Cytokine

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Cytokines are any class of immunoregulatory proteins secreted by cells, especially immune system cells.[1] Cytokines are small proteins important in cell signaling that modulate the immune system.

There are many different cytokines. They function as messenger molecules passing information around the body. They resemble hormones in this way, but they are usually communicating in response to something external and lead to inflammatory or immune responses.

Types of cytokines[edit | edit source]

Cellular immune response[edit | edit source]

IFN-γ, TNFα

Antibody response[edit | edit source]

TGF-β, IL-4, IL-10, IL-13

Role in human disease[edit | edit source]

Chronic Fatigue Syndrome[edit | edit source]

There is increasing evidence that cytokine expression is altered in CFS (ME). Mady Hornig et al (2015) indicates that there is a generally increased response in the first 3 years of illness.[2] In 2017, a Montoya, et al, study showed that "seventeen cytokines had a statistically significant upward linear trend that correlated with ME/CFS severity"..."thirteen of these are proinflammatory, likely contributing to many of the symptoms experienced by patients."[3]

Two large 2015 studies found a general pattern of down regulation in long term patients (Hornig, et al and Landi, et al). [4] It is worth noting that these differences can average each other out when data from newly diagnosed and long term patients are analysed together. More accurate data may necessitate patient groups being stratified by disease duration.

In a 2017 study by Hornig, Lipkin et al, 51 Cytokines of cerebrospinal fluid were measured where they found Atypical and Classical cases of ME/CFS. There are differing immune signatures within the central nervous system. "Typically, symptoms of ME/CFS begin suddenly following a flu-like infection, but a subset of cases classified by the investigators as “atypical” follows a different disease course, either from triggers preceding symptoms by months or years, or accompanied by the later development of additional serious illnesses."[5]

When reading cytokine studies it is important to remember that with so many cytokines it is common to find some pattern and results can change quickly within individuals. In a small sample, if just a couple of people were fighting a cold then this could change the overall results.

Fibromyalgia[edit | edit source]

Fibromyalgia: Cytokines IL-1beta, IL-6 and TNF-alpha are involved with central and peripheral neuropathic pain which is experienced by Fibromyalgia patients.[6] Profiles are distinguishing Lupus and Rheumatoid Arthritis from Fibromyalgia.[7]

Table of Cytokines[edit | edit source]

Cytokine Description Increased in ME/CFS Decreased in ME/CFS
Interferons Interferons are antiviral agents that modulate the immune system. They stimulate Natural killer cells and macrophages to elicit antiviral and anti-tumor responses.
IFN-α (Interferon alpha)

A type I interferon produced by Leucocytes. Major contributor to innate immunity against viral infection.

Increased[8][9]
IFN-β (Interferon beta)

A type I interferon produced in fibroblasts by RNAseL. It is used to reduce relapses in relapsing-remitting multiple sclerosis. Major contributor to innate immunity against viral infection.

IFN-κ (Interferon kappa)

A type I interferon

IFN-γ (Interferon gamma)

The only Type II interferon in humans, it is produced by T cells and natural killer cells. Critical to both innate and adaptive immunity. Promotes macrophage activation.

Increased[10][11][12][13]

Increased in severe illness[14]

Increased with illness severity[3]

Increased in early illness[2]

Decreased[15]

Decreased IFN-γ/IL-10 ratio[16]

Decreased secretion from MAIT cells[17]

IFN-λ (Interferon lambda)

Type III interferon. Immunity response against early stages of viral infection.

Interleukins Promote the growth of immune system cells and help regulate the immune system
IL-1 (Interleukin 1 subgroups: IL-1β, IL-1α)

Regulates immune and inflammatory response, and activates antigen presenting cells

Acts as a major mediator in central fatigue pathways[18]

Elevation of IL-1 in the brain contributes “sickness behavior".[19]

IL-1β is a pro-inflammatory cytokine with metabolic and immuno-inflammatory functions.[14]

Increased IL-1α[20][21][22][23]

Increased IL-1α in females[24]

Increased IL-1β[22][25][23][26][15]

Increased IL-1β, proportional to poor sleep quality[27]

Increased IL-1α in early illness[28][2]

Increased IL-1RA in early illness[2]

Increased in those with 5-HT autoimmune activity[29]

Decreased IL-1β in severe illness[14]

Decreased IL-1β[30]

Decreased IL-1α and IL-1RA in later illness[2]

Decreased in later illness[28]

IL-2 (Interleukin 2)

Stimulates T-Cell growth, regulates immune system, controls cellular proliferation and differentiation

Increased[31][11][32][13][12]

Increased in males[24]

Depressed response post-exercise (increased in controls)[33]
IL-3 (Interleukin 3)

Regulates blood-cell production

IL-4 (Interleukin 4)

Induces naive helper T cells to develop into Th2 cells. Regulates immune system

Increased in early illness[2]

Increased[21][22][13]

Increased with illness severity[3]

Decreased in females[24]
IL-5 (Interleukin 5)

Regulates eosinophils in the bone marrow during inflammation

Increased[22]

Increased with illness severity[3]

Decreased[30][13]
IL-6 (Interleukin 6)

Regulates immune system, cellular proliferation and differentiation, and autoantibody production

An important inflammatory cytokine and HPA axis modulator. IL-6 also plays a role in other CFS symptoms including hyperalgesia, fatigue, sleep impairment, and depression.

It has been reported that IL-6 induces excessive daytime sleepiness or disturbed non-refreshing sleep in patients with CFS, and that increased levels are associated with a decrease in sleep quality.[34]

IL-6 also directly increases glucose metabolism in human skeletal muscle[35]

Increased[22][32][26][13][36][12]

Increased sIL-6R[21]

Increased, proportional to poor sleep quality[27][37]

Increased LIF with illness severity[3]

Increased in early illness[2]

Increased in later illness[28]

Decreased[16][30][15]

Decreased in moderate illness[14]

Decreased LIF[30]

Decreased in early illness[28]

Decreased in later illness[2]

Depressed response post-exercise (increased in controls)[38]

Depressed response to LIF post-exercise (increased in controls)[33]

IL-7 (Interleukin 7)

Regulates adaptive immune system, and tumor cell apoptosis

Increased with illness severity[3][14] Decreased in later illness[4]
IL-8 (Interleukin 8 or CXCL8 C-X-C motif chemokine ligand 8)

Regulates inflammatory response by orchestrating the migration of primarily neutrophils to the site of infection. IL-8 has also been shown to be involved in cell proliferation, and tissue remodeling[39]

Increased[40][41]

Increased in severe illness[14][15]

Increased in sudden onset illness[42]

Increased in early illness[28]

Increased in later illness[2]

Decreased[22][30]

Decreased post-exercise[33]

Decreased in later illness[28]

Decreased in early illness[2]

IL-9 (Interleukin 9)

Promotes mast cell growth, stimulates cell proliferation and cytotoxicity, and is involved in apoptosis

Decreased[13]
IL-10 (Interleukin 10)

Regulates anti-inflammatory response and immune response to pathogens

Increased[10][43][15][13][44]

Increased in abnormal spinal fluid patients[42]

Increased at baseline (measurement 1)[11]

Increased IL-10 and decreased IFN-γ/IL-10 ratio[16]

Decreased[45][30][46]

Decreased at 6 months (measurement 2)[11]

IL-11 (Interleukin 11)

Regulates inflammation, and function of B-cells and T-cells.

