Watch Now: Dr. Maureen Hanson on the Biology of Post-Exertional Malaise

A talk from Dr. Maureen Hanson, Center Director, is now available on YouTube as part of Action for ME’s PRIME webinar series. In her presentation, “Molecular Signals of PEM,” Dr. Hanson shares findings from recent Center studies analyzing blood samples collected from ME/CFS patients and sedentary healthy controls before and after two consecutive maximal cardiopulmonary exercise tests. This research offers insight into the biological mechanisms underlying post-exertional malaise (PEM)—a hallmark and defining symptom of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Watch the talk on YouTube (starting at 2:12:40) to learn more about these important findings.

Center Investigators Attend Invest in ME Research 2026 Conference Week; Early Career Researcher Wins Outstanding Presentation Award

Center investigators recently participated in the Invest in ME Research 2026 conference week at the Wellcome Genome Campus in Cambridge, UK, attending both the 15th Biomedical Research into ME Colloquium (BRMEC15) and the 18th International ME Conference. This annual gathering represents one of the most significant forums for ME/CFS research collaboration, bringing together international researchers, clinicians, and patient advocates to advance understanding of myalgic encephalomyelitis. Our Center’s continued participation reflects our commitment to fostering global partnerships and contributing to the growing body of biomedical research addressing this complex disease.

Erin Wissink, PhD

We’re particularly proud that one of our early career investigators, Dr. Erin Wissink, received 1st place for the Outstanding Oral Presentation Award from Young EMERG for her talk entitled “Cytotoxic T cell dysregulation in ME/CFS.” The presentation outlined a hypothesis that metabolic differences in T cells in ME/CFS cause changes in mTOR signaling and mRNA translation, based on findings from our recent single-cell genomics dataset. This recognition highlights the innovative research emerging from our Center and the importance of supporting early career scientists in ME/CFS research, particularly as the field continues to expand with growing recognition of post-viral illness connections.

Hanson presents on immune exhaustion at IIMEC16

At the 16th Invest in ME Research International ME Conference (IIMEC16), Maureen Hanson presented on immune system dysfunction in ME/CFS. Her talk, which is available on YouTube, discusses findings that relate to T cell metabolism, gene expression, and epigenetics. The overall outlook points to an “exhausted” immune cell state.

More information about the conference can be found on the IIMEC16 website.

Center investigators present at International ME/CFS & Long COVID Conference

Center investigators presented at the 1st International Conference on Clinical and Scientific Advances in ME/CFS and Long COVID. The two-day hybrid event was recorded. Videos from both conference days are included below, with additional information available on this website. 

Day 1 (April 3, 2024): Dr. Susan Levine presented “Brief History of ‘Pandemics’ Related to ME/CFS Punta Gorda Florida and Royal Free Hospital in London. Origin of Current Case Definition.” Her talk starts at 27:00. Dr. Levine also took part in a panel discussion and “Conversation: The Role of Physician as Advocate, Lessons Learned from 30 Years of Clinical Practice” that occurred later in the day.

Day 2 (April 4, 2024): Dr. Maureen Hanson presented “Circulating Signals of ME/CFS.” Her talk starts at 6:07:00.

Center participates in the NIH ME/CFS Research Roadmap series

The working group of the National Advisory Neurological Disorders and Stroke Council, part of the National Institutes of Health, recommended the development of research priorities for ME/CFS to help move the field towards translational research and clinical trials. The result led to creation of the ME/CFS Research Roadmap Working Group. The Group, co-led by Drs. Lucinda Bateman and Maureen Hanson, produced a series of eight webinars. A complete description of the webinar series can be found on the ME/CFS Research Roadmap website.

Our Center’s mission is to promote research to identify its cause(s), biomarkers, and pathophysiology in order to lead to prevention and effective treatments. With this focus, several Center investigators presented data to support the development of research priorities for ME/CFS. The talks from our Center are included below.

Maureen Hanson presented “ Immune cell-type approaches to identify mechanisms of ME/CFS” during the Immune System webinar. Her talk starts at 1:38:40.

Jessica Maya presented “Investigations and Consequences of Altered Metabolism in ME/CFS Immune Cells” during the Metabolism webinar. Her talk starts at 58:32.

Maureen Hanson presented “Chronic infection in ME/CFS: non-Herpes viruses” during the Chronic Infections webinar. Her talk starts at 1:01:25.

