An IgM-mediated immune response directed against nitro-bovine serum albumin (nitro-BSA) in chronic fatigue syndrome (CFS) and major depression: evidence that nitrosative stress is another factor underpinning the comorbidity between major depression and CFS.
Maes, Michael, Mihaylova, Ivana, Kubera, Marta et al.·Neuro endocrinology letters·2008
This study looked for signs of damage from harmful molecules called nitrosative stress in people with ME/CFS and depression. Researchers found that people with ME/CFS and depression had higher levels of immune antibodies (IgM) attacking damaged proteins, suggesting their bodies are being harmed by these harmful molecules more than healthy people. The study also found a connection between this damage and leaky gut, where bacteria products leak through the intestinal barrier.