Metabolic Basis of Post-Infectious Sequelae After Ebola Virus Disease

Ebola virus disease (EVD) survivors often present with clinical sequelae after acute disease resolution, called post-Ebola syndrome (PES). Why some survivors develop these sequelae and others do not is poorly defined. Altered metabolism has been noted in acute EVD but not studied in PES. We identified differential expression of metabolites involved in multiple metabolic pathways in EVD survivors with PES. This included the tricarboxylic acid cycle, amino acid, nucleotide, and short chain fatty acid metabolism. Several of these pathways are associated with immune dysfunction. The identified metabolites have potential use as biomarkers of post-Ebola syndrome.

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Journal
medRxiv
Published
2026-01-06
DOI
https://doi.org/10.64898/2026.01.02.25343095
Primary Topic
Viral Infections and Outbreaks Research
Type
article
Field-Weighted Citation Impact
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article

Metabolic Basis of Post-Infectious Sequelae After Ebola Virus Disease

Charlotte Österman, John S. Schieffelin, Nell G. Bond, Bronwyn M. Gunn et al.
medRxiv
Viral Infections and Outbreaks Research
article

Metabolic Basis of Post-Infectious Sequelae After Ebola Virus Disease

Charlotte Österman, John S. Schieffelin, Nell G. Bond, Bronwyn M. Gunn, Kevin J. Zwezdaryk, Anna Sanford, Samuel Ficenec, Emily J. Engel, Robert J. Samuels, Donald S. Grant, Payton Farkas
article en

Abstract

Ebola virus disease (EVD) survivors often present with clinical sequelae after acute disease resolution, called post-Ebola syndrome (PES). Why some survivors develop these sequelae and others do not is poorly defined. Altered metabolism has been noted in acute EVD but not studied in PES. We identified differential expression of metabolites involved in multiple metabolic pathways in EVD survivors with PES. This included the tricarboxylic acid cycle, amino acid, nucleotide, and short chain fatty acid metabolism. Several of these pathways are associated with immune dysfunction. The identified metabolites have potential use as biomarkers of post-Ebola syndrome.

medRxiv
Tulane University (US), University of Sierra Leone (SL), Washington State University (US)
Good health and well-being
Openalex Percentile: Top 95%
Viral Infections and Outbreaks Research
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Metabolic Basis of Post-Infectious Sequelae After Ebola Virus Disease — Charlotte Österman, John S. Schieffelin, et al. · medRxiv (2026) | TGRS Research Map | TGRS