Elevated serum levels of interleukin-11 and matrix metalloproteinase-9 in myalgic encephalomyelitis/chronic fatigue syndrome - Report - MDSpire

Elevated serum levels of interleukin-11 and matrix metalloproteinase-9 in myalgic encephalomyelitis/chronic fatigue syndrome

  • By

  • Baskaran Chinnappan

  • Duraisamy Kempuraj

  • Kristina K. Aenlle

  • Ashley Middleton

  • Katie S. Day

  • Sai Puneeth Kothuru

  • Rhitik Samir Joshi

  • Nancy G. Klimas

  • Theoharis C. Theoharides

  • June 5, 2026

  • 0 min

Share

Increased Serum Concentrations of Interleukin-11 and MMP-9 in ME/CFS

Overview

This study reports significantly elevated serum levels of interleukin-11 (IL-11) and matrix metalloproteinase-9 (MMP-9) in patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) compared to healthy controls. The findings suggest a potential role of mast cells and Epstein-Barr Virus (EBV) in the pathogenesis of ME/CFS.

Background

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating condition characterized by severe fatigue and neurological symptoms, affecting approximately 3.3 million people in the U.S. The lack of reliable biomarkers and effective treatments underscores the importance of understanding its underlying mechanisms, particularly the role of immune dysfunction and inflammation.

Data Highlights

ParameterME/CFS Patients (n=40)Controls (n=38)
IL-11 LevelsSignificantly IncreasedNormal
MMP-9 LevelsSignificantly IncreasedNormal

Key Findings

  • Serum levels of IL-11 were significantly higher in ME/CFS patients compared to controls.
  • MMP-9 levels were also significantly elevated in ME/CFS patients.
  • Mast cells stimulated by recombinant EBV protein released higher amounts of MMP-9.
  • ME/CFS is associated with immune dysfunction and neuroinflammation.
  • There are no validated blood biomarkers currently recommended for ME/CFS diagnosis.

Clinical Implications

The elevated levels of IL-11 and MMP-9 in ME/CFS patients may serve as potential biomarkers for further investigation. Understanding the role of mast cells and EBV in ME/CFS could lead to targeted therapeutic strategies in managing this complex condition.

Conclusion

The findings highlight the involvement of IL-11 and MMP-9 in ME/CFS, suggesting a need for further research into their roles in the disease's pathophysiology and potential as biomarkers.

Related Resources & Content

  1. Frontiers, 2026 -- Elevated Serum Levels of Interleukin-11 and Matrix Metalloproteinase-9 in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
  2. NICE, 2025 -- Overview | Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management
  3. Clinical Rheumatology — Investigation of Serum CXCL10 Level Variations and Their Clinical Implications in Isolated Polymyalgia Rheumatica
  4. Clinical Rheumatology — A Clinically Validated Nomogram for Predicting Myocardial Involvement in Adults with Idiopathic Inflammatory Myopathy
  5. Clinical Rheumatology — The Role of Serum APRIL, BAFF, and IL-10 Levels in Assessing Disease Activity and Flare Prediction in Systemic Lupus Erythematosus Is Limited
  6. Clinical Rheumatology — Interleukin-35 Enhances Expansion of B Regulatory Cells and Interleukin-10 Synthesis in CD19+ B Lymphocytes Among Individuals with Ankylosing Spondylitis
  7. Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): diagnosis and management - PMC
  8. Clinical Care Guide 2025
  9. Overview | Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management | Guidance | NICE
  10. Rationale and impact | Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management | Guidance | NICE
  11. Frontiers | Elevated Serum Levels of Interleukin-11 and Matrix Metalloproteinase-9 in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
  12. Cerebrospinal fluid immune phenotyping reveals distinct immunotypes of myalgic encephalomyelitis/chronic fatigue syndrome - PubMed
  13. Frontiers | Large-scale investigation confirms TRPM3 ion channel dysfunction in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
  14. Adrenergic dysfunction in patients with myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia: A systematic review and meta-analysis - PubMed
  15. Machine learning and multi-omics in precision medicine for ME/CFS | Journal of Translational Medicine | Springer Nature Link
  16. Frontiers | Relationships between fatigue, cognitive function, and upright activity in a randomized trial of oxaloacetate for myalgic encephalomyelitis/chronic fatigue syndrome
  17. Pyridostigmine and low-dose naltrexone for ME/CFS: study protocol for the Life Improvement Trial (LIFT), a randomized, double-blind, placebo-controlled clinical trial – American ME and CFS Society

Original Source(s)

Related Content