IL-11 inhibits tissue inflammation[47]

Increased in early illness[2] Decreased in later illness[2]
IL-12 (Interleukin 12)

Regulates Th1 response, as well as activated T-cells, NK cells, and CTLs. IL-12 is a critical link between the innate and adaptive immunity[48]

Increased[22]

Increased IL-12p70 with illness severity[3]

Increased IL-12p70[12]

Increased IL-12p75[13]

Increased IL-12p40 in early illness[2]

Decreased IL-12B[30]

Decreased in later illness[2]

Depressed response to IL-12p40 post-exercise (increased in controls)[33]

Decreased IL-12p40[36]

IL-13 (Interleukin 13)

Regulates immune response (B-cells and monocytes). Involved in Th2 inflammation.[49]

Increased[13]

Increased in early illness[2]

Increased with illness severity[3]

Decreased[22]
IL-15 (Interleukin 15)

Stimulates activity of cytotoxic CD8+ T-cells and NK cells, and increases anti-tumor activities[50]

Decreased[22]
IL-16 (Interleukin 16)

Modulates T-cell activation

Decreased in later illness[4]
IL-17 (Interleukin 17)

IL-17A and IL-17F regulate immune and inflammatory response in local tissue infection

Increased IL-17F with illness severity[3]

Increased IL-17A in early illness[2]

Decreased[11]

Decreased IL-17F[30][13]

Decreased IL-17A in later illness[2]

Depressed response to IL-17F post-exercise (increased in controls)[33]

Decreased secretion from CCR6+ Th17 cells and MAIT cells[17]

IL-23 (Interleukin 23)

Regulates inflammatory autoimmune responses

Increased in males[24] Decreased[40]

Decreased IL-23p40[36]

Tumor Necrosis Factor Regulate inflammatory and immune responses
TNF-α (Tumor Necrosis Factor alpha)

Regulates acute and chronic inflammation[51]

Increased[10][32][25][23][15][36][11][52]

Increased post-exercise[53]

Increased TNF and sTNFR1[21]

Increased, proportional to poor sleep quality[27]

Increased in early illness[2]

Increased in those with 5-HT autoimmune activity[29]

Decreased[16]

Decreased in later illness[2]

Depressed response post-exercise (increased in controls)[33][38]

LT-α (Lymphotoxin alpha - formerly TNF-β tumor necrosis factor-beta)

Regulates innate immune response

Increased[21][22] Decreased[16][30]

Decreased post-exercise[33]

FasL (Fas ligand or CD95L or CD178)

Regulates immune response and apoptosis

Increased in early illness[2] Decreased in later illness[2]
TNFSF10 (TNF superfamily member 10 or TRAIL)

Regulates apoptosis in transformed cells and mostly functional in immune cells[54]

Increased in early illness[2] Decreased in later illness[2]
CD40L (CD40 ligand or CD154)

Regulates immune response

Increased in later illness[2] Decreased in early illness[2]

Decreased[55]

Chemokines Direct cell migration, adhesion and activation
CCL2 (C-C motif chemokine ligand 2)

Regulates inflammatory response

Increased in early illness[2] Decreased in later illness[2]

No change post-exercise, yet change in controls[33]

CCL4 (C-C motif chemokine ligand 4 or MIP-1β)

Regulates inflammatory response

Decreased post-exercise[33]
CCL5 (C-C motif chemokine ligand 5 or RANTES regulated on activation, normal T cell expressed and secreted)

Regulates inflammatory response

Increased in moderate illness[14]
CCL11 (C-C motif chemokine ligand 11)

Regulates inflammatory response

Increased[30]

Increased with illness severity[3]

CCL24 (C-C motif chemokine ligand 24 or eotaxin-2) Increased in later illness[4]
CXCL1 (C-X-C motif chemokine ligand 1)

Regulates immune response via neutrophils[56]

Increased with illness severity[3]
CX3CL1 (C-X3-C motif chemokine ligand 1 or fractalkine) Decreased in later illness[4]
CXCL9 (C-X-C motif chemokine ligand 9) Decreased in later illness[4]
CXCL10 (C-X-C motif chemokine ligand 10 or IP-10)

Regulates immune response via T cells, eosinophils, monocytes and NK cells[57]

Increased[30][12]

Increased with illness severity[3]

Increased post-exercise[33]

Decreased[36]
Colony Stimulating Factors Promote cell proliferation and differentiation
CSF1 (Colony stimulating factor 1 or M-CSF macrophage colony-stimulating factor)

Regulates innate immunity and inflammatory response. Controls cellular proliferation and differentiation of monocytes and macrophages[58]

Decreased[30]
CSF2 (Colony stimulating factor 2 or GM-CSF granulocyte-macrophage colony-stimulating factor)

Controls cellular proliferation and differentiation of granulocytes and macrophages[59]

Increased[12]

Increased with illness severity[3]

Decreased[30]
CSF3 (Colony stimulating factor 3 or G-CSF granulocyte colony-stimulating factor)

Controls cellular proliferation and differentiation of granulocytes[60]

Increased with illness severity[3] Decreased[30]
KITLG (KIT ligand or SCF stem cell factor or MCGF mast cell growth factor or SLF steel factor)

Regulates cell survival and proliferation

Increased with illness severity[3]

Increased in early illness[2]

Decreased[30]

Decreased in later illness[2]

Transforming Growth Factors Regulation of immune cells
TGF-α (Transforming growth factor alpha)

Regulates cellular proliferation and differentiation

Increased with illness severity[3]
TGF‐β (Transforming growth factor beta)

Regulates cellular proliferation and differentiation, and inflammatory processes

Increased[3][61][62]

Increased TGF-β1[53][63]

Increased at rest, but not post-exercise[64]

