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Erschienen in: Immunologic Research 2-3/2013

01.07.2013 | Treatment of Autoimmunity

Immunostimulation in the treatment for chronic fatigue syndrome/myalgic encephalomyelitis

verfasst von: Amy D. Proal, Paul J. Albert, Trevor G. Marshall, Greg P. Blaney, Inge A. Lindseth

Erschienen in: Immunologic Research | Ausgabe 2-3/2013

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Abstract

Chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) has long been associated with the presence of infectious agents, but no single pathogen has been reliably identified in all patients with the disease. Recent studies using metagenomic techniques have demonstrated the presence of thousands of microbes in the human body that were previously undetected and unknown to science. More importantly, such species interact together by sharing genes and genetic function within communities. It follows that searching for a singular pathogen may greatly underestimate the microbial complexity potentially driving a complex disease like CFS/ME. Intracellular microbes alter the expression of human genes in order to facilitate their survival. We have put forth a model describing how multiple species—bacterial, viral, and fungal—can cumulatively dysregulate expression by the VDR nuclear receptor in order to survive and thus drive a disease process. Based on this model, we have developed an immunostimulatory therapy that is showing promise inducing both subjective and objective improvement in patients suffering from CFS/ME.
Literatur
1.
Zurück zum Zitat Komaroff AL, Cho TA. Role of infection and neurologic dysfunction in chronic fatigue syndrome. Semin Neurol. 2011;31(3):325–37.PubMedCrossRef Komaroff AL, Cho TA. Role of infection and neurologic dysfunction in chronic fatigue syndrome. Semin Neurol. 2011;31(3):325–37.PubMedCrossRef
2.
Zurück zum Zitat Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A. The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group. Ann Intern Med. 1994;121(12):953–9.PubMedCrossRef Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A. The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group. Ann Intern Med. 1994;121(12):953–9.PubMedCrossRef
4.
Zurück zum Zitat Fluge O, Bruland O, Risa K, Storstein A, Kristoffersen EK, Sapkota D, et al. Benefit from B-lymphocyte depletion using the anti-CD20 antibody rituximab in chronic fatigue syndrome. A double-blind and placebo-controlled study. PLoS One. 2011;6(10):e26358. doi:10.1371/journal.pone.0026358.PubMedCrossRef Fluge O, Bruland O, Risa K, Storstein A, Kristoffersen EK, Sapkota D, et al. Benefit from B-lymphocyte depletion using the anti-CD20 antibody rituximab in chronic fatigue syndrome. A double-blind and placebo-controlled study. PLoS One. 2011;6(10):e26358. doi:10.​1371/​journal.​pone.​0026358.PubMedCrossRef
8.
Zurück zum Zitat Katon W, Russo J, Ashley RL, Buchwald D. Infectious mononucleosis: psychological symptoms during acute and subacute phases of illness. Gen Hosp Psychiatry. 1999;21(1):21–9.PubMedCrossRef Katon W, Russo J, Ashley RL, Buchwald D. Infectious mononucleosis: psychological symptoms during acute and subacute phases of illness. Gen Hosp Psychiatry. 1999;21(1):21–9.PubMedCrossRef
9.
Zurück zum Zitat Benjamin JE, Hoyt RC. Disability following postvaccinal (yellow fever) hepatitis. J Am Med Assoc. 1945;128(5):319–24.CrossRef Benjamin JE, Hoyt RC. Disability following postvaccinal (yellow fever) hepatitis. J Am Med Assoc. 1945;128(5):319–24.CrossRef
10.
11.
Zurück zum Zitat Naess H, Nyland M, Hausken T, Follestad I, Nyland HI. Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence. BMC Gastroenterol. 2012;12:13. doi:10.1186/1471-230x-12-13.PubMedCrossRef Naess H, Nyland M, Hausken T, Follestad I, Nyland HI. Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence. BMC Gastroenterol. 2012;12:13. doi:10.​1186/​1471-230x-12-13.PubMedCrossRef
12.
