{"id":27568,"date":"2020-08-13T07:20:40","date_gmt":"2020-08-13T07:20:40","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=27568"},"modified":"2020-08-13T07:20:40","modified_gmt":"2020-08-13T07:20:40","slug":"environmental-neuro-immune-neuro-oxidative-stress-interactions-in-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/environmental-neuro-immune-neuro-oxidative-stress-interactions-in-cfs\/","title":{"rendered":"Environmental, neuro-immune &#038; neuro-oxidative stress interactions in CFS"},"content":{"rendered":"<h3><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s12035-020-01939-w\" target=\"_blank\" rel=\"noopener noreferrer\">Environmental, neuro-immune, and neuro-oxidative stress interactions in Chronic Fatigue Syndrome<\/a>, by Geir Bj\u00f8rklund, Maryam Dadar, Lyudmila Pivina, Monica Daniela Do\u015fa, Yuliya Semenova &amp;\u00a0Michael Maes <span style=\"text-decoration: underline;\">in<\/span> <em>Molecular Neurobiology<\/em> (2020) [doi.org\/10.1007\/s12035-020-01939-w]<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Review abstract:<\/strong><\/h3>\n<p>Chronic fatigue syndrome\/myalgic encephalomyelitis (CFS) is a complex, multisystem disease that is characterized by long-term fatigue, exhaustion, disabilities, pain, neurocognitive impairments, gastrointestinal symptoms, and post-exertional malaise, as well as lowered occupational, educational, and social functions.<\/p>\n<p>The clinical and biomarker diagnosis of this disorder is hampered by the lack of validated diagnostic criteria and laboratory tests with adequate figures of merit, although there are now many disease biomarkers indicating the pathophysiology of CFS.<\/p>\n<p>Here, we review multiple factors, such as immunological and environmental factors, which are associated with CFS and evaluate current concepts on the involvement of immune and environmental factors in the pathophysiology of CFS. The most frequently reported immune dysregulations in CFS are modifications in <a href=\"https:\/\/en.wikipedia.org\/wiki\/Antibody\" target=\"_blank\" rel=\"noopener noreferrer\">immunoglobulin<\/a> contents, changes in <a href=\"https:\/\/biology-pages.info\/B\/B_and_Tcells.html\" target=\"_blank\" rel=\"noopener noreferrer\">B and T cell phenotypes<\/a> and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Cytokine\" target=\"_blank\" rel=\"noopener noreferrer\">cytokine profiles<\/a>, and decreased cytotoxicity of <a href=\"https:\/\/en.wikipedia.org\/wiki\/Natural_killer_cell\" target=\"_blank\" rel=\"noopener noreferrer\">natural killer cells<\/a>. Some of these immune aberrations display a moderate diagnostic performance to externally validate the clinical diagnosis of CFS, including the expression of activation markers and protein kinase R (PKR) activity. Associated with the immune aberrations are activated nitro-oxidative pathways, which may explain the key symptoms of CFS.<\/p>\n<div id=\"attachment_27569\" style=\"width: 639px\" class=\"wp-caption aligncenter\"><img data-recalc-dims=\"1\" decoding=\"async\" aria-describedby=\"caption-attachment-27569\" class=\"size-full wp-image-27569 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/08\/Maes-exposure-to-enviornmental-factors-2020.jpg?resize=629%2C493&#038;ssl=1\" alt=\"\" width=\"629\" height=\"493\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/08\/Maes-exposure-to-enviornmental-factors-2020.jpg?w=629&amp;ssl=1 629w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/08\/Maes-exposure-to-enviornmental-factors-2020.jpg?resize=300%2C235&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/08\/Maes-exposure-to-enviornmental-factors-2020.jpg?resize=150%2C118&amp;ssl=1 150w\" data-sizes=\"(max-width: 629px) 100vw, 629px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 629px; --smush-placeholder-aspect-ratio: 629\/493;\" \/><p id=\"caption-attachment-27569\" class=\"wp-caption-text\">Fig. 1 The pathogenesis of<br \/>CFS due to<br \/>exposure to infections, metals,<br \/>&amp; environmental factors<\/p><\/div>\n<p>This review shows that viral and bacterial infections, as well as nutritional deficiencies, may further aggravate the <a href=\"https:\/\/www.medicalnewstoday.com\/articles\/324863#\" target=\"_blank\" rel=\"noopener noreferrer\">immune-oxidative<\/a> <a href=\"https:\/\/en.wikipedia.org\/wiki\/Pathophysiology\" target=\"_blank\" rel=\"noopener noreferrer\">pathophysiology <\/a>of CFS. Targeted treatments with <a href=\"https:\/\/en.wikipedia.org\/wiki\/Antioxidant\" target=\"_blank\" rel=\"noopener noreferrer\">antioxidants<\/a> and <a href=\"https:\/\/thequantifiedbody.net\/repair-mitochondria-lipid-replacement-garth-nicolson-phd\/\" target=\"_blank\" rel=\"noopener noreferrer\">lipid replacement treatments<\/a> may have some clinical efficacy in CFS. We conclude that complex interactions between immune and nitro-oxidative pathways, infectious agents, environmental factors, and nutritional deficiencies play a role in the pathophysiology of CFS.<\/p>\n<p><a href=\"https:\/\/sci-hub.tw\/10.1007\/s12035-020-01939-w\" target=\"_blank\" rel=\"noopener noreferrer\">Read full paper<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Environmental, neuro-immune, and neuro-oxidative stress interactions in Chronic Fatigue Syndrome, by Geir Bj\u00f8rklund, Maryam Dadar, Lyudmila Pivina, Monica Daniela Do\u015fa, Yuliya Semenova &amp;\u00a0Michael Maes in Molecular Neurobiology (2020) [doi.org\/10.1007\/s12035-020-01939-w] &nbsp; Review abstract: Chronic fatigue syndrome\/myalgic encephalomyelitis (CFS) is a complex, &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/environmental-neuro-immune-neuro-oxidative-stress-interactions-in-cfs\/\">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":[309,6145,4709,6143,500,6144,6142,4710,313,6141,306,5273,6140],"class_list":["post-27568","post","type-post","status-publish","format-standard","hentry","category-news","tag-antioxidant-treatment","tag-environmental-factors","tag-geir-bjorklund","tag-immune-oxidative","tag-immunological-dysfunction","tag-lipid-replacement-treatment","tag-lyudmila-pivina","tag-maryam-dadar","tag-michael-maes","tag-monica-daniela-dosa","tag-oxidative-stress","tag-pathophysiology","tag-yuliya-semenova"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-7aE","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/27568","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=27568"}],"version-history":[{"count":1,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/27568\/revisions"}],"predecessor-version":[{"id":27570,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/27568\/revisions\/27570"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=27568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=27568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=27568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}