Activin Part of the TGF-β protein superfamily. Involved in the control of inflammation and muscle mass[65] Increased Activin B[66][65] Decreased Activin B[67]
GDF15 (Growth differentiation factor 15)

Part of the TGF-β protein superfamily. Highly elevated GDF15 has been linked to mitochondrial disorders and skeletal muscle fatigue[68]

Increased[68]
Adipokines
Leptin Dual role, acting as both a hormone and cytokine. Critical in metabolic function. Helps regulate innate and adaptive immune response[69] Increased[2]

Increased with illness severity[3][70]

Resistin (Also known as ADSF adipose tissue-specific secretory factor or XCP1 C/EBP-epsilon-regulated myeloid-specific secreted cysteine-rich protein) Decreased[3]
Neurotrophins
NGF (Nerve growth factor)

Regulates neuronal cell function and immune cell activity[71]

Increased with illness severity[3][72]
Other Growth Factors
PDGFB (Platelet derived growth factor subunit B)

Regulates cellular proliferation and differentiation, and embryonic development[73]

Increased in later illness[2] Decreased PDGF-BB[30]

Decreased in early illness[2]

FGF2 (Fibroblast growth factor 2 or bFGF basic fibroblast growth factor or FGF-β)

Regulates cellular proliferation and differentiation

Decreased[30]
VEGFA (Vascular endothelial growth factor A)

Regulates cellular proliferation and differentiation of vascular endothelial cells[74]

Decreased[30]

Decreased in later illness[4]

Cytokines and Chemokines[edit | edit source]

Chemokines are cytokines that induce chemotaxis. Chemotaxis is the orchestrated movement of cells towards a specific location flagged by a chemical messenger. Unlike cytokines, chemokines have just one major role: to direct leukocytes toward pathogens, or to areas of injured/diseased tissue.

Notable studies[edit | edit source]

Learn More[edit | edit source]

See also[edit | edit source]

References[edit | edit source]

