{"id":19184,"date":"2019-01-11T05:51:31","date_gmt":"2019-01-11T05:51:31","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=19184"},"modified":"2019-01-11T05:52:09","modified_gmt":"2019-01-11T05:52:09","slug":"evidence-of-widespread-metabolite-abnormalities-in-me-cfs-assessment-with-whole-brain-magnetic-resonance-spectroscopy","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/evidence-of-widespread-metabolite-abnormalities-in-me-cfs-assessment-with-whole-brain-magnetic-resonance-spectroscopy\/","title":{"rendered":"Evidence of widespread metabolite abnormalities in ME\/CFS: assessment with whole-brain magnetic resonance spectroscopy"},"content":{"rendered":"<h3><a href=\"https:\/\/link.springer.com\/epdf\/10.1007\/s11682-018-0029-4?author_access_token=rNZAi4Qn9MGbc1YywGoHCve4RwlQNchNByi7wbcMAY4otkELpwVAg-M9CJyul_kO-cT6SC717CxfcGOGfesdx7f1AhmYrPeCJukInpp-Dq7L6ew7TkRsW7LllmoDMoo7GAglGA7edR1iMan4xy8-LA%3D%3D\" target=\"_blank\" rel=\"noopener\">Evidence of widespread metabolite abnormalities in Myalgic encephalomyelitis\/chronic fatigue syndrome: assessment with whole-brain magnetic resonance spectroscopy<\/a>, by Christina Mueller, Joanne C Lin, Sulaiman Sheriff, Andrew A Maudsley, Jarred W. Younger\u00a0<span style=\"text-decoration: underline;\">in<\/span> <em>Brain Imaging and Behavior<\/em> 2019: pp 1\u201311 [First Online: 07 January 2019]<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Research abstract:<\/strong><\/h3>\n<p><a href=\"http:\/\/wames.org.uk\/cms-english\/2019\/01\/evidence-of-widespread-metabolite-abnormalities-in-me-cfs-assessment-with-whole-brain-magnetic-resonance-spectroscopy\/brain-2\/\" rel=\"attachment wp-att-19186\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-19186 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/01\/brain-2-300x171.jpg?resize=300%2C171\" alt=\"\" width=\"300\" height=\"171\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/01\/brain-2.jpg?resize=300%2C171&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/01\/brain-2.jpg?resize=150%2C86&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/01\/brain-2.jpg?w=560&amp;ssl=1 560w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/171;\" \/><\/a>Previous neuroimaging studies have detected markers of <a href=\"https:\/\/en.wikipedia.org\/wiki\/Neuroinflammation\" target=\"_blank\" rel=\"noopener\">neuroinflammation<\/a> in patients with Myalgic Encephalomyelitis\/ Chronic Fatigue Syndrome (ME\/CFS). <a href=\"https:\/\/en.wikipedia.org\/wiki\/Functional_magnetic_resonance_spectroscopy_of_the_brain\" target=\"_blank\" rel=\"noopener\">Magnetic Resonance Spectroscopy<\/a> (MRS) is suitable for measuring <a href=\"https:\/\/en.wikipedia.org\/wiki\/Human_brain#Metabolism\" target=\"_blank\" rel=\"noopener\">brain metabolites<\/a> linked to inflammation, but has only been applied to discrete regions of interest in ME\/CFS.<\/p>\n<p>We extended the MRS analysis of ME\/CFS by capturing multi-voxel information across the entire brain. Additionally, we tested whether MRS-derived brain temperature is elevated in ME\/CFS patients.<\/p>\n<p>Fifteen women with ME\/CFS and 15 age- and gender-matched healthy controls completed fatigue and mood symptom questionnaires and whole-brain echo-planar spectroscopic imaging (EPSI). Choline (CHO), myo-inositol (MI), lactate (LAC), and N-acetylaspartate (NAA) were quantified in 47 regions, expressed as ratios over creatine (CR), and compared between ME\/CFS patients and controls using independent-samples t-tests. Brain<br \/>\ntemperature was similarly tested between groups.<\/p>\n<p>Significant between-group differences were detected in several regions, most notably elevated CHO\/CR in the left anterior cingulate (p\u2009&lt;\u20090.001). Metabolite ratios in seven regions were correlated with fatigue (p\u2009&lt;0.05). ME\/CFS patients had increased temperature in the right insula, putamen, frontal cortex, thalamus, and the cerebellum (all p\u2009&lt;\u20090.05), which was not attributable to increased body temperature or differences in cerebral perfusion. Brain temperature increases converged with elevated LAC\/CR in the right insula, right thalamus, and cerebellum (all p\u2009&lt;\u20090.05).<\/p>\n<p>We report metabolite and temperature abnormalities in ME\/CFS patients in widely distributed regions. Our findings may indicate that ME\/CFS involves neuroinflammation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Evidence of widespread metabolite abnormalities in Myalgic encephalomyelitis\/chronic fatigue syndrome: assessment with whole-brain magnetic resonance spectroscopy, by Christina Mueller, Joanne C Lin, Sulaiman Sheriff, Andrew A Maudsley, Jarred W. Younger\u00a0in Brain Imaging and Behavior 2019: pp 1\u201311 [First Online: 07 &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/evidence-of-widespread-metabolite-abnormalities-in-me-cfs-assessment-with-whole-brain-magnetic-resonance-spectroscopy\/\">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":[4787,4790,4792,4788,1960,4786,3476,4789,4791,4785],"class_list":["post-19184","post","type-post","status-publish","format-standard","hentry","category-news","tag-andrew-a-maudsley","tag-brain-metabolism","tag-brain-temperature","tag-christina-mueller","tag-dr-jarred-younger","tag-joanne-c-lin","tag-magnetic-resonance-spectroscopy","tag-mrs","tag-neuroimflammation","tag-sulaiman-sheriff"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4Zq","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/19184","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=19184"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/19184\/revisions"}],"predecessor-version":[{"id":19201,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/19184\/revisions\/19201"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=19184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=19184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=19184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}