Weekly digest · ISO week 46

Post-viral research digest, week 46 2026: 30 new studies

5 November 2026 – 11 November 2026 · published 11 November 2026 · Subscribe

  1. Research Tracker
  2. Weekly Digest
  3. Week 46 2026

Between 5 November 2026 and 11 November 2026 the tracker indexed 30 new peer-reviewed studies and 13 clinical-trial updates across 8 post-viral and post-infectious conditions.

By the numbers

30new studies this issue
13trial updates this issue
538studies currently in the feeds
635clinical 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 2026-11-11); biomarkers catalogued = marker entries across all OSMF biomarker atlases.

In this issue:

New studies by condition

Long COVID (PASC) 23 new

Full feed: Long COVID research tracker

Treatment strategies in pancreatic adenosquamous carcinoma: a systematic review and pooled analysis of individual cases.

Journal of gastrointestinal oncology · 8 November 2026 · Gao, Xiang Yu, Ganatra, Nency, Abdelhakeem, Ahmed, Tran, Nugyen et al. PubMed 42996569

Pancreatic adenosquamous carcinoma (PASC) is a rare 1-4% of all pancreatic cancers and an aggressive pancreatic malignancy characterized by mixed adenocarcinoma and squamous histologies. Even after surgical intervention, patients with PASC have a lower median overall survival (mOS) than those with the more prevalent pancreatic ductal adenocarcinoma (PDAC).

Persistently activated virus-specific CD8 T cells indicate antigen-driven immune aberrations in long COVID.

bioRxiv : the preprint server for biology · 8 November 2026 · Painter, Mark M, Reeg, David B, Douek, Naomi R, Gray-Gaillard, Sophie L et al. PubMed 42995851

Long COVID (LC) affects millions of people worldwide, yet its driving mechanisms remain incompletely defined and no treatment has been approved. Persistence of SARS-CoV-2 and reactivation of herpesviruses have been implicated in LC, but direct detection of these viral antigens in blood and tissues has been challenging.

Long COVID: A Modified Delphi Consensus on Definition, Burden, Diagnosis and Management in Southeast Asia.

Pulmonary therapy · 8 November 2026 · Burhan, Erlina, Chew, Huck Chin, Isbaniah, Fathiyah, Jogulu, Sathya Rao et al. PubMed 42998216

Long COVID is a heterogeneous post-infectious condition following acute severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection. Ongoing uncertainty around its definition, burden, diagnosis and management complicates clinical recognition and care in Southeast Asia.

Implementation effectiveness of the Long COVID and Fatiguing Illnesses Recovery Program (LC&FIRP): a multimodal Extension for Community Healthcare Outcomes (ECHO) model for clinician learning.

Frontiers in health services · 8 November 2026 · Zuber, Alexandra, Rothwell, Jonathan T, Godino, Job G, Samaniego, Jane C et al. PubMed 42996642

Long COVID and other infection-associated chronic conditions (IACC) present management challenges for primary care clinicians and often require patient access to multidisciplinary specialists. To strengthen primary care capacity, the Long COVID and Fatiguing Illnesses Recovery Program (LC&FIRP) implemented a multi-modal learning model combining Extension for Community Healthcare Outcomes (ECHO) case-based learning...

Development and initial content validation of the Vienna post-exertional malaise questionnaire: an iterative mixed-methods study.also ME/CFS

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 8 November 2026 · Pimminger, Theresa, Ahrens-Schwabe, Annika, Fragner, Tobias, Brandl, Tobias et al. PubMed 42998183

Post-exertional malaise (PEM) is a multidimensional exertion-response pattern involving diverse triggers, variable onset, and prolonged recovery. This study developed and content-validated the Vienna Post-Exertional Malaise (VPEM) Questionnaire, a patient-reported outcome measure assessing functional decline, recovery, crash-associated symptoms, and pacing adaptations in ME/CFS.

A New Outlook on Infection-Associated Chronic Conditions and Illnesses.also ME/CFSalso Lyme / PTLDS

Open forum infectious diseases · 8 November 2026 · Bertolli, Jeanne, Hinckley, Alison F, Mead, Paul S, Patel, Pragna et al. PubMed 42997614

Infection-associated chronic conditions and illnesses (IACCI) encompass several debilitating syndromes with overlapping symptoms that have been identified and documented for decades, primarily following infectious disease outbreaks. Conditions following infection that are diagnosed with objective clinical tests have been relatively well characterized and accepted by the medical establishment, although the...

Incidence and risk factors of acute respiratory illness associated with influenza, COVID-19, and respiratory syncytial virus within a birth cohort study.

