ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

5701–5720 of 6,188 studies

E3 PreliminaryReviewPEM unclearReview-Narrative

The sympathetic nerve--an integrative interface between two supersystems: the brain and the immune system.

Elenkov, I J, Wilder, R L, Chrousos, G P et al.·Pharmacological reviews·2000

Your brain and immune system communicate constantly to keep your body healthy, and your nervous system plays a key role in this conversation. This review explains how nerve signals release chemicals called norepinephrine and epinephrine that can either calm down or activate your immune system depending on where in your body they act. Understanding this communication system may help explain why chronic conditions like fatigue syndromes involve both nervous system and immune system problems.

Immune System

E3 PreliminaryMechanismPEM unclearMechanistic

Chronic fatigue syndrome is not associated with expression of endogenous retroviral p15E.

Gelman, I H, Unger, E R, Mawle, A C et al.·Molecular diagnosis : a journal devoted to the understanding of human disease through the clinical application of molecular biology·2000

Researchers investigated whether a virus called endogenous retroviral p15E might be involved in causing ME/CFS. They tested blood samples from people with ME/CFS and compared them to healthy controls. The study found no evidence that this viral protein was present in higher amounts in ME/CFS patients, suggesting it is not responsible for the disease.

Immune System

E3 PreliminaryPEM unclear

Case of chronic fatigue syndrome after Crimean war and Indian mutiny.

Jones, E, Wessely, S·BMJ (Clinical research ed.)·1999

This historical research paper examines cases of chronic fatigue syndrome (then called different names) that occurred in soldiers during the Crimean War and Indian Mutiny in the 1800s. The authors looked back at medical records from these time periods to document how fatigue illnesses affected military personnel. This work shows that ME/CFS-like conditions are not new to modern times but have been documented for well over a century.

E3 PreliminaryReviewPEM unclearReview-Narrative

The neuroendocrinology of chronic fatigue syndrome: focus on the hypothalamic-pituitary-adrenal axis.

Scott, L V, Dinan, T G·Functional neurology·1999

This study examined how the stress-response system in the brain works differently in people with ME/CFS. The researchers focused on the hypothalamic-pituitary-adrenal (HPA) axis, which is the body's main system for managing stress and producing cortisol. The study reviewed evidence suggesting this system may not function normally in ME/CFS patients, potentially contributing to their symptoms.

Endocrine Disruption

E3 PreliminaryReviewPEM unclearReview-Narrative

Chronic fatigue syndrome: current concepts of pathogenesis and treatment.

Lloyd, A R, Hickie, I, Peterson, P K·Current clinical topics in infectious diseases·1999

This review article examines what scientists understood in 1999 about how ME/CFS develops and what treatments might help. The authors synthesize existing knowledge about the condition's causes, which involve the immune system, infections, and other body system changes. They discuss various approaches to managing symptoms and improving function for people living with ME/CFS.

Interventions

E3 PreliminaryReviewPEM unclearReview-Narrative

Is fibromyalgia a distinct clinical entity? Historical and epidemiological evidence.

Wessely, S, Hotopf, M·Bailliere's best practice & research. Clinical rheumatology·1999

This research article examines whether fibromyalgia is truly a separate disease or whether it's actually similar to other conditions like ME/CFS, irritable bowel syndrome, and chronic chest pain. The authors reviewed historical records, clinical observations, and population-level data and concluded that fibromyalgia shares many features with other unexplained illnesses rather than being completely distinct.

E3 PreliminaryGuidelinePEM not requiredGuideline

[Symptomatic and concurrent depressions].

Terra, J L·La Revue du praticien·1999

This paper explains that when people have depression, they often also have other mental health or physical health problems at the same time. Examples include anxiety disorders, alcohol use problems, eating disorders, and medical conditions like heart disease, cancer, and chronic fatigue syndrome. The authors provide guidance to help doctors decide which condition to treat first when someone has multiple problems occurring together.

E3 PreliminaryMechanismPEM not requiredMechanistic

Stealth adaptation of an African green monkey simian cytomegalovirus.

Martin, W J·Experimental and molecular pathology·1999

Researchers found genetic material from a virus in a patient with chronic fatigue syndrome that resembles human cytomegalovirus (a common virus). Interestingly, the virus was missing genes that the immune system normally recognizes and attacks, which might allow it to hide from immune defenses. Genetic analysis showed this virus actually came from African green monkeys, not humans.

