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mTORC1, Autophagy, and Rapamycin in ME/CFS

This discussion is an extension of the previously described in summary the consequences of chronic mTOR activation in Chronic activation of the mTOR pathway has significant implications for cellular and organismal health : previous article on chronic mTOR activation . At the Community Symposium on the Molecular Basis of ME/CFS , on 9/11/2026, David Kaufman presented a proposed connection between mTORC1 activation, impaired autophagy, mitochondrial dysfunction, inflammation, and ME/CFS , together with the possibility of using rapamycin (sirolimus) to modify this pathway. mTORC1 and autophagy mTORC1 is an important cellular sensor of nutrients, energy availability, growth signals, and stress. When mTORC1 is active, it promotes growth and protein synthesis while suppressing autophagy . Autophagy is the cell's recycling and quality-control system: Damaged proteins/mitochondria → autophagosome → lysosome → degradation → recycling A particularly important component is mitophagy ...

Cerebrospinal Fluid Leaks and Spontaneous Intracranial Hypotension: Symptoms, Mechanical Triggers, Diagnosis, and Treatment

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  Cerebrospinal fluid (CSF) is the clear fluid that surrounds and supports the brain and spinal cord. It provides cushioning, buoyancy, and protection to the central nervous system. Around the spinal cord, CSF is contained within protective membranes, including the dura mater, the tough outer covering of the spinal canal. When a tear, hole, abnormal outpouching, or abnormal connection develops in this protective system, cerebrospinal fluid can escape from its normal compartment. Depending on where the defect occurs, a CSF leak can present in very different ways. A spinal CSF leak may cause loss of CSF volume around the brain and lead to spontaneous intracranial hypotension (SIH), while a defect at the skull base may allow CSF to escape through the nose or ear. One of the most characteristic manifestations of a spinal CSF leak is a positional, or orthostatic, headache: symptoms become substantially worse while sitting or standing and improve after lying flat. However, headache is on...