Weekly digest · ISO week 43

Post-viral research digest, week 43 2026: 51 new studies

19 October 2026 – 25 October 2026 · published 25 October 2026 · Subscribe

  1. Research Tracker
  2. Weekly Digest
  3. Week 43 2026

Between 19 October 2026 and 25 October 2026 the tracker indexed 51 new peer-reviewed studies and 8 clinical-trial updates across 8 post-viral and post-infectious conditions.

By the numbers

51new studies this issue
8trial updates this issue
539studies currently in the feeds
632clinical trials tracked
603biomarkers catalogued

Studies tracked = entries across the 8 condition feeds (each feed keeps a rolling window of recent PubMed results); trials tracked = ClinicalTrials.gov records in the current trial snapshot (last run 2026-10-25); biomarkers catalogued = marker entries across all OSMF biomarker atlases.

In this issue:

New studies by condition

Long COVID (PASC) 41 new

Full feed: Long COVID research tracker

Syphilis in pregnancy detection rate: time series study associated with descriptive analysis by periods, Campo Grande, 2015-2023.

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 25 October 2026 · Reis, Caroliny Oviedo Fernandes, Borges, Luciana Aparecida da Cunha, Santos-Pinto, Cláudia Du Bocage et al. PubMed 42922787

To analyze the time series and trend of the syphilis in pregnancy detection rate over nine years and the variations in clinical and epidemiological characteristics across four periods according to relevant public health events in Campo Grande, Mato Grosso do Sul. Time series study with descriptive analysis by periods, using data from the Notifiable Diseases Information System ( A total of 2,802 cases were analyzed.

Strong Protein Responses to Acute Infection Control General Post-Viral Sequelae and SARS-CoV-2-specific Neurocognitive Sequelae.

medRxiv : the preprint server for health sciences · 25 October 2026 · Liou, Theodore G, Andrews, Ryan J, Battey, Heather S, Bass, Brenda L et al. PubMed 42922780

After serious infections, many survivors fully recover while others face persistent symptoms including neurocognitive dysfunction, cardiopulmonary instabilities and disabling fatigue, classified broadly as Post-Acute Infection Syndromes (PAIS). Post-Acute Sequelae of COVID19 (PASC) is one special case.

Prevalence and Trends of Post-COVID-19 Sequelae Among U.S. Adults With Prior COVID-19 Infection, 2022-2024.

Cureus · 25 October 2026 · Bhargava, Ashish, Szpunar, Susan PubMed 42921630

Post-acute sequelae of SARS-CoV-2 infection (PASC) affect a substantial proportion of U.S. adults, involving multiple organ systems and resulting in significant disability and diminished quality of life. Population-level PASC estimates include individuals without prior COVID-19 infection and therefore do not accurately reflect postinfection risk required for effective risk stratification.

Multifactorial biomarker profiles in fatigued and non-fatigued post-COVID-19 patients: insights from a one-year follow-up.

European journal of applied physiology · 25 October 2026 · Barrero-Santiago, Laura, Gomes de Jesus Ferreira, Leandro, Salomão, Rebecca, da Silva Almeida, Isabella et al. PubMed 42925328

To compare blood biomarkers across SARS-CoV-2 fatigue, non-fatigue, and control groups; assessed longitudinal biomarker changes; and identified genetic associations and biomarkers linked to post-COVID-19 fatigue. This longitudinal observational study followed individuals with confirmed SARS-CoV-2 infection over a one-year period, stratifying them into fatigue (n = 27) and non-fatigue (n = 13) groups based on the...

Intrinsic capacity with COVID-19 infection and late complications in the older adult population.

Caspian journal of internal medicine · 25 October 2026 · Nikbakht, Hossein-Ali, Bakhtiari, Afsaneh, Tamadoni, Negar, Sivan, Manoj et al. PubMed 42923631

Intrinsic capacity (IC) decline, infection susceptibility, and post-COVID sequelae in older adults, intensified by the pandemic, demand probing IC domains' infection/outcome links and population-level strategies for sustaining functional health. This cross-sectional study enrolled 600 older adults.

Scavenger Receptor Class B Type 1 Mediated Transport Enables Delivery Across Capillarized Liver Sinusoids in Metabolic Dysfunction-Associated Steatohepatitis.

