{"id":22943,"date":"2019-11-06T08:39:42","date_gmt":"2019-11-06T08:39:42","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=22943"},"modified":"2019-11-06T08:39:42","modified_gmt":"2019-11-06T08:39:42","slug":"is-a-diagnostic-blood-test-for-cfs-on-the-horizon","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/is-a-diagnostic-blood-test-for-cfs-on-the-horizon\/","title":{"rendered":"Is a diagnostic blood test for CFS on the horizon?"},"content":{"rendered":"<h3><a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/14737159.2020.1681976\" target=\"_blank\" rel=\"noopener noreferrer\">Is a diagnostic blood test for chronic fatigue syndrome on the horizon?<\/a>, by<br \/>\nMichael Maes, Laura Andres &amp; Gerwyn Morris <span style=\"text-decoration: underline;\">in<\/span> <em>Expert Review of Molecular Diagnostics<\/em>,\u00a0Published online: 18 Oct 2019 [https:\/\/doi.org\/10.1080\/14737159.2020.1681976]<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Expert opinion<\/strong><\/h3>\n<p>Most if not all <a href=\"https:\/\/en.wikipedia.org\/wiki\/Biomarker\" target=\"_blank\" rel=\"noopener noreferrer\">biomarkers<\/a> of ME\/CFS are <em>pathway biomarkers<\/em> although a few etiologic or <em>predisposing biomarkers<\/em> were delineated. These biomarkers indicate the multiple immune, oxidative, and metabolic pathways that underpin the pathophysiology of ME\/CFS.<\/p>\n<p><a href=\"https:\/\/wames.org.uk\/cms-english\/patients-with-fm-cfs-show-increased-hscrp-comared-to-healthy-controls\/blood-in-test-tube\/\" rel=\"attachment wp-att-21585\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-21585 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/06\/blood-in-test-tube.jpg?resize=200%2C300&#038;ssl=1\" alt=\"\" width=\"200\" height=\"300\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/06\/blood-in-test-tube.jpg?resize=200%2C300&amp;ssl=1 200w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/06\/blood-in-test-tube.jpg?resize=100%2C150&amp;ssl=1 100w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/06\/blood-in-test-tube.jpg?resize=768%2C1152&amp;ssl=1 768w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/06\/blood-in-test-tube.jpg?resize=682%2C1024&amp;ssl=1 682w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/06\/blood-in-test-tube.jpg?w=853&amp;ssl=1 853w\" data-sizes=\"(max-width: 200px) 100vw, 200px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 200px; --smush-placeholder-aspect-ratio: 200\/300;\" \/><\/a>However, until now, no diagnostic, treatment or <em>staging biomarkers<\/em> could be developed and, therefore, future research should develop those types of biomarkers employing <a href=\"https:\/\/en.wikipedia.org\/wiki\/Data_mining\" target=\"_blank\" rel=\"noopener noreferrer\">data mining<\/a> models with biomarkers of the pathways described herein as input variables. Moreover, pathway-phenotype algorithms should be modeled which may be used to diagnose biomarker-validated symptom dimensions including disabling fatigue, cognitive impairments, post-exertional malaise, fibromyalgia-like symptoms, and irritable bowel syndrome.<\/p>\n<p>All in all, a new ME\/CFS <em>diagnostic blood test<\/em> useful to make the diagnosis of ME\/CFS is not yet on the horizon. The way forward is to develop adequate diagnostic criteria based on machine learning and to combine biomarkers and clinical phenotypes into pathway-<a href=\"https:\/\/en.wikipedia.org\/wiki\/Phenotype\" target=\"_blank\" rel=\"noopener noreferrer\">phenotypes<\/a> using machine learning techniques.<\/p>\n<p><a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/14737159.2020.1681976\" target=\"_blank\" rel=\"noopener noreferrer\">Read the authors&#8217; review of the research into biomarkers so far.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Is a diagnostic blood test for chronic fatigue syndrome on the horizon?, by Michael Maes, Laura Andres &amp; Gerwyn Morris in Expert Review of Molecular Diagnostics,\u00a0Published online: 18 Oct 2019 [https:\/\/doi.org\/10.1080\/14737159.2020.1681976] &nbsp; Expert opinion Most if not all biomarkers of &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/is-a-diagnostic-blood-test-for-cfs-on-the-horizon\/\">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":[5358,2161,715,453,5359,313],"class_list":["post-22943","post","type-post","status-publish","format-standard","hentry","category-news","tag-biokmarkers","tag-blood-test","tag-diagnostic-test","tag-gerwyn-morris","tag-laura-andres","tag-michael-maes"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-5Y3","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/22943","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=22943"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/22943\/revisions"}],"predecessor-version":[{"id":22945,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/22943\/revisions\/22945"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=22943"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=22943"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=22943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}