Dr. O'Keefe:
From the Hanson lab, this paper published today in PLoS ONE describes a study carried out with meticulous attention to detail and proper use of controls while analyzing ME/CFS patient samples for murine-leukemia related viruses. Although novel MLV-like GAG sequences were isolated and sequenced from the patient samples (as opposed to controls collected from the same sites) Lee et al. concludes that it is not possible to determine the origin of these sequences, although the samples were not contaminated with mouse DNA at a detectable level.
First, bravo! to the Hanson group for being able to get anything published that might go against the current dogma regarding MLV-like viruses in human samples published -- I guarantee you that there are people with similar data whom don't want to torture themselves by attempting to publish. The fact is, Read more>>
Wednesday, May 23, 2012
Tuesday, May 8, 2012
Despite recognition from the World Health Organisation in 1969 that M.E. is a neurological disorder, many Governments - including our present Coalition - have chosen to ignore this
By SONIA POULTON
PUBLISHED: 15:15 GMT, 8 May 2012:
This week is Myalgic Encephalomyelitis Awareness Week or, as it's more accessibly referred to these days: M.E. That may not mean a great deal to you. Certainly, it didn't to me.
Oh wait, yes it did.
Based on no personal knowledge whatsoever - fortunately neither I or my loved ones have M.E. - my judgement was gleaned from how the world has portrayed the illness.
Like millions of others, I have seen M.E. through the eyes of the medical establishment, the Government and the Media. The picture has not been good.
Here is what I have previously understood about M.E. and those who have it.
M.E. sufferers are workshy malingerers. They whine, constantly, about feeling tired. They are annoying sympathy seekers.
Damn it. We're all tired. Especially those fools like me who work all hours God Sends (and even some he doesn't) to support the type of people who say they are too tired to work.
Oh, and mostly, importantly, M.E. is 'all in the head' and can be overcome with a bit more determination and a little less of the 'poor me' attitude.
That, generally, is what I thought about M.E.
Until, that is, a reader sent me a DVD of a British-made film about the illness titled 'Voices From The Shadows'.
I receive dozens of clips and films each month, and I try and see as many as I humanly can, but there was something about 'Voices...' that stopped me in my tracks.
One of the reasons the film had such an impact is because it challenged my deep-seated preconceptions about M.E.
Through 'Voices...' - and the subsequent research I have conducted - I have come to realise that what I thought I knew about the illness was a fallacy but, more importantly than that, was actually detrimental to those affected.
So, as a naturally curious individual (I'm not a journalist by mistake) I began to question why I had been furnished with one version of events - and inaccurate ones at that.
The more I began to delve into the subject the more curious it all became.
Like for example, why are records pertaining to ME locked away in our national archives in Kew for 75 years? The normal period would be 30 years.
75 years, the period generally used for documents of extreme public sensitivity and national security, is excessive.
The reason given, that of data protection, is a nonsense as it is perfectly acceptable, and easy, to omit names on official documents. The excuse, supplied in Parliamentary questions by the Department of Work and Pensions, didn't wash with me.
Why, I thought, were they making such an exception?
It got me thinking about what information the files actually do contain. And, seeing as the topic of M.E. is still beset with misunderstanding, we could all benefit from some enlightenment on the subject.
So, to this end - and seeing as it M.E. Awareness Week - here is my personal guide to shattering the myths and blatantly-pedalled untruths about M.E.
Myth No. 1: ME is a mental illness
Not so. It is a neurological one. It is not a case of 'mind over matter' despite many GP's and health professionals still thinking it is. Psychiatrists have bagged it as 'their thing' and the General Medical Council has been somewhat remiss in suporting it as a physical condition.
I spoke with one ME sufferer, who asked to remain anonymous for fear of upsetting the medical professionals who are currently treating her. She said a new GP at her practice had suggested she take up meditation to help her combat her decades-old condition.
Thankfully there are some doctors, few and far between admittedly, who really understand the physical nature of M.E.
Dr. Speight, a medical advisor for a number of M.E. charities does. Commenting on the wide-ranging debilitation of the illness, he has said:
'The condition itself covers a wide spectrum of severity but even the mildest cases deserve diagnosis and recognition because if they are given the wrong advice or don't handle themselves correctly they can become worse.
'At the more severe end of the spectrum there's a minority of patients who are truly in a pitiable state...some of them in hospitals, some of them at home...and this end of the spectrum is really one of the most powerful proofs to me of what a real condition this is and how it cannot be explained away by psychiatric reasons.'
M.E. sufferers are subject to a battery of controversial fit-to-work assessments
Sadly, there are still many health professionals who buy into the notion that M.E. is a psychological disorder and should be treated as a form of insanity.
In Denmark, only last week, The Danish Board of Health sought to remove a 23-year old woman, Karina, from her family home on the grounds of mental illness despite the fact that what she really has is M.E.
Karina, bed-bound, light and sound sensitive and too weak to walk is considered to be insane, rather than physically sick, and her family has been repeatedly told by Danish doctors that the diagnosis of M.E. is not recognised.
Myth 2: ME is just extreme tiredness, right?
Wrong. Despite falling under the Chronic Fatigue Syndrome category - as does Fibromylgia which has its own Awareness Day next week - it is entirely wrong to assume that M.E. is merely about lack of energy.
This confusion arose over the past 20-odd years and is due to the condition being re-classified as a Fatigue Syndrome.
The result of this has been to trivialise the illness which has served as fodder for ill-informed public commentators who have used M.E. and Fibromylgia to talk about 'scroungers' in the benefits system who are 'too lazy' to get out of bed.
For those who know about the illness, this type of commentary is viewed as dangerous rhetoric that deserves to be classified as a form of hate crime.
Myth No. 3: M.E. is just like a bad flu
Oh, if only. M.E. is a complex, chronic, multi-system illness that affect the body in similar ways to Multiple Scelerosis. In addition, inflammation of the neurological system can lead to heart disease, extreme muscle pain and other debilitating and life-threatening conditions.
As one doctor put it, comparing M.E. to an illness like flu is like comparing Emphysema to a chest infection. It seriously undermines the truth extent of M.E.
Myth No. 4: M.E. sufferers should just 'pull themselves together'
Many sufferers have found themselves abandoned by health professionals, struck off of registers and even rejected by their own families when they have failed to respond to 'tough love'.
Too many people assume that M.E. can be overcome with the right mental attitude. This consequently leaves M.E. sufferers even more vulnerable to issues like depression as they are further isolated.
M.E. is not a case of the mind being able to heal itself with determination.
M.E. breaks the body down and that also includes the brain.
Myth No. 5: Only adults have M.E.
Children have M.E. and their childhoods are destroyed as a consequence.
Margaret Rumney of Allendale, Northumberland.watched as her 11-year-old daughter, Emma, was reduced to a shell of her former self when she was struck down with M.E. nine years ago.
"Since then it has been a continual rollercoaster of emotions and has been one fight after the other," says Margaret. "It is very hard for my daughter being ill, she is virtually housebound, often reliant on a wheelchair, and to have to cope with disbelief and ridicule on top of this makes this illness even harder to bear.