Zurück zum Zitat Lerner AM, Beqaj SH, Deeter RG, Fitzgerald JT. IgM serum antibodies to Epstein-Barr virus are uniquely present in a subset of patients with the chronic fatigue syndrome. In Vivo. 2004;18(2):101–6.PubMed Lerner AM, Beqaj SH, Deeter RG, Fitzgerald JT. IgM serum antibodies to Epstein-Barr virus are uniquely present in a subset of patients with the chronic fatigue syndrome. In Vivo. 2004;18(2):101–6.PubMed
13.
Zurück zum Zitat Lerner AM, Dworkin HJ, Sayyed T, Chang CH, Fitzgerald JT, Beqaj S, et al. Prevalence of abnormal cardiac wall motion in the cardiomyopathy associated with incomplete multiplication of Epstein-barr Virus and/or cytomegalovirus in patients with chronic fatigue syndrome. In Vivo. 2004;18(4):417–24.PubMed Lerner AM, Dworkin HJ, Sayyed T, Chang CH, Fitzgerald JT, Beqaj S, et al. Prevalence of abnormal cardiac wall motion in the cardiomyopathy associated with incomplete multiplication of Epstein-barr Virus and/or cytomegalovirus in patients with chronic fatigue syndrome. In Vivo. 2004;18(4):417–24.PubMed
14.
Zurück zum Zitat Fremont M, Metzger K, Rady H, Hulstaert J, De Meirleir K. Detection of herpesviruses and parvovirus B19 in gastric and intestinal mucosa of chronic fatigue syndrome patients. In Vivo. 2009;23(2):209–13.PubMed Fremont M, Metzger K, Rady H, Hulstaert J, De Meirleir K. Detection of herpesviruses and parvovirus B19 in gastric and intestinal mucosa of chronic fatigue syndrome patients. In Vivo. 2009;23(2):209–13.PubMed
15.
Zurück zum Zitat Nijs J, Nicolson GL, De Becker P, Coomans D, De Meirleir K. High prevalence of Mycoplasma infections among European chronic fatigue syndrome patients. Examination of four Mycoplasma species in blood of chronic fatigue syndrome patients. FEMS Immunol Med Microbiol. 2002;34(3):209–14.PubMedCrossRef Nijs J, Nicolson GL, De Becker P, Coomans D, De Meirleir K. High prevalence of Mycoplasma infections among European chronic fatigue syndrome patients. Examination of four Mycoplasma species in blood of chronic fatigue syndrome patients. FEMS Immunol Med Microbiol. 2002;34(3):209–14.PubMedCrossRef
17.
18.
Zurück zum Zitat Pride DT, Salzman J, Haynes M, Rohwer F, Davis-Long C, White RA 3rd, et al. Evidence of a robust resident bacteriophage population revealed through analysis of the human salivary virome. ISME J. 2012;6(5):915–26. doi:10.1038/ismej.2011.169.PubMedCrossRef Pride DT, Salzman J, Haynes M, Rohwer F, Davis-Long C, White RA 3rd, et al. Evidence of a robust resident bacteriophage population revealed through analysis of the human salivary virome. ISME J. 2012;6(5):915–26. doi:10.​1038/​ismej.​2011.​169.PubMedCrossRef
21.
Zurück zum Zitat McDonnell M, Liang Y, Noronha A, Coukos J, Kasper DL, Farraye FA, et al. Systemic Toll-like receptor ligands modify B-cell responses in human inflammatory bowel disease. Inflamm Bowel Dis. 2011;17(1):298–307. doi:10.1002/ibd.21424.PubMedCrossRef McDonnell M, Liang Y, Noronha A, Coukos J, Kasper DL, Farraye FA, et al. Systemic Toll-like receptor ligands modify B-cell responses in human inflammatory bowel disease. Inflamm Bowel Dis. 2011;17(1):298–307. doi:10.​1002/​ibd.​21424.PubMedCrossRef
23.