ACS nano · 23 October 2026 · Yuan, Ruyan, Zhang, Jiamin, Huang, Yamei, Meng, Yiyang et al. PubMed 42916103

Liver fibrosis in metabolic dysfunction associated steatohepatitis (MASH) lacks effective therapies, in part because therapeutic agents poorly penetrate the capillarized sinusoidal endothelium. As fibrosis progresses, liver sinusoidal endothelial cells (LSECs) become defenestrated and restrict trans-sinusoidal exchange, thereby limiting drug access to hepatic stellate cells (HSCs) within the perisinusoidal space.

Prevalence of alpha-synuclein seeding activity in the Olfactory Mucosa following SARS-CoV-2 infection: results from a pilot study.

Acta neuropathologica · 23 October 2026 · Heim, Beatrice, Seppi, Klaus, De Cleene, Nicolas, Bongianni, Matilde et al. PubMed 42911254

Olfactory dysfunction (OD) is a hallmark of SARS-CoV-2-infection where it is believed to result from neuroinflammation induced by viral invasion via the olfactory mucosa (OM). Hyposmia also affects the majority of patients with Parkinson's disease (PD) where it is caused by α-synuclein (aSyn) pathology in the olfactory system, and aSyn-seeding-activity can be detected in the OM using...

Post-COVID syndrome's impact on sex life - results from a cross-sectional study.

BMC public health · 23 October 2026 · Schröder, Dominik, Schmachtenberg, Tim, Heinemann, Stephanie, Müllenmeister, Christina et al. PubMed 42919197

Having a satisfying sexual life is important to many people and impairment of sexual function is often perceived as a burden. This study investigates the self-perceived impairments to sex life in adults with Post-COVID-19 syndrome (PCS) and factors that are associated with impaired sex life.

Long COVID is associated with lipoxygenase-catalyzed metabolism of essential polyunsaturated fatty acids.

iScience · 23 October 2026 · Moss, M Elizabeth, Pons, Stephanie, Tavares, Luciana P, Tang, Yan et al. PubMed 42909166

Long COVID (LC) represents a failure of healthy resolution mechanisms for inflammation after SARS-CoV-2 infection. Dietary essential polyunsaturated fatty acids (PUFAs) and their downstream metabolites can orchestrate inflammation resolution, suggesting these pathways may be altered in LC.

Central Nervous System Alterations in Individuals with Long COVID: A Systematic Review.

Revista da Sociedade Brasileira de Medicina Tropical · 23 October 2026 · Moraes, Janaina Ferreira de, Souza, Paulo Henrique Leite, Andrade, Michele Lacerda de, Dias et al. PubMed 42912090

Long COVID (post-COVID-19 condition) has been associated with persistent neurological and cognitive symptoms, suggesting possible central nervous system involvement beyond the acute phase of severe acute respiratory syndrome coronavirus 2 infection. A systematic review of articles published up to April 2026 was conducted following the PRISMA guidelines, and observational studies evaluating neurophysiological...

Test-retest reliability and interpretability of Long COVID Burden Index: A prospective observational study.

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 22 October 2026 · Yamada, Gen, Iwamoto, Noriko, Miyamori, Daisuke, Suzuki, Michiyo et al. PubMed 42906877

The Long COVID Burden Index (LCBI) is an 11-item patient-reported outcome measure developed to assess the burden of long COVID symptoms on daily life. Although its cross-sectional validity and internal consistency have been demonstrated, its test-retest reliability, measurement error, and minimal important change (MIC) have not yet been evaluated.

Protective Effect of COVID-19 Vaccination on Post-Infection Visuospatial Deficits.

Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 22 October 2026 · da Silva, Lucas Gomes, Fini, Bruna Carmeni Di, Oliveira, Jordano César Milagres, Rosa, Daniela Valadão et al. PubMed 42905886

COVID-19 has been associated with persistent cognitive deficits months after SARS-CoV-2 infection. Vaccination reduces severe disease, but its effect on post-infection cognition remains uncertain.

Knowing Long COVID: Epistemic Barriers to Recognition and Care.