"Our experience of my daughter's school was an awful one. When my daughter was receiving home tuition organised officially by the Education Welfare Officer we were threatened by one professional that if my daughter didn't return to school that it would be classed as a psychological issue and social services would get involved."
Threats and intimidation of this nature at the hands of the authorities are a constant feature of those in the M.E. community, and particularly those caring for children with the illness.
Naturally, this pressure merely adds to the overall anxiety that sufferers are already experiencing. Education is key. Bullying is not.
Myth No. 6 - You can 'catch' M.E.
Absurd. It is no more infectious than a broken leg is. M.E. appears to follow various viral infections, including meningitis, although the true cause is still a hotly debated topic among professionals.
Myth No. 7: Real M.E. sufferers are few and far between
There are currently 250,000 recognised cases of ME in the UK. That's 1 in 250 so that's hardly an insignificant number, is it?
Myth No. 8: Only severe cases of M.E. are worth acknowledging
Terrible misconception. M.E. ruins people's lives even if the patient is not entirely bedbound.
The media tend to concentrate on the worst case scenarios but this does not help the full situation as it leaves others, who are still able to move at times, with the stigmatisation of 'not being ill enough'.
Claire Taylor-Jones, a mother of one from Rhyl in North Wales, has been unable to pursue her ambition of becoming a solicitor after she was diagnosed with M.E.
In common with other sufferers, Claire has good days and bad days but she is not consistently well enough to pursue her goals and she is left in a type of limbo land. Her plans are on hold.
Myth No. 9: Children with M.E. have neglectful parents
There's the notion that children with M.E. are actually victims of mothers who have Munchausens by Proxy – the illness where parents act as if the child is sick to further their own need for attention.
This is a particularly dangerous belief system as it leaves the true M.E. sufferer without sufficient support and diagnosis and the carer is treated as the problem.
Myth No. 10: Physical exercise will benefit M.E. sufferers
Absolutely not true. Worse, still, enforced 'graded exercise' can escalate the condition to dangerous and irreparable levels for the patient.
During the research of this subject, I have watched footage of hospital physiotherapists literally bullying M.E. patients to stand and walk. It is pitiful to witness.
The physios say things like 'Come on, you can do it. You just have to put your mind to it' and, at worst, 'You're not trying hard enough.'
Julie-Anne Pickles, who has had M.E. for the past seven years has experienced a serious deterioration in her condition as a consequence of wrong diagnosis and ineffective medical response. She is now 90 per cent bedbound and has been diagnosed with depression, diabetes and Angina.
She told me:
"Cardiology phoned me with an appointment the other day and they told me to wear trainers because they want me running on a treadmill while on an ECG! I said: 'You do know I have M.E.?' They said they did but not to worry as I won't be running for more than five minutes! Running? I crawled on my hands and knees to the loo this morning!"
This idea among some of the medical professional that enforced exercise will help the condition of a M.E. belongs to a darker time in our history. A period when we thought that autistic children were a result of being born to cold and detached women or 'refrigerator mums' as they were heinously and immorally labelled.
Myth No. 11 - M.E. is not life-threatening
It is, although the true mortality rate of M.E. is mired in great confusion.
Recently, Labour MP George Howarth asked Paul Burstow, Minister of State for Care Services, to supply details of deaths to arise from M.E. Mr. Burstow replied that 'this information is not available and is not collected centrally'.
As with so many issues regarding our sick and disabled, the Coalition had this wrong, too.
According to figures obtained from the Office of National Statistics, there have been five deaths listed as the cause of M.E. in recent years.
For campaigners this is nothing less than a fudge of the true scale.
Figures are easy to massage with M.E. because it triggers so many other illnesses, such as heart disease. Given that many health professional still deny that M.E. is a physical condition, they are unable to list it as a cause of death even if it is.
Myth No. 12: M.E. is an excuse not to work
Despite recognition from the World Health Organisation in 1969 that M.E. is a neurological disorder, many Governments - including our present Coalition - have chosen to ignore this.
Consequently, M.E. sufferers are subject to a battery of controversial fit-to-work assessments. The anxiety and physical exertion this requires generally worsens the condition.
When the M.E. sufferer is unable to work, because of their illness, they are removed from disability benefit and are plunged into poverty.
So, for M.E. Awareness Week, let us be clear. M.E. is comparable to AIDS and cancer and all the other vicious and uncompromising diseases that savage the body and, in some extreme cases, kill it completely.
The fact that it is still so widely misunderstood is a modern day travesty that must be addressed without further delay. Or is it convenient that we still view M.E. as being 'all in the mind'?
I believe that we, as a nation, deserve to know the truth. Not only for those still battling the disease, but for those poor souls who have already been lost to it.
* For further details on Voices from the Shadows:
http://voicesfromtheshadowsfilm.co.uk/shop-dvds/
Oh wait, yes it did.
Based on no personal knowledge whatsoever - fortunately neither I or my loved ones have M.E. - my judgement was gleaned from how the world has portrayed the illness.
Like millions of others, I have seen M.E. through the eyes of the medical establishment, the Government and the Media. The picture has not been good.
Here is what I have previously understood about M.E. and those who have it.
M.E. sufferers are workshy malingerers. They whine, constantly, about feeling tired. They are annoying sympathy seekers.
Damn it. We're all tired. Especially those fools like me who work all hours God Sends (and even some he doesn't) to support the type of people who say they are too tired to work.
Oh, and mostly, importantly, M.E. is 'all in the head' and can be overcome with a bit more determination and a little less of the 'poor me' attitude.
That, generally, is what I thought about M.E.
Until, that is, a reader sent me a DVD of a British-made film about the illness titled 'Voices From The Shadows'.
I receive dozens of clips and films each month, and I try and see as many as I humanly can, but there was something about 'Voices...' that stopped me in my tracks.
One of the reasons the film had such an impact is because it challenged my deep-seated preconceptions about M.E.
Through 'Voices...' - and the subsequent research I have conducted - I have come to realise that what I thought I knew about the illness was a fallacy but, more importantly than that, was actually detrimental to those affected.
So, as a naturally curious individual (I'm not a journalist by mistake) I began to question why I had been furnished with one version of events - and inaccurate ones at that.
The more I began to delve into the subject the more curious it all became.
Like for example, why are records pertaining to ME locked away in our national archives in Kew for 75 years? The normal period would be 30 years.
75 years, the period generally used for documents of extreme public sensitivity and national security, is excessive.
The reason given, that of data protection, is a nonsense as it is perfectly acceptable, and easy, to omit names on official documents. The excuse, supplied in Parliamentary questions by the Department of Work and Pensions, didn't wash with me.
Why, I thought, were they making such an exception?
It got me thinking about what information the files actually do contain. And, seeing as the topic of M.E. is still beset with misunderstanding, we could all benefit from some enlightenment on the subject.
So, to this end - and seeing as it M.E. Awareness Week - here is my personal guide to shattering the myths and blatantly-pedalled untruths about M.E.