Zurück zum Zitat Rafferty B, Dolgilevich S, Kalachikov S, Morozova I, Ju J, Whittier S, et al. Cultivation of Enterobacter hormaechei from human atherosclerotic tissue. J Atheroscler Thromb. 2011;18(1):72–81.PubMedCrossRef Rafferty B, Dolgilevich S, Kalachikov S, Morozova I, Ju J, Whittier S, et al. Cultivation of Enterobacter hormaechei from human atherosclerotic tissue. J Atheroscler Thromb. 2011;18(1):72–81.PubMedCrossRef
24.
25.
Zurück zum Zitat DiGiulio DB, Romero R, Amogan HP, Kusanovic JP, Bik EM, Gotsch F, et al. Microbial prevalence, diversity and abundance in amniotic fluid during preterm labor: a molecular and culture-based investigation. PLoS One. 2008;3(8):e3056.PubMedCrossRef DiGiulio DB, Romero R, Amogan HP, Kusanovic JP, Bik EM, Gotsch F, et al. Microbial prevalence, diversity and abundance in amniotic fluid during preterm labor: a molecular and culture-based investigation. PLoS One. 2008;3(8):e3056.PubMedCrossRef
27.
Zurück zum Zitat Mondot S, Kang S, Furet JP, de Carcer AD, McSweeney C, Morrison M, et al. Highlighting new phylogenetic specificities of Crohn’s disease microbiota. Inflamm Bowel Dis. 2011;17(1):185–92. doi:10.1002/ibd.21436.PubMedCrossRef Mondot S, Kang S, Furet JP, de Carcer AD, McSweeney C, Morrison M, et al. Highlighting new phylogenetic specificities of Crohn’s disease microbiota. Inflamm Bowel Dis. 2011;17(1):185–92. doi:10.​1002/​ibd.​21436.PubMedCrossRef
28.
Zurück zum Zitat Tana C, Umesaki Y, Imaoka A, Handa T, Kanazawa M, Fukudo S. Altered profiles of intestinal microbiota and organic acids may be the origin of symptoms in irritable bowel syndrome. Neurogastroenterol Motil. 2010;22(5):512–9, e114–5. doi:10.1111/j.1365-2982.2009.01427.x. Tana C, Umesaki Y, Imaoka A, Handa T, Kanazawa M, Fukudo S. Altered profiles of intestinal microbiota and organic acids may be the origin of symptoms in irritable bowel syndrome. Neurogastroenterol Motil. 2010;22(5):512–9, e114–5. doi:10.​1111/​j.​1365-2982.​2009.​01427.​x.
30.
Zurück zum Zitat Giongo A, Gano KA, Crabb DB, Mukherjee N, Novelo LL, Casella G et al. Toward defining the autoimmune microbiome for type 1 diabetes. Isme J. 2010. doi:10.1038/ismej.2010.92. Giongo A, Gano KA, Crabb DB, Mukherjee N, Novelo LL, Casella G et al. Toward defining the autoimmune microbiome for type 1 diabetes. Isme J. 2010. doi:10.​1038/​ismej.​2010.​92.
32.
33.
Zurück zum Zitat McMahon AW, Schmitt P, Patterson JF, Rothman E. Personality differences between inflammatory bowel disease patients and their healthy siblings. Psychosom Med. 1973;35(2):91–103.PubMed McMahon AW, Schmitt P, Patterson JF, Rothman E. Personality differences between inflammatory bowel disease patients and their healthy siblings. Psychosom Med. 1973;35(2):91–103.PubMed
37.
Zurück zum Zitat Knapp PH, Nemetz SJ. Personality variations in bronchial asthma; a study of forty patients: notes on the relationship to psychosis and the problem of measuring maturity. Psychosom Med. 1957;19(6):443–65.PubMed Knapp PH, Nemetz SJ. Personality variations in bronchial asthma; a study of forty patients: notes on the relationship to psychosis and the problem of measuring maturity. Psychosom Med. 1957;19(6):443–65.PubMed
38.
Zurück zum Zitat Bisgaard H, Hermansen MN, Buchvald F, Loland L, Halkjaer LB, Bonnelykke K, et al. Childhood asthma after bacterial colonization of the airway in neonates. N Engl J Med. 2007;357(15):1487–95. doi:10.1056/NEJMoa052632.PubMedCrossRef Bisgaard H, Hermansen MN, Buchvald F, Loland L, Halkjaer LB, Bonnelykke K, et al. Childhood asthma after bacterial colonization of the airway in neonates. N Engl J Med. 2007;357(15):1487–95. doi:10.​1056/​NEJMoa052632.PubMedCrossRef
41.
