just some sort of downstream effect? Is someone currently trying to reproduce a study akin to the big Ascherio study (this seems like a comparably simple and inexpensive thing to do)?

Personally, I've been following the MS trials closely, especially the ATA188 trial. I've been lurking around some MS subreddits for anectdotal information of patients currently in participating trials. Are there better sources to do that? How are patient self experiments with things like generic versions of TAF or Lamivudine going?

Given the lack of research funds for ME/CFS research, it's currently more likely that ME/CFS solutions will come as a bioproduct when trying to solve other diseases that receive more funding. If it were proven and accepted that EBV causes MS, we might some day not be perceived as looney's anymore (or perhaps we'd then just be considered to have "psychosomatic EBV reactivations"). The EBV research is pretty dead when it comes to ME/CFS and even Long-Covid. Realistically this would probably only change if mAB's for EBV became available. I suppose that's something MS patients are waiting for very desperately as well.

From what I've read it's quite likely that there will be an MS treatment in 3-5 years (which doesn't have to mean remylination), do you think this is realistic? What are your thoughts about Temelimab? I'm aware that their trials didn't achieve what they wanted to achieve, but do you still have hope in their unique approach or is it currently more believed that HERV's are a negligible downstream effect?

I believe almost all MS trials, at least those not directly targeting remylination, and especially studies should always try to include a well constructed ME/CFS control group and the same holds true to an even large degree for ME/CFS research. I'd love to see far more collaboration and especially open source work across the different research fields, but unfortunately I don't think it's very realistic. On the one hand ME/CFS researchers probably lack the funding for collaborative work. On the other hand ME/CFS research is still widely regarded as nonsense in the medical field, which probably also means that MS researchers trying to collaborate might damage their reputation or at least reduce their chances of receiving grants. Especially when these grants involve ME/CFS collaborations. Personally, I've always thought that if I was healthy enough I'd become a ME/CFS researcher that would get his research funding by holding a university position in MS research and then do ME/CFS research as a "side business", sort of similar to Maria Ariza's research. Studying both diseases would be extremely beneficial as more mechanisms can be revealed when trying to understand the differences and similarities in the diseases and one would probably have more funding opportunities for ME/CFS research this way then when one tries to focus on it alone. Finally this could also give credibility to the ME/CFS field by being a MS researcher.

I've already gone a bit overboard with my questions, so I'll leave it at this for now :)
 

Osaca

Senior Member
Messages
344
Didn't listen to the talk, only the questions. He says they'll upload the preprint to the Arvix if the first journal doesn't accept, so in either way it's only a matter of days till it'll see the light.
 

hapl808

Senior Member
Messages
2,332
Really bad brain fog and headache today so I can't really process even the abstract, but I asked GPT4 for its opinion.

The data presented here suggests multiple promising directions for new treatment strategies for ME/CFS and long COVID. These strategies could address both the underlying causes and the symptoms of these illnesses.

  1. Antiviral Therapies: The noted increased antibody response to herpesvirus dUTPases, particularly those of Epstein-Barr virus (EBV) and HSV-1, suggest a potential role of viral infection in the pathogenesis of both conditions. This finding provides a rationale for exploring antiviral treatments, particularly ones that target herpesviruses. Several antiviral drugs currently exist that target herpesviruses (like acyclovir, valacyclovir, and others) and could be repurposed for this use.
  2. Anti-inflammatory Therapies: The data show increased circulating fibronectin (FN1) levels, which could be contributing to systemic inflammation. Therapies aimed at reducing inflammation might therefore be beneficial. These could range from nonsteroidal anti-inflammatory drugs (NSAIDs), to more targeted anti-cytokine therapies or corticosteroids.
  3. Immunomodulatory Therapies: The finding of depletion of natural IgM against fibronectin ((n)IgM-FN1) suggests a dysregulation of the immune response. Therapies that modulate the immune response could be beneficial. For instance, treatments that enhance natural IgM production or decrease the response to fibronectin could be investigated.
  4. Mitochondrial Supportive Therapies: Evidence of mitochondrial dysfunction and oxidative phosphorylation system (OXPHOS) alterations provides a basis for considering therapies that support mitochondrial health. This could include nutritional interventions aimed at enhancing mitochondrial function, such as Coenzyme Q10, NAD+ precursors, or other mitochondrial-targeted antioxidants.
  5. Therapies Targeting the Cytoskeleton: Given the evidence of host cell cytoskeleton alterations mediated by herpesvirus dUTPases, it might be worthwhile to explore treatments that target and protect the cytoskeleton.
It's also worth considering a multi-modal approach that combines these strategies, as ME/CFS and long COVID are likely complex, multi-systemic disorders. It would be important to further validate these findings in larger cohorts and use a personalized medicine approach, given the likely heterogeneity within and between these conditions.

Finally, this data also opens up the potential for development of diagnostic biomarkers for ME/CFS and long COVID, particularly in relation to circulating FN1 levels and (n)IgM-FN1. This could greatly aid in the identification and tracking of these diseases.
 

hapl808

Senior Member
Messages
2,332
Also asked it to expand further on two of those that I was less familiar with.

  1. Immunomodulatory Therapies: The immune response in both ME/CFS and long COVID appears to be altered, with the evidence pointing towards a decrease in natural IgM against fibronectin ((n)IgM-FN1). This suggests that therapies which modulate the immune response could be beneficial.
    a. Increasing (n)IgM-FN1 Production: One potential approach might be the use of immune system modulators that could enhance the production of natural IgM. For instance, treatments like intravenous immunoglobulin (IVIG) therapy have been used to modulate immune response in other conditions, and could be explored here. Another angle might be the use of treatments that stimulate B cells, which are responsible for IgM production.
    b. Decreasing the Immune Response to Fibronectin: Given that fibronectin seems to be an antigenic target in these conditions, another strategy could be to modulate the immune response to fibronectin itself. This could theoretically be achieved through the development of tolerance-inducing therapies, akin to allergy shots, where small amounts of fibronectin could be administered to desensitize the immune system over time.
  2. Therapies Targeting the Cytoskeleton: The data suggest that herpesvirus dUTPases are causing alterations in the host cell cytoskeleton. This implies that treatments that protect or stabilize the cytoskeleton could be beneficial.
    a. Microtubule-Stabilizing Agents: Some existing drugs, like paclitaxel (used in cancer treatment), are known to stabilize microtubules in the cytoskeleton. While the side-effect profile of these drugs may not make them ideal candidates for chronic conditions like ME/CFS or long COVID, they could provide a starting point for the development of more specific, lower-toxicity cytoskeleton-targeting therapies.
    b. Rho-Kinase Inhibitors: Another possibility could be the use of Rho-kinase inhibitors. Rho kinases play a significant role in the maintenance of the cytoskeleton, and their inhibition has been shown to have cytoprotective effects in some circumstances.
In both of these cases, extensive research would be needed to determine safety and efficacy, and any new therapies would need to undergo rigorous clinical trials. The complexity and variability of ME/CFS and long COVID would also require personalized treatment approaches that take into account the specifics of each patient's condition.
 

Osaca

Senior Member
Messages
344
What's really quite dissapointing is that there was no reason to not to submit to the Arvix in the first place (which he now did because his paper got rejected). I really hope researchers change this bad practice in the near future.
 
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Osaca

Senior Member
Messages
344
I'm just a patient without a biomedical background, but let me put it like this: If I can find very basic problems and errors in a preprint, I'm not surprised that it might be rejected. Patients shouldn't be able to detect problems in research.
 
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