OVERALL PROJECT SUMMARY – CORNELL ME/CFS COLLABORATIVE RESEARCH CENTER
Despite the fact that an estimated 1 million people or more in the U.S. suffer from Myalgic
encephalomyelitis/chronic fatigue syndrome (ME/CFS), remarkably little is known about the etiology of the
disease and effective therapies are lacking. ME/CFS is characterized by debilitating fatigue that is not
ameliorated by rest or due to any other medical condition, and a myriad of symptoms, including
musculoskeletal pain, headaches, cognitive difficulties orthostatic intolerance, and sleep disturbances. There
are no simple scientifically validated tests for the illness, leading to a great deal of uncertainty among clinicians
when evaluating patients who report prolonged and unexplained fatigue. Fatigue and other symptoms are
exacerbated following exertion beyond a patient's particular threshold, a hallmark symptom of ME/CFS known
as post-exertional malaise (PEM). The absence of biomarkers for the disease and the lack of available
research models for ME/CFS amplify the deficiency of research data produced in the field to date. Recent
studies implicate immune dysregulation and neuroinflammation in ME/CFS. By leveraging the experience,
capabilities and varied backgrounds of researchers from four different institutions (Cornell Ithaca, Weill Cornell
Medicine, Ithaca College, and Boyce Thompson Institute), as well as key personnel from many other
organizations, the proposed Cornell ME/CFS Collaborative Research Center will apply neuroimaging,
proteomics, metabolomics, and single cell RNA and microRNA sequencing approaches to interrogate the
underlying biomedical mechanisms that contribute ME/CFS, by thorough examination of biomarkers from
patients and controls both before and after symptom provocation through exercise. Three research projects will
seek to (1) examine oxidative stress in the brain and neuroinflammation (Project 1), (2) examine inflammatory
molecules, metabolism, and cargo of extracellular vesicle (Project 2) and (3) determine levels of gene
dysregulation across the immune system (Project 3). These three research projects are supported by two
cores; one Clinical Core (Core 1: Cornell CRC Clinical Core), which will recruit and screen patients/controls
and oversee cardiopulmonary exercise testing and a Research Core (Core 2: Integrative Data Analysis
Core), which will support CRC members with data management and bioinformatics analyses, while
assimilating data across the project components to provide an integrated view of the assayed characteristics
about ME/CFS subjects studied by the Center. All Center activities will be coordinated through an
Administrative Core, which will foster synergy and integration within the Center, while also being the platform
for collaboration with other Collaborative Research Centers and the Data Management Coordinating Center.
The Administrative Core will also be responsible for outreach activities, designed to increase awareness and
understanding of ME/CFS within the research community, health professionals, and the general public.