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C F S  - Information International     
 

Cytokines  and  CFS/ FM

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Cytokines

Cytokines are mediators of immune activation, and Tumor Necrosis factor-alpha (TFN-alpha) activates the immune system producing an illness resembling CFS (fatigue, cognitive complaints, pain, sleep disturbance and depression), raison.etal05.txt. One explanation for CFS is the overproduction of this particular cytokine, birchler.etal.press07.txt. Very importantly, TNF-alpha may act differently in the brain compared to the body,  news, Sibson, 2002.  TFN-alpha has been linked to Alzheimer’s disease, tobinick07.txt and has profound influence on circadian sleep-regulation, cavadini.etal.press07.txt.

 

 

Cytokines & CFS /FM symptoms

 

Cytokines are involved in symptoms connected with physical exercise Shephard, 2002.  At a 2001-meeting the CDC concluded that the overproduction of cytokines may be the cause of CFS symptoms, cytokines.overprod01.txt.  A later study concludes the opposite: Postinfective Fatigue Syndrome is Not associated with altered cytokine production, vollmer-conna.etal07.txt, vollmer-conna.etal07.pdf.

 

Although cortisol responses to stress were normal, pro-inflammatory cytokine levels in CFS patients were significantly attenuated, gaab.etal04.txt, gaab.etal04.pdf.

 

In a pilot study on the effect of activity and exercise, elevated concentrations of plasma transforming growth factor beta (TGF-ß) was found, white.etal05.txt, white.etal05.pdf.

 

Cytokines correlate with FM symptoms, bazzichi.etal07.txt. tander.etal07.txt.

 

Serum ghrelin levels but not GH, IGF-1 and IGFBP-3 levels are altered in patients with FM, tander.etal07.txt. An

Increased Levels of Neurotrophins Are Not Specific for Chronic Migraine: Evidence from Primary FM, sarchielli.etal07.txt.

 

Analysis of pro- and anti-inflammatory cytokine production in severely fatigued adolescents compared to individuals with CFS, ter.wolbeek.etal07.txt, ter.wolbeek.etal.07.txt, ter.wolbeek.etal07.pdf.

 

 

Parvovirus and hep C mimic CFS/ FM

 

Symptoms caused by certain viral infections are similar to those of CFS /FM, e.g. parvovirus B19, kerr.tyrrell03.pdf  and Hepatitis C, thompson.barkhuizen03.pdf.

 

Pain and cytokines

Widespread pain may be correlated with reduced antiinflammatory cytokines, uceyler.etal06.txt.

 

Fatigue and cytokines

The connection of fatigue with a group of cytokines, type I interferons,  Englebienne et al., 2003 (short),   Englebienne et al., 2003 and  Englebienne et al., 2003 (pdf).
 

Cytokines in blood cells

No increased production of IL-6 and IL-1b in monocytes Kashipaz et al., 2003.

Increased sensitivity to DHEA-inhibited Il-10 production in CFS cell cultures,  Visser et al., 2001.  A Turkish 2002-study found IL-8 increased in FM and related to pain intensity,  Gur et al., 2002.

High levels of type 2 (Il- 4) cytokine-producing cells was found in CFS, skowera.etal04.txt, skowera.etal04.pdf. Similarly, CFS patients showed significantly lower mRNA levels and (TGF-beta1) production, tomoda.etal05.txt, tomoda.etal05.pdf.

 

Cytokines in nasal fluids and skin

One study found no indication of inflammation in CFS sinuitis,  Repka-Ramirez etal., 2002.  However, locally in skin activated cytokines are found in many FM patients,  Salemi et al., 2002.
 

Cytokines tested for treatment

Results on Il-6 treatment of FM,  Torpy et al., 2000.  Il-6 treatment of CFS patients offered no improvement of cognitive functioning,  Arnold et al., 2002.

 


 

Varies studies on CFS & cytokines

Dr. Natelson's group in New Jersey, reviewed studies on cytokines in CFS using the neural-network classifiers, and found that one cytokine (Il-4) made a difference,  Hanson et al., 2001.

 


 
 

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