Journal of primary care & community health · 22 October 2026 · Jamoulle, Marc, Spanoghe, Martin, Rolus, Bram, Thielemans, Paul et al. PubMed 42902825

ObjectiveThis study explored the epistemic barriers affecting the recognition and care of Long COVID. It sought to understand how uncertainty is produced, distributed, and navigated among clinicians, researchers, and patients, and how these dynamics shape care pathways and patient experiences.MethodsWe conducted a qualitative analysis grounded in more than 400 accounts of clinical encounters, alongside more than 100...

Blood biomarkers of long COVID: A cross-sectional evaluation of key cytokines and the coordination of inflammation.

PloS one · 22 October 2026 · Thomas, Callum, Ashton, Ruth E, Pretorius, Etheresia, Owen, Rebecca et al. PubMed 42905724

Long COVID is a complex pathophysiological condition linked to a heterogenous symptom profile. Dysregulation of 1) immunological and inflammatory responses, 2) endothelial/vascular function, and 3) metabolic and clotting processes have been identified; however, there remains a lack of clinically validated diagnostic biomarkers.

Evaluating the Mental Fatigue Scale for long COVID: A content validity study.

Neuropsychological rehabilitation · 21 October 2026 · Riis-Djernæs, Line M, Oestergaard, Lisa Gregersen, Nielsen, Trine Brøns, Sørensen, Lotte et al. PubMed 42902491

This study aimed to evaluate the content validity of the Mental Fatigue Scale (MFS) in individuals with long COVID. Content validity was assessed using COSMIN methodology through cognitive interviews with individuals with long COVID (n = 10) and focus groups with healthcare professionals (n = 8).

[Recognizing and managing post-exertional malaise in primary care].also ME/CFS

Revue medicale suisse · 20 October 2026 · Garcia, Sara, Tzartzas, Konstantinos, von Plessen, Christian, Favrat, Bernard et al. PubMed 42899626

Post-exertional malaise (PEM) is a syndrome characterized by a worsening of symptoms after physical, cognitive, or emotional exertion. It presents as increased fatigue, usually accompanied by other clinical symptoms, such as muscle pain or cognitive impairment.

Resilience as social practice: Negotiating long COVID at the intersection of illness and ageing.

Social science & medicine (1982) · 20 October 2026 · Fang, Chao, Comery, Alastair, Baz, Sarah Akhtar, Sheard, Laura et al. PubMed 42901033

Resilience is often framed within neoliberal health discourses as an individual capacity for adaptation, obscuring how the ability to endure illness is socially organised. This article reconceptualises resilience as a biographically embedded social practice through a study of older and emerging older adults living with Long COVID, an uncertain chronic health condition that unsettles everyday life and expectations of...

Protective Effect of COVID-19 Vaccination on Post-Infection Visuospatial Deficits.

Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 20 October 2026 · da Silva, Lucas Gomes, Fini, Bruna Carmeni Di, Oliveira, Jordano César Milagres, Rosa, Daniela Valadão et al. PubMed 42900956

COVID-19 has been associated with persistent cognitive deficits months after SARS-CoV-2 infection. Vaccination reduces severe disease, but its effect on post-infection cognition remains uncertain.

Post-translational modifications in the insoluble fraction of platelet-poor plasma distinguish pre-COVID-19 Postural Orthostatic Tachycardia Syndrome, Long COVID, and Long COVID-POTS: a preliminary study.also POTS

Cardiovascular diabetology · 20 October 2026 · Booyens, Renata M, Vlok, Mare, Bester, Cecile, Hira, Rashmin et al. PubMed 42897639

Pre-COVID-19 Postural Orthostatic Tachycardia Syndrome (PC-POTS), Long COVID with initial orthostatic hypotension (LC-IOH), and Long COVID-POTS (LC-POTS) are primarily chronic post-viral conditions with debilitating symptoms, despite routine laboratory findings often being normal. We previously identified amyloidogenic fibrinaloid microclot complexes (FMCs) in the insoluble fraction of platelet-poor plasma (PPP-IF)...

Post-COVID-19 Condition has High Prevalence in Patients with Immune-mediated Inflammatory Diseases and Negatively Impacts Quality of Life.