Journal of virology · 6 November 2026 · Bird, Bryden, Thorn, Louise, Aminisani, Nayyereh, Wood, Tim et al. PubMed 42992825

Influenza virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and respiratory syncytial virus (RSV) are leading causes of acute respiratory infections (ARIs). New Zealand's coronavirus disease 2019 (COVID-19) public health measures disrupted the circulation of these viruses in 2020-2021, creating a rare opportunity to explore the impact of potential immunity gaps on age-specific infection risk.

Converging pathomechanisms link SARS-CoV-2 infection with major neurodegenerative diseases.

Cellular and molecular neurobiology · 6 November 2026 · HeFeng, Feng Q, Martí-Sarrias, Andrea, Guvenilir, Heval Atas, de Sá, Renata Baptista Vieira et al. PubMed 42989040

Neurological complications are among typical clinical manifestations, both during the acute phase of SARS-CoV-2 infection and long-term post-acute COVID-19 sequelae, i.e., Long COVID. A growing body of evidence connects SARS-CoV-2 infection to systemic inflammation, peripheral immune dysregulation, functional alteration of the blood-brain barrier (BBB), neuroinflammatory processes, mitochondrial dysfunction and...

A novel model demonstrating that human immune cells promote multiorgan SARS-CoV-2 dissemination and human T cells limit anti-viral innate immunity.

Frontiers in immunology · 6 November 2026 · Wolabaugh, Amber, Agashe, Vrushali V, Wang, Zicheng, Danzl, Nichole M et al. PubMed 42991755

Despite extensive studies, many questions remain regarding the pathology and mechanisms behind Coronavirus disease 2019 (COVID-19), and particularly on post-acute sequelae of COVID-19 (PASC). Because existing mouse models cannot recapitulate human immune responses, we developed a human immune system (HIS) mouse model with physiologic expression of hACE2.

[Insights on biological markers in post-COVID condition: a scope review].

Ciencia & saude coletiva · 5 November 2026 · Amorim, Amanda Dos Santos de, Porto, Evailson Ferreira, Oliveira, Márcio Vasconcelos PubMed 42987077

Post-COVID condition (PCC) is characterized by the persistence of symptoms following acute SARS-CoV-2 infection. This scoping review aimed to identify and compile scientific evidence on biomarkers associated with PCC to elucidate its pathophysiology and support clinical diagnosis and management.

[Death from post-COVID-19 conditions in Brazil: a descriptive study, 2020-2023].

Ciencia & saude coletiva · 5 November 2026 · Couto, Rodrigo de Macedo, Boing, Alexandra Crispim PubMed 42987066

Little is known about the magnitude of deaths and which comorbidities may contribute to the occurrence of outcomes among individuals with post-COVID conditions. This study aimed to identify deaths due to post-COVID conditions in Brazil from 2020 to 2023 and describe the consequential and contributing causes.

Tuberculous meningoencephalitis in a heart transplant recipient: a case report.

Einstein (Sao Paulo, Brazil) · 5 November 2026 · Ferreira, Lucas Teixeira Fazio, Favato, Gileyre Rinaldi, Bittante, Carolina Devite, Bacal, Fernando et al. PubMed 42987051

A 33-year-old woman who had undergone heart transplantation two years earlier for post-COVID-19 myocarditis was admitted with decompensated heart failure secondary to acute antibody-mediated rejection. During hospitalization, she developed sepsis, cytomegalovirus infection, acute kidney injury, and an incidental pulmonary miliary pattern on chest computed tomography, without microbiological confirmation.

Single-cell and spatial characterization of the human pancreas in cystic fibrosis.

Cell reports · 5 November 2026 · Mummey, Hannah M, Corban, Sierra, Lucero, Jacinta, Melton, Rebecca L et al. PubMed 42986753

Cystic fibrosis (CF) causes severely damaged pancreatic morphology and cystic fibrosis-related diabetes (CFRD), but the cellular drivers of CFRD in the pancreas are not understood. Here, we perform single-cell and spatial profiling of 2.04 M cells from 23 non-disease or CF pancreas donors.

Risk factors for Post-COVID-19 Syndrome in patients hospitalized for severe acute respiratory syndrome: systematic review and meta-analysis.

Ciencia & saude coletiva · 5 November 2026 · Soares, Sofia Ramos, Souza, Rafaela Santos Nogueira de, Barros, Loreena Uchôa Lira, Camboim et al. PubMed 42987072

This study aims to identify the risk factors associated with the development of post-COVID-19 syndrome in patients discharged from hospitalizations due to severe acute respiratory syndrome. A systematic review of observational studies published between 2020 and 2023 was carried out in six databases.

Rehabilitation professionals at the COVID-19 frontline: a testimony-informed narrative review of health-worker mortality, vaccine hesitancy, physiotherapy and telerehabilitation.

Frontiers in rehabilitation sciences · 5 November 2026 · Npochinto Moumeni, Ibrahim PubMed 42985480

COVID-19 placed an unprecedented burden on health workers and disrupted rehabilitation services. Existing reviews have examined health-worker infection and mortality, vaccine hesitancy and telerehabilitation separately; few have considered these dimensions together from the perspective of rehabilitation professionals.