  1. Merriam-Webster Medical Dictionary. "Definition of CYTOKINE". www.merriam-webster.com. Retrieved Oct 6, 2018. 
  2. 2.002.012.022.032.042.052.062.072.082.092.102.112.122.132.142.152.162.172.182.192.202.212.222.232.242.252.262.272.282.292.302.312.32 Hornig, M; Montoya, JG; Klimas, NG; Levine, SM; Felsenstein, D; Bateman, L; Peterson, DL; Gottschalk, CG; Schultz, AF; Che, X; Eddy, ML; Komaroff, AL; Lipkin, WI (2015), "Distinct plasma immune signatures in ME/CFS are present early in the course of illness", Science Advances, 1 (1), doi:10.1126/sciadv.1400121 
  3. 3.003.013.023.033.043.053.063.073.083.093.103.113.123.133.143.153.163.173.183.193.20 Montoya, Jose G.; Holmes, Tyson H.; Anderson, Jill N.; Maecker, Holden T.; Rosenberg-Hasson, Yael; Valencia, Ian J.; Chu, Lily; Younger, Jarred W.; Tato, Cristina M. (Aug 22, 2017). "Cytokine signature associated with disease severity in chronic fatigue syndrome patients". Proceedings of the National Academy of Sciences of the United States of America. 114 (34): E7150–E7158. doi:10.1073/pnas.1710519114. ISSN 1091-6490. PMC 5576836Freely accessible. PMID 28760971. 
  4. 4.04.14.24.34.44.54.64.7 Landi, Abdolamir; Broadhurst, David; Vernon, Suzanne D.; Tyrrell, D. Lorne J.; Houghton, Michael (Feb 2016). "Reductions in circulating levels of IL-16, IL-7 and VEGF-A in myalgic encephalomyelitis/chronic fatigue syndrome". Cytokine. 78: 27–36. doi:10.1016/j.cyto.2015.11.018. 
  5. Lipkin, W. I.; Peterson, D. L.; Ukaigwe, J. E.; Che, X.; Eddy, M. L.; Gottschalk, C. G.; Hornig, M. (Apr 2017). "Immune network analysis of cerebrospinal fluid in myalgic encephalomyelitis/chronic fatigue syndrome with atypical and classical presentations". Translational Psychiatry. 7 (4): e1080. doi:10.1038/tp.2017.44. ISSN 2158-3188. 
  6. Staud, Roland (Mar 2004). "Fibromyalgia pain: do we know the source?". Current Opinion in Rheumatology. 16 (2): 157–163. ISSN 1040-8711. PMID 14770104. 
  7. Cytokine and chemokine profiles in fibromyalgia, rheumatoid arthritis and systemic lupus erythematosus: a potentially useful tool in differential diagnosis. PubMed.gov NCBI-NLM
  8. Lever, A. M. L.; Lewis, D. M.; Bannister, B. A.; Fry, M.; Berry, N. (Jul 9, 1988). "INTERFERON PRODUCTION IN POSTVIRAL FATIGUE SYNDROME". The Lancet. 332 (8602): 101. doi:10.1016/S0140-6736(88)90029-3. ISSN 0140-6736. 
  9. Vojdani, A.; Ghoneum, M.; Choppa, P. C.; Magtoto, L.; Lapp, C. W. (1997). "Elevated apoptotic cell population in patients with chronic fatigue syndrome: the pivotal role of protein Kinase RNA". Journal of Internal Medicine. 242 (6): 465–478. doi:10.1111/j.1365-2796.1997.tb00019.x. ISSN 1365-2796. 
  10. 10.010.110.2 Brenu, Ekua W.; van Driel, Mieke L.; Staines, Don R.; Ashton, Kevin J.; Ramos, Sandra B.; Keane, James; Klimas, Nancy G.; Marshall-Gradisnik, Sonya M. (May 28, 2011). "Immunological abnormalities as potential biomarkers in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis". Journal of Translational Medicine. 9 (1): 81. doi:10.1186/1479-5876-9-81. ISSN 1479-5876. PMC 3120691Freely accessible. PMID 21619669. 
  11. 11.011.111.211.311.411.5 Brenu, Ekua W.; van Driel, Mieke L.; Staines, Donald R.; Ashton, Kevin J.; Hardcastle, Sharni L.; Keane, James; Tajouri, Lotti; Peterson, Daniel; Ramos, Sandra B. (May 9, 2012). "Longitudinal investigation of natural killer cells and cytokines in chronic fatigue syndrome/myalgic encephalomyelitis". Journal of Translational Medicine. 10 (1): 88. doi:10.1186/1479-5876-10-88. ISSN 1479-5876. PMC 3464733Freely accessible. PMID 22571715. 
  12. 12.012.112.212.312.412.5 Garcia, Melissa N.; Hause, Anne M.; Walker, Christopher M.; Orange, Jordan S.; Hasbun, Rodrigo; Murray, Kristy O. (Jul 25, 2014). "Evaluation of Prolonged Fatigue Post–West Nile Virus Infection and Association of Fatigue with Elevated Antiviral and Proinflammatory Cytokines". Viral Immunology. 27 (7): 327–333. doi:10.1089/vim.2014.0035. ISSN 0882-8245. PMC 4150370Freely accessible. PMID 25062274. 
  13. 13.013.113.213.313.413.513.613.713.813.9 Khaiboullina, Svetlana F.; DeMeirleir, Kenny L.; Rawat, Shanti; Berk, Grady S.; Gaynor-Berk, Rory S.; Mijatovic, Tatjana; Blatt, Natalia; Rizvanov, Albert A.; Young, Sheila G. (Mar 1, 2015). "Cytokine expression provides clues to the pathophysiology of Gulf War illness and myalgic encephalomyelitis". Cytokine. 72 (1): 1–8. doi:10.1016/j.cyto.2014.11.019. ISSN 1043-4666. 
  14. 14.014.114.214.314.414.514.6 Hardcastle, Sharni Lee; Brenu, Ekua Weba; Johnston, Samantha; Nguyen, Thao; Huth, Teilah; Ramos, Sandra; Staines, Donald; Marshall-Gradisnik, Sonya (Sep 5, 2015). "Serum Immune Proteins in Moderate and Severe Chronic Fatigue Syndrome/Myalgic Encephalomyelitis Patients". International Journal of Medical Sciences. 12 (10): 764–772. doi:10.7150/ijms.12399. ISSN 1449-1907. PMC 4615236Freely accessible. PMID 26516304. 
  15. 15.015.115.215.315.415.5 Neu, Daniel; Mairesse, Olivier; Montana, Xavier; Gilson, Medhi; Corazza, Francis; Lefevre, Nicolas; Linkowski, Paul; Le Bon, Olivier; Verbanck, Paul (Sep 1, 2014). "Dimensions of pure chronic fatigue: psychophysical, cognitive and biological correlates in the chronic fatigue syndrome". European Journal of Applied Physiology. 114 (9): 1841–1851. doi:10.1007/s00421-014-2910-1. ISSN 1439-6327. 
  16. 16.016.116.216.316.4 ter Wolbeek, Maike; van Doornen, Lorenz J. P.; Kavelaars, Annemieke; van de Putte, Elise M.; Schedlowski, Manfred; Heijnen, Cobi J. (Nov 1, 2007). "Longitudinal analysis of pro- and anti-inflammatory cytokine production in severely fatigued adolescents". Brain, Behavior, and Immunity. 21 (8): 1063–1074. doi:10.1016/j.bbi.2007.04.007. ISSN 0889-1591. 
  17. 17.017.1 Karhan, Ece; Gunter, Courtney L.; Ravanmehr, Vida; Horne, Meghan; Kozhaya, Lina; Renzullo, Stephanie; Placek, Lindsey; George, Joshy; Robinson, Peter N. (Dec 26, 2019). "Perturbation of effector and regulatory T cell subsets in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)". bioRxiv: 2019.12.23.887505. doi:10.1101/2019.12.23.887505. 
  18. Yadlapati, Sujani; Efthimiou, Petros (2016). "Impact of IL-1 inhibition on fatigue associated with autoinflammatory syndromes". Modern Rheumatology. 26 (1): 3–8. doi:10.3109/14397595.2015.1069459. ISSN 1439-7609. PMID 26140469. 