Myth No. 1: ME is a mental illness
Not so. It is a neurological one. It is not a case of 'mind over matter' despite many GP's and health professionals still thinking it is. Psychiatrists have bagged it as 'their thing' and the General Medical Council has been somewhat remiss in suporting it as a physical condition.
I spoke with one ME sufferer, who asked to remain anonymous for fear of upsetting the medical professionals who are currently treating her. She said a new GP at her practice had suggested she take up meditation to help her combat her decades-old condition.
Thankfully there are some doctors, few and far between admittedly, who really understand the physical nature of M.E.
Dr. Speight, a medical advisor for a number of M.E. charities does. Commenting on the wide-ranging debilitation of the illness, he has said:
'The condition itself covers a wide spectrum of severity but even the mildest cases deserve diagnosis and recognition because if they are given the wrong advice or don't handle themselves correctly they can become worse.
'At the more severe end of the spectrum there's a minority of patients who are truly in a pitiable state...some of them in hospitals, some of them at home...and this end of the spectrum is really one of the most powerful proofs to me of what a real condition this is and how it cannot be explained away by psychiatric reasons.'
M.E. sufferers are subject to a battery of controversial fit-to-work assessments
Sadly, there are still many health professionals who buy into the notion that M.E. is a psychological disorder and should be treated as a form of insanity.
In Denmark, only last week, The Danish Board of Health sought to remove a 23-year old woman, Karina, from her family home on the grounds of mental illness despite the fact that what she really has is M.E.
Karina, bed-bound, light and sound sensitive and too weak to walk is considered to be insane, rather than physically sick, and her family has been repeatedly told by Danish doctors that the diagnosis of M.E. is not recognised.
Myth 2: ME is just extreme tiredness, right?
Wrong. Despite falling under the Chronic Fatigue Syndrome category - as does Fibromylgia which has its own Awareness Day next week - it is entirely wrong to assume that M.E. is merely about lack of energy.
This confusion arose over the past 20-odd years and is due to the condition being re-classified as a Fatigue Syndrome.
The result of this has been to trivialise the illness which has served as fodder for ill-informed public commentators who have used M.E. and Fibromylgia to talk about 'scroungers' in the benefits system who are 'too lazy' to get out of bed.
For those who know about the illness, this type of commentary is viewed as dangerous rhetoric that deserves to be classified as a form of hate crime.
Myth No. 3: M.E. is just like a bad flu
Oh, if only. M.E. is a complex, chronic, multi-system illness that affect the body in similar ways to Multiple Scelerosis. In addition, inflammation of the neurological system can lead to heart disease, extreme muscle pain and other debilitating and life-threatening conditions.
As one doctor put it, comparing M.E. to an illness like flu is like comparing Emphysema to a chest infection. It seriously undermines the truth extent of M.E.
Myth No. 4: M.E. sufferers should just 'pull themselves together'
Many sufferers have found themselves abandoned by health professionals, struck off of registers and even rejected by their own families when they have failed to respond to 'tough love'.
Too many people assume that M.E. can be overcome with the right mental attitude. This consequently leaves M.E. sufferers even more vulnerable to issues like depression as they are further isolated.
M.E. is not a case of the mind being able to heal itself with determination.
M.E. breaks the body down and that also includes the brain.
Myth No. 5: Only adults have M.E.
Children have M.E. and their childhoods are destroyed as a consequence.
Margaret Rumney of Allendale, Northumberland.watched as her 11-year-old daughter, Emma, was reduced to a shell of her former self when she was struck down with M.E. nine years ago.
"Since then it has been a continual rollercoaster of emotions and has been one fight after the other," says Margaret. "It is very hard for my daughter being ill, she is virtually housebound, often reliant on a wheelchair, and to have to cope with disbelief and ridicule on top of this makes this illness even harder to bear.
"Our experience of my daughter's school was an awful one. When my daughter was receiving home tuition organised officially by the Education Welfare Officer we were threatened by one professional that if my daughter didn't return to school that it would be classed as a psychological issue and social services would get involved."
Threats and intimidation of this nature at the hands of the authorities are a constant feature of those in the M.E. community, and particularly those caring for children with the illness.
Naturally, this pressure merely adds to the overall anxiety that sufferers are already experiencing. Education is key. Bullying is not.
Myth No. 6 - You can 'catch' M.E.
Absurd. It is no more infectious than a broken leg is. M.E. appears to follow various viral infections, including meningitis, although the true cause is still a hotly debated topic among professionals.
Myth No. 7: Real M.E. sufferers are few and far between
There are currently 250,000 recognised cases of ME in the UK. That's 1 in 250 so that's hardly an insignificant number, is it?
Myth No. 8: Only severe cases of M.E. are worth acknowledging
Terrible misconception. M.E. ruins people's lives even if the patient is not entirely bedbound.
The media tend to concentrate on the worst case scenarios but this does not help the full situation as it leaves others, who are still able to move at times, with the stigmatisation of 'not being ill enough'.
Claire Taylor-Jones, a mother of one from Rhyl in North Wales, has been unable to pursue her ambition of becoming a solicitor after she was diagnosed with M.E.
In common with other sufferers, Claire has good days and bad days but she is not consistently well enough to pursue her goals and she is left in a type of limbo land. Her plans are on hold.
Myth No. 9: Children with M.E. have neglectful parents
There's the notion that children with M.E. are actually victims of mothers who have Munchausens by Proxy – the illness where parents act as if the child is sick to further their own need for attention.
This is a particularly dangerous belief system as it leaves the true M.E. sufferer without sufficient support and diagnosis and the carer is treated as the problem.
Myth No. 10: Physical exercise will benefit M.E. sufferers
Absolutely not true. Worse, still, enforced 'graded exercise' can escalate the condition to dangerous and irreparable levels for the patient.
During the research of this subject, I have watched footage of hospital physiotherapists literally bullying M.E. patients to stand and walk. It is pitiful to witness.
The physios say things like 'Come on, you can do it. You just have to put your mind to it' and, at worst, 'You're not trying hard enough.'
Julie-Anne Pickles, who has had M.E. for the past seven years has experienced a serious deterioration in her condition as a consequence of wrong diagnosis and ineffective medical response. She is now 90 per cent bedbound and has been diagnosed with depression, diabetes and Angina.
She told me:
"Cardiology phoned me with an appointment the other day and they told me to wear trainers because they want me running on a treadmill while on an ECG! I said: 'You do know I have M.E.?' They said they did but not to worry as I won't be running for more than five minutes! Running? I crawled on my hands and knees to the loo this morning!"
This idea among some of the medical professional that enforced exercise will help the condition of a M.E. belongs to a darker time in our history. A period when we thought that autistic children were a result of being born to cold and detached women or 'refrigerator mums' as they were heinously and immorally labelled.
Myth No. 11 - M.E. is not life-threatening
It is, although the true mortality rate of M.E. is mired in great confusion.
Recently, Labour MP George Howarth asked Paul Burstow, Minister of State for Care Services, to supply details of deaths to arise from M.E. Mr. Burstow replied that 'this information is not available and is not collected centrally'.
