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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)
Chronic fatigue syndrome
represents a poorly defined disease with protean clinical manifestations, the majority of them expressed as a muscle fatigue or as inability to maintain the expected muscle strength. In the present work we studied muscle function and muscle histopathology in 20 patients fulfilling the proposed criteria for
chronic fatigue syndrome
. Special interest is directed towards the immunoreactive expression of class I
MHC
molecules comparing some inflammatory and virus-related myopathies with muscles from
chronic fatigue syndrome
. Only minor morphological changes were detected in 9 out of 20 patients of the series. The nonspecific morphological changes in muscle tissue and the lack of class I
MHC
expression does not support the viral etiology of muscle fatigue in
chronic fatigue syndrome
. In contrast with the reported clinical improvement with high doses of essential fatty acids, our patients' clinical condition did not improve after three months of L-carnitine therapy.
...
PMID:Chronic fatigue syndrome: studies on skeletal muscle. 147 16
The purpose of this study was to evaluate immune function through the assessment of lymphocyte subpopulations (total T cells, major histocompatibility complex [
MHC
] I- and II-restricted T cells, B cells, NK cells,
MHC
II-restricted T-cell-derived naive and memory cells, and several
MHC
I-restricted T-cell activation markers) and the measurement of cytokine gene expression (interleukin 2 [IL-2], IL-4, IL-6, IL-10, IL-12, gamma interferon [IFN-gamma], and tumor necrosis factor alpha [TNF-alpha]) from peripheral blood lymphocytes. Subjects included two groups of patients meeting published case definitions for
chronic fatigue syndrome
(
CFS
)-a group of veterans who developed their illness following their return home from participating in the Gulf War and a group of nonveterans who developed the illness sporadically. Case control comparison groups were comprised of healthy Gulf War veterans and nonveterans, respectively. We found no significant difference for any of the immune variables in the nonveteran population. In contrast, veterans with
CFS
had significantly more total T cells and
MHC
II+ T cells and a significantly higher percentage of these lymphocyte subpopulations, as well as a significantly lower percentage of NK cells, than the respective controls. In addition, veterans with
CFS
had significantly higher levels of IL-2, IL-10, IFN-gamma, and TNF-alpha than the controls. These data do not support the hypothesis of immune dysfunction in the genesis of
CFS
for sporadic cases of
CFS
but do suggest that service in the Persian Gulf is associated with an altered immune status in veterans who returned with severe fatiguing illness.
...
PMID:Changes in immune parameters seen in Gulf War veterans but not in civilians with chronic fatigue syndrome. 987 56