Tetrahydrobiopterin in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Friend or Foe?

IF 4.8 2区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Biomolecules Pub Date : 2025-01-10 DOI:10.3390/biom15010102
A F M Towheedur Rahman, Anna Benko, Sarojini Bulbule, Carl Gunnar Gottschalk, Leggy A Arnold, Avik Roy
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Abstract

Myalgic Encephalomyelitis or Chronic Fatigue Syndrome (ME/CFS) is a chronic multisystem disease characterized by severe muscle fatigue, pain, dizziness, and brain fog. The two most common symptoms are post-exertional malaise (PEM) and orthostatic intolerance (OI). ME/CFS patients with OI (ME+OI) suffer from dizziness or faintness due to a sudden drop in blood pressure while maintaining an upright posture. Clinical research has demonstrated that patients with OI display severe cardiovascular abnormalities resulting in reduced effective blood flow in the cerebral blood vessels. However, despite intense investigation, it is not known why the effective cerebral blood flow is reduced in OI patients. Based on our recent findings, we observed that tetrahydrobiopterin (BH4) metabolism was highly dysregulated in ME+OI patients. In the current review article, we attempted to summarize our recent findings on BH4 metabolism to shed light on the molecular mechanisms of OI.

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四氢生物蝶呤治疗肌痛性脑脊髓炎/慢性疲劳综合征:是好是坏?
肌痛性脑脊髓炎或慢性疲劳综合征(ME/CFS)是一种以严重肌肉疲劳、疼痛、头晕和脑雾为特征的慢性多系统疾病。两种最常见的症状是运动后不适(PEM)和直立性不耐受(OI)。伴有成骨不全(ME+OI)的ME/CFS患者在保持直立姿势时由于血压突然下降而遭受头晕或昏厥。临床研究表明,成骨不全患者表现出严重的心血管异常,导致脑血管有效血流量减少。然而,尽管进行了深入的研究,仍不清楚为什么成骨不全症患者的有效脑血流量会减少。基于我们最近的发现,我们观察到四氢生物蝶呤(BH4)代谢在ME+OI患者中高度失调。在这篇综述文章中,我们试图总结BH4代谢方面的最新发现,以阐明成骨不全的分子机制。
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来源期刊
Biomolecules
Biomolecules Biochemistry, Genetics and Molecular Biology-Molecular Biology
CiteScore
9.40
自引率
3.60%
发文量
1640
审稿时长
18.28 days
期刊介绍: Biomolecules (ISSN 2218-273X) is an international, peer-reviewed open access journal focusing on biogenic substances and their biological functions, structures, interactions with other molecules, and their microenvironment as well as biological systems. Biomolecules publishes reviews, regular research papers and short communications.  Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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