As with so many issues regarding our sick and disabled, the Coalition had this wrong, too.
According to figures obtained from the Office of National Statistics, there have been five deaths listed as the cause of M.E. in recent years.
For campaigners this is nothing less than a fudge of the true scale.
Figures are easy to massage with M.E. because it triggers so many other illnesses, such as heart disease. Given that many health professional still deny that M.E. is a physical condition, they are unable to list it as a cause of death even if it is.
Myth No. 12: M.E. is an excuse not to work
Despite recognition from the World Health Organisation in 1969 that M.E. is a neurological disorder, many Governments - including our present Coalition - have chosen to ignore this.
Consequently, M.E. sufferers are subject to a battery of controversial fit-to-work assessments. The anxiety and physical exertion this requires generally worsens the condition.
When the M.E. sufferer is unable to work, because of their illness, they are removed from disability benefit and are plunged into poverty.
So, for M.E. Awareness Week, let us be clear. M.E. is comparable to AIDS and cancer and all the other vicious and uncompromising diseases that savage the body and, in some extreme cases, kill it completely.
The fact that it is still so widely misunderstood is a modern day travesty that must be addressed without further delay. Or is it convenient that we still view M.E. as being 'all in the mind'?
I believe that we, as a nation, deserve to know the truth. Not only for those still battling the disease, but for those poor souls who have already been lost to it.
* For further details on Voices from the Shadows:
http://voicesfromtheshadowsfilm.co.uk/shop-dvds/
Friday, March 30, 2012
The Guardian's Scott Jordan Harris: How many more people have to die before 'chronic fatigue syndrome' merits properly funded biomedical research?
Scott Jordan Harris guardian.co.uk, Friday 30 March 2012: On Sunday 18 March, Emily Collingridge, a beautiful 30-year-old activist and author, died after she was apparently no longer able to struggle against the chronic illness that had afflicted her since she was six. Major news organisations have all but ignored her death – the death of a noteworthy campaigner while suffering from the very condition she tried to persuade the world actually existed – just as they continually ignore so many important stories about the illness she had.
That illness is a neurological condition called myalgic encephalomyelitis or ME. There are many who think it is not real and many others, even within the medical profession, who think it is a psychological condition best treated with enforced exercise, which only worsens its effects. Even those doctors and lay people who acknowledge the illness often refer to it by the ridiculous name "chronic fatigue syndrome", which is almost as damaging to ME sufferers as the symptoms we suffer.
Fatigue is what a person feels after a hard work day or an intense session at the gym. It is a gentle tiredness that makes the back ache slightly and the eyelids a little heavy. It is cured by a nap or a reviving espresso. Collingridge was beyond bedridden. She was crippled by incessant agony and dependent on morphine. She was fed through a tube and her body couldn't cope with noise, light or movement. She was doubly incontinent and experienced periods of both blindness and paralysis.
Around a year ago, she wrote, "I have come very close to dying on more than one occasion. If you met me you may well think I was about to die now." She is now dead. To call the illness that savaged her "chronic fatigue syndrome" is like calling stomach cancer "chronic upset tummy".
Remarkably, she was – in her healthier periods – able to write a book called Severe ME/CFS: A Guide to Living, which is an invaluable text for many ME sufferers. It is published by AYME, the Association for Young People with ME, of which Collingridge was a prominent member. Her most important work, though, was her appeal for adequate biomedical research into ME.
I recently wrote a piece for the website of the Chicago Sun-Times, discussing both my history of ME and my reactions to the new documentary Voices from the Shadows. For anyone who wishes to understand the agony ME can inflict, and the dangerous ignorance endured by many who have it, the film is a must-see. One of the ME sufferers it profiles is Sophia Mirza, the first person in Britain whose death was officially listed as being caused by chronic fatigue syndrome. Another is my late friend, Lynn Gilderdale, whose mother assisted in her suicide after Lynn's condition became unendurable.
Both Mirza and Gilderdale suffered – and perhaps died – because of the unforgivable actions, and also the unforgivable inaction, of members of the medical profession. Mirza was committed to a mental institution to treat an illness that was purely physical and never recovered from the damage that did. Gilderdale, too, was referred to a psychiatrist when she needed physicians working from the results of cutting-edge studies. The question we must ask is obvious: how many young people like them, and like Collingridge, have to die before their illness is taken seriously and huge, well-focused efforts are made to cure it through properly funded biomedical research?
Collingridge was a great light for thousands of victims of severe ME whose lives pass in almost total darkness. It is essential that her tragedy is not overlooked. We must all understand that the cause she championed in life – the urgent need for proper recognition of, and research into, ME – is made even more urgent by her death.
Thursday, March 29, 2012
The Sun's Lynsey Haywood: ME – sometimes called Chronic Fatigue Syndrome – is a severely debilitating illness
LYNSEY HAYWOOD speaks to three people who tell us why these two illnesses are far more serious than most people realise.
SOPHIE ELLIS has suffered from ME since she was nine. She can't even watch TV or send a text and is fed through a tube.
She has not been downstairs in her house in Banbury, Oxon, for more than a year.
She lives with dad Mark Ellis, 52, a financial adviser, and mum Karen, 52, her full-time carer. Mark says:
When Sophie was nine she got a fairly typical virus which lasted two to three weeks.
But she never really recovered.
She suffered crippling gastric problems, heartburn and acid reflux, as well as a general lack of energy.
The GPs we saw tried to deal with the symptoms rather than the root cause.
As parents we had no knowledge of ME, so while seeing countless consultants we never thought to ask about it.
We simply thought it was something people got in the Eighties and it made you feel like you had flu.
We certainly didn't know you could treat it.
Sophie was getting worse and worse to the point where she couldn't eat and was increasingly bedbound.
Then, about two years ago, one consultant suggested ME and, after researching it ourselves, it all made sense.
Sensitive to light ... Sophie lies in a darkened room
It took up to six years to get an accurate diagnosis but sadly, by then, having pushed herself so hard for six years, Sophie's batteries were completely run down.
It felt like we'd missed our window of opportunity when we could have done something.
Now, Karen has given up her job as a shelf-stacker at Sainsbury's to be her full-time carer.
The slightest thing exhausts Sophie and because it's neurological, it affects every part of her body.
She can't watch TV or use a laptop because she's light intolerant. It makes her dizzy or ill.
She can't read more than a couple of times a day and she hasn't been downstairs for more than a year.
We can't speak to her for more than a few minutes at a time because it drains her energy.
Her room has to be dark and she needs help getting to the loo as she's too wobbly on her feet.
She can read texts but can't type herself because her brain can't co-ordinate her fingers.
Eating and chewing is now almost impossible for her, so she has a tube which feeds liquidised food through her nose, but she can drink herself.
We're trying to step up the little achievements she can manage each day – exposing her to a little more light, getting her to eat a little food herself.
But if we push her too hard she relapses badly and we're back at square one.
We can't have visitors to the house at all now because of any potential disruption. The best Karen and I can hope for in terms of our own lives is a walk and a coffee when Sophie's brother Matt, who is 29, comes round.