Journal of global infectious diseases · 20 October 2026 · Schlosser, Tobias, Krasselt, Marco, Hecker, Martin, Holler, Babett et al. PubMed 42899016

Pandemic situation by severe acute respiratory syndrome coronavirus 2 and the associated disease (coronavirus disease 2019 [COVID-19]) presents broad challenges. Post-COVID-19 condition represents a continuum of persistent symptoms following the acute course.

Obstructive sleep apnea is frequent in patients with Long COVID fatigue but is not significantly associated with alterations of quality of life and cognition.

GeroScience · 20 October 2026 · Bawa, Aasheeta P, Lopez, Melissa, Miller, Janet, Sala, Marc A et al. PubMed 42897409

Neurologic manifestations of Long COVID, also called post-acute sequelae of SARS-CoV-2 infection (PASC), include fatigue, cognitive dysfunction, sleep disturbances, and headaches, which can be debilitating. Since these symptoms overlap with those of obstructive sleep apnea (OSA), we sought to determine the prevalence of OSA in the population of a Neuro-COVID-19 clinic.

Effects of prolonged SARS-CoV2 spike protein exposure in long COVID and a mouse model of the disease.

The American journal of pathology · 20 October 2026 · Nuovo, Gerard, Laurence, Jeffrey, Tili, Esmerina, Li, Xing et al. PubMed 42901242

We addressed the question: can the SARS-CoV2 spike protein persist in ACE2+ endothelia in the CNS/other sites and induce a prolonged microvasculature injury syndrome? People who died from COVID-19, with age-matched controls, and people with long COVID with symptoms persisting from 1-5 years, with controls of people who had recovered from COVID-19, were studied.

Randomized controlled trial of pirfenidone XR for patients with COVID-19 and exploration of effects on long-COVID incidence.

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 19 October 2026 · M, Tamez-Torres Karla, Karina, Aguilar Laura, Alejandro, Díaz-Mejía Bruno, Maria de la Luz et al. PubMed 42896728

Evaluate safety and efficacy of extended-release pirfenidone (pirfenidone-XR), an anti-inflammatory and anti-fibrotic agent, as an early treatment for acute and long-term effects of COVID-19. This double-blinded, placebo-controlled trial randomized hospitalized and ambulatory COVID-19 patients in Mexico City 2:1 to pirfenidone-XR or placebo.

Persistent Cognitive Vulnerability After COVID-19 in Older Adults: Longitudinal Clinical Trajectories and Multi-Cohort Transcriptomic Evidence.

Current aging science · 19 October 2026 · Lara, Maximiliano Correa, Hernandez, Erika Martinez PubMed 42895160

Older adults frequently experience persistent cognitive impairment after COVID-19, yet the mechanisms underlying impaired recovery and resilience remain poorly understood. Integrating longitudinal clinical trajectories with molecular signatures may clarify why cognitive function fails to recover in this population.

Mid-Term Outcomes for Lung Transplantation in for COVID-19 Respiratory Failure: An Analysis of the United Network for Organ Sharing Database.

The Journal of thoracic and cardiovascular surgery · 19 October 2026 · Hassaballa, Aly Sherif, O'Neill, John W, Gregorio, Paulo H P, Mazur, Michael Zane et al. PubMed 42896671

Lung transplantation is a feasible therapeutic option for irreversible lung injury caused by COVID-19, but comprehensive mid-term outcome data remain limited. This study evaluated outcomes after lung transplantation for COVID-19 acute respiratory distress syndrome (CARDS) and post-COVID pulmonary fibrosis (CPF) using a national registry.

ME/CFS 2 new

Full feed: ME/CFS research tracker

Construction and verification of an immune signature model for chronic fatigue syndrome: Leveraging TCM syndromes and elements for enhanced assessment.

Journal of integrative medicine · 23 October 2026 · Qin, Le-le, Zhang, Zhen-Xian, Wang, Jing-Han, Shi, Jia-Ning et al. PubMed 42919747

The purpose of this study is to establish an immune function assessment model that considers clinical symptoms and laboratory tests by combining traditional Chinese medicine (TCM) syndromes and syndrome elements with lymphocyte cell counts for evaluating immune function in patients with chronic fatigue syndrome (CFS). A survey was conducted involving 473 CFS patients who were categorized based on immune function and...

