Mechanisms That Prevent Recovery in Prolonged ICU Patients Also Underlie Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)
HYPOTHESIS AND THEORY published: 28 January 2021 doi: 10.3389/fmed.2021.628029 Hypothesis: Mechanisms That Prevent Recovery in Prolonged ICU Patients Also Underlie Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Dominic Stanculescu 1, Lars Larsson 2 and Jonas Bergquist 3,4* 1 Independent Researcher, Sint Martens Latem, Belgium, 2 Basic and Clinical Muscle Biology, Department of Physiology and Pharmacology, Karolinska Institute, Solna, Sweden, 3 Analytical Chemistry and Neurochemistry, Department of Chemistry – Biomedical Center, Uppsala University, Uppsala, Sweden, 4 The Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Collaborative Research Centre at Uppsala University, Uppsala, Sweden Edited by: Here the hypothesis is advanced that maladaptive mechanisms that prevent Nuno Sepulveda, recovery in some intensive care unit (ICU) patients may also underlie Myalgic Charité–Universitätsmedizin Berlin, Germany encephalomyelitis/chronic fatigue syndrome (ME/CFS). Specifically, these mechanisms Reviewed by: are: (a) suppression of the pituitary gland’s pulsatile secretion of tropic hormones, and (b) Jose Alegre-Martin, a “vicious circle” between inflammation, oxidative and nitrosative stress (O&NS), and low Vall d’Hebron University thyroid hormone function. This hypothesis should be investigated through collaborative Hospital, Spain Klaus Wirth, research projects. Sanofi, Germany Jonathan Kerr, Keywords: myalgic encephalomyelitis, critical illness, non-thyroidal illness syndrome, low t-3 syndrome, pituitary, Norfolk and Norwich
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