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ME/CFS Oxidative Stress Research

"We have established that oxidative stress and the production of vasoconstrictor and prothrombotic byproducts are central to the pathophysiology of ME/CFS."
-Prof. Jill Belch-

According to Dr. Vance Spence of ME Research UK, his and at least four other research groups  have found a pattern of significantly increased oxidative stress in ME/CFS patients that relates to symptoms, symptom severity and exercise.  Free radicals, the "villains" of oxidative stress, can overwhelm the body's natural defenses, and can cause cell damage.  Free radicals have been implicated in cardiovascular disease, most neurological diseases, including Alzheimer's Disease, and other conditions.  And now in ME/CFS.  Researchers are measuring and attempting to determine the source of these free radicals, so that proper treatments can be utilized to slow or stop the damage they cause to ME/CFS patients.

Below you will find a number of articles describing the types and severity of oxidative stress in ME/CFS.

2007 - 2006 - 2005 - 2004 - 2003 - 2001 - 2000

   

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"The ME Research Group UK-funded unit at University of Dundee has found a pattern of significantly increased oxidative stress in ME/CFS patients that are related to symptoms, and these findings have now been supported by at least four other research groups worldwide who have also shown excessive free radicals in blood, urine and muscle tissues of ME/CFS patients. Isn't it important to discover the source(s) of these molecules, whether from excessive immune activity, chronic infections or abnormalities within muscle tissue?"
-Dr. Vance Spence-
from the Gibson Inquiry


Advances in the biomedical investigation of ME
by Dr. Neil Abbot & Dr. Vance Spence

A closer look at free radical damage

"Let's consider, for instance, the role of increased oxidative stress. Circulating in the bloodstream are highly reactive molecules, known as free radicals, which can cause damage to the cells of the body; a process called oxidative stress. In healthy people, increases in oxidative free radicals are neutralised by antioxidant defenses, and it is only when these defenses are overwhelmed that oxidative stress and consequently cell injury results. Such damage is implicated in a number of conditions, including cardiovascular disease, most neurological diseases (including Alzheimer's), and the ageing process.
The chemistry of free radicals is outside the scope of this article, but research papers (from at least five separate research groups) have shown excessive free radical generation in blood, urine and muscle tissues of 'CFS' patients. Indeed, one research group has reported that oxidative by-products were raised by as much as 40% in these patients compared with healthy control subjects.

It is important to discover the source(s) of these molecules, whether from excessive immune activity, chronic infections or from abnormalities within muscle tissue. There is sufficient evidence to implicate all three of these pathways.
"


Online Medical Dictionary


Background picture:
chemical formula for the free radical peroxynitrite (ONOO-)

 
         
 

2007

Antiviral Pathway Deregulation of Chronic Fatigue Syndrome Induces Nitric Oxide Production in Immune Cells That Precludes a Resolution of the Inflammatory Response. (Abstract)  Journal of Chronic Fatigue Syndrome Volume: 13 Issue: 4 2007 Marc Frémont PhD, RED Laboratories, Brussels, B-1731, Belgium Freya Vaeyens MS, RED Laboratories N.V., Brussels, B-1731, Belgium C. Vincent Herst PhD, RED Laboratories N.V., Brussels, B-1731, Belgium Kenny De Meirleir MD, PhD, Department of Human Physiology and Medicine, Vrije Universiteit Brussel, Brussels, B-1051, Belgium Patrick Englebienne PhD, Department of Nuclear Medicine, Free University of Brussels, Brugmann Hospital, Brussels, B-1020, Belgium  "These results therefore suggest that chronic inflammation due to excess nitric oxide production plays a role in CFS and that the normal resolution of the inflammatory process by NF-kB activation and apoptotic induction is impaired."

2006

Chronic musculoskeletal pain in chronic fatigue syndrome: Recent developments and therapeutic implications. (Abstract) Nijs J, Meeus M, De Meirleir K. Department of Human Physiology, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium; Department of Health Sciences, Division of Musculoskeletal Physiotherapy, Higher Institute of Physiotherapy, Hogeschool Antwerpen, Belgium.  "CFS sufferers respond to incremental exercise with a lengthened and accentuated oxidative stress response, explaining muscle pain, postexertional malaise, and the decrease in pain threshold following graded exercise in CFS patients. Applying the scientific evidence to the manual physiotherapy profession, pacing self-management techniques and pain neurophysiology education are indicated for the treatment of musculoskeletal pain in CFS patients."

Lower serum zinc in Chronic Fatigue Syndrome (CFS): relationships to immune dysfunctions and relevance for the oxidative stress status in CFS. (Abstract) Maes M, Mihaylova I, De Ruyter M. M-Care4U Outpatient Clinics, Olmenlaan 9, 2610 Antwerp-Wilrijk, Belgium.  "There was a trend toward a significant negative correlation between serum zinc and the severity of CFS and there was a significant and negative correlation between serum zinc and the subjective experience of infection. We found that serum zinc was significantly and negatively correlated to the increase in the alpha2 protein fraction and positively correlated to decreases in the expression of mitogen-induced CD69+ (a T cell activation marker) on CD3+ as well as CD3+CD8+ T cells. These results show that CFS is accompanied by a low serum zinc status and that the latter is related to signs of inflammation and defects in early T cell activation pathways. Since zinc is a strong anti-oxidant, the present results further support the findings that CFS is accompanied by increased oxidative stress. The results of these reports suggest that some patients with CFS should be treated with specific antioxidants, including zinc supplements."

