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Disease
Symptom
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Target Concepts:
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Query: UMLS:C0015674 (
chronic fatigue syndrome
)
2,978
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
There are a few reports that
chronic fatigue syndrome
(
CFS
) may be accompanied by changes in hormones, such as dehydroepiandrosterone (DHEA) and insulin-like growth factor (
IGF1
). This study examines the serum concentrations of DHEA-sulfate (DHEAS),
IGF1
and
IGF1
binding protein-3 (IGFBP3) in 20 patients with
CFS
and in 12 normal controls. The IGFBP3/
IGF1
ratio was computed as an index for
IGF1
availability. We found significantly lower serum DHEAS concentrations in
CFS
, but no significant differences either in
IGF1
or the IGFBP3/
IGF1
ratio between
CFS
patients and normal controls. The decrease in serum DHEAS was highly sensitive and specific for
CFS
. There were significant and positive correlations between serum DHEAS and serum zinc and the mitogen-induced expression of the CD69 molecule on CD3+CD8+ T cells (an indicator of early T cell activation). There was a significant and negative correlation between serum DHEAS and the increase in the serum alpha-2 protein fraction (an inflammatory marker). Serum
IGF1
, but not DHEAS, was significantly and inversely correlated to age. The results show that
CFS
is accompanied by lowered levels of DHEAS and that the latter may play a role in the immune (defect in the early activation of T cells) and the inflammatory pathophysiology of
CFS
.
...
PMID:Decreased dehydroepiandrosterone sulfate but normal insulin-like growth factor in chronic fatigue syndrome (CFS): relevance for the inflammatory response in CFS. 1626 14