Zurück zum Zitat Arthur JC, Perez-Chanona E, Muhlbauer M, Tomkovich S, Uronis JM, Fan TJ et al. Intestinal inflammation targets cancer-inducing activity of the microbiota. Science. 2012. doi:10.1126/science.1224820. Arthur JC, Perez-Chanona E, Muhlbauer M, Tomkovich S, Uronis JM, Fan TJ et al. Intestinal inflammation targets cancer-inducing activity of the microbiota. Science. 2012. doi:10.​1126/​science.​1224820.
46.
Zurück zum Zitat Proal AD, Albert PJ, Marshall TG. Autoimmune disease and the human metagenome. In: Nelson KE, editor. Metagenomics of the human body. New York: Springer; 2010. p. 231–75. Proal AD, Albert PJ, Marshall TG. Autoimmune disease and the human metagenome. In: Nelson KE, editor. Metagenomics of the human body. New York: Springer; 2010. p. 231–75.
47.
Zurück zum Zitat Juillard F, Bazot Q, Mure F, Tafforeau L, Macri C, Rabourdin-Combe C, et al. Epstein-Barr virus protein EB2 stimulates cytoplasmic mRNA accumulation by counteracting the deleterious effects of SRp20 on viral mRNAs. Nucleic Acids Res. 2012;40(14):6834–49. doi:10.1093/nar/gks319.PubMedCrossRef Juillard F, Bazot Q, Mure F, Tafforeau L, Macri C, Rabourdin-Combe C, et al. Epstein-Barr virus protein EB2 stimulates cytoplasmic mRNA accumulation by counteracting the deleterious effects of SRp20 on viral mRNAs. Nucleic Acids Res. 2012;40(14):6834–49. doi:10.​1093/​nar/​gks319.PubMedCrossRef
49.
Zurück zum Zitat Meresse S, Steele-Mortimer O, Moreno E, Desjardins M, Finlay B, Gorvel JP. Controlling the maturation of pathogen-containing vacuoles: a matter of life and death. Nat Cell Biol. 1999;1(7):E183–8. doi:10.1038/15620.PubMedCrossRef Meresse S, Steele-Mortimer O, Moreno E, Desjardins M, Finlay B, Gorvel JP. Controlling the maturation of pathogen-containing vacuoles: a matter of life and death. Nat Cell Biol. 1999;1(7):E183–8. doi:10.​1038/​15620.PubMedCrossRef
50.
Zurück zum Zitat Muller MP, Peters H, Blumer J, Blankenfeldt W, Goody RS, Itzen A. The legionella effector protein DrrA AMPylates the membrane traffic regulator Rab1b. Science. 2010. doi:10.1126/science.1192276. Muller MP, Peters H, Blumer J, Blankenfeldt W, Goody RS, Itzen A. The legionella effector protein DrrA AMPylates the membrane traffic regulator Rab1b. Science. 2010. doi:10.​1126/​science.​1192276.
51.
Zurück zum Zitat Salinas-Carmona MC, Zuniga JM, Perez-Rivera LI, Segoviano-Ramirez JC, Vazquez-Marmolejo AV. Nocardia brasiliensis Modulates IFN-gamma, IL-10, and IL-12 cytokine production by macrophages from BALB/c Mice. J Interferon Cytokine Res. 2009;29(5):263–71. doi:10.1089/jir.2008.0059.PubMedCrossRef Salinas-Carmona MC, Zuniga JM, Perez-Rivera LI, Segoviano-Ramirez JC, Vazquez-Marmolejo AV. Nocardia brasiliensis Modulates IFN-gamma, IL-10, and IL-12 cytokine production by macrophages from BALB/c Mice. J Interferon Cytokine Res. 2009;29(5):263–71. doi:10.​1089/​jir.​2008.​0059.PubMedCrossRef
53.
