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. 2019 Nov 14;8:279. doi: 10.1186/s13643-019-1202-6

Table 2.

Summary of primary outcome results

Author Year Assessed Method Increased in ME/CFS vs. HC (p value) Decreased in ME/CFS vs. HC (p value) No significance
Brenu et al. [42] 2010 NK cell phenotypes Flow cytometry CD56Bright (p < 0.05) CD56Dim
NK cell cytotoxicity K562% lysis (p < 0.05)
Brenu et al. [2] 2011 NK cell phenotypes Flow cytometry CD56Bright (p < 0.001) CD56Dim
NK cell cytotoxicity K562% lysis (p < 0.05)
Brenu et al. [43] 2012 NK cell phenotypes Flow cytometry CD56Bright (p = 0.02)a CD56Dim
NK cell cytotoxicity K562% lysis (p < 0.05)a
Brenu et al. [14] 2013 NK cell phenotypes Flow cytometry

CD56Bright, CD56Dim

KIR, NKG2D

NK cell cytotoxicity K562% (p < 0.05)
NK cell degranulation CD107a (p < 0.05)
NK cell lytic proteins Granzyme B (p < 0.05) Perforin, Granzyme A
NK cell cytokine production IFN-y (p < 0.05)
Curriu et al. [48] 2013 NK cell phenotypes Flow cytometry

CD69 (p = 0.0004, p < 0.01)b

NKp46 (p < 0.001), (p = 0.0023)b

CD57 (p = 0.052) (MFI)

CD25CD56Bright (p = 0.0012)

CD25CD56Dim (p = 0.0494)

CD56Bright, CD56Dim

CD57 (p = 0.1942)

NK cell cytotoxicity K562% lysis
Fletcher et al. [45] 2010 NK cell cytotoxicity 51Cr release 51Cr (p < 0.000)
Hardcastle et al. [46] 2015 NK cell phenotype Flow cytometry

KIR3DL1/DL2 (p < 0.004)a

KIR2DL1 (p = 0.011)a

KIR2DL2/DL3 (0.049)a

KIR2DS4 (0.023)a

CD18+CD11c

(p = 0.036)

CD18+CD2 (p = 0.009)

SLAM (p = 0.046)

CD56BrightNKG2D (p = 0.014)

KIR2DL2/DL3 (p = 0.045)a

NKp46 (p = 0.021)

NK cell lytic proteins Perforin, granzyme A, granzyme B
Huth et al. [21] 2014 NK cell phenotype Flow cytometry

CD56BrightCD2+CD18+ (p < 0.01)

CD56DimCD18+CD11a+CD11c+ (p < 0.05)

CD56DimCD2+CD18+

CD18+CD11a+CD11b+CD11c+

NK cell degranulation CD107a/b
NK cell lytic proteins CD56Dim Granzyme B (p < 0.05) Granzyme A, Perforin
Huth et al. [16] 2016 NK cell MAPK phosphorylation Flow cytometry

MEK1/2 (p < 0.05)

P38 (p < 0.05)

ERK1/2 (p < 0.05)

MEK1/2

P38

NK cell cytotoxicity K562% lysis
NK cell degranulation CD107a/b
NK cell lytic proteins Perforin, Granzyme A, granzyme B
NK cell phenotype CD56Bright, CD56Dim
NK cell cytokines

IFN-γ

TNF-α

GM-CSF

Maher et al. [20] 2005 NK cell phenotype Flow cytometry CD56+CD3 (p = 0.04)
NK cell cytotoxicity 51Cr release 51Cr (p = 0.001)
NK cell lytic proteins Flow cytometry Perforin (p = 0.01)
Marshall-Gradisnik et al. [44] 2016 NK cell cytotoxicity Flow cytometry K562% lysis (p < 0.05).
Nguyen et al. [49] 2016 NK cell phenotype Flow cytometry TRPM3+ expression in CD56Bright (p < 0.05) TRPM3+ expression in CD56Dim
NK cell Ca2+ influx CD56Bright (p < 0.05)c
Nguyen et al. [5] 2017 NK cell phenotype Flow cytometry CD56DimTRPM3+ (p < 0.01)c

TRPM3+ expression in CD56Bright (p < 0.05)

CD69 (p < 0.05)c

CD69
NK cell degranulation CD107a
NK cell Ca2+ influx CD56Bright (p < 0.05)c CD56Dim
NK cell cytotoxicity K562% lysis (p < 0.05)c
Rivas et al. [51] 2018 NK cell phenotype Flow cytometry

CD69 (p = 0.0011)

CD56Bright (p = 0.0075)

NKG2C (p < 0.0001)
Stewart et al. [50] 2003 NK cell phenotype Flow cytometry

CD56BrightCD8+ (p = 0.04)

CD56BrightCD8 (p = 0.05)d

Theorell et al. [47] 2017 NK cell phenotype Flow cytometry CD56Dim HLA-DR (p = 0.002)d
NK cell cytotoxicity 51Cr release

K562% lysis

IFN-γ inhibition (p = 0.004, 0.009)c

NK cell lytic proteins Flow cytometry Perforin, Granzyme A/B
NK cell cytokines CD56Dim IFNγ (p = 0.009)c
NK cell degranulation CD107a

ME myalgic encephalomyelitis, CFS chronic fatigue syndrome, HC healthy control, NK natural killer, Ca2+ calcium, NS no significance, TNF tumour necrosis factor, IFN interferon, MFI mean fluorescence intensity

aSignificance dependent on longitudinal data

bSignificance is NK cell phenotype dependent

cSignificance reported post pharmacological stimulation

dSignificance dependent on geographical location