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C F S  - Information International     
 

Hypotheses on the cause of CFS/ FM

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The Brain as the target for autoimmune dysfunction

The autonomic nervous system is affected in CFS and FM as documented in numerous studies.  A particular dysautonomia in CFS is proposed, naschitz.etal04.txt, naschitz.etal04.pdf.

An interesting hypothesis suggests the presence of autoantibodies against endogenous vasoactive peptides, is FM an autoimmune disorder?, staines.04.txt. Do vasoactive neuropeptides and heat shock proteins mediate fatigue-related autoimmune disorders? staines05.txt, staines05.pdf. Do cytosine guanine dinucleotide (CpG) fragments induce vasoactive neuropeptide mediated fatigue-related autoimmune disorders? staines.05.txt, staines.05.pdf.

Chronic ACTH autoantibodies as the cause of CFS, wheatland05.txt.

The Hippocampus is the center of a hypothesis on FM, wood.04.txt  and wood04.txt.

The question of blood-brain barrier permeability in CFS,  Bested et al., 2001.  The astrocytes as primary targets of pathology in CFS/FM, astrocyte.hypothesis07.txt.

An attempt to combine all current knowledge into a hypothesis, shor03.pdf.  Altered neuronal-glial signaling in glutamatergic transmission as a unifying mechanism in chronic pain and mental fatigue, hansson.ronnback04.txt.

Activation of diencephalic mast cells by stress, theoharides.etal05.pdf.

 

Common Virus Involved ?

Is CFS caused by a rare brain infection of a common, normally benign virus, grinde08.txt, grinde.08.txt, grinde08.pdf.

Etiology of FM: The possible role of infection and vaccination, buskila.etal08.txt.

 

Toxic Agents Involved ?

Are syndromes in environmental medicine variants of somatoform disorders? wiesmuller.etal03.txt, wiesmuller.etal03.pdf. 
Moldy building exposure, gharibzadeh.hoseini06.txt. ’Dirty electricity’ has been suggested as the cause of multiple syndromes, havas06.txt.

 

Low Blood Volume - Low Oxygen

One theory holds low blood volume causing low oxygen consumption, to be involved in the cause of CFS/ME symptoms,  Farquhar et al., 2002.   A trial with hyperbaric oxygen therapy for symptom relief has taken place in Belgium. The authors admit to the underlying idea still being a hypothesis, vanhoof.etal.03.txt.  Authors warn against their own erythropoietin products, klimas.letter07.txt.

 

There is no basis for the earlier proposed hypothesis of platelet activation causing hypercoagulation, kennedy.etal06.txt, kennedy.etal06.pdf.


  

Metabolic Disturbances

Long-chain polyunsaturated fatty acids in the pathophysiology of CFS, puri.06.txt, puri06.txt, puri.06.pdf.

 

Metabolic disturbances including aminoacid, fatty acid and sterol derangements,  Dunstan et al., 2000,   Dunstan et al., 2000.  Deranged fatty acids in erythrocyte membranes, liu.etal03.txt  liu.etal03.pdf .

 

Supplements containing the amino acids valine, leucine and isoleucine could help,  [in accordance with the muscle energy depletion hypothesis],  van West & Maes, 2001. 

 

beta-Alanine and gamma-aminobutyric acid in CFS, hannestad.etal06.txt, hannestad.etal.06.txt, hannestad.etal06.pdf.

 

Tryptophan metabolism in FM,  Schwartz et al., 2003. and schwarz.etal04.txt.  Being so important for brain serotonin, serum tryptophan concentration and availability to the brain in patients with CFS are studied, badawy.etal05.txt, badawy.etal05.pdf.

 

One study suggests lactic acid bacteria to be helpful,  Logan et al., 2003   Logan et al., 2003 (pdf).  A finding of abnormal pattern of urine metabolites in CFS/ FM patients, casado.etal04.txt, casado.etal04.pdf

 

Carnitine metabolism is not disturbed in CFS, jones.etal05.txt, jones.etal05.pdf. The same researchers analyzed for CFSUM1, a partially derivatised pyroglutamic acid and CFSUM2, a partially derivatised serine, and did not find these “markers” present in ME/CFS. However they found some evidence in patients for underlying inflammatory disease and for reduced intramuscular collagen, jones.etal.05.txt, jones.etal.05.pdf. Other authors found CFSUM1 and CFSUM2 to be methodological artifacts, chalmers.etal05.txt, chalmers.etal05.pdf.

 

Inflammation

When alpha1-antitrypsin deficiency is treated FM symptoms improve, blanco.etal05.txt.

 

Hypocortisolism

The development, mechanisms and consequences of hypocortisolism on different bodily systems, fries.etal05.txt, fries.etal05.pdf. 

 

 

 

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Mette Marie Andersen, MD