Zurück zum Zitat Xu Y, Xie J, Li Y, Yue J, Chen J, Chunyu L, et al. Using a cDNA microarray to study cellular gene expression altered by Mycobacterium tuberculosis. Chin Med J. 2003;116(7):1070–3.PubMed Xu Y, Xie J, Li Y, Yue J, Chen J, Chunyu L, et al. Using a cDNA microarray to study cellular gene expression altered by Mycobacterium tuberculosis. Chin Med J. 2003;116(7):1070–3.PubMed
54.
Zurück zum Zitat Liu PT, Stenger S, Tang DH, Modlin RL. Cutting edge: vitamin D-mediated human antimicrobial activity against Mycobacterium tuberculosis is dependent on the induction of cathelicidin. J Immunol. 2007;179(4):2060–3.PubMed Liu PT, Stenger S, Tang DH, Modlin RL. Cutting edge: vitamin D-mediated human antimicrobial activity against Mycobacterium tuberculosis is dependent on the induction of cathelicidin. J Immunol. 2007;179(4):2060–3.PubMed
56.
Zurück zum Zitat Nickel D, Busch M, Mayer D, Hagemann B, Knoll V, Stenger S. Hypoxia triggers the expression of human beta defensin 2 and antimicrobial activity against Mycobacterium tuberculosis in human macrophages. J Immunol. 2012;188(8):4001–7. doi:10.4049/jimmunol.1100976.PubMedCrossRef Nickel D, Busch M, Mayer D, Hagemann B, Knoll V, Stenger S. Hypoxia triggers the expression of human beta defensin 2 and antimicrobial activity against Mycobacterium tuberculosis in human macrophages. J Immunol. 2012;188(8):4001–7. doi:10.​4049/​jimmunol.​1100976.PubMedCrossRef
58.
Zurück zum Zitat Krishnakumari V, Rangaraj N, Nagaraj R. Antifungal activities of human beta-defensins HBD-1 to HBD-3 and their C-terminal analogs Phd1 to Phd3. Antimicrob Agents Chemother. 2009;53(1):256–60. doi:10.1128/AAC.00470-08.PubMedCrossRef Krishnakumari V, Rangaraj N, Nagaraj R. Antifungal activities of human beta-defensins HBD-1 to HBD-3 and their C-terminal analogs Phd1 to Phd3. Antimicrob Agents Chemother. 2009;53(1):256–60. doi:10.​1128/​AAC.​00470-08.PubMedCrossRef
60.
Zurück zum Zitat Yenamandra SP, Lundin A, Arulampalam V, Yurchenko M, Pettersson S, Klein G, et al. Expression profile of nuclear receptors upon Epstein—Barr virus induced B cell transformation. Exp Oncol. 2009;31(2):92–6.PubMed Yenamandra SP, Lundin A, Arulampalam V, Yurchenko M, Pettersson S, Klein G, et al. Expression profile of nuclear receptors upon Epstein—Barr virus induced B cell transformation. Exp Oncol. 2009;31(2):92–6.PubMed
61.
Zurück zum Zitat Liu PT, Wheelwright M, Teles R, Komisopoulou E, Edfeldt K, Ferguson B, et al. MicroRNA-21 targets the vitamin D-dependent antimicrobial pathway in leprosy. Nat Med. 2012;18(2):267–73. doi:10.1038/nm.2584.PubMedCrossRef Liu PT, Wheelwright M, Teles R, Komisopoulou E, Edfeldt K, Ferguson B, et al. MicroRNA-21 targets the vitamin D-dependent antimicrobial pathway in leprosy. Nat Med. 2012;18(2):267–73. doi:10.​1038/​nm.​2584.PubMedCrossRef
62.
Zurück zum Zitat Marshall TG. Bacterial capnine blocks transcription of human antimicrobial peptides. In: Third international conference on metagenomics; July 11–13; San Diego, CA 2007. Marshall TG. Bacterial capnine blocks transcription of human antimicrobial peptides. In: Third international conference on metagenomics; July 11–13; San Diego, CA 2007.
63.