  19. Roerink, Megan E.; van der Schaaf, Marieke E.; Dinarello, Charles A.; Knoop, Hans; van der Meer, Jos W. M. (Jan 21, 2017). "Interleukin-1 as a mediator of fatigue in disease: a narrative review". Journal of Neuroinflammation. 14. doi:10.1186/s12974-017-0796-7. ISSN 1742-2094. PMC 5251329Freely accessible. PMID 28109186. 
  20. Linde, A.; Andersson, B.; Svenson, S. B.; Ahrne, H.; Carlsson, M.; Forsberg, P.; Hugo, H.; Karstorp, A.; Lenkei, R. (Jun 1992). "Serum levels of lymphokines and soluble cellular receptors in primary Epstein-Barr virus infection and in patients with chronic fatigue syndrome". The Journal of Infectious Diseases. 165 (6): 994–1000. doi:10.1093/infdis/165.6.994. ISSN 0022-1899. PMID 1316417. 
  21. 21.021.121.221.321.4 Patarca, R.; Klimas, N. G.; Lugtendorf, S.; Antoni, M.; Fletcher, M. A. (Jan 1994). "Dysregulated expression of tumor necrosis factor in chronic fatigue syndrome: interrelations with cellular sources and patterns of soluble immune mediator expression". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 18 Suppl 1: S147–153. doi:10.1093/clinids/18.supplement_1.s147. ISSN 1058-4838. PMID 8148443. 
  22. 22.022.122.222.322.422.522.622.722.822.9 Fletcher, Mary Ann; Zeng, Xiao Rong; Barnes, Zachary; Levis, Silvina; Klimas, Nancy G. (Nov 12, 2009). "Plasma cytokines in women with chronic fatigue syndrome". Journal of Translational Medicine. 7 (1): 96. doi:10.1186/1479-5876-7-96. ISSN 1479-5876. PMC 2779802Freely accessible. PMID 19909538. 
  23. 23.023.123.2 Maes, Michael; Twisk, Frank N. M.; Kubera, Marta; Ringel, Karl (Feb 1, 2012). "Evidence for inflammation and activation of cell-mediated immunity in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Increased interleukin-1, tumor necrosis factor-α, PMN-elastase, lysozyme and neopterin". Journal of Affective Disorders. 136 (3): 933–939. doi:10.1016/j.jad.2011.09.004. ISSN 0165-0327. 
  24. 24.024.124.224.3 Smylie, Anne Liese; Broderick, Gordon; Fernandes, Henrique; Razdan, Shirin; Barnes, Zachary; Collado, Fanny; Sol, Connie; Fletcher, Mary Ann; Klimas, Nancy (Jun 25, 2013). "A comparison of sex-specific immune signatures in Gulf War illness and chronic fatigue syndrome". BMC Immunology. 14 (1): 29. doi:10.1186/1471-2172-14-29. ISSN 1471-2172. PMC 3698072Freely accessible. PMID 23800166. 
  25. 25.025.1 Scully, Paul; McKernan, Declan P; Keohane, John; Groeger, David; Shanahan, Fergus; Dinan, Timothy G; Quigley, Eamonn MM (Oct 2010). "Plasma Cytokine Profiles in Females With Irritable Bowel Syndrome and Extra-Intestinal Co-Morbidity". American Journal of Gastroenterology. 105 (10): 2235–2243. doi:10.1038/ajg.2010.159. ISSN 0002-9270. 
  26. 26.026.1 Lattie, Emily G.; Antoni, Michael H.; Fletcher, Mary Ann; Penedo, Frank; Czaja, Sara; Lopez, Corina; Perdomo, Dolores; Sala, Andreina; Nair, Sankaran (Aug 1, 2012). "Stress management skills, neuroimmune processes and fatigue levels in persons with chronic fatigue syndrome". Brain, Behavior, and Immunity. 26 (6): 849–858. doi:10.1016/j.bbi.2012.02.008. ISSN 0889-1591. 
  27. 27.027.127.2 Milrad, Sara F.; Hall, Daniel L.; Jutagir, Devika R.; Lattie, Emily G.; Ironson, Gail H.; Wohlgemuth, William; Nunez, Maria Vera; Garcia, Lina; Czaja, Sara J. (Feb 15, 2017). "Poor sleep quality is associated with greater circulating pro-inflammatory cytokines and severity and frequency of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) symptoms in women". Journal of Neuroimmunology. 303: 43–50. doi:10.1016/j.jneuroim.2016.12.008. ISSN 1872-8421. PMC 5258835Freely accessible. PMID 28038892. 
  28. 28.028.128.228.328.428.5 Russell, Lindsey; Broderick, Gordon; Taylor, Renee; Fernandes, Henrique; Harvey, Jeanna; Barnes, Zachary; Smylie, AnneLiese; Collado, Fanny; Balbin, Elizabeth G. (Mar 10, 2016). "Illness progression in chronic fatigue syndrome: a shifting immune baseline". BMC Immunology. 17 (1): 3. doi:10.1186/s12865-016-0142-3. ISSN 1471-2172. PMC 4785654Freely accessible. PMID 26965484. 
  29. 29.029.1 Maes, Michael; Ringel, Karl; Kubera, Marta; Anderson, George; Morris, Gerwyn; Galecki, Piotr; Geffard, Michel (Sep 5, 2013). "In myalgic encephalomyelitis/chronic fatigue syndrome, increased autoimmune activity against 5-HT is associated with immuno-inflammatory pathways and bacterial translocation". Journal of Affective Disorders. 150 (2): 223–230. doi:10.1016/j.jad.2013.03.029. ISSN 0165-0327. 
  30. 30.0030.0130.0230.0330.0430.0530.0630.0730.0830.0930.1030.1130.1230.1330.1430.1530.1630.17 Hornig, M.; Gottschalk, G.; Peterson, D. L.; Knox, K. K.; Schultz, A. F.; Eddy, M. L.; Che, X.; Lipkin, W. I. (Feb 2016). "Cytokine network analysis of cerebrospinal fluid in myalgic encephalomyelitis/chronic fatigue syndrome". Molecular Psychiatry. 21 (2): 261–269. doi:10.1038/mp.2015.29. ISSN 1476-5578. 
  31. Cheney, P. R.; Dorman, S. E.; Bell, D. S. (Feb 15, 1989). "Interleukin-2 and the chronic fatigue syndrome". Annals of Internal Medicine. 110 (4): 321. doi:10.7326/0003-4819-110-4-321_1. ISSN 0003-4819. PMID 2783643. 
  32. 32.032.132.2 Milrad, Sara F.; Hall, Daniel L.; Jutagir, Devika R.; Lattie, Emily G.; Czaja, Sara J.; Perdomo, Dolores M.; Fletcher, Mary Ann; Klimas, Nancy; Antoni, Michael H. (Sep 1, 2018). "Depression, evening salivary cortisol and inflammation in chronic fatigue syndrome: A psychoneuroendocrinological structural regression model". International Journal of Psychophysiology. The Psychophysiology of Stress and Adaptation: Models, Pathways, and Implications. 131: 124–130. doi:10.1016/j.ijpsycho.2017.09.009. ISSN 0167-8760. 
  33. 33.033.133.233.333.433.533.633.733.833.9 Moneghetti, Kegan J.; Skhiri, Mehdi; Contrepois, Kévin; Kobayashi, Yukari; Maecker, Holden; Davis, Mark; Snyder, Michael; Haddad, Francois; Montoya, Jose G. (Feb 9, 2018). "Value of Circulating Cytokine Profiling During Submaximal Exercise Testing in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome". Scientific Reports. 8 (1): 2779. doi:10.1038/s41598-018-20941-w. ISSN 2045-2322. 
  34. 34.034.1 Yang, Tiansong; Yang, Yan; Wang, Delong; Li, Chaoran; Qu, Yuanyuan; Guo, Jing; Shi, Tianyu; Bo, Wang; Sun, Zhongren (Jun 28, 2019). "The clinical value of cytokines in chronic fatigue syndrome". Journal of Translational Medicine. 17. doi:10.1186/s12967-019-1948-6. ISSN 1479-5876. PMC 6599310Freely accessible. PMID 31253154. 