This makes Sophie feel terribly guilty too – ME impacts hugely on everyone.
But throughout Sophie's been bright and cheerful, always with a smile on her face.
SOPHIE ELLIS has suffered from ME since she was nine. She can't even watch TV or send a text and is fed through a tube.
She has not been downstairs in her house in Banbury, Oxon, for more than a year.
She lives with dad Mark Ellis, 52, a financial adviser, and mum Karen, 52, her full-time carer. Mark says:
When Sophie was nine she got a fairly typical virus which lasted two to three weeks.
But she never really recovered.
She suffered crippling gastric problems, heartburn and acid reflux, as well as a general lack of energy.
The GPs we saw tried to deal with the symptoms rather than the root cause.
As parents we had no knowledge of ME, so while seeing countless consultants we never thought to ask about it.
We simply thought it was something people got in the Eighties and it made you feel like you had flu.
We certainly didn't know you could treat it.
Sophie was getting worse and worse to the point where she couldn't eat and was increasingly bedbound.
Then, about two years ago, one consultant suggested ME and, after researching it ourselves, it all made sense.
Sensitive to light ... Sophie lies in a darkened room
It took up to six years to get an accurate diagnosis but sadly, by then, having pushed herself so hard for six years, Sophie's batteries were completely run down.
It felt like we'd missed our window of opportunity when we could have done something.
Now, Karen has given up her job as a shelf-stacker at Sainsbury's to be her full-time carer.
The slightest thing exhausts Sophie and because it's neurological, it affects every part of her body.
She can't watch TV or use a laptop because she's light intolerant. It makes her dizzy or ill.
She can't read more than a couple of times a day and she hasn't been downstairs for more than a year.
We can't speak to her for more than a few minutes at a time because it drains her energy.
Her room has to be dark and she needs help getting to the loo as she's too wobbly on her feet.
She can read texts but can't type herself because her brain can't co-ordinate her fingers.
Eating and chewing is now almost impossible for her, so she has a tube which feeds liquidised food through her nose, but she can drink herself.
We're trying to step up the little achievements she can manage each day – exposing her to a little more light, getting her to eat a little food herself.
But if we push her too hard she relapses badly and we're back at square one.
We can't have visitors to the house at all now because of any potential disruption. The best Karen and I can hope for in terms of our own lives is a walk and a coffee when Sophie's brother Matt, who is 29, comes round.
This makes Sophie feel terribly guilty too – ME impacts hugely on everyone.
But throughout Sophie's been bright and cheerful, always with a smile on her face.
Labels:
DIAGNOSING,
Health,
ME,
ME/CFS
Thursday, March 8, 2012
University of Zurich: It is relatively certain that MS is an autoimmune disease in which the body’s own defense cells attack the myelin in the brain and spinal cord
healthcanal.com, 27/02/2012:
Damaged myelin in the brain and spinal cord does not cause the autoimmune disease Multiple sclerosis (MS), neuroimmunologists from the University of Zurich have now demonstrated in collaboration with researchers from Berlin, Leipzig, Mainz and Munich.
In the current issue of Nature Neuroscience, they therefore rule out a popular hypothesis on the origins of MS. The scientists are now primarily looking for the cause of the development of MS in the immune system instead of the central nervous system.
Millions of adults suffer from the incurable disease multiple sclerosis (MS). It is relatively certain that MS is an autoimmune disease in which the body’s own defense cells attack the myelin in the brain and spinal cord. Myelin enwraps the nerve cells and is important for their function of transmitting stimuli as electrical signals. There are numerous unconfirmed hypotheses on the development of MS, one of which has now been refuted by the neuroimmunologists in their current research: The death of oligodendrocytes, as the cells that produce the myelin sheath are called, does not trigger MS.
Neurodegenerative hypothesis obsolete
With their research, the scientists disprove the so-called “neurodegenerative hypothesis”, which was based on observations that certain patients exhibited characteristic myelin damage without a discernable immune attack. In the popular hypothesis, the scientists assume that MS-triggering myelin damage occurs without the involvement of the immune system. In this scenario, the immune response against myelin would be the result – and not the cause – of this pathogenic process.
The aim of the research project was to confirm or disprove this hypothesis based on a new mouse model. Using genetic tricks, they induced myelin defects without alerting the immune defense. “At the beginning of our study, we found myelin damage that strongly resembled the previous observations in MS patients,” explains Burkhard Becher, a professor at the University of Zurich. “However, not once were we able to observe an MS-like autoimmune disease.” In order to ascertain whether an active immune defense causes the disease based on a combination of an infection and myelin damage, the researchers conducted a variety of further experiments – without success. “We were unable to detect an MS-like disease – no matter how intensely we stimulated the immune system," says Ari Waisman, a professor from the University Medical Center Mainz. “We therefore consider the neurodegenerative hypothesis obsolete.”
Focus on immune system
The teams involved in the study want to continue researching the cause and origins of MS. “In light of these and other new findings, research on the pathogenesis of MS is bound to concentrate less on the brain and more on the immune system in future,” says Professor Thorsten Buch from the Technischen Universität München.
Literature:
Giuseppe Locatelli, Simone Wörtge, Thorsten Buch, Barbara Ingold, Friederike Frommer, Bettina Sobottka, Martin Krueger, Khalad Karram, Claudia Bühlmann, Ingo Bechmann, Frank L. Heppner, Ari Waisman and Burkhard Becher. Primary oligodendrocyte death does not elicit anti-CNS immunity. Nature Neuroscience. 26 February, 2012. Doi: 10.1038/nn.3062
University of Zurich
In the current issue of Nature Neuroscience, they therefore rule out a popular hypothesis on the origins of MS. The scientists are now primarily looking for the cause of the development of MS in the immune system instead of the central nervous system.
Millions of adults suffer from the incurable disease multiple sclerosis (MS). It is relatively certain that MS is an autoimmune disease in which the body’s own defense cells attack the myelin in the brain and spinal cord. Myelin enwraps the nerve cells and is important for their function of transmitting stimuli as electrical signals. There are numerous unconfirmed hypotheses on the development of MS, one of which has now been refuted by the neuroimmunologists in their current research: The death of oligodendrocytes, as the cells that produce the myelin sheath are called, does not trigger MS.
Neurodegenerative hypothesis obsolete
With their research, the scientists disprove the so-called “neurodegenerative hypothesis”, which was based on observations that certain patients exhibited characteristic myelin damage without a discernable immune attack. In the popular hypothesis, the scientists assume that MS-triggering myelin damage occurs without the involvement of the immune system. In this scenario, the immune response against myelin would be the result – and not the cause – of this pathogenic process.
The aim of the research project was to confirm or disprove this hypothesis based on a new mouse model. Using genetic tricks, they induced myelin defects without alerting the immune defense. “At the beginning of our study, we found myelin damage that strongly resembled the previous observations in MS patients,” explains Burkhard Becher, a professor at the University of Zurich. “However, not once were we able to observe an MS-like autoimmune disease.” In order to ascertain whether an active immune defense causes the disease based on a combination of an infection and myelin damage, the researchers conducted a variety of further experiments – without success. “We were unable to detect an MS-like disease – no matter how intensely we stimulated the immune system," says Ari Waisman, a professor from the University Medical Center Mainz. “We therefore consider the neurodegenerative hypothesis obsolete.”