Zurück zum Zitat Coughlan CA, Chotirmall SH, Renwick J, Hassan T, Boon Low T, Bergsson G et al. The effect of Aspergillus fumigatus infection on Vitamin D receptor expression in cystic fibrosis. Am J Respir Crit Care Med. 2012. doi:10.1164/rccm.201203-0478OC. Coughlan CA, Chotirmall SH, Renwick J, Hassan T, Boon Low T, Bergsson G et al. The effect of Aspergillus fumigatus infection on Vitamin D receptor expression in cystic fibrosis. Am J Respir Crit Care Med. 2012. doi:10.​1164/​rccm.​201203-0478OC.
65.
Zurück zum Zitat Marshall TG. Vitamin D discovery outpaces FDA decision making. BioEssays. 2008;30(2):173–82.PubMedCrossRef Marshall TG. Vitamin D discovery outpaces FDA decision making. BioEssays. 2008;30(2):173–82.PubMedCrossRef
68.
Zurück zum Zitat Brahmachary M, Schonbach C, Yang L, Huang E, Tan SL, Chowdhary R, et al. Computational promoter analysis of mouse, rat and human antimicrobial peptide-coding genes. BMC Bioinf. 2006;7(Suppl 5):S8.CrossRef Brahmachary M, Schonbach C, Yang L, Huang E, Tan SL, Chowdhary R, et al. Computational promoter analysis of mouse, rat and human antimicrobial peptide-coding genes. BMC Bioinf. 2006;7(Suppl 5):S8.CrossRef
70.
71.
Zurück zum Zitat Oakley BB, Fiedler TL, Marrazzo JM, Fredricks DN. Diversity of human vaginal bacterial communities and associations with clinically defined bacterial vaginosis. Appl Environ Microbiol. 2008;74(15):4898–909. doi:10.1128/aem.02884-07.PubMedCrossRef Oakley BB, Fiedler TL, Marrazzo JM, Fredricks DN. Diversity of human vaginal bacterial communities and associations with clinically defined bacterial vaginosis. Appl Environ Microbiol. 2008;74(15):4898–909. doi:10.​1128/​aem.​02884-07.PubMedCrossRef
72.
Zurück zum Zitat Manichanh C, Rigottier-Gois L, Bonnaud E, Gloux K, Pelletier E, Frangeul L, et al. Reduced diversity of faecal microbiota in Crohn’s disease revealed by a metagenomic approach. Gut. 2006;55(2):205–11. doi:10.1136/gut.2005.073817.PubMedCrossRef Manichanh C, Rigottier-Gois L, Bonnaud E, Gloux K, Pelletier E, Frangeul L, et al. Reduced diversity of faecal microbiota in Crohn’s disease revealed by a metagenomic approach. Gut. 2006;55(2):205–11. doi:10.​1136/​gut.​2005.​073817.PubMedCrossRef
73.
Zurück zum Zitat Maes M, Mihaylova I, Leunis JC. Increased serum IgA and IgM against LPS of enterobacteria in chronic fatigue syndrome (CFS): indication for the involvement of gram-negative enterobacteria in the etiology of CFS and for the presence of an increased gut-intestinal permeability. J Affect Disord. 2007;99(1–3):237–40. doi:10.1016/j.jad.2006.08.021.PubMedCrossRef Maes M, Mihaylova I, Leunis JC. Increased serum IgA and IgM against LPS of enterobacteria in chronic fatigue syndrome (CFS): indication for the involvement of gram-negative enterobacteria in the etiology of CFS and for the presence of an increased gut-intestinal permeability. J Affect Disord. 2007;99(1–3):237–40. doi:10.​1016/​j.​jad.​2006.​08.​021.PubMedCrossRef
74.
Zurück zum Zitat Gonzalez A, Stombaugh J, Lozupone C, Turnbaugh PJ, Gordon JI, Knight R. The mind-body-microbial continuum. Dialogues Clin Neurosci. 2011;13(1):55–62.PubMed Gonzalez A, Stombaugh J, Lozupone C, Turnbaugh PJ, Gordon JI, Knight R. The mind-body-microbial continuum. Dialogues Clin Neurosci. 2011;13(1):55–62.PubMed
75.
