{"id":17675,"date":"2018-08-16T05:54:00","date_gmt":"2018-08-16T05:54:00","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=17675"},"modified":"2018-08-16T05:54:00","modified_gmt":"2018-08-16T05:54:00","slug":"me-cfs-metabolic-disease-or-disturbed-homeostasis","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/me-cfs-metabolic-disease-or-disturbed-homeostasis\/","title":{"rendered":"ME\/CFS &#8211; Metabolic disease or disturbed homeostasis?"},"content":{"rendered":"<h3><a href=\"http:\/\/jpet.aspetjournals.org\/content\/early\/2018\/08\/03\/jpet.118.250845%20\" target=\"_blank\" rel=\"noopener\">Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome-Metabolic Disease or Disturbed Homeostasis?<\/a> by\u00a0Erifili Hatziagelaki,\u00a0Maria Adamaki,\u00a0Irene Tsilioni,\u00a0George Dimitriadis\u00a0and\u00a0Theoharis C Theoharides <span style=\"text-decoration: underline;\">in<\/span>\u00a0<em>Journal of Pharmacology and Experimental Therapeutics<\/em>\u00a0August 3, 2018,\u00a0jpet.118.250845<\/h3>\n<p><strong>Research article abstract:<\/strong><br \/>\nMyalgic Encephalomyelitis\/Chronic Fatigue Syndrome (ME\/CFS) is a complex disease characterized by debilitating fatigue, lasting for at least 6 months, with severe impairment of daily functioning and associated symptoms.\u00a0A significant percentage of ME\/CFS patients remains undiagnosed, mainly due to the complexity of the disease and the lack of reliable objective biomarkers.<\/p>\n<p>ME\/CFS patients display decreased <a href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolism\" target=\"_blank\" rel=\"noopener\">metabolism<\/a> and the severity of symptoms appears to be directly correlated to the degree of metabolic reduction that may be unique to each individual patient. However, the precise pathogenesis is still unknown preventing the development of effective treatments.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-15793 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/03\/Mast-Cell-300x221.jpg?resize=300%2C221\" alt=\"\" width=\"300\" height=\"221\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/03\/Mast-Cell.jpg?resize=300%2C221&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/03\/Mast-Cell.jpg?resize=150%2C111&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/03\/Mast-Cell.jpg?w=457&amp;ssl=1 457w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/221;\" \/>The ME\/CFS phenotype has been associated with abnormalities in energy metabolism, mostly with <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4566449\/\" target=\"_blank\" rel=\"noopener\">mitochondrial dysfunction<\/a>, resulting in reduced oxidative metabolism. Mitochondrial dysfunction may be further contributing to the ME\/CSF symptomatology by extracellular secretion of mitochondrial DNA, which could create an &#8220;innate&#8221; inflammatory state in the hypothalamus, thus disrupting normal <a href=\"https:\/\/en.wikipedia.org\/wiki\/Homeostasis\" target=\"_blank\" rel=\"noopener\">homeostasis. <\/a><\/p>\n<p>We propose that stimulation of hypothalamic <a href=\"https:\/\/en.wikipedia.org\/wiki\/Mast_cell\" target=\"_blank\" rel=\"noopener\">mast cells<\/a> activates <a href=\"https:\/\/en.wikipedia.org\/wiki\/Microglia\" target=\"_blank\" rel=\"noopener\">microglia<\/a> leading to focal inflammation in the brain and disturbed homeostasis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome-Metabolic Disease or Disturbed Homeostasis? by\u00a0Erifili Hatziagelaki,\u00a0Maria Adamaki,\u00a0Irene Tsilioni,\u00a0George Dimitriadis\u00a0and\u00a0Theoharis C Theoharides in\u00a0Journal of Pharmacology and Experimental Therapeutics\u00a0August 3, 2018,\u00a0jpet.118.250845 Research article abstract: Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome (ME\/CFS) is a complex disease characterized by debilitating fatigue, lasting &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/me-cfs-metabolic-disease-or-disturbed-homeostasis\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[4564,4565,4568,447,4567,4566,4124,1261,4569],"class_list":["post-17675","post","type-post","status-publish","format-standard","hentry","category-news","tag-disturbed-homeostasis","tag-erifili-hatziagelaki","tag-george-dimitriadis","tag-inflammation","tag-irene-tsilioni","tag-maria-adamaki","tag-mast-cells","tag-metabolism","tag-theoharis-c-theoharides"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4B5","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=17675"}],"version-history":[{"count":3,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17675\/revisions"}],"predecessor-version":[{"id":17680,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/17675\/revisions\/17680"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=17675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=17675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=17675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}