Ludovic Giloteaux presented “Extracellular vesicles” during the Physiology webinar. His talk starts at 3:15:10.

The NIH ME/CFS Center presents lectures at “Advancing ME/CFS Research: Identifying Targets for Intervention and Learning from Long COVID”

NIH held a hybrid online conference on the NIH campus on December 11-12, 2023.  Center personnel attending in person were  Claire McNally, Annie Gardella, David Iu, Jessica Maya, Tien Luyen (“Louis”) Vu, Katherine Glass, Arnaud Germain, Ludovic Giloteaux, Dawei Li, Andrew Grimson, and Maureen Hanson, as well as collaborator Nicholas Hampilos from Weill Cornell Medicine.

Both days of the conference are available online.

Videocast Day 1

Jessica Maya’s presentation “Investigating T cell populations for immune cell dysfunction in ME/CFS” starts at 3:50:10.

Videocast Day 2

Maureen Hanson’s presentation on “ME/CFS and long COVID: similarities and differences” starts at 1:03:00.

Andrew Grimson’s presentation on “Monocyte dysregulation in ME/CFS” starts at 1:37:35.

Nicholas Hampilos’ presentation on “Effect of Physical Exertion on CNS Oxidative Stress and Metabolism in ME/CFS” starts at 2:56:53.

Center trainees participate in the Symposium For Promoting The Advancement Of Research Knowledge In ME/CFS (SPARK ME)

NIH sponsored an early career researchers workshop on December 10, 2023 attended by Cornell graduate students Claire McNally Annie Gardella, and David Iu, postdoctoral associates Jessica Maya and Tien Luyen (“Louis”) Vu, and Research Associates Katherine Glass, Arnaud Germain and Ludovic Giloteaux.  Drs. Glass and Maya helped organize the meeting.

Verbal presentations:

David Iu: Epigenetic Reprogramming of CD8+ T cell Populations Drives Exhaustion in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

Tien Luyen Vu: Single-cell transcriptomics of ME/CFS circulating immune system before and after symptom provocation

Poster presentations:

Anne Gardella: Cell-free RNA signatures of myalgic encephalomyelitis/ chronic fatigue syndrome

Ludovic Giloteaux: Extracellular vesicle protein cargo in ME/CFS cases and controls following maximal exercise

Arnaud Germain: Proteomic adjustments following induction of post-exertional malaise

Claire McNally: Investigating the role of iNOS in endothelial dysfunction in ME/CFS

ME/CFS lecture presented at the Viral Infections and Inflammation Workshop in Rockville, Maryland September 6-7, 2023

In an NIH-sponsored workshop featuring studies of long COVID, acute COVID19, HIV/AIDS, viral encephalitis, Epstein-Barr Virus, Ebola virus, Endogenous retroviruses, Maureen Hanson presented a talk entitled “Viruses, Immune Dysfunction, and ME/CFS”

All talks can be accessed through the following website after free registration here or on the Academic Medical Education’s YouTube channel. Maureen Hanson’s talk is included below.

Urine metabolomics shows divergent response to exercise between people with ME/CFS and sedentary controls

Graphical abstract by Katie Glass

We have a new study published today that compares metabolite levels in urine of ME/CFS patients and sedentary controls before and after cardiopulmonary exercise testing (CPET).

Katie Glass is lead author of Urine Metabolomics Exposes Anomalous Recovery after Maximal Exertion in Female ME/CFS Patients. The study is available online in the International Journal of Molecular Sciences and full text is open access.

Katie Glass

As shown in the graphical abstract above and explained in the video abstract below, we found a large number of metabolites at increased concentrations in the urine of controls 24 hours after CPET compared to baseline.  However, we did not find significant changes in levels of any metabolites in the urine of ME/CFS patients after CPET.

When we looked at which metabolites were changing differently in ME/CFS patients and controls after exercise, we found the most compounds in the amino acid and lipid metabolic superpathways.

Overall, our data suggests that the metabolisms of sedentary controls undergo major changes that allow them to recover from exertion, while ME/CFS patients fail to make similar adaptive responses. This dysfunctional metabolic excretion could be contributing to exercise intolerance in ME/CFS patients.

Check out the paper to see many more results, including individual compounds that are significantly different between patients and controls and altered correlations between urine and plasma metabolites.

Video abstract by Katie Glass

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