2005

Chronic fatigue syndrome: assessment of increased oxidative stress and altered muscle excitability in response to incremental exercise.  (Abstract) Jammes Y, Steinberg JG, Mambrini O, Bregeon F, Delliaux S.; Laboratoire de Physiopathologie Respiratoire (UPRES EA 2201), Faculte de Medecine, Institut Federatif de Recherche Jean Roche, Marseille, France  "The response of CFS patients to incremental exercise associates a lengthened and accentuated oxidative stress together with marked alterations of the muscle membrane excitability. These two objective signs of muscle dysfunction are sufficient to explain muscle pain and postexertional malaise reported by our patients."

Exercise capacity and immune function in male and female patients with chronic fatigue syndrome (CFS).  (Abstract) Snell CR, Vanness JM, Strayer DR, Stevens SR. University of the Pacific, Department of Sport Sciences, Stockton, CA 95211-0197, USA.  "These results implicate abnormal immune activity in the pathology of exercise intolerance in CFS and are consistent with a channelopathy involving oxidative stress and nitric oxide-related toxicity."

Oxidative stress levels are raised in chronic fatigue syndrome and are associated with clinical symptoms. (Abstract) Gwen Kennedy, Vance A Spence, Margaret McLaren, Alexander Hill, Christine Underwood and Jill JF Belch Institution: Vascular Diseases Research Unit, The Institute of Cardiovascular Research, Ninewells Hospital and Medical School, Dundee, Scotland, UK  "This new data provides further evidence of dysfunction to oxidative pathways in CFS. The finding of high levels of isoprostanes in people with CFS is particularly important given this measure’s sensitivity, reliability and correlation with other measures of lipid peroxidation in vivo. Furthermore, isoprostanes may not only be markers of oxidative injury, but may in fact mediate the effects of free radicals and reactive oxygen species."
(Abstract with comment)

2004

In vivo magnetic resonance spectroscopy in chronic fatigue syndrome.  Chaudhuri A, Behan PO. Division of Clinical Neurosciences, Institute of Neurological Sciences, Southern General Hospital, University of Glasgow  "Cell membrane oxidative stress may offer a common explanation for the observed MRS changes in the muscles and brain of CFS patients and this may have important therapeutic implications."

2003

Relationship between musculoskeletal symptoms and blood markers of oxidative stress in patients with chronic fatigue syndrome. (Abstract) Vecchiet J, Cipollone F, Falasca K, Mezzetti A, Pizzigallo E, Bucciarelli T, De Laurentis S, Affaitati G, De Cesare D, Giamberardino MA. Department of Medicine and Science of Aging, G. D'Annunzio University of Chieti, Italy.  "Increased oxidative stress and decreased antioxidant defenses are related to the extent of symptomatology in CFS, suggesting that antioxidant supplementation might relieve muscle symptoms in the syndrome."

Elevated levels of protein carbonyls in sera of chronic fatigue syndrome patients.  Smirnova IV, Pall ML. Department of Medicine, Division of Nephrology, New York Medical College, Valhalla, NY, USA.  "Protein carbonyl levels, a measure of protein oxidation, were found to be significantly elevated (p < 0.0005) in the sera of chronic fatigue syndrome (CFS) patients vs. controls. In contrast, the total protein levels in sera CFS patients were unchanged from those of controls. The elevated protein carbonyl levels confirm earlier reports suggesting that oxidative stress is associated with chronic fatigue syndrome and are consistent with a prediction of the elevated nitric oxide/peroxynitrite theory of chronic fatigue syndrome and related conditions."
(Abstract only)

2001

Elevated nitric oxide/peroxynitrite mechanism for the common etiology of multiple chemical sensitivity, chronic fatigue syndrome, and posttraumatic stress disorder. Pall ML, Satterlee JD. School of Molecular Biosciences, Washington State University, Pullman 99164-4660, USA  "Various types of evidence implicate nitric oxide and an oxidant, possibly peroxynitrite, in MCS and chemical intolerance (CI). The positive feedback loops proposed earlier for CFS may explain the chronic nature of MCS (CI) as well as several of its other reported properties. These observations raise the possibility that this proposed elevated nitric oxide/peroxynitrite mechanism may be the mechanism of a new disease paradigm, answering the question raised by Miller earlier: "Are we on the threshold of a new theory of disease?"

Antioxidant status and lipoprotein peroxidation in chronic fatigue syndrome. (Abstract) Manuel y Keenoy B, Moorkens G, Vertommen J, De Leeuw I. University Hospital, University of Antwerp, Belgium. "These results indicate that patients with CFS have increased susceptibility of LDL and VLDL to copper-induced peroxidation and that this is related both to their lower levels of serum transferrin and to other unidentified pro-oxidising effects of CFS."

2000

Blood parameters indicative of oxidative stress are associated with symptom expression in chronic fatigue syndrome. (Abstract) Richards RS, Roberts TK, McGregor NR, Dunstan RH, Butt HL. Department of Biological Sciences, University of Newcastle, Australia.  "These data suggest that oxidative stress due to excess free radical formation is a contributor to the pathology of CFS and was associated with symptom presentation."

Specific oxidative alterations in vastus lateralis muscle of patients with the diagnosis of chronic fatigue syndrome. (Abstract) Fulle S, Mecocci P, Fano G, Vecchiet I, Vecchini A, Racciotti D, Cherubini A, Pizzigallo E, Vecchiet L, Senin U, Beal MF. Lab. Interuniversitario di Miologia, Dip. Biologia Cellulare e Molecolare, Universita di Perugia, Perugia, Italy  "From these results we hypothesize that in CFS there is oxidative stress in muscle, which results in an increase in antioxidant defenses. Furthermore, in muscle membranes, fluidity and fatty acid composition are significantly different in specimens from CFS patients as compared to controls and to patients suffering from fibromyalgia. These data support an organic origin of CFS, in which muscle suffers oxidative damage."

   
 

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