  35. Glund, Stephan; Deshmukh, Atul; Long, Yun Chau; Moller, Theodore; Koistinen, Heikki A.; Caidahl, Kenneth; Zierath, Juleen R.; Krook, Anna (Jun 1, 2007). "Interleukin-6 Directly Increases Glucose Metabolism in Resting Human Skeletal Muscle". Diabetes. 56 (6): 1630–1637. doi:10.2337/db06-1733. ISSN 0012-1797. PMID 17363741. 
  36. 36.036.136.236.336.4 Lynn, Megan; Maclachlan, Laura; Finkelmeyer, Andreas; Clark, James; Locke, James; Todryk, Stephen; Ng, Wan-Fai; Newton, Julia L.; Watson, Stuart (Jun 10, 2018). "Reduction of Glucocorticoid Receptor Function in Chronic Fatigue Syndrome". Mediators of Inflammation. Retrieved Nov 21, 2020. 
  37. Nas, K.; Cevik, R.; Batum, S.; Sarac, A. J.; Acar, S.; Kalkanli, S. (2011). "Immunologic and psychosocial status in chronic fatigue syndrome". Bratislavske Lekarske Listy. 112 (4): 208–212. ISSN 0006-9248. PMID 21585130. 
  38. 38.038.1 Jammes, Y.; Steinberg, J. G.; Delliaux, S.; Brégeon, F. (2009). "Chronic fatigue syndrome combines increased exercise-induced oxidative stress and reduced cytokine and Hsp responses". Journal of Internal Medicine. 266 (2): 196–206. doi:10.1111/j.1365-2796.2009.02079.x. ISSN 1365-2796. 
  39. El Ayadi, Amina; Herndon, David N.; Finnerty, Celeste C. (Jan 1, 2018). Herndon, David N., ed. "21 - Biomarkers in Burn Patient Care". Elsevier: 232–235.e2. ISBN 978-0-323-47661-4. 
  40. 40.040.1 Broderick, Gordon; Katz, Ben Z.; Fernandes, Henrique; Fletcher, Mary Ann; Klimas, Nancy; Smith, Frederick A.; O’Gorman, Maurice RG; Vernon, Suzanne D.; Taylor, Renee (Sep 13, 2012). "Cytokine expression profiles of immune imbalance in post-mononucleosis chronic fatigue". Journal of Translational Medicine. 10 (1): 191. doi:10.1186/1479-5876-10-191. ISSN 1479-5876. PMC 3480896Freely accessible. PMID 22973830. 
  41. Sorenson, Matthew; Jason, Leonard; Lerch, Athena; Porter, Nicole; Peterson, Jonna; Mathews, Herbert (Mar 2, 2012). "The Production of Interleukin-8 is Increased in Plasma and Peripheral Blood Mononuclear Cells of Patients with Fatigue". Neuroscience and Medicine. 3 (1): 720–726. doi:10.4236/nm.2012.31007. 
  42. 42.042.1 Natelson, Benjamin H.; Weaver, Shelley A.; Tseng, Chin-Lin; Ottenweller, John E. (Jan 1, 2005). "Spinal Fluid Abnormalities in Patients with Chronic Fatigue Syndrome". Clinical and Diagnostic Laboratory Immunology. 12 (1): 52–55. doi:10.1128/CDLI.12.1.52-55.2005. ISSN 1071-412X. PMID 15642984. 
  43. Nakamura, Toru; Schwander, Stephan K.; Donnelly, Robert; Ortega, Felix; Togo, Fumiharu; Broderick, Gordon; Yamamoto, Yoshiharu; Cherniack, Neil S.; Rapoport, David (Apr 1, 2010). "Cytokines across the Night in Chronic Fatigue Syndrome with and without Fibromyalgia". Clinical and Vaccine Immunology. 17 (4): 582–587. doi:10.1128/CVI.00379-09. ISSN 1556-6811. PMID 20181767. 
  44. Russell, Alice; Hepgul, Nilay; Nikkheslat, Naghmeh; Borsini, Alessandra; Zajkowska, Zuzanna; Moll, Natalie; Forton, Daniel; Agarwal, Kosh; Chalder, Trudie (Feb 2019). "Persistent fatigue induced by interferon-alpha: a novel, inflammation-based, proxy model of chronic fatigue syndrome". Psychoneuroendocrinology. 100: 276–285. doi:10.1016/j.psyneuen.2018.11.032. ISSN 0306-4530. PMC 6350004Freely accessible. PMID 30567628. 
  45. Borish, Larry; Schmaling, Karen; DiClementi, Jeannie D.; Streib, Joanne; Negri, Julie; Jones, James F. (Aug 1, 1998). "Chronic fatigue syndrome: Identification of distinct subgroups on the basis of allergy and psychologic variables". Journal of Allergy and Clinical Immunology. 102 (2): 222–230. doi:10.1016/S0091-6749(98)70090-9. ISSN 0091-6749. 
  46. Peterson, D.; Brenu, E. W.; Gottschalk, G.; Ramos, S.; Nguyen, T.; Staines, D.; Marshall-Gradisnik, S. (Mar 5, 2015). "Cytokines in the Cerebrospinal Fluids of Patients with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis". Mediators of Inflammation. Retrieved Nov 19, 2020. 
  47. Cook, Stuart A.; Schafer, Sebastian (Jan 27, 2020). "Hiding in Plain Sight: Interleukin-11 Emerges as a Master Regulator of Fibrosis, Tissue Integrity, and Stromal Inflammation". Annual Review of Medicine. 71 (1): 263–276. doi:10.1146/annurev-med-041818-011649. ISSN 0066-4219. 
  48. Rus, Violeta; Via, Charles S. (Jan 1, 2007). Tsokos, George C.; Gordon, Caroline; Smolen, Josef S., eds. "Chapter 12 - Cytokines in Systemic Lupus Erythematosus". Philadelphia: Mosby: 109–120. ISBN 978-0-323-04434-9. 
  49. Marone, Giancarlo; Granata, Francescopaolo; Pucino, Valentina; Pecoraro, Antonio; Heffler, Enrico; Loffredo, Stefania; Scadding, Guy W.; Varricchi, Gilda (2019). "The Intriguing Role of Interleukin 13 in the Pathophysiology of Asthma". Frontiers in Pharmacology. 10. doi:10.3389/fphar.2019.01387. ISSN 1663-9812. 
  50. Carrero, Rosa M. Santana; Beceren-Braun, Figen; Rivas, Sarai C.; Hegde, Shweta M.; Gangadharan, Achintyan; Plote, Devin; Pham, Gabriel; Anthony, Scott M.; Schluns, Kimberly S. (Jan 8, 2019). "IL-15 is a component of the inflammatory milieu in the tumor microenvironment promoting antitumor responses". Proceedings of the National Academy of Sciences. 116 (2): 599–608. doi:10.1073/pnas.1814642116. ISSN 0027-8424. PMID 30587590. 
  51. Galeone, Antonella; Paparella, Domenico; Colucci, Silvia; Grano, Maria; Brunetti, Giacomina (Nov 6, 2013). "The Role of TNF-α and TNF Superfamily Members in the Pathogenesis of Calcific Aortic Valvular Disease". The Scientific World Journal. Retrieved Nov 20, 2020. 
  52. Hilgers, A.; Frank, J. (1994). "[Chronic fatigue syndrome: immune dysfunction, role of pathogens and toxic agents and neurological and cardial changes]". Wiener Medizinische Wochenschrift (1946). 144 (16): 399–406. ISSN 0043-5341. PMID 7856214. 
  53. 53.053.1 White, P. D.; Nye, K. E.; Pinching, A. J.; Yap, T. M.; Power, N.; Vleck, V.; Bentley, D. J.; Thomas, J. M.; Buckland, M. (Jan 1, 2004). "Immunological Changes After Both Exercise and Activity in Chronic Fatigue Syndrome". Journal of Chronic Fatigue Syndrome. 12 (2): 51–66. doi:10.1300/J092v12n02_06. ISSN 1057-3321. 
  54. Tayyeb, Asima; Shah, Zafar Abbas (Jul 2, 2019). "Insilico investigation of TNFSF10 signaling cascade in ovarian serous cystadenocarcinoma". Archives of Cancer Science and Therapy. 3 (1): 025–034. doi:10.29328/journal.acst.1001005. 
  55. White, Andrea T.; Light, Alan R.; Hughen, Ronald W.; Bateman, Lucinda; Martins, Thomas B.; Hill, Harry R.; Light, Kathleen C. (2010). "Severity of symptom flare after moderate exercise is linked to cytokine activity in chronic fatigue syndrome". Psychophysiology. 47 (4): 615–624. doi:10.1111/j.1469-8986.2010.00978.x. ISSN 1469-8986. PMC 4378647Freely accessible. PMID 20230500. 