Focus on immune system
The teams involved in the study want to continue researching the cause and origins of MS. “In light of these and other new findings, research on the pathogenesis of MS is bound to concentrate less on the brain and more on the immune system in future,” says Professor Thorsten Buch from the Technischen Universität München.
Literature:
Giuseppe Locatelli, Simone Wörtge, Thorsten Buch, Barbara Ingold, Friederike Frommer, Bettina Sobottka, Martin Krueger, Khalad Karram, Claudia Bühlmann, Ingo Bechmann, Frank L. Heppner, Ari Waisman and Burkhard Becher. Primary oligodendrocyte death does not elicit anti-CNS immunity. Nature Neuroscience. 26 February, 2012. Doi: 10.1038/nn.3062
University of Zurich
Wednesday, March 7, 2012
Dr. Fry Finds Protozoa in People with CFS (and FM, MS, ALS & RA)
betterhealthguy.com
Dr. Fry is doing some exciting work on a new biofilm-forming protozoan previously referred to as FL1953 and only recently renamed to Protomyxzoa rheumatica, a highly immunosuppressive microorganism. He refers to it as the premier pathogen.
I recently had the opportunity to attend a lecture by Dr. Stephen Fry MD as part of Dr. Klinghardt's recent "Beyond Lyme" conference. I'm still working on my notes from that event and will post them soon. In the meantime, I just listened to a radio interview from Dr. Fry which can be found here.
Some of the key points from the the radio interview:
FL1953 is a new, unique protozoan organism that is found in people with CFS, Fibromyalgia, Multiple Sclerosis, ALS, and Rheumatoid Arthritis.
People with Morgellon's also have evidence of the organism. In Morgellon's, Dr. Fry talked about this new protozoan possibly suppressing the immune system such that a fungal/mycelial condition then develops leading to the symptoms of Morgellons.
Dr. Fry discussed the use of Tetracyclines, Zithromax, Plaquenil and other options, but more interesting were his other recommendations. One of the future projects his lab is working on is to complete sensitivity testing of various therapies for this new protozoan.
Read more>>
Labels:
DIAGNOSING,
ME,
ME/CFS,
RESEARCH,
Science
Thursday, March 1, 2012
ME vs CFS: More than just a name
ME vs CFS: More than just a name
For the first decade of my illness, I thought ME and CFS were different names for the same thing. I belonged to an online community of people with chronic illnesses, and CFS and ME were always lumped together into the same category. The Brits in the community were usually diagnosed with ME; the Americans with CFS. I assumed that CFS was the American term for ME.
When the term CFS began to be adopted in the UK, I was angry that such an inaccurate, trivial sounding name was being slapped on such a serious illness. I still, however, believed that ME and CFS were one and the same.
Then I started hearing that ME and CFS are two different things, and I became very confused. I have a diagnosis of ME, while my American partner was diagnosed with CFS two decades ago. We share many of the same symptoms, neurological abnormalities, and illness patterns. Do we have the same illness?
I started to do my own research, and that’s when I learned what each of these diagnoses truly means.
ME is a very specific neurological disease – ‘myalgic’ meaning ‘muscle pain’, and ‘encephalomyelitis’ meaning ‘inflammation of the brain and spinal cord’. ME is characterised by scientifically measurable damage to the brain stem initiated by a viral infection. It has many similarities to both MS and non-paralytic polio.
CFS is a term coined in the USA, which covers a whole spectrum of disorders, including ME. It is a wastebasket diagnosis for any illness involving a long period of “medically unexplained fatigue”. (Of course, ‘medically unexplained’ doesn’t mean anything if the correct diagnostic tests have not been performed. Most fatigue can be explained if you look hard enough for its cause.) A significant proportion of people with a CFS diagnosis do indeed have ME, but the CFS criteria are so broad that people with post viral fatigue syndrome, depression, nutrient deficiencies, or even undetected cancers will fall into this category.
The term CFS essentially means: ‘We don’t know what’s wrong with you, and we can’t be bothered to find out. Here’s a label to keep you quiet.’
CFS screws everybody except medical insurance companies, for whom it protects against expensive disability claims. Being diagnosed with CFS is like being thrown in the trash. How many people with treatable illnesses are tossed into the CFS bin, losing years of their lives to an ailment that could be cured? Nobody knows. How many cancer patients become terminally ill, after doctors slap a CFS diagnosis on them and stop looking for what’s actually wrong? Again, nobody knows. How many people with severe depression are left without the right support, after being thrown into the CFS wastebasket? I could go on and on.
Most of all, the term CFS screws people with ME.
When a study is done on ‘CFS patients’, it is entirely possible (and likely) that not a single patient in that study actually has ME. However, the results are then applied to ME as if the two were synonymous, often with devastating consequences. For example, a researcher could cherry-pick people with depression from the CFS wastebasket, treat them with graded exercise therapy (GET), get good results, and then declare exercise as a viable treatment for ME. GET might be a valid treatment for depression or post-viral fatigue, but it can cause severe and permanent damage to ME patients.
Worse, the diagnostic criteria for CFS states that symptoms have to be present for six months before a diagnosis can be given. If the brain stem damage in ME patients is caused by a ‘hit and run’ virus (and given the similarities between ME and non-paralytic polio, and the rise of ME coinciding with the distribution of the polio vaccine, it seems likely), then at six months, you are three months beyond the latest date that the virus is still present in the body. ME can be diagnosed in weeks, if the correct tests are carried out. By making ME patients wait six months for a diagnosis, you lose that precious window of time in which researchers could identify the infectious agent that triggers ME, and potentially find a cure. Could anti-viral drugs, prescribed early enough, limit further brain stem damage and give ME patients a better quality of life? As long as the six month rule is adhered to, we will never know.
If you’re not angry about the invention of CFS as a diagnostic wastebasket, you should be. It’s not just the human cost. Even if you’re completely unaffected by CFS or ME, the cost to the state is screwing you, too. Your tax money is paying for pseudo research that is of no real benefit to patients, and that could ultimately make patients sicker and more costly to the state.
(Just to muddy things further, in the UK, ‘ME’ has now been tacked onto ‘CFS’ to form ‘ME/CFS’. This is as unhelpful and nonsensical as calling it ‘Parkinson’s/CFS’ or ‘Cancer/CFS’. Now sufferers of myalgic encephalomyelitis are forced to use the term ‘Neuro ME’ to try and differentiate this specific neurological illness from other disorders covered by the woolly ME/CFS criteria. ‘ME’ has become a meaningless acronym.)
