Fulle, Stefania, Belia, Silvia, Vecchiet, Jacopo et al. · Neuromuscular disorders : NMD · 2003 · DOI
This study examined muscle cell structures called sarcoplasmic reticulum, which are responsible for controlling muscle contractions. Researchers found that in ME/CFS patients, these structures show signs of damage from oxidative stress, which may interfere with how muscles contract and relax. The damage appears to affect how calcium moves in and out of muscle cells, potentially explaining why patients experience fatigue.
Understanding the cellular mechanisms underlying ME/CFS fatigue is critical for developing targeted treatments. If SR membrane damage is confirmed as a primary pathological mechanism, it could lead to therapies designed to reduce oxidative stress or restore calcium handling in muscles—offering hope for patients with limited treatment options.
This study does not establish that SR membrane dysfunction is the sole cause of ME/CFS fatigue, nor does it prove causation rather than association. The study was mechanistic and descriptive in nature, so it does not demonstrate that correcting these membrane abnormalities would clinically improve patient symptoms. Additionally, findings in muscle tissue biopsies may not represent systemic disease mechanisms.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Fulle, Stefania, Belia, Silvia, Vecchiet, Jacopo, Morabito, Caterina, Vecchiet, Leonardo, & Fanò, Giorgio (2003). Modification of the functional capacity of sarcoplasmic reticulum membranes in patients suffering from chronic fatigue syndrome.. Neuromuscular disorders : NMD. https://doi.org/10.1016/s0960-8966(03)00042-7
BibTeX
@article{mecfsatlas-fulle-2003-modification-functional,
author = {Fulle, Stefania and Belia, Silvia and Vecchiet, Jacopo and Morabito, Caterina and Vecchiet, Leonardo and Fanò, Giorgio},
title = {Modification of the functional capacity of sarcoplasmic reticulum membranes in patients suffering from chronic fatigue syndrome.},
journal = {Neuromuscular disorders : NMD},
year = {2003},
doi = {10.1016/s0960-8966(03)00042-7},
note = {PubMed: 12899875},
url = {https://www.mecfsatlas.com/evidence/fulle-2003-modification-functional},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/fulle-2003-modification-functional
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