van Tilburg, Miranda A L, Zaki, Essam A, Venkatesan, Thangam et al. · Digestive diseases and sciences · 2014 · DOI
This study looked at whether irritable bowel syndrome (IBS) runs in families through the mother's side, and whether this pattern is linked to variations in mitochondrial DNA (the energy-producing structures in our cells). Researchers found that about 1 in 6 IBS patients had a family history suggesting maternal inheritance, and certain DNA variations were more common in these patients. This suggests that mitochondrial dysfunction may explain IBS symptoms in some people.
This finding is relevant to ME/CFS because mitochondrial dysfunction has been implicated in multiple comorbid functional disorders including chronic fatigue syndrome, and some ME/CFS patients also experience IBS-like symptoms. Identifying a mitochondrial subgroup within IBS could improve understanding of overlapping pathophysiology between these conditions and inform targeted treatment strategies. The study suggests that genetic factors affecting cellular energy production may contribute to multiple functional disorders co-occurring in patients.
This pilot study does not prove that mitochondrial DNA variants cause IBS—it only shows an association in a small sample. The findings are not generalizable beyond Caucasian populations, and maternal inheritance patterns in pedigrees are suggestive but not definitive proof of mitochondrial disease. Replication in larger, more diverse populations is required before drawing causal conclusions.
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
van Tilburg, Miranda A L, Zaki, Essam A, Venkatesan, Thangam, & Boles, Richard G (2014). Irritable bowel syndrome may be associated with maternal inheritance and mitochondrial DNA control region sequence variants.. Digestive diseases and sciences. https://doi.org/10.1007/s10620-014-3045-2
BibTeX
@article{mecfsatlas-van-tilburg-2014-irritable-bowel,
author = {van Tilburg, Miranda A L and Zaki, Essam A and Venkatesan, Thangam and Boles, Richard G},
title = {Irritable bowel syndrome may be associated with maternal inheritance and mitochondrial DNA control region sequence variants.},
journal = {Digestive diseases and sciences},
year = {2014},
doi = {10.1007/s10620-014-3045-2},
note = {PubMed: 24500451},
url = {https://www.mecfsatlas.com/evidence/van-tilburg-2014-irritable-bowel},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/van-tilburg-2014-irritable-bowel
Contribute
Private, reviewed by a human. Not a public comment thread.