I was taken in by this scam for many years. Although my official diagnosis is ME (and was later amended by an infectious diseases specialist to ‘post encephalitic damage caused by a polio vaccination’), I was led to believe that CFS and ME were interchangeable. I always disliked the term ‘CFS’ because it had so little relevance to my illness. Now I know that the problem is far more extensive than an inappropriate name. That’s just the tip of the iceberg. You could call ME ‘Arsewipe Disease’ and it would still be the same illness. The bigger problem is that a distinct, measurable, physiological disease is being lumped together with a vast spectrum of different disorders, that happen to fit a huge, muddy criteria. This is what CFS is, and it is screwing us all.
Tuesday, February 28, 2012
dorsal root ganglia channelopathie associated with severe fibromyalgia
http://www.biomedcentral.com/1471-2474/13/23/abstract
A SCN9A gene-encoded dorsal root ganglia sodium channel polymorphism associated with severe fibromyalgia
Gilberto Vargas-Alarcon, Edith Alvarez-Leon, Jose-Manuel Fragoso, Angelica Vargas, Aline Martinez, Maite Vallejo and Manuel Martinez-Lavin
For all author emails, please log on.
BMC Musculoskeletal Disorders 2012, 13:23 doi:10.1186/1471-2474-13-23
Published: 20 February 2012Abstract (provisional)
Background
A consistent line of investigation suggests that autonomic nervous system dysfunction may explain the multi-system features of fibromyalgia (FM); and that FM is a sympathetically maintained neuropathic pain syndrome. Dorsal root ganglia (DRG) are key sympathetic-nociceptive short-circuit sites. Sodium channels located in DRG (particularly Nav1.7) act as molecular gatekeepers for pain detection. Nav1.7 is encoded in gene SCN9A of chromosome 2q24.3 and is predominantly expressed in the DRG pain-sensing neurons and sympathetic ganglia neurons. Several SCN9A sodium channelopathies have been recognized as the cause of rare painful dysautonomic syndromes such as paroxysmal extreme pain disorder and primary erythromelalgia. The aim of this study was to search for an association between fibromyalgia and several SCN9A sodium channels gene polymorphisms.
Methods
We studied 73 Mexican women suffering from FM and 48 age-matched women who considered themselves healthy. All participants filled out the Fibromyalgia Impact Questionnaire (FIQ). Genomic DNA from whole blood containing EDTA was extracted by standard techniques. The following SCN9A single-nucleotide polymorphisms (SNP) were determined by 5' exonuclease TaqMan assays: rs4371369; rs4387806; rs4453709; rs4597545; rs6746030; rs6754031; rs7607967; rs12620053; rs12994338; and rs13017637.
Results
The frequency of the rs6754031 polymorphism was significantly different in both groups (P = 0.036) mostly due to an absence of the GG genotype in controls. Interestingly; patients with this rs6754031 GG genotype had higher FIQ scores (median = 80; percentile 25/75 = 69/88) than patients with the GT genotype (median = 63; percentile 25/75 = 58/73; P = 0.002) and the TT genotype (median = 71; percentile 25/75 = 64/77; P = 0.001).
Conclusion
In this ethnic group; a disabling form of FM is associated to a particular SCN9A sodium channel gene variant. These preliminary results raise the possibility that some patients with severe FM may have a dorsal root ganglia sodium channelopathy.
Monday, February 27, 2012
Lois Owen, another ME patient who has died because CBT psychiatrists have blocked proper research and treatment for ME
Derby Telegraph, Monday, February 27, 2012:
"SIX words and she would be exhausted."
That was how Roger Owen explained his daughter's reluctance to be visited by doctors.
"She just couldn't cope with any more information than that," he said. "Even her lunch took four hours to eat because chewing used up energy."
University graduate Lois Owen, 34, died after her weight plummeted to just 3st 2lbs (20kg), leaving her exhausted and barely able to move.
She had battled for years with chronic fatigue syndrome and medics said she also had anorexia.
Neither Mr Owen or his wife could face sitting through the inquest held into her death. Mr Owen attended only to give evidence.
He told the hearing that those involved in Lois's care were "powerless" as everything they tried – from home visits to admitting her to hospital – made her condition worse.
Even Lois's GP said the best course of action was to allow her to remain bed-bound, at home with a team of carers.
Chronic fatigue syndrome is a disorder that affects one in 250,000 people in the UK and results in extreme tiredness. The cause is not known and there is no cure
Wednesday, February 22, 2012
Monday, February 20, 2012
Christopher R. Snell: it is only a matter of time before biomarkers are identified, etiologies understood, and remedies devised for ME/CFS
http://www.intechweb.org/books/show/title/an-international-perspective-on-the-future-of-research-in-chronic-fatigue-syndrome
An International Perspective on the Future of Research in Chronic Fatigue Syndrome
Edited By: Christopher R. Snell
ISBN 978-953-51-0072-0, Hard cover, 104 pages
Publisher: InTech
Publication date: February 2012
Subject: Medical Genetics, Immunology, Allergology and Rheumatology
While the chapters in this book are a long way from solving the enigma that is CFS, they do represent important attempts to understand this complex and perplexing disease. A common theme in them all is CFS as a multisystem disease with the possibility of more than one cause and influenced by a variety of interacting factors. Further, they acknowledge the reality of CFS for persons with this disease and the importance of finding causes, treatments and ultimately a cure. As advanced biomedical research techniques are increasingly applied to the study of CFS, it is surely only a matter of time before biomarkers are identified, etiologies understood, and remedies devised.
See also: Pacific Labs in California (Snell, Stevens et al): it is dangerous to put patients with M.E. through a graded exercise program
An International Perspective on the Future of Research in Chronic Fatigue Syndrome
Edited By: Christopher R. Snell
ISBN 978-953-51-0072-0, Hard cover, 104 pages
Publisher: InTech
Publication date: February 2012
Subject: Medical Genetics, Immunology, Allergology and Rheumatology
While the chapters in this book are a long way from solving the enigma that is CFS, they do represent important attempts to understand this complex and perplexing disease. A common theme in them all is CFS as a multisystem disease with the possibility of more than one cause and influenced by a variety of interacting factors. Further, they acknowledge the reality of CFS for persons with this disease and the importance of finding causes, treatments and ultimately a cure. As advanced biomedical research techniques are increasingly applied to the study of CFS, it is surely only a matter of time before biomarkers are identified, etiologies understood, and remedies devised.
See also: Pacific Labs in California (Snell, Stevens et al): it is dangerous to put patients with M.E. through a graded exercise program
Saturday, February 18, 2012
British Journal of Cancer February 2012: involvement of XMRV in the pathogenesis of MCC and prostate carcinomas remains unclear
British Journal of Cancer , (16 February 2012) | doi:10.1038/bjc.2012.51
http://www.nature.com/bjc/journal/vaop/ncurrent/full/bjc201251a.html
No evidence for the involvement of XMRV or MCV in the pathogenesis of breast cancer
G Khan, P S Philip, M Naase and K M I Al Zarouni
Abstract
Background:
The aetiology of breast cancer remains elusive. A viral aetiology has been proposed, but to date no virus has been conclusively demonstrated to be involved. Recently, two new viruses, namely Merkel cell polyomavirus (MCV) and xenotropic murine leukaemia virus-related virus (XMRV) have been identified and implicated in the pathogenesis of Merkel cell carcinoma (MCC) and familial form of prostate cancer, respectively.
