Perplexity on the new CFS research and its connection to Dr. Rebecca Culshaw's Smith's new AIDS paradigm

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 Virus-induced endothelial senescence as a cause and driving factor for ME/CFS and long COVID: mediated by a dysfunctional immune system | Cell Death & Disease


From Perplexity
Connect this to the paradigm that has emerged from Rebecca Culshaw's Substack 

This new endothelial-senescence paper slots almost perfectly into the inflammation‑and‑immune‑dysregulation “spectrum of illness” paradigm Culshaw has been sketching on Substack, even though it stays strictly within orthodox virology language.nature+1​

  • The paper argues that acute viral infections (SARS‑CoV‑2, influenza, enteroviruses, herpesviruses) can push endothelial cells into a senescent, pro‑inflammatory state that then becomes self‑reinforcing and chronic, maintained by a dysfunctional immune system.nature​

  • Culshaw’s writing leans on a similar through‑line: that a wide range of “mystery” conditions (AIDS, CFS/ME, autism spectrum, long‑COVID‑like syndromes) are better seen as immune/inflammatory disorders than as distinct, virus‑specific entities, which is why she highlights clinicians like Michael Goldberg treating CFS and autism with a common immune‑modulating protocol.library+1​

How the article supports Culshaw’s paradigm

  • The review makes the endothelium the primary site where acute infection is “translated” into chronic multi‑system disease, and frames ME/CFS and long COVID as mechanistically unified by vascular/immune dysregulation rather than by any one persistent virus.nature​

  • Culshaw’s paradigm similarly breaks down walls between diseases like AIDS and CFS by insisting that shared immune/inflammatory signatures and chronic systemic stressors matter more than a single pathogen label or serostatus; the paper’s focus on common downstream endothelial senescence provides exactly the sort of unifying mechanism her spectrum model anticipates.library+1​

Resonances with her HIV critique

  • The authors explicitly admit there is “no causative proof” yet and treat their endothelial‑senescence model as a hypothesis that better explains chronicity and multi‑system involvement than existing stories, which mirrors Culshaw’s insistence that the HIV‑centric causal story is an overconfident, under‑validated construction in need of mechanistic alternatives.rebeccaculshawsmith.substack+1​

  • By tying chronic post‑viral syndromes to immune incompetence in clearing senescent endothelial cells (and to immune‑evasive signaling like HLA‑E expression), the paper implicitly shifts emphasis from “the virus as central actor” to long‑lived host‑tissue and immune dysregulation—precisely the move Culshaw argues is necessary if AIDS, CFS, autism, and related conditions are to be re‑read as parts of a single, neglected epidemic of inflammation‑centered illness.substack+1​

  1. https://www.nature.com/articles/s41419-025-08162-2
  2. https://rebeccaculshawsmith.substack.com/p/autism-and-the-real-aids-epidemic
  3. https://www.perplexity.ai/search/60e1474c-0c16-41d6-a933-8e9487231d67
  4. https://www.perplexity.ai/search/75104acf-dd1e-4ad2-945d-fe4780a29025
  5. https://www.perplexity.ai/search/1623e863-f621-41b4-912b-bac190fc764f
  6. https://rebeccaculshawsmith.substack.com/p/welcome-to-the-real-aids-epidemic
  7. https://substack.com/home/post/p-157728761
  8. https://x.com/gabizambranoMD/status/2009970915035972091
  9. https://www.reddit.com/r/covidlonghaulers/comments/1q96kw8/eureka_virusinduced_endothelial_senescence_as_a/
  10. https://www.linkedin.com/posts/naradja-wissmar-a0713615_virus-induced-endothelial-senescence-as-a-activity-7415691809454268416--L_I
  11. https://www.s4me.info/threads/virus-induced-endothelial-senescence-as-a-cause-and-driving-factor-for-me-cfs-and-long-covid-mediated-by-a-dysfunctional-immune-system-2026-nunes.44364/latest
  12. https://univendspace.univen.ac.za/server/api/core/bitstreams/7de319c5-9025-4e14-ae39-bfecaa430cec/content
  13. https://research.vu.nl/en/organisations/ams-musculoskeletal-health-2/publications/?type=%2Fdk%2Fatira%2Fpure%2Fresearchoutput%2Fresearchoutputtypes%2Fworkingpaper%2Fworkingpaper
  14. https://pmc.ncbi.nlm.nih.gov/articles/PMC1949841/
  15. https://www.nature.com/cddis/articles?type=&year=2026
  16. https://pmc.ncbi.nlm.nih.gov/articles/PMC11739256/
  17. https://www.ndorms.ox.ac.uk/team/loren-kell
  18. https://open.spotify.com/show/6ikx2h11tXdI2BhanDZ7yh

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