Immune System

E3 PreliminaryCohortPEM not requiredCross-Sectional

Clinical features and IgG subclass distribution of anti-p80 coilin antibodies.

Onouchi, H, Muro, Y, Tomita, Y·Journal of autoimmunity·1999

Researchers tested blood samples from 365 Japanese patients and found 11 with unusual antibodies called anti-p80-coilin antibodies. All 11 were young women experiencing fatigue, joint pain, headaches, and other symptoms similar to ME/CFS. The study found that these antibodies come in different types, and one type (IgG2) might be a marker for autoimmune disease.

Immune System

E3 PreliminaryCohortPEM unclearObservational

Chronic Chlamydia pneumoniae infection: a treatable cause of chronic fatigue syndrome.

Chia, J K, Chia, L Y·Clinical infectious diseases : an official publication of the Infectious Diseases Society of America·1999

This study examined whether a common bacterial infection called Chlamydia pneumoniae might be a treatable cause of ME/CFS. Researchers looked at patients with ME/CFS and tested whether treating this infection with antibiotics could improve their symptoms. The authors suggest that some cases of ME/CFS might be linked to this persistent bacterial infection.

E3 PreliminaryCommentaryPEM not requiredEditorial

Functional somatic syndromes.

Barsky, A J, Borus, J F·Annals of internal medicine·1999

This 1999 editorial discusses how several chronic conditions—including ME/CFS, fibromyalgia, and irritable bowel syndrome—share common features: they cause real suffering and disability, but standard medical tests often don't find clear tissue damage. The authors suggest that a self-reinforcing cycle develops where patients become convinced they have a serious disease, their symptoms worsen over time, and this belief itself amplifies their suffering, even when psychological and social factors play a role.

E3 PreliminaryCohortPEM not requiredCase-Control

Recognition of chronic carbon monoxide poisoning.

Knobeloch, L, Jackson, R·WMJ : official publication of the State Medical Society of Wisconsin·1999

This study describes three families in Wisconsin whose members were diagnosed with chronic fatigue syndrome, depression, and other illnesses that turned out to be caused by carbon monoxide leaks from faulty home heating systems. The families' symptoms—including fatigue, headaches, dizziness, and confusion—went undiagnosed until heating contractors found the problem. The authors remind doctors to consider carbon monoxide poisoning when patients have vague, ongoing symptoms, especially during winter.

Diagnostics

E3 PreliminaryMechanismPEM not requiredCase-Control

Interferon-induced proteins are elevated in blood samples of patients with chemically or virally induced chronic fatigue syndrome.

Vojdani, A, Lapp, C W·Immunopharmacology and immunotoxicology·1999

This study found that certain immune proteins called 2-5A and PKR are elevated in the blood of ME/CFS patients, whether their illness was triggered by a viral infection or chemical exposure. The researchers discovered that these two triggers activate these proteins through different biological pathways—viruses primarily use an immune signaling molecule called interferon-beta, while chemicals activate them mainly through heat shock proteins.

BiomarkersImmune System

E3 PreliminaryCohortPEM not requiredCase-Control

Monitoring and assessing symptoms of chronic fatigue syndrome: use of time series regression.

Jason, L A, Tryon, W W, Taylor, R R et al.·Psychological reports·1999

This study asked one person with ME/CFS to track their symptoms hourly and daily to understand what makes fatigue better or worse. Researchers found that energy levels, physical activity, and mental effort were closely connected to how tired the person felt. This detailed tracking method could help doctors and researchers better understand ME/CFS patterns.

E3 PreliminaryCohortPEM not requiredObservational

A pilot study employing Dehydroepiandrosterone (DHEA) in the treatment of chronic fatigue syndrome.

Himmel, P B, Seligman, T M·Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases·1999

This study tested whether giving DHEA (a hormone supplement) could help ME/CFS patients who had low DHEA levels. Researchers found that 23 women taking DHEA for 6 months experienced improvements in pain, fatigue, anxiety, memory, and thinking. However, this was a small, uncontrolled study, so larger, more rigorous trials are needed to confirm these results.

Endocrine Disruption

E3 PreliminaryCohortPEM unclearCase-Control

Managing chronic fatigue syndrome: overview and case study.

