{"id":25352,"date":"2020-04-17T07:07:07","date_gmt":"2020-04-17T07:07:07","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=25352"},"modified":"2021-07-13T09:51:23","modified_gmt":"2021-07-13T08:51:23","slug":"a-unifying-hypothesis-of-the-pathophysiology-of-me-cfs-recognitions-from-the-finding-of-autoantibodies-against-s2-adrenergic-receptors","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/a-unifying-hypothesis-of-the-pathophysiology-of-me-cfs-recognitions-from-the-finding-of-autoantibodies-against-s2-adrenergic-receptors\/","title":{"rendered":"A unifying hypothesis of the pathophysiology of ME\/CFS: recognitions from the finding of autoantibodies against \u00df2-adrenergic receptors"},"content":{"rendered":"<h3><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1568997220300823?via%3Dihub\">A unifying hypothesis of the pathophysiology of Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome (ME\/CFS): recognitions from the finding of autoantibodies against \u00df2-adrenergic receptors<\/a>, by\u00a0Klaus Wirth, Carmen Scheibenbogen <span style=\"text-decoration: underline;\">in<\/span> <em>Autoimmunity Reviews, <\/em>online 1 April 2020 [doi.org\/10.1016\/j.autrev.2020.102527]<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Research abstract:<\/strong><\/h3>\n<p>Myalgic Encephalomyelitis or Chronic Fatigue Syndrome (CFS\/ME) is a complex and severely disabling disease with a prevalence of 0.3% and no approved treatment and therefore a very high medical need. Following an infectious onset patients suffer from severe central and muscle fatigue, chronic pain, cognitive impairment, and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Immune_disorder\" target=\"_blank\" rel=\"noopener noreferrer\">immune<\/a> and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Dysautonomia\" target=\"_blank\" rel=\"noopener noreferrer\">autonomic dysfunction<\/a>. Although the etiology of CFS\/ME is not solved yet, there is numerous evidence for an autoantibody mediated dysregulation of the immune and autonomic nervous system.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-20235 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/03\/heart-rate.jpg?resize=300%2C278&#038;ssl=1\" alt=\"\" width=\"300\" height=\"278\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/278;\" \/>We found elevated <a href=\"https:\/\/en.wikipedia.org\/wiki\/Beta-2_adrenergic_receptor\" target=\"_blank\" rel=\"noopener noreferrer\">\u00df2 adrenergic receptor<\/a> (\u00df2AdR) and M3 <a href=\"https:\/\/www.urmc.rochester.edu\/encyclopedia\/content.aspx?contenttypeid=167&amp;contentid=acetylcholine_receptor_antibody_blood\" target=\"_blank\" rel=\"noopener noreferrer\">acetylcholine receptor antibodies<\/a> in a subset of CFS\/ME patients. As both \u00df2AdR and M3 acetylcholine receptor are important vasodilators, we would expect their functional disturbance to result in <a href=\"https:\/\/www.medicinenet.com\/script\/main\/art.asp?articlekey=5964\" target=\"_blank\" rel=\"noopener noreferrer\">vasoconstriction<\/a> and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hypoxemia\" target=\"_blank\" rel=\"noopener noreferrer\">hypoxemia<\/a>. An impaired circulation and oxygen supply could result in many symptoms of ME\/CFS. There are consistent reports of vascular dysfunction in ME\/CFS. Muscular and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Brain_ischemia\" target=\"_blank\" rel=\"noopener noreferrer\">cerebral hypoperfusion<\/a> has been shown in ME\/CFS in various studies and correlated with fatigue. <a href=\"https:\/\/www.healio.com\/endocrinology\/news\/online\/%7Be282a7f3-47a1-43a5-96bf-71a6d545e4ee%7D\/what-is-metabolism\" target=\"_blank\" rel=\"noopener noreferrer\">Metabolic<\/a> changes in ME\/CFS are also in line with a concept of hypoxia and ischemia.<\/p>\n<p>Here we try to develop a unifying working concept for the complex pathomechanism of ME\/CFS based on the presence of dysfunctional <a href=\"https:\/\/en.wikipedia.org\/wiki\/Autoantibody\" target=\"_blank\" rel=\"noopener noreferrer\">autoantibodies<\/a> against \u00df2AdR and M3 acetylcholine receptor and extrapolate it to the pathophysiology of ME\/CFS without an autoimmune pathogenesis.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Health rising:<\/strong> <a href=\"https:\/\/www.healthrising.org\/blog\/2021\/07\/09\/hypothesis-chronic-fatigue-syndrome-wirth-scheibenbogen\/\" target=\"_blank\" rel=\"noopener\">Hypothesis predicts major failure point in Chronic Fatigue Syndrome (ME\/CFS)<\/a><\/p>\n<p><strong>Simmaron Research<\/strong>: <a href=\"http:\/\/simmaronresearch.com\/2020\/05\/blood-vessel-crunch-chronic-fatigue-syndrome\/\" target=\"_blank\" rel=\"noopener noreferrer\">The blood vessel crunch: a unifying hypothesis for ME\/CFS<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A unifying hypothesis of the pathophysiology of Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome (ME\/CFS): recognitions from the finding of autoantibodies against \u00df2-adrenergic receptors, by\u00a0Klaus Wirth, Carmen Scheibenbogen in Autoimmunity Reviews, online 1 April 2020 [doi.org\/10.1016\/j.autrev.2020.102527] &nbsp; Research abstract: Myalgic Encephalomyelitis or Chronic &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/a-unifying-hypothesis-of-the-pathophysiology-of-me-cfs-recognitions-from-the-finding-of-autoantibodies-against-s2-adrenergic-receptors\/\">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":[3652,2064,1427,4267,5805,5804,5802,5803,5806],"class_list":["post-25352","post","type-post","status-publish","format-standard","hentry","category-news","tag-abnormal-blood-circulation","tag-autoantibodies","tag-autoimmune-disorders","tag-carmen-scheibenbogen","tag-klaus-wirth","tag-m3-acetylcholine-receptor","tag-s2-adrenergic-receptor","tag-s2adr","tag-vascular-dysfunction"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-6AU","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/25352","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=25352"}],"version-history":[{"count":6,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/25352\/revisions"}],"predecessor-version":[{"id":31894,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/25352\/revisions\/31894"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=25352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=25352"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=25352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}