Beyond the pelvis: redefining endometriosis as a systemic inflammatory disorder. A systematic review and meta-analysis.

Autoimmunity reviews · 20 October 2026 · Zheng, Sai-Hua, Gao, Shao-Jun, Cai, Jing-Jing, Shen, Zong-Xiang et al. PubMed 42901254

Endometriosis has traditionally been defined as a disease localized to the pelvis. However, its clinical presentation is often accompanied by systemic comorbidities that extend far beyond the pelvic cavity, a phenomenon that challenges the traditional disease paradigm.

Postural Orthostatic Tachycardia Syndrome (POTS) 1 new

Full feed: POTS research tracker

Exogenous testosterone use in cisgender heterosexual females with postural orthostatic tachycardia syndrome: A dual case report.

Autonomic neuroscience : basic & clinical · 20 October 2026 · Boris, Jeffrey R PubMed 42900975

Exogenous testosterone has been previously reported to have given clinical improvement in symptoms of postural orthostatic tachycardia syndrome (POTS) in reported cases of transgender patients during their transition from female to male. Herein is presented two case reports of cisgender heterosexual female patients with POTS who have used testosterone for the management of concurrent gynecologic problems, but who...

Mast Cell Activation Syndrome (MCAS) 7 new

Full feed: MCAS research tracker

Topical Remibrutinib Attenuates LL37-Induced Rosacea-Like Dermatitis by Inhibiting BTK Activation, NF-κB Signaling and Mast Cell Activation.

Journal of inflammation research · 19 October 2026 · Li, Wangchao, Fan, Huiping, Liu, Hua, Ma, Qingsong et al. PubMed 42894756

Rosacea is a chronic inflammatory skin disorder in which LL37-driven mast cell activation contributes to cutaneous inflammation. Bruton's tyrosine kinase (BTK) is a key regulator of canonical IgE-dependent mast cell responses; however, its role in LL37-induced, IgE-independent mast cell activation remains unclear.

Thiophene-Benzimidazole Conjugates Attenuate IL-33-induced Inflammation in Human Mast Cell Line and in ex vivo Human Skin Organ Cultures.

Skin pharmacology and physiology · 19 October 2026 · Gvirtz, Raanan, Kahremany, Shirin, Trifonov, Lena, Weintraub, Sagiv et al. PubMed 42895944

Aberrant Interleukin-33 (IL-33) activation is associated with numerous dermatological inflammatory and autoimmune diseases, such as atopic dermatitis, lupus, vitiligo and psoriasis. Thus, the inhibition of this pathway may provide therapeutic options in multiple pathologies.

Phenotyping Interstitial Cystitis/Bladder Pain Syndrome: Clinical and Mechanistic Evidence, Candidate Biomarkers, and Implications for Management.

Lower urinary tract symptoms · 19 October 2026 · Qiao, Pengfei, Tian, Zhentao, He, Zhen PubMed 42894375

Interstitial cystitis and bladder pain syndrome are clinically overlapping conditions that should be distinguished according to Hunner lesion status. IC with Hunner lesions is a distinct inflammatory bladder disease characterized by urothelial denudation, lymphoplasmacytic infiltration, adaptive immune activation, and progressive structural impairment.

Noninvasive urinary biomarkers 3-bromotyrosine and leukotriene E4 in assessing asthma control and flare-up in children: a case-control study.

European journal of pediatrics · 19 October 2026 · Yadav, Krishna Kumar, Gupta, Nitesh R, Yadav, Sunita, Kulshrestha, Manish Raj et al. PubMed 42894018

To assess urinary biomarkers 3-bromotyrosine and leukotriene E4 (LTE4) levels in children with asthma and their association with asthma control and flare-up. This was a prospective study which applied a case-control design with 2:1 ratio.

Genetically engineering mast cells as effectors for targeted cancer cell cytotoxicity.

Biomaterials · 19 October 2026 · Han, Xiao, Wen, Di, Fu, Ruxing, Soto, Jennifer et al. PubMed 42896419

Type-I hypersensitivity is a mast cell-mediated degranulation process induced by IgE-antigen recognition. Inspired by this highly specific mechanism, we developed a new cell therapy platform by genetically engineering mouse mast cell line MC/9 to overexpress the cytotoxic proteins perforin and granzyme B (PG-MCs) via lentiviral transduction.