  56. Sawant, Kirti V.; Poluri, Krishna Mohan; Dutta, Amit K.; Sepuru, Krishna Mohan; Troshkina, Anna; Garofalo, Roberto P.; Rajarathnam, Krishna (Sep 14, 2016). "Chemokine CXCL1 mediated neutrophil recruitment: Role of glycosaminoglycan interactions". Scientific Reports. 6 (1): 33123. doi:10.1038/srep33123. ISSN 2045-2322. 
  57. Vazirinejad, Reza; Ahmadi, Zahra; Arababadi, Mohammad Kazemi; Hassanshahi, Gholamhossein; Kennedy, Derek (2014). "The Biological Functions, Structure and Sources of CXCL10 and Its Outstanding Part in the Pathophysiology of Multiple Sclerosis". Neuroimmunomodulation. 21 (6): 322–330. doi:10.1159/000357780. ISSN 1021-7401. PMID 24642726. 
  58. "CSF1 Gene - GeneCards | CSF1 Protein | CSF1 Antibody". www.genecards.org. Retrieved Nov 20, 2020. 
  59. "CSF2 Gene - GeneCards | CSF2 Protein | CSF2 Antibody". www.genecards.org. Retrieved Nov 20, 2020. 
  60. "CSF3 Gene - GeneCards | CSF3 Protein | CSF3 Antibody". www.genecards.org. Retrieved Nov 20, 2020. 
  61. Chao, Chun C.; Janoff, Edward N.; Hu, Shuxian; Thomas, Kelly; Gallagher, Michael; Tsang, Monica; Peterson, Phillip K. (Jul 1, 1991). "Altered cytokine release in peripheral blood mononuclear cell cultures from patients with the chronic fatigue syndrome". Cytokine. 3 (4): 292–298. doi:10.1016/1043-4666(91)90497-2. ISSN 1043-4666. 
  62. Peterson, P. K.; Sirr, S. A.; Grammith, F. C.; Schenck, C. H.; Pheley, A. M.; Hu, S.; Chao, C. C. (Mar 1, 1994). "Effects of mild exercise on cytokines and cerebral blood flow in chronic fatigue syndrome patients". Clinical and Diagnostic Laboratory Immunology. 1 (2): 222–226. ISSN 1071-412X. PMID 7496949. 
  63. Kennedy, G.; Spence, V.; Underwood, C.; Belch, J. J. F. (Aug 1, 2004). "Increased neutrophil apoptosis in chronic fatigue syndrome". Journal of Clinical Pathology. 57 (8): 891–893. doi:10.1136/jcp.2003.015511. ISSN 0021-9746. PMID 15280416. 
  64. Clark, L. V.; Buckland, M.; Murphy, G.; Taylor, N.; Vleck, V.; Mein, C.; Wozniak, E.; Smuk, M.; White, P. D. (2017). "Cytokine responses to exercise and activity in patients with chronic fatigue syndrome: case–control study". Clinical & Experimental Immunology. 190 (3): 360–371. doi:10.1111/cei.13023. ISSN 1365-2249. PMC 5680051Freely accessible. PMID 28779554. 
  65. 65.065.1 Lidbury, Brett A.; Kita, Badia; Lewis, Donald P.; Hayward, Susan; Ludlow, Helen; Hedger, Mark P.; de Kretser, David M. (Mar 16, 2017). "Activin B is a novel biomarker for chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) diagnosis: a cross sectional study". Journal of Translational Medicine. 15 (1): 60. doi:10.1186/s12967-017-1161-4. ISSN 1479-5876. PMC 5353946Freely accessible. PMID 28302133. 
  66. Richardson, Alice M.; Lewis, Don P.; Kita, Badia; Ludlow, Helen; Groome, Nigel P.; Hedger, Mark P.; de Kretser, David M.; Lidbury, Brett A. (Apr 12, 2018). "Weighting of orthostatic intolerance time measurements with standing difficulty score stratifies ME/CFS symptom severity and analyte detection". Journal of Translational Medicine. 16 (1): 97. doi:10.1186/s12967-018-1473-z. ISSN 1479-5876. PMC 5898049Freely accessible. PMID 29650052. 
  67. Lidbury, Brett A.; Kita, Badia; Richardson, Alice M.; Lewis, Donald P.; Privitera, Edwina; Hayward, Susan; de Kretser, David; Hedger, Mark (Jul 19, 2019). "Rethinking ME/CFS Diagnostic Reference Intervals via Machine Learning, and the Utility of Activin B for Defining Symptom Severity". Diagnostics (Basel, Switzerland). 9 (3). doi:10.3390/diagnostics9030079. ISSN 2075-4418. PMC 6787626Freely accessible. PMID 31331036. 
  68. 68.068.1 Melvin, A.; Lacerda, E.; Dockrell, H. M.; O’Rahilly, S.; Nacul, L. (Dec 4, 2019). "Circulating levels of GDF15 in patients with myalgic encephalomyelitis/chronic fatigue syndrome". Journal of Translational Medicine. 17 (1): 409. doi:10.1186/s12967-019-02153-6. ISSN 1479-5876. PMC 6892232Freely accessible. PMID 31801546. 
  69. La Cava, Antonio (Oct 2017). "Leptin in inflammation and autoimmunity". Cytokine. 98: 51–58. doi:10.1016/j.cyto.2016.10.011. ISSN 1043-4666. PMC 5453851Freely accessible. PMID 27916613. 
  70. Stringer, Elizabeth Ann; Baker, Katharine Susanne; Carroll, Ian R.; Montoya, Jose G.; Chu, Lily; Maecker, Holden T.; Younger, Jarred W. (Apr 9, 2013). "Daily cytokine fluctuations, driven by leptin, are associated with fatigue severity in chronic fatigue syndrome: evidence of inflammatory pathology". Journal of Translational Medicine. 11 (1): 93. doi:10.1186/1479-5876-11-93. ISSN 1479-5876. PMC 3637529Freely accessible. PMID 23570606. 
  71. Minnone, Gaetana; De Benedetti, Fabrizio; Bracci-Laudiero, Luisa (May 11, 2017). "NGF and Its Receptors in the Regulation of Inflammatory Response". International Journal of Molecular Sciences. 18 (5). doi:10.3390/ijms18051028. ISSN 1422-0067. PMC 5454940Freely accessible. PMID 28492466. 
  72. "The role of low-grade inflammation in ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) - associations with symptoms". Psychoneuroendocrinology. 113: 104578. Mar 1, 2020. doi:10.1016/j.psyneuen.2019.104578. ISSN 0306-4530. 
  73. "PDGFB gene: MedlinePlus Genetics". medlineplus.gov. Retrieved Nov 20, 2020. 
  74. "VEGFA Gene - GeneCards | VEGFA Protein | VEGFA Antibody". www.genecards.org. Retrieved Nov 20, 2020. 
  75. Broderick, Gordon; Fuite, Jim; Kreitz, Andrea; Vernon, Suzanne D; Klimas, Nancy; Fletcher, Mary Ann (Oct 2010). "A Formal Analysis of Cytokine Networks in Chronic Fatigue Syndrome". Brain, behavior, and immunity. 24 (7): 1209–1217. doi:10.1016/j.bbi.2010.04.012. ISSN 0889-1591. PMC 2939140Freely accessible. PMID 20447453. 
  76. Wyller, Vegard Bruun; Sørensend, Øystein; Sulheima, Dag; Fagermoen, Even; Ueland, Thor; Mollnes, Tom Eirik (2015), "Plasma cytokine expression in adolescent chronic fatigue syndrome", Brain, Behavior, and Immunity, 46: 80–86, doi:10.1016/j.bbi.2014.12.025 
  77. Megan E. Roerink, Hans Knoop, Ewald M. Bronkhorst, Henk A. Mouthaan, Luuk J. A. C. Hawinkels, Leo A. B. Joosten and Jos W. M. van der Meer, Cytokine signatures in chronic fatigue syndrome patients: a Case Control Study and the effect of anakinra treatment, Journal of Translational Medicine, 2017 Vol 15:267 https://doi.org/10.1186/s12967-017-1371-9