Jason, L A, Melrose, H, Lerman, A et al.·AAOHN journal : official journal of the American Association of Occupational Health Nurses·1999

This study explains 'envelope theory,' a practical approach where people with ME/CFS stay within their energy limits to avoid crashes and gradually build tolerance. By tracking energy levels over time, patients and doctors can better understand each person's unique patterns and what activities trigger setbacks.

Post-Exertional Malaise

E3 PreliminaryCohortPEM not requiredObservational

Acute effects of thirty minutes of light-intensity, intermittent exercise on patients with chronic fatigue syndrome.

Clapp, L L, Richardson, M T, Smith, J F et al.·Physical therapy·1999

This study looked at whether 30 minutes of light, on-and-off walking on a treadmill would make symptoms worse in people with ME/CFS. Ten participants did 10 short 3-minute walks with 3-minute rest breaks in between. The researchers found that this type of gentle, intermittent exercise did not worsen symptoms immediately or up to a week afterward.

Post-Exertional Malaise

E3 PreliminaryMechanismPEM not requiredCross-Sectional

Dehydroepiandrosterone (DHEA) response to i.v. ACTH in patients with chronic fatigue syndrome.

De Becker, P, De Meirleir, K, Joos, E et al.·Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme·1999

This study tested how the adrenal glands respond to a hormone signal in ME/CFS patients compared to healthy people. Researchers gave a hormone called ACTH to 22 ME/CFS patients and 14 healthy controls, then measured DHEA levels over an hour. While starting DHEA levels were normal, ME/CFS patients showed a weaker increase in DHEA after the hormone injection compared to healthy controls.

Immune System

E3 PreliminaryReviewPEM unclearReview-Narrative

Understanding chronic fatigue syndrome: an empirical guide to assessment and treatment.

Johnson, S K·Journal of health psychology·1999

This 1999 guide provides healthcare providers and patients with practical methods for evaluating and treating chronic fatigue syndrome (ME/CFS). The authors reviewed existing evidence to create a framework for assessment—including tests and questionnaires—and outlined treatment approaches. This work aims to help clinicians better recognize and manage ME/CFS in their patients.

Diagnostics

E3 PreliminaryReviewPEM unclearReview-Narrative

[Immunological aspects of pathophysiology of chronic fatigue syndrome].

Matsumoto, Y·Nihon Rinsho Men'eki Gakkai kaishi = Japanese journal of clinical immunology·1999

This study examined how the immune system functions differently in people with ME/CFS compared to healthy individuals. The researchers looked at various immune markers to understand what might be going wrong in the body during this illness. This type of research helps scientists figure out whether ME/CFS is caused by immune system problems.

Immune System

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The sympathetic nerve--an integrative interface between two supersystems: the brain and the immune system.

Chronic fatigue syndrome is not associated with expression of endogenous retroviral p15E.

Case of chronic fatigue syndrome after Crimean war and Indian mutiny.

The neuroendocrinology of chronic fatigue syndrome: focus on the hypothalamic-pituitary-adrenal axis.

Chronic fatigue syndrome: current concepts of pathogenesis and treatment.

Is fibromyalgia a distinct clinical entity? Historical and epidemiological evidence.

[Symptomatic and concurrent depressions].

Stealth adaptation of an African green monkey simian cytomegalovirus.

Clinical features and IgG subclass distribution of anti-p80 coilin antibodies.

Chronic Chlamydia pneumoniae infection: a treatable cause of chronic fatigue syndrome.

Functional somatic syndromes.

Recognition of chronic carbon monoxide poisoning.

Interferon-induced proteins are elevated in blood samples of patients with chemically or virally induced chronic fatigue syndrome.

Monitoring and assessing symptoms of chronic fatigue syndrome: use of time series regression.

A pilot study employing Dehydroepiandrosterone (DHEA) in the treatment of chronic fatigue syndrome.

Managing chronic fatigue syndrome: overview and case study.

Acute effects of thirty minutes of light-intensity, intermittent exercise on patients with chronic fatigue syndrome.

Dehydroepiandrosterone (DHEA) response to i.v. ACTH in patients with chronic fatigue syndrome.

Understanding chronic fatigue syndrome: an empirical guide to assessment and treatment.

[Immunological aspects of pathophysiology of chronic fatigue syndrome].

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