Understanding neuromuscular disorders in chronic fatigue syndrome.


Journal

F1000Research
ISSN: 2046-1402
Titre abrégé: F1000Res
Pays: England
ID NLM: 101594320

Informations de publication

Date de publication:
2019
Historique:
accepted: 19 11 2019
entrez: 10 12 2019
pubmed: 10 12 2019
medline: 4 6 2020
Statut: epublish

Résumé

Muscle failure has been demonstrated in patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Neurophysiological tools demonstrate the existence of both central and peripheral fatigue in these patients. Central fatigue is deduced from the reduced amplitude of myopotentials evoked by transcranial magnetic stimulation of the motor cortex as well as by the muscle response to interpolated twitches during sustained fatiguing efforts. An impaired muscle membrane conduction velocity assessed by the reduced amplitude and lengthened duration of myopotentials evoked by direct muscle stimulation is the defining feature of peripheral fatigue. Some patients with ME/CFS show an increased oxidative stress response to exercise. The formation of lipid hydroperoxides in the sarcolemma, which alters ionic fluxes, could explain the reduction of muscle membrane excitability and potassium outflow often measured in these patients. In patients with ME/CFS, the formation of heat shock proteins (HSPs) is also reduced. Because HSPs protect muscle cells against the deleterious effects of reactive oxygen species, the lack of their production could explain the augmented oxidative stress and the consecutive alterations of myopotentials which could open a way for future treatment of ME/CFS.

Identifiants

pubmed: 31814961
doi: 10.12688/f1000research.18660.1
pmc: PMC6883394
pii:
doi:

Substances chimiques

Heat-Shock Proteins 0
Lipid Peroxides 0
Reactive Oxygen Species 0
Potassium RWP5GