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A Comparison of Immune Functionality in Viral versus Non-Viral CFS Subtypes. 病毒性和非病毒性CFS亚型的免疫功能比较
Nicole Porter, Athena Lerch, Leonard A Jason, Matthew Sorenson, Mary Ann Fletcher, Joshua Herrington

Participants with CFS were grouped into viral and non-viral onset fatigue categories and assessed for differential immunological marker expression. Peripheral Blood Mononuclear Cells were assessed for differential phenotypic expression of surface adherence glycoproteins on circulating lymphocytes. The flow cytometric analysis employed fluorescent monoclonal antibody labeling. The viral in comparison to the non-viral group demonstrated significant elevations in several Th1 type subsets including: the percentage and number of CD4+ cells, the percentage and number of CD2+CD26+ cells, the percentage and number of CD2+CD4+CD26+ cells, the percentage and number of CD4+ CD26+ cells, and the percentage of Th2 naïve cells (CD4+ CD45RA+CD62L+). Of the remaining significant findings, the non viral group demonstrated significant elevations in comparison to the viral group for the following Th1 type subsets: the percentage of CD8+ cells, the percentage of T-cytotoxic suppressor cells (CD3+8+), and the percentage and number of Th1 memory cells (CD8+CD45RA-CD62L-). The viral group demonstrated a pattern of activation that differed from that of the group with a non-viral etiology, as evidenced by an elevated and out of range percentage and number of CD4+ cells, the percentage of CD2+CD26+, and the percentage of Th2 naïve cells (CD4+CD45RA+CD62L+). Both groups demonstrated reduced and out of range Natural Killer Cell Cytotoxicity and percentage of B-1 cells (CD5+CD19). In addition, both groups demonstrated an elevated and out of range percentage of CD2+CD8+CD26+, percentage of the Th1 memory subset (CD4+CD45RA-CD62L-), the percentage of Th1 memory and naïve cells (CD8+CD45RA-CD62L-, CD8+CD45RA+CD62L-), the percentage and number of Th2 memory cells (CD4+CD45RA-CD62L+), and the percentage of Th2 memory and naïve cells (CD8+CD45RA-CD62L+, CD8+CD45RA+CD62L+). These findings imply that the homeostatic mechanism responsible for the regulation of the Th1 (cell mediated) and Th2 (humoral) immune responses is disturbed in CFS. The implications of these findings are discussed.

CFS参与者被分为病毒性和非病毒性疲劳类别,并评估差异免疫标志物的表达。评估外周血单核细胞在循环淋巴细胞上表面粘附糖蛋白的差异表型表达。流式细胞分析采用荧光单克隆抗体标记。与非病毒组相比,病毒组在几个Th1型亚群中表现出显著升高,包括:CD4+细胞的百分比和数量,CD2+CD26+细胞的百分比和数量,CD2+CD4+CD26+细胞的百分比和数量,CD4+CD26+细胞的百分比和数量,Th2 naïve细胞的百分比(CD4+ CD45RA+CD62L+)。在其余的重要发现中,与病毒组相比,非病毒组在以下Th1类型亚群中表现出显著的升高:CD8+细胞的百分比,t细胞毒性抑制细胞(CD3+8+)的百分比,以及Th1记忆细胞(CD8+CD45RA-CD62L-)的百分比和数量。病毒组表现出与非病毒病因组不同的激活模式,其证据是CD4+细胞、CD2+CD26+细胞和Th2 naïve细胞(CD4+CD45RA+CD62L+)的百分比和数量升高且超出范围。两组均表现出自然杀伤细胞的细胞毒性和B-1细胞(CD5+CD19)的百分比降低和超出范围。此外,两组均表现出CD2+CD8+CD26+百分比升高和超出范围,Th1记忆亚群百分比(CD4+CD45RA-CD62L-), Th1记忆细胞百分比和naïve细胞(CD8+CD45RA-CD62L-, CD8+CD45RA+CD62L-), Th2记忆细胞百分比和数量(CD4+CD45RA-CD62L+), Th2记忆细胞百分比和naïve细胞(CD8+CD45RA-CD62L+, CD8+CD45RA+CD62L+)。这些发现表明,负责调节Th1(细胞介导)和Th2(体液)免疫反应的稳态机制在CFS中受到干扰。讨论了这些发现的意义。
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引用次数: 0
Kindling and Oxidative Stress as Contributors to Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. 点燃和氧化应激是肌痛性脑脊髓炎/慢性疲劳综合征的诱因。
L A Jason, N Porter, J Herrington, M Sorenson, S Kubow

Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) is one of the more complex illnesses involving multiple systems within the body. Onset of ME/CFS frequently occurs quickly, and many patients report a prior exposure to a viral infection. This debilitating illness can affect the immune, neuroendocrine, autonomic, and neurologic systems. Abnormal biological findings among some patients have included aberrant ion transport and ion channel activity, cortisol deficiency, sympathetic nervous system hyperactivity, EEG spike waves, left ventricular dysfunction in the heart, low natural killer cell cytotoxicity, and a shift from Th1 to Th2 cytokines. We propose that the kindling and oxidative stress theories provide a heuristic template for better understanding the at times conflicting findings regarding the etiology and pathophysiology of this illness.

肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)是一种较为复杂的疾病,涉及体内多个系统。ME/CFS的发病往往很快,许多患者报告先前暴露于病毒感染。这种使人衰弱的疾病会影响免疫系统、神经内分泌系统、自主神经系统和神经系统。一些患者的异常生物学表现包括异常的离子转运和离子通道活性、皮质醇缺乏、交感神经系统亢进、脑电图尖峰波、心脏左心室功能障碍、低自然杀伤细胞毒性和Th1向Th2细胞因子的转变。我们建议,点火和氧化应激理论提供了一个启发式模板,以更好地理解关于这种疾病的病因和病理生理学有时相互矛盾的发现。
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引用次数: 0
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Journal of behavioral and neuroscience research
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