Serveur d'exploration sur les relations entre la France et l'Australie

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Evidence for the existence of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) with and without abdominal discomfort (irritable bowel) syndrome.

Identifieur interne : 002027 ( Ncbi/Merge ); précédent : 002026; suivant : 002028

Evidence for the existence of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) with and without abdominal discomfort (irritable bowel) syndrome.

Auteurs : Michael Maes [Thaïlande] ; Jean-Claude Leunis [Belgique] ; Michel Geffard [France] ; Michael Berk [Australie]

Source :

RBID : pubmed:25433843

Descripteurs français

English descriptors

Abstract

There is evidence that Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is accompanied by gastro-intestinal symptoms; and IgA and IgM responses directed against lipopolysaccharides (LPS) of commensal bacteria, indicating bacterial translocation.

PubMed: 25433843

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pubmed:25433843

Le document en format XML

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<nlm:affiliation>Department of Psychiatry, Deakin University, Geelong, Australia.</nlm:affiliation>
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<term>Fatigue Syndrome, Chronic (immunology)</term>
<term>Fatigue Syndrome, Chronic (microbiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Immunoglobulin A (blood)</term>
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<term>Irritable Bowel Syndrome (immunology)</term>
<term>Irritable Bowel Syndrome (microbiology)</term>
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<term>Analyse de regroupements</term>
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<term>Humains</term>
<term>Immunoglobuline A (sang)</term>
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<term>Syndrome du côlon irritable</term>
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<term>Cluster Analysis</term>
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<front>
<div type="abstract" xml:lang="en">There is evidence that Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is accompanied by gastro-intestinal symptoms; and IgA and IgM responses directed against lipopolysaccharides (LPS) of commensal bacteria, indicating bacterial translocation.</div>
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<Month>03</Month>
<Day>10</Day>
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<ArticleTitle>Evidence for the existence of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) with and without abdominal discomfort (irritable bowel) syndrome.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is evidence that Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is accompanied by gastro-intestinal symptoms; and IgA and IgM responses directed against lipopolysaccharides (LPS) of commensal bacteria, indicating bacterial translocation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This study was carried out to examine gastro-intestinal symptoms in subjects with ME/CFS versus those with chronic fatigue (CF). The two groups were dissected by dichotomizing those fulfilling and not fulfilling Fukuda's critera. In these groups, we examined the association between gastro-intestinal symptoms and the IgA and IgM responses directed against commensal bacteria.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Using cluster analysis performed on gastro-intestinal symptoms we delineated that the cluster analysis-generated diagnosis of abdominal discomfort syndrome (ADS) was significantly higher in subjects with ME/CFS (59.6%) than in those with CF (17.7%). The diagnosis of ADS was strongly associated with the diagnosis of irritable bowel syndrome (IBS). There is evidence that ME/CFS consists of two subgroups, i.e. ME/CFS with and without ADS. Factor analysis showed four factors, i.e. 1) inflammation-hyperalgesia; 2) fatigue-malaise; 3) gastro-intestinal symptoms/ADS; and 4) neurocognitive symptoms. The IgA and IgM responses to LPS of commensal bacteria were significantly higher in ME/CFS patients with ADS than in those without ADS.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The findings show that ADS is a characteristic of a subset of patients with ME/CFS and that increased bacterial translocation (leaky gut) is associated with ADS symptoms. This study has defined a pathway phenotype, i.e bacterial translocation, that is related to ME/CFS and ADS/IBS and that may drive systemic inflammatory processes.</AbstractText>
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