CD300f acts as an inducible inhibitory checkpoint that limits mast cell activation by suppressing MITF-dependent activation.

The Journal of investigative dermatology · 19 October 2026 · Song, Lihong, Ollé, Laia, Zhang, Zeng, Lago, Natalia et al. PubMed 42896755

Mast cells (MCs) are key regulators of cutaneous immune responses and play a central role in allergic and non-IgE-mediated skin inflammation by activating the Mas-related G protein-coupled receptor X2 (MRGPRX2). The inhibitory receptor CD300f has been shown to modulate MC activation, but its role in regulating MRGPRX2-dependent signaling remains unclear.

A Review: Mast Cells as Targets for Glucocorticoid Action.

Current allergy and asthma reports · 19 October 2026 · Atum, Daniel, Ogwal, Jimmy Odongo, Obeny, Abel PubMed 42894084

This review aims to summarize the established and potential targets of glucocorticoids (GCs) on mast cells, which are implicated in the pathophysiology of various allergic and inflammatory diseases including asthma, allergic rhinitis, and atopic dermatitis. We sought to answer the following questions: (1) How do glucocorticoids inhibit the release of mediators from mast cells?

No new studies this window for: PACVS, Lyme / PTLDS, Gulf War Illness, Other post-viral.

Trial activity

ClinicalTrials.gov records whose registry entry was last updated between 19 October 2026 and 25 October 2026. A registry update can be anything from a status change to an edited contact field; status shown is as of the tracker snapshot.

NCTTrialStatusPhaseAgentsUpdated
NCT07388550Phase I Open-Label Safety Trial of Pembrolizumab for Neurological Post- Acute Sequelae of SARS-CoV-2 (PD1-PASC I)
Long COVID
Not Yet RecruitingPhase 1Keytruda2026-10-23
NCT05764538DAOIB for the Treatment of Brain Fog
Long COVID
RecruitingPhase 2Daoib2026-10-23
NCT07888673Transcraneal Magnetic Stimulation for Treatment of Non-nociceptive Pain in Chronic Diseases
Long COVID
CompletedNot applicableTranscraneal Magnetic Stimulation2026-10-22
NCT07888543Study of the Link Between Structural Alterations in the Hypothalamus and Cardiac Dysautonomia in Drug-resistant Epilepsy
Other post-viral
RecruitingNot applicableMri Scan, Electrocardiogram2026-10-22
NCT06928506Effect of Hi-OxSR for the Treatment of Post COVID Condition
Long COVID
RecruitingNot applicableHi-Oxsr Device, Hi-Ox Device2026-10-22
NCT05092516Home-based Brain Stimulation Treatment for Post-acute Sequelae of COVID-19 (PASC)
Long COVID
Active Not RecruitingNot applicableActive Tdcs2026-10-21
NCT07881302Effect of Ivabradine on Adolescent Dysautonomia
Other post-viral
Not Yet RecruitingPhase 2Ivabradine2026-10-20
NCT07880171Intensive Home-based Transcranial Direct Current Stimulation for Long COVID
Long COVID
CompletedNot applicableTranscranial Direct Current Stimulation2026-10-19

Browse all tracked trials: clinical trials tracker.

Get the digest every week

The same issue goes out by email on Substack. RSS and JSON Feed are available for readers and aggregators.

Subscribe on SubstackRSS feedJSON Feed

Cite this issue

Open Source Medicine Foundation. Post-viral research digest, week 43 2026: 51 new studies. Published 25 October 2026. https://research.opensourcemed.info/digest/2026-W43.html

Issues are regenerated from the live tracker data within their week and frozen afterwards; the snapshot behind this page is at data/2026-W43.json.

Disclaimer. This digest is an automated, unreviewed listing of newly indexed PubMed records and ClinicalTrials.gov registry updates compiled by the Open Source Medicine Foundation. Inclusion is not endorsement; abstracts are excerpted verbatim from PubMed and may contain errors. It is not medical advice. Discuss any treatment decision with a qualified clinician.