cytokine - any class of immunoregulatory proteins secreted by cells, especially immune cells. Cytokines are small proteins important in cell signaling that modulate the immune system. (Learn more: me-pedia.org)

cytokine - any class of immunoregulatory proteins secreted by cells, especially immune cells. Cytokines are small proteins important in cell signaling that modulate the immune system. (Learn more: me-pedia.org)

antibody - Antibodies or immunoglobulin refers to any of a large number of specific proteins produced by B cells that act against an antigen in an immune response.

chronic fatigue syndrome (CFS) - A fatigue-based illness. The term CFS was invented invented by the U.S. Centers for Disease Control as an replacement for myalgic encephalomyelitis (ME). Some view CFS as a neurological disease, others use the term for any unexplained long-term fatigue (idiopathic chronic fatigue) without additional symptoms. Sometimes used as a the term as a synonym of myalgic encephalomyelitis, despite the different diagnostic criteria.

myalgic encephalomyelitis (ME) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.

cytokine - any class of immunoregulatory proteins secreted by cells, especially immune cells. Cytokines are small proteins important in cell signaling that modulate the immune system. (Learn more: me-pedia.org)

ME/CFS - An acronym that combines myalgic encephalomyelitis with chronic fatigue syndrome. Sometimes they are combined because people have trouble distinguishing one from the other. Sometimes they are combined because people see them as synonyms of each other.

α - Greek letter alpha or alfa (symbol)

λ - Greek letter lamda (symbol)

λ - Greek letter gamma/gamme (symbol)

chronic fatigue syndrome (CFS) - A fatigue-based illness. The term CFS was invented invented by the U.S. Centers for Disease Control as an replacement for myalgic encephalomyelitis (ME). Some view CFS as a neurological disease, others use the term for any unexplained long-term fatigue (idiopathic chronic fatigue) without additional symptoms. Sometimes used as a the term as a synonym of myalgic encephalomyelitis, despite the different diagnostic criteria.

apoptosis - a type of cell death in which a cell, in response to a threat, initiates a series of molecular steps that lead to its orderly death. This is one method the body uses to get rid of unneeded or abnormal cells. This form of cell suicide is also called programmed cell death.

B cell - B lymphocyte, or a type of white blood cell, which is involved in the immune response by secreting antibodies to ward off infections. In mammals, they are mostly matured in the bone marrow.

T cell - A type of white blood cell which is mostly produced or matured in the thymus gland (hence T-cell) and is involved in the adaptive immune response on a cellular level. Also known as a T lymphocyte. (Learn more: www.youtube.com)

T cell - A type of white blood cell which is mostly produced or matured in the thymus gland (hence T-cell) and is involved in the adaptive immune response on a cellular level. Also known as a T lymphocyte. (Learn more: www.youtube.com)

α - Greek letter alpha or alfa (symbol)

β - Greek letter beta (symbol)

T cell - A type of white blood cell which is mostly produced or matured in the thymus gland (hence T-cell) and is involved in the adaptive immune response on a cellular level. Also known as a T lymphocyte. (Learn more: www.youtube.com)

T cell - A type of white blood cell which is mostly produced or matured in the thymus gland (hence T-cell) and is involved in the adaptive immune response on a cellular level. Also known as a T lymphocyte. (Learn more: www.youtube.com)

cytokine - any class of immunoregulatory proteins secreted by cells, especially immune cells. Cytokines are small proteins important in cell signaling that modulate the immune system. (Learn more: me-pedia.org)

chronic fatigue syndrome (CFS) - A fatigue-based illness. The term CFS was invented invented by the U.S. Centers for Disease Control as an replacement for myalgic encephalomyelitis (ME). Some view CFS as a neurological disease, others use the term for any unexplained long-term fatigue (idiopathic chronic fatigue) without additional symptoms. Sometimes used as a the term as a synonym of myalgic encephalomyelitis, despite the different diagnostic criteria.

The information provided at this site is not intended to diagnose or treat any illness.
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history.