Long COVID involves activation of proinflammatory and immune exhaustion pathways, 2025, Aid et al.

Jo Cambridge and I have shared various projects with Jackie C and I think her studies are very interesting. But if we all have HHV6 to reactivate then the 'cause' we are looking for would need to be something that makes HHV6 reactivate in people with ME/CFS rather than the rest of us. And the problem is that HHV6 reactivation might just be an epiphenomenal sign of some more general regulatory issue. The task is then to find what the upstream problem is.
HHV-6B reactivation is already quite well understood from the research into the problem in immuno-suppressed patients. So there is no need to reinvent the wheel.

 
HHV-6B reactivation is already quite well understood from the research into the problem in immuno-suppressed patients. So there is no need to reinvent the wheel.

I don't follow. Since we have no evidence for 'immuno-suppression' in ME/CFS presumably we do have to find another explanation. (Large numbers of studies of ME/CFS have found immune cell populations and behaviour to be normal, with maybe some cells showing a bit more activation. There were some papers claiming defects in NK cells but even the original authors had trouble replicating those. Jackie could not replicate any NK defect.)
 
I don't follow. Since we have no evidence for 'immuno-suppression' in ME/CFS presumably we do have to find another explanation. (Large numbers of studies of ME/CFS have found immune cell populations and behaviour to be normal, with maybe some cells showing a bit more activation. There were some papers claiming defects in NK cells but even the original authors had trouble replicating those. Jackie could not replicate any NK defect.)

In Buddhism we have a saying that goes along the lines of: A beginner's mind has a lot of possibilities whereas an expert's hasn't.

It came up for me while chatting with you.
 
In Buddhism we have a saying that goes along the lines of: A beginner's mind has a lot of possibilities whereas an expert's hasn't.

Yeah, well I guess the opposite could be just as true:

A expert's mind has a lot of possibilities whereas an beginner's hasn't.*

After all if the Buddhists are experts on this they presumably realise all the possibilities.
Sort of an oxymoronic saying?

(*Accounting for your apparent interest in just one possibility!)
 
Thread here:

I find that the easiest way to check if a study has been posted here is to search for the name of the first author and tick off the titles only box.
 
To be fair, the Baraniuk, Eaton-Finch and M-Gradisnik paper is a bit puzzling.
Sonya M-G originally worked with Nancy Klimas on NK cells. Klimas never seemed to be able to reproduce the findings in a way that could be used in a clinical setting. James Baraniuk muttered an aside to me in 2015 that Nancy couldn't even replicate the basic data.

Fast forward ten years and James is teaming up with Sonya and co to write this despite the fact that nobody else much has been able to substantiate it as far as I know. A bit weird.

But the real bottom line for me is that nobody really knows what these NK tests mean in immunocompetence terms and they are notoriously difficult to get consistent. If there really was immunocompromise we should see opportunistic infection and we don't. I am pretty sure that the whole idea dates back to the AIDS days when a few people thought ME/CFS might be similar to AIDS. But that never panned out. There was no retrovirus. There were no consistent cell changes. Nobody with ME/CFS got pneumocystis pneumonia or Kaposi's sarcoma. It just wasn't there.
 
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