Zurück zum Zitat Bassi N, Amital D, Amital H, Doria A, Shoenfeld Y. Chronic fatigue syndrome: characteristics and possible causes for its pathogenesis. Isr Med Assoc J. 2008;10(1):79–82.PubMed Bassi N, Amital D, Amital H, Doria A, Shoenfeld Y. Chronic fatigue syndrome: characteristics and possible causes for its pathogenesis. Isr Med Assoc J. 2008;10(1):79–82.PubMed
76.
Zurück zum Zitat Konstantinov K, von Mikecz A, Buchwald D, Jones J, Gerace L, Tan EM. Autoantibodies to nuclear envelope antigens in chronic fatigue syndrome. J Clin Invest. 1996;98(8):1888–96. doi:10.1172/JCI118990.PubMedCrossRef Konstantinov K, von Mikecz A, Buchwald D, Jones J, Gerace L, Tan EM. Autoantibodies to nuclear envelope antigens in chronic fatigue syndrome. J Clin Invest. 1996;98(8):1888–96. doi:10.​1172/​JCI118990.PubMedCrossRef
77.
Zurück zum Zitat Lekakh IV, Rott GM, Poverennyi AM. “Masked” autoantibodies from the serum of healthy blood donors cross-reacting with DNA and bacterial lipopolysaccharides. Biull Eksp Biol Med. 1991;111(5):516–8.PubMedCrossRef Lekakh IV, Rott GM, Poverennyi AM. “Masked” autoantibodies from the serum of healthy blood donors cross-reacting with DNA and bacterial lipopolysaccharides. Biull Eksp Biol Med. 1991;111(5):516–8.PubMedCrossRef
78.
Zurück zum Zitat Barzilai O, Ram M, Shoenfeld Y. Viral infection can induce the production of autoantibodies. Curr Opin Rheumatol. 2007;19(6):636–43.PubMedCrossRef Barzilai O, Ram M, Shoenfeld Y. Viral infection can induce the production of autoantibodies. Curr Opin Rheumatol. 2007;19(6):636–43.PubMedCrossRef
79.
Zurück zum Zitat Berlin T, Zandman-Goddard G, Blank M, Matthias T, Pfeiffer S, Weis I, et al. Autoantibodies in nonautoimmune individuals during infections. Ann N Y Acad Sci. 2007;1108:584–93.PubMedCrossRef Berlin T, Zandman-Goddard G, Blank M, Matthias T, Pfeiffer S, Weis I, et al. Autoantibodies in nonautoimmune individuals during infections. Ann N Y Acad Sci. 2007;1108:584–93.PubMedCrossRef
80.
Zurück zum Zitat Tanaka S, Kuratsune H, Hidaka Y, Hakariya Y, Tatsumi KI, Takano T, et al. Autoantibodies against muscarinic cholinergic receptor in chronic fatigue syndrome. Int J Mol Med. 2003;12(2):225–30.PubMed Tanaka S, Kuratsune H, Hidaka Y, Hakariya Y, Tatsumi KI, Takano T, et al. Autoantibodies against muscarinic cholinergic receptor in chronic fatigue syndrome. Int J Mol Med. 2003;12(2):225–30.PubMed
81.
82.
Zurück zum Zitat Merino G, Carranza-Lira S, Murrieta S, Rodriguez L, Cuevas E, Moran C. Bacterial infection and semen characteristics in infertile men. Arch Androl. 1995;35(1):43–7.PubMedCrossRef Merino G, Carranza-Lira S, Murrieta S, Rodriguez L, Cuevas E, Moran C. Bacterial infection and semen characteristics in infertile men. Arch Androl. 1995;35(1):43–7.PubMedCrossRef
83.
Zurück zum Zitat Weyermann M, Rothenbacher D, Brenner H. Acquisition of Helicobacter pylori infection in early childhood: independent contributions of infected mothers, fathers, and siblings. Am J Gastroenterol. 2009;104(1):182–9. doi:10.1038/ajg.2008.61.PubMedCrossRef Weyermann M, Rothenbacher D, Brenner H. Acquisition of Helicobacter pylori infection in early childhood: independent contributions of infected mothers, fathers, and siblings. Am J Gastroenterol. 2009;104(1):182–9. doi:10.​1038/​ajg.​2008.​61.PubMedCrossRef
86.