Methods:
We examined 204 samples from 58 different cases of breast cancer for presence of MCV or XMRV by PCR. Samples consisted of both malignant and non-malignant tissues. Additionally, we included 6 cases of MCC and 12 cases of prostate cancer as potential controls for MCV and XMRV, respectively.
Results:
All of the breast cancer samples examined were negative for both MCV and XMRV. However, 4/6 MCC and 2/12 prostate cancer samples were found to be positive for MCV and XMRV, respectively. Sequence analysis of the amplified products confirmed that these sequences belonged to MCV and XMRV.
Conclusion:
We conclude that there is no evidence for the involvement of MCV or XMRV in the pathogenesis of breast cancer. What role these viruses have in the pathogenesis of MCC and prostate carcinomas remains to be demonstrated.
http://www.nature.com/bjc/journal/vaop/ncurrent/full/bjc201251a.html
No evidence for the involvement of XMRV or MCV in the pathogenesis of breast cancer
G Khan, P S Philip, M Naase and K M I Al Zarouni
Abstract
Background:
The aetiology of breast cancer remains elusive. A viral aetiology has been proposed, but to date no virus has been conclusively demonstrated to be involved. Recently, two new viruses, namely Merkel cell polyomavirus (MCV) and xenotropic murine leukaemia virus-related virus (XMRV) have been identified and implicated in the pathogenesis of Merkel cell carcinoma (MCC) and familial form of prostate cancer, respectively.
Methods:
We examined 204 samples from 58 different cases of breast cancer for presence of MCV or XMRV by PCR. Samples consisted of both malignant and non-malignant tissues. Additionally, we included 6 cases of MCC and 12 cases of prostate cancer as potential controls for MCV and XMRV, respectively.
Results:
All of the breast cancer samples examined were negative for both MCV and XMRV. However, 4/6 MCC and 2/12 prostate cancer samples were found to be positive for MCV and XMRV, respectively. Sequence analysis of the amplified products confirmed that these sequences belonged to MCV and XMRV.
Conclusion:
We conclude that there is no evidence for the involvement of MCV or XMRV in the pathogenesis of breast cancer. What role these viruses have in the pathogenesis of MCC and prostate carcinomas remains to be demonstrated.
Thursday, February 16, 2012
Mitochondrial myopathy presenting as fibromyalgia
Mitochondrial myopathy presenting as fibromyalgia: a case report
Mishal Abdullah, Sahana Vishwanath, Amro Elbalkhi and Julian L. Ambrus
http://www.jmedicalcasereports.com/content/6/1/55/abstract
For all author emails, please log on.
MA: mishalabdullah@hotmail.com
SV: sahana_vishwanath@yahoo.com
AE: amrbalkhi@yahoo.com
JLAJr: jambrus@buffalo.edu
Journal of Medical Case Reports 2012, 6:55 doi:10.1186/1752-1947-6-55
Published: 10 February 2012
Abstract (provisional)
Introduction
To the best of our knowledge, we describe for the first time the case of a woman who met the diagnostic criteria for fibromyalgia, did not respond to therapy for that disorder, and was subsequently diagnosed by biochemical and genetic studies with a mitochondrial myopathy. Treatment of the mitochondrial myopathy resulted in resolution of symptoms. This case demonstrates that mitochondrial myopathy may present in an adult with a symptom complex consistent with fibromyalgia.
Case presentation
Our patient was a 41-year-old Caucasian woman with symptoms of fatigue, exercise intolerance, headache, and multiple trigger points. Treatment for fibromyalgia with a wide spectrum of medications including non-steroidal anti-inflammatory drugs, antidepressants, gabapentin and pregabalin had no impact on her symptoms. A six-minute walk study demonstrated an elevated lactic acid level (5mmol/L; normal <2mmol/L). Biochemical and genetic studies from a muscle biopsy revealed a mitochondrial myopathy. Our patient was started on a compound of coenzyme Q10 (ubiquinone) 200mg, creatine 1000mg, carnitine 200mg and folic acid 1mg to be taken four times a day. She gradually showed significant improvement in her symptoms over a course of several months.
Conclusions
This case demonstrates that adults diagnosed with fibromyalgia may have their symptom complex related to an adult onset mitochondrial myopathy. This is an important finding since treatment of mitochondrial myopathy resulted in resolution of symptoms.
The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.
_------------------------------------
http://www.jmedicalcasereports.com/content/pdf/1752-1947-6-55.pdf
Discussion
Mitochondrial myopathies are disorders characterized by morphological abnormalities of
muscle mitochondria. Accumulating evidence suggests that mitochondrial disorders are
among the most common inherited metabolic diseases [10]. Similar to fibromyalgia,
patients may present with muscle weakness, pain, fatigue and exercise intolerance that
progressively worsens over time.
Several steps are involved in Adenosine-5'-triphosphate (ATP) generation in the
mitochondria, and defects in any part of the cycle may impair energy production leading
to symptoms [11]. These abnormalities in generation and utilization of ATP can be
assessed by specific tests, which as in our patient pointed towards problems in energy
metabolism [12].
Genetic testing with sequencing of the mitochondrial genome and
chromosomal genes affecting mitochondrial function may also be pursued, as was
performed in our patient. Mutations in POLG1 and several mitochondrial genome
polymorphisms were noted. our patient was started on a regimen of coenzyme Q10 (Co-Q10;
ubiquinone), creatine, carnitine, folic acid and α-lipoic acid. Co-Q10 transports electrons
between complex I and complex III of the mitochondrial respiratory chain and has been
shown to improve mitochondrial function in several studies [13]. Creatine generates
additional ATP through the creatine phosphate shuttle. Carnitine enhances transport of
fatty acids into the mitochondria. Folic acid is a cofactor for several mitochondrial
enzymes, while α-lipoic acid is a strong antioxidant [14]. Although this treatment
regimen was started several years after symptom onset, within the first few months our
patient showed tremendous improvement. With continued therapy, her complaints
dissipated over several months, with a gradual but sustained resolution of all symptoms.
http://www.jmedicalcasereports.com/content/pdf/1752-1947-6-55.pdf
Labels:
DIAGNOSING,
Fibromyalgia,
ME,
ME/CFS,
RESEARCH,
Science
Tuesday, February 14, 2012
CDC: ME is accompanied by neurologic and muscular signs and has a case definition distinct from that of CFS
"The name myalgic encephalomyelitis (ME) was coined in the 1950s to clarify well-documented outbreaks of disease; however, ME is accompanied by neurologic and muscular signs and has a case definition distinct from that of CFS."
http://www.cdc.gov/cfs/education/wb3151/chapter1-1.html
See also: The main characteristic of ME is an abnormally delayed muscle recovery after doing trivial things, if you don't have that, you don't have ME
http://www.cdc.gov/cfs/education/wb3151/chapter1-1.html
See also: The main characteristic of ME is an abnormally delayed muscle recovery after doing trivial things, if you don't have that, you don't have ME
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