Evidence map›Paper›PMID 35821534›Full record

ReviewCellular and molecular life sciences : CMLS2022

Could the kynurenine pathway be the key missing piece of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) complex puzzle?

Bahar Kavyani, Brett A Lidbury, Richard Schloeffel, Paul R Fisher, Daniel Missailidis, Sarah J Annesley, Mona Dehhaghi, Benjamin Heng, Gilles J Guillemin

Open access · hybridAbstract readReview
In one paragraph

Review in Cellular and molecular life sciences : CMLS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  13. Deep Immunophenotyping in ME/CFS Using Spectral Flow Cytometry.Methods in molecular biology (Clifton, N.J.) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Bahar KavyaniNeuroinflammation Group, Department of Biomedical Sciences, Macquarie University, Sydney, Australia.
Brett A LidburyThe National Centre for Epidemiology and Population Health, RSPH, College of Health and Medicine, The Australian National University, Canberra, ACT, 2601, Australia.ORCID http://orcid.org/0000-0003-2211-989X
Richard SchloeffelNeuroinflammation Group, Department of Biomedical Sciences, Macquarie University, Sydney, Australia.
Paul R FisherDepartment of Physiology, Anatomy and Microbiology, La Trobe University, Melbourne, Australia.ORCID http://orcid.org/0000-0003-1884-6306
Daniel MissailidisDepartment of Physiology, Anatomy and Microbiology, La Trobe University, Melbourne, Australia.ORCID http://orcid.org/0000-0001-6755-2959
Sarah J AnnesleyDepartment of Physiology, Anatomy and Microbiology, La Trobe University, Melbourne, Australia.ORCID http://orcid.org/0000-0002-7604-3985
Mona DehhaghiNeuroinflammation Group, Department of Biomedical Sciences, Macquarie University, Sydney, Australia.
Benjamin Heng *Neuroinflammation Group, Department of Biomedical Sciences, Macquarie University, Sydney, Australia. benjamin.heng@mq.edu.au.ORCID http://orcid.org/0000-0002-0247-2920
Gilles J Guillemin *Neuroinflammation Group, Department of Biomedical Sciences, Macquarie University, Sydney, Australia. gilles.guillemin@mq.edu.au.ORCID http://orcid.org/0000-0001-8105-4470
La Trobe University · AUMacquarie University · AUAustralian National University · AUThe University of Melbourne · AU

Funding

Judith Jane Mason and Harold Stannett Williams Memorial Foundation MAS2018F00026Macquarie University International Macquarie University Research Excellence ScholarshipME Research UK SCIO Charity Number SC036942National Health and Medical Research Council APP1176660
6 · The paper itself

Abstract

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex and debilitating disease with a substantial social and economic impact on individuals and their community. Despite its importance and deteriorating impact, progresses in diagnosis and treatment of ME/CFS is limited. This is due to the unclear pathophysiology of the disease and consequently lack of prognostic biomarkers. To investigate pathophysiology of ME/CFS, several potential pathologic hallmarks have been investigated; however, these studies have failed to report a consistent result. These failures in introducing the underlying reason for ME/CFS have stimulated considering other possible contributing mechanisms such as tryptophan (TRP) metabolism and in particular kynurenine pathway (KP). KP plays a central role in cellular energy production through the production of nicotinamide adenine dinucleotide (NADH). In addition, this pathway has been shown to mediate immune response and neuroinflammation through its metabolites. This review, we will discuss the pathology and management of ME/CFS and provide evidence pertaining KP abnormalities and symptoms that are classic characteristics of ME/CFS. Targeting the KP regulation may provide innovative approaches to the management of ME/CFS.

Indexed as

Fatigue Syndrome, ChronicHumansKynurenineNADKynurenineNADImmune dysregulationKynurenine pathwayMitochondrial dysfunctionMyalgic Encephalomyelitis/Chronic Fatigue SyndromeNeuroinflammationTryptophan

Identifiers

PMID35821534
PMCPMC9276562
OpenAlexW4285094624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.