87.
Zurück zum Zitat Pinto A, Xi C, Raskin L. Bacterial community structure in the drinking water microbiome is governed by filtration processes. Environ Sci Technol. 2012. Pinto A, Xi C, Raskin L. Bacterial community structure in the drinking water microbiome is governed by filtration processes. Environ Sci Technol. 2012.
88.
Zurück zum Zitat Vignaroli C, Zandri G, Aquilanti L, Pasquaroli S, Biavasco F. Multidrug-resistant enterococci in animal meat and faeces and co-transfer of resistance from an Enterococcus durans to a human Enterococcus faecium. Curr Microbiol. 2011;62(5):1438–47. doi:10.1007/s00284-011-9880-x.PubMedCrossRef Vignaroli C, Zandri G, Aquilanti L, Pasquaroli S, Biavasco F. Multidrug-resistant enterococci in animal meat and faeces and co-transfer of resistance from an Enterococcus durans to a human Enterococcus faecium. Curr Microbiol. 2011;62(5):1438–47. doi:10.​1007/​s00284-011-9880-x.PubMedCrossRef
89.
Zurück zum Zitat U.S. Census Bureau. Table 1308. U.S. exports and general imports by selected SITC Commodity Groups: 2000 to 2010. Statistical Abstract of the United States: 2012. 2012. U.S. Census Bureau. Table 1308. U.S. exports and general imports by selected SITC Commodity Groups: 2000 to 2010. Statistical Abstract of the United States: 2012. 2012.
92.
Zurück zum Zitat Padilla ML, Schilero GJ, Teirstein AS. Donor-acquired sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2002;19(1):18–24.PubMed Padilla ML, Schilero GJ, Teirstein AS. Donor-acquired sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2002;19(1):18–24.PubMed
97.
Zurück zum Zitat Proud D, Turner RB, Winther B, Wiehler S, Tiesman JP, Reichling TD, et al. Gene expression profiles during in vivo human rhinovirus infection: insights into the host response. Am J Respir Crit Care Med. 2008;178(9):962–8. doi:10.1164/rccm.200805-670OC.PubMedCrossRef Proud D, Turner RB, Winther B, Wiehler S, Tiesman JP, Reichling TD, et al. Gene expression profiles during in vivo human rhinovirus infection: insights into the host response. Am J Respir Crit Care Med. 2008;178(9):962–8. doi:10.​1164/​rccm.​200805-670OC.PubMedCrossRef
99.
Zurück zum Zitat Agborsangaya CB, Lehtinen T, Toriola AT, Pukkala E, Surcel HM, Tedeschi R, et al. Association between Epstein-Barr virus infection and risk for development of pregnancy-associated breast cancer: joint effect with vitamin D? Eur J Cancer. 2011;47(1):116–20. doi:10.1016/j.ejca.2010.07.006.PubMedCrossRef Agborsangaya CB, Lehtinen T, Toriola AT, Pukkala E, Surcel HM, Tedeschi R, et al. Association between Epstein-Barr virus infection and risk for development of pregnancy-associated breast cancer: joint effect with vitamin D? Eur J Cancer. 2011;47(1):116–20. doi:10.​1016/​j.​ejca.​2010.​07.​006.PubMedCrossRef
Metadaten
Titel
Immunostimulation in the treatment for chronic fatigue syndrome/myalgic encephalomyelitis
verfasst von
Amy D. Proal
Paul J. Albert
Trevor G. Marshall
Greg P. Blaney
Inge A. Lindseth
Publikationsdatum
01.07.2013
Verlag
Springer-Verlag
Erschienen in
Immunologic Research / Ausgabe 2-3/2013
Print ISSN: 0257-277X
Elektronische ISSN: 1559-0755
DOI
https://doi.org/10.1007/s12026-013-8413-z

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