More common than we thought: Hypermobile Ehlers-Danlos Syndrome, comorbidity burden, and long COVID risk in a national cohort.also ME/CFSalso POTSalso MCAS

PLOS digital health · 5 November 2026 · Pearson, Megan L, Laraway, Bryan J, Elias, Ellen R, Bilousova, Ganna et al. PubMed 42986813

Hypermobile Ehlers-Danlos Syndrome (hEDS) is a complex, underdiagnosed connective tissue disorder characterized by widespread symptoms affecting multiple organ systems. Recent clinical observations suggest that individuals with hEDS may be at increased risk for persistent symptoms following COVID-19, commonly referred to as Long COVID.

Metformin and Severe Post-COVID-19 Outcomes Among Individuals With Diabetes Mellitus.

Diabetes, obesity & metabolism · 5 November 2026 · Dozier, Zachary B, Wang, Lin-Chiun, Ji, Yunwen, Anzalone, A Jerrod et al. PubMed 42988585

We evaluated the relationship between metformin, one of the most commonly prescribed medications for individuals with diabetes, and COVID-19 sequelae. We evaluated a retrospective cohort of individuals in the National Clinical Cohort Collaborative with Type 2 diabetes mellitus and COVID-19 who were prescribed metformin or a dipeptidyl peptidase-4 inhibitor (DPP4i) at least 30 days before the onset of acute COVID-19...

Management of Rhino-Orbital-Cerebral Mucormycosis Infection: Anesthetic Challenges.

Current medical mycology · 5 November 2026 · Imantalab, Vali, Dodangeh Balakhani, Mohammad, Haghani, Iman, Rahmanian, Nazanin et al. PubMed 42985370

Despite the application of surgery and antifungal therapy, rhino-orbital-cerebral mucormycosis is a severe and life-threatening fungal infection with high morbidity and mortality rates, particularly in immunocompromised patients. This review aimed to focus on the current evidence on perioperative anesthetic management of rhino-orbital-cerebral mucormycosis (ROCM), emphasizing the unique challenges posed by its...

Effectiveness of an Extension for Community Health Outcomes case-based virtual community of practice model on clinician outcomes for the management of long COVID and fatiguing illnesses: a randomized control trial.

Frontiers in health services · 5 November 2026 · Zuber, Alexandra, Rothwell, Jonathan T, Samaniego, Jane C, Sharp, Sydney P et al. PubMed 42985061

Patients with Long COVID and other infection-associated chronic conditions (IACC) often face barriers to accessing specialist care, prompting the need to strengthen primary care capacity to manage these complex conditions. Our study evaluated the effectiveness of an ECHO case-based virtual community of practice model for improving clinician knowledge, confidence, and practice for Long COVID and other IACC in a...

ME/CFS 1 new

Full feed: ME/CFS research tracker

Fibromyalgia, Chronic Fatigue Syndrome, and Multiple Sclerosis are associated with lower translocator protein binding affinity genotypes.

medRxiv : the preprint server for health sciences · 8 November 2026 · Jones, Chloe, Younger, Jarred PubMed 42996068

Neuroinflammation is a known pathophysiologic mechanism in multiple sclerosis and a proposed mechanism in fibromyalgia and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Positron Emission Tomography (PET) imaging of the translocator protein (TSPO) has been widely used to measure neuroinflammation, though second-generation ligands are highly sensitive to a single nucleotide polymorphism, rs6971...

Chronic Lyme / Post-Treatment Lyme Disease Syndrome 1 new

Full feed: Lyme / PTLDS research tracker

Cardiovascular Manifestations of Lyme Disease.

Cardiology in review · 8 November 2026 · Manolis, Antonis A, Manolis, Theodora A, Vouliotis, Apostolos, Manolis, Antonis S PubMed 42995416

Lyme disease is a tick-borne zoonosis caused by Borrelia burgdorferi that can involve multiple organ systems, including the cardiovascular (CV) system, noted in ~1-10% of untreated patients. This can produce atrioventricular (AV) or bundle branch block, atrial fibrillation, and myopericarditis in the acute phase, and dilated cardiomyopathy in the chronic phase.

Mast Cell Activation Syndrome (MCAS) 5 new

Full feed: MCAS research tracker

Mast Cell-Derived CCL2 Exacerbates Endometriosis Pain via Binding to CCR4.

Omics : a journal of integrative biology · 6 November 2026 · Deng, Ya, Chen, Ping, Ding, Haigang PubMed 42992652

Endometriosis (EMs) pain severely reduces patients' quality of life, but its underlying mechanisms are not fully understood. Mast cells and C-C motif chemokine ligand 2 (CCL2) are highly abundant in EMs lesions, yet their roles in neural sensitization remain unclear.

Plant-derived Alkaloids for Allergic Rhinitis: Evidence, Exposure, Safety and Translational Readiness.

Current pharmaceutical biotechnology · 5 November 2026 · Yang, Yaodong, Ma, Xuemei, Liu, Yuxin, Ma, Long et al. PubMed 42983188

Allergic Rhinitis (AR) is an allergen-driven, IgE-mediated inflammatory disease of the nasal mucosa. Established therapies are effective for many patients, but incomplete symptom control, suboptimal adherence, and treatment preference sustain interest in new locally acting agents.

Licoflavone B mitigates allergic rhinitis by restraining epithelial PI3K-AKT/NF-κB NLRP3 inflammasome signaling.

Human cell · 5 November 2026 · Shen, Qi, Ma, Xiaoyao, Liu, Hui, Li, Xuemin et al. PubMed 42986481

Allergic rhinitis remains highly prevalent and is often incompletely controlled by current therapies, while accumulating evidence implicates epithelial PI3K-AKT/NF-κB-mediated activation of the NLRP3 inflammasome in upper-airway inflammation. This study investigated whether the licorice-derived flavonoid Licoflavone B (LFB) alleviates allergic rhinitis by modulating this signaling axis.

Hesperidin alleviates allergic rhinitis by inhibiting NF-κB activation and restoring nasal epithelial barrier function.

Medical molecular morphology · 5 November 2026 · Zhou, Kai, Wu, Qian, Han, Jiajia, Muratov, Muzaffar et al. PubMed 42986406

This study evaluated the therapeutic effect of hesperidin (HES) on allergic rhinitis (AR) in a mouse model induced by ovalbumin (OVA). After inducing AR in BALB/c mice through OVA, the severity of allergic reactions was assessed through behavioral scoring.

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

Trial activity

ClinicalTrials.gov records whose registry entry was last updated between 5 November 2026 and 11 November 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
NCT07842302Fighting Fatigue in Multiple Sclerosis: TMS vs. tDCS Efficacy.
Other post-viral
Enrolling By InvitationNot applicableTms, Tdcs2026-11-10
NCT07798570Observational Study With CICR-NAM as a Food for Special Medicinal Purposes in Post-COVID Syndrome (PCS)
Long COVID
RecruitingNot applicableCicr-Nam2026-11-10
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 1Keytruda2026-11-10
NCT07316127Immunoadsorption in Autoimmune Long COVID
Long COVID
RecruitingPhase 2Immunoadsorption2026-11-10
NCT05350774Immunotherapy for Neurological Post-Acute Sequelae of SARS-CoV-2
Other post-viral
Enrolling By InvitationPhase 2Iv Normal Saline, Iv Immunoglobulin2026-11-10
NCT02725060Autoimmune Basis for Postural Tachycardia Syndrome
POTS, Other post-viral
Active Not RecruitingNot applicablePhenylephrine, Isoproterenol, 25 Micro-Ci Of Radiation2026-11-10
NCT07925944Subgrouping Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Linking the Powerhouses of Cells to the Autonomic Nervous System
ME/CFS
Active Not RecruitingNot applicableExercise Test, Active Standing Test2026-11-09
NCT07526558Mast Cell Treatment in Post-tick Bite Illness (PTBI)
MCAS, Other post-viral
Not Yet RecruitingPhase 2Ketotifen, Fexofenadine, Cromolyn Sodium2026-11-09
NCT07197905Restoring Iron Deficiency in POTS
POTS, Other post-viral
Active Not RecruitingPhase 2Intravenous Iron2026-11-09
NCT07478172Effects of Whole-body Electrical Muscle Stimulation Exercise on Adults With Neuromuscular Disease
POTS, Other post-viral
Active Not RecruitingNot applicableWhole-Body Electrical Muscle Stimulation Exercise2026-11-06
NCT07874217Whole-body Cryotherapy in Those With Chronic Fatigue: A Feasibility Study
Long COVID, ME/CFS
RecruitingNot applicableCryotherapy2026-11-05
NCT06404047RECOVER-ENERGIZE Platform Protocol
Long COVID
CompletedNot applicablePersonalized Cardiopulmonary Rehabilitation, Structured Pacing2026-11-05
NCT05130099A Complex Intervention for Chronically Fatigued Lymphoma Survivors
ME/CFS
CompletedNot applicableInterdisciplinary Complex Intervention2026-11-05

Browse all tracked trials: clinical trials tracker.

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Cite this issue

Open Source Medicine Foundation. Post-viral research digest, week 46 2026: 30 new studies. Published 11 November 2026. https://research.opensourcemed.info/digest/2026-W46.html

Issues are regenerated from the live tracker data within their week and frozen afterwards; the snapshot behind this page is at data/2026-W46.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.