{"id":31057,"date":"2021-05-28T08:27:59","date_gmt":"2021-05-28T07:27:59","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=31057"},"modified":"2021-05-28T08:30:17","modified_gmt":"2021-05-28T07:30:17","slug":"theory-treatments-for-prolonged-icu-patients-may-provide-new-therapeutic-avenues-for-me-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/theory-treatments-for-prolonged-icu-patients-may-provide-new-therapeutic-avenues-for-me-cfs\/","title":{"rendered":"Theory: treatments for prolonged ICU patients may provide new therapeutic avenues for ME\/CFS"},"content":{"rendered":"<h3><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2021.672370\/full\" target=\"_blank\" rel=\"noopener\">Theory: treatments for prolonged ICU patients may provide new therapeutic veanues for Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome (ME\/CFS)<\/a>, by\u00a0Dominic Stanculescu,\u00a0 Lars Larsson and\u00a0 Jonas Bergquist <span style=\"text-decoration: underline;\">in<\/span> <em>Front. Med<\/em>. 7 May 2021 [doi.org\/10.3389\/fmed.2021.672370]<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Article abstract:<\/strong><\/h3>\n<p>We here provide an overview of treatment trials for\u00a0prolonged\u00a0intensive care unit (ICU) patients and theorize about their relevance for potential treatment of myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS).<\/p>\n<p>Specifically, these treatment trials generally target:<\/p>\n<p>(a) the correction of <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hypothalamic%E2%80%93pituitary%E2%80%93adrenal_axis\" target=\"_blank\" rel=\"noopener\">suppressed endocrine axes<\/a>, notably through a \u201creactivation\u201d of the pituitary gland&#8217;s\u00a0pulsatile\u00a0secretion of tropic hormones, or<\/p>\n<p>(b) the interruption of the \u201cvicious circle\u201d between inflammation, <a href=\"https:\/\/en.wikipedia.org\/wiki\/Oxidative_stress\" target=\"_blank\" rel=\"noopener\">oxidative<\/a> and <a href=\"https:\/\/link.springer.com\/referenceworkentry\/10.1007%2F3-540-29623-9_8009\" target=\"_blank\" rel=\"noopener\">nitrosative stress<\/a> (O&amp;NS), and low thyroid hormone\u00a0function.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-full wp-image-30121 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/03\/critical-illness-model.jpg?resize=880%2C523&#038;ssl=1\" alt=\"\" width=\"880\" height=\"523\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/03\/critical-illness-model.jpg?w=957&amp;ssl=1 957w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/03\/critical-illness-model.jpg?resize=300%2C178&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/03\/critical-illness-model.jpg?resize=150%2C89&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/03\/critical-illness-model.jpg?resize=768%2C457&amp;ssl=1 768w\" data-sizes=\"(max-width: 880px) 100vw, 880px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 880px; --smush-placeholder-aspect-ratio: 880\/523;\" \/><\/p>\n<p>There are significant parallels in the treatment trials for\u00a0prolonged\u00a0critical illness and ME\/CFS; this is consistent with the hypothesis of an overlap in the mechanisms that prevent recovery in both conditions. Early successes in the simultaneous reactivation of\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/Pulsatile_secretion\" target=\"_blank\" rel=\"noopener\">pulsatile\u00a0pituitary secretions<\/a> in ICU patients\u2014and the resulting positive metabolic effects\u2014could indicate an avenue for treating ME\/CFS. The therapeutic effects of <a href=\"https:\/\/en.wikipedia.org\/wiki\/Thyroid_hormones\" target=\"_blank\" rel=\"noopener\">thyroid hormones<\/a>\u2014including in mitigating O&amp;NS and inflammation and in stimulating the adreno-cortical axis\u2014also merit further studies.<\/p>\n<p>Collaborative research projects should further investigate the lessons from treatment trials for\u00a0prolonged\u00a0critical illness for solving ME\/CFS.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Theory: treatments for prolonged ICU patients may provide new therapeutic veanues for Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome (ME\/CFS), by\u00a0Dominic Stanculescu,\u00a0 Lars Larsson and\u00a0 Jonas Bergquist in Front. Med. 7 May 2021 [doi.org\/10.3389\/fmed.2021.672370] &nbsp; Article abstract: We here provide an overview of &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/theory-treatments-for-prolonged-icu-patients-may-provide-new-therapeutic-avenues-for-me-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":[6652,6651,6818,559,491,3985,6819],"class_list":["post-31057","post","type-post","status-publish","format-standard","hentry","category-news","tag-dominic-stanculescu","tag-lars-larsson","tag-low-thyroid-hormone-function","tag-oxidative-and-nitrosative-stress","tag-pituitary-gland","tag-prof-jonas-bergquist","tag-pulsatile-pituitary-secretions"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-84V","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/31057","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=31057"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/31057\/revisions"}],"predecessor-version":[{"id":31249,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/31057\/revisions\/31249"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=31057"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=31057"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=31057"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}