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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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2000<br />

143<br />

In 2000, the CFIDS Association of America produced a 24 page document entitled “Neurological F<strong>in</strong>d<strong>in</strong>gs<br />

<strong>in</strong> (<strong>ME</strong>)CFS: A Survey of the Research” conta<strong>in</strong><strong>in</strong>g 175 references. It is available from the CFIDS<br />

Association of America, email: <strong>in</strong>fo@cfids.org<br />

2001<br />

A quantitative assessment of cerebral ventricular volumes <strong>in</strong> (<strong>ME</strong>)CFS patients found that volumes were<br />

larger than <strong>in</strong> the control groups. “The results of this study provide further evidence of pathophysiological changes<br />

<strong>in</strong> the bra<strong>in</strong>s of participants with (<strong>ME</strong>)CFS” (Lange G, Natelson BH et al. Appl Neuropsychol 2001:8(1):23‐30).<br />

2003<br />

Byron Hyde, medical adviser on <strong>ME</strong>/CFS to the Canadian Government, po<strong>in</strong>ted out that “<strong>ME</strong> <strong>in</strong> adults is<br />

associated with measurable changes <strong>in</strong> the central nervous system and autonomic function and <strong>in</strong>jury to<br />

the cardiovascular, endocr<strong>in</strong>e and other organs and systems. The patient with the diagnosis of <strong>ME</strong>/CFS is<br />

chronically and potentially seriously ill. These <strong>ME</strong>/CFS patients require a total <strong>in</strong>vestigation and<br />

essentially a total body mapp<strong>in</strong>g to understand the pathophysiology of their illness and to discover what<br />

other physicians may have missed. A patient with <strong>ME</strong> is a patient whose primary disease is central<br />

nervous system change, and this is measurable. The belief that <strong>ME</strong>/CFS is a psychological illness is the<br />

error of our time”. (The Complexities of Diagnosis. Byron Hyde. In: Handbook of Chronic Fatigue<br />

Syndrome Leonard A Jason et al. John Wiley & Sons, Inc. 2003).<br />

2003<br />

Research at the Salk Institute, La Jolla, California, identified a gene that may l<strong>in</strong>k certa<strong>in</strong> pesticides and<br />

chemical weaponry to a number of neurological disorders. The f<strong>in</strong>d<strong>in</strong>g, published <strong>in</strong> the 17 March onl<strong>in</strong>e<br />

version of Nature Genetics, was the first to demonstrate a clear genetic l<strong>in</strong>k between neurological disorders<br />

and exposure to organophosphate (OP) chemicals. OPs <strong>in</strong>clude household pesticides as well as the nerve<br />

gas sar<strong>in</strong>. The research showed that OPs <strong>in</strong>hibit the activity of a gene called neuropathy target esterase<br />

(NTE). Some of the neurological problems echoed many of the symptoms of Gulf War Syndrome.<br />

This is important because the Proceed<strong>in</strong>gs of The National Academy of Science (PNAS) published evidence<br />

that NTE is <strong>in</strong>hibited by several OP pesticides, chemical warfare agents, lubricants and plasticisers, lead<strong>in</strong>g<br />

to OP‐<strong>in</strong>duced delayed neuropathy <strong>in</strong> more than 30,000 human cases (PNAS 2003:100:13:7983‐7987).<br />

(This is highly significant <strong>in</strong> <strong>ME</strong>/CFS, because subsequent gene expression research demonstrated 16 genes<br />

as hav<strong>in</strong>g an expression profile associated with (<strong>ME</strong>)CFS. These genes can be grouped accord<strong>in</strong>g to immune,<br />

neuronal and mitochondrial functions. A neuronal component was identified that is associated with central<br />

nervous system hypomyel<strong>in</strong>ation, and the researchers specifically noted the association of<br />

organophosphates and chemical warfare agents: “A neuronal component is suggested by up‐regulation of NTE.<br />

NTE is a target for organophosphates and chemical warfare agents, both of which may precipitate (<strong>ME</strong>)CFS” (N<br />

Kaushik, ST Holgate, JR Kerr et al. J Cl<strong>in</strong> Pathol 2005:58:826‐832). Stephen Holgate is MRC Cl<strong>in</strong>ical Professor<br />

of Immunopharmacology at the University of Southampton and this is top‐rank research, not mere<br />

hypothesis).<br />

2004<br />

“The purpose of this study was to determ<strong>in</strong>e whether bra<strong>in</strong> activity of (<strong>ME</strong>)CFS patients dur<strong>in</strong>g voluntary<br />

motor actions differs from that of healthy controls. Fifty‐eight channels of surface EEG were recorded<br />

simultaneously from the scalp. Major f<strong>in</strong>d<strong>in</strong>gs <strong>in</strong>clude (1) Motor performance of the (<strong>ME</strong>)CFS patients was poorer<br />

than the controls (2) Relative power of EEG theta frequency band dur<strong>in</strong>g performance of tasks was significantly

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