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

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Objective:

To quantify serum levels of interleukin-11 (IL-11) and matrix metalloproteinase-9 (MMP-9) in patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and to investigate the role of mast cells, particularly in relation to stimulation by Epstein-Barr Virus (EBV).

Key Findings:
  • Significant increase in serum levels of IL-11 and MMP-9 in ME/CFS patients compared to healthy controls, indicating potential biomarkers.
  • Mast cells stimulated by recombinant EBV protein released higher amounts of MMP-9 compared to control cells, suggesting a mechanism of action.
Interpretation:

IL-11, MMP-9, and mast cells may play a role in the pathology of ME/CFS.

Limitations:
  • Study limited to female patients, which may affect generalizability to the broader ME/CFS population.
  • Small sample size for MMP-9 analysis limits the robustness of the findings.
Conclusion:

The findings suggest a potential involvement of IL-11 and MMP-9 in ME/CFS pathology, warranting further investigation into their roles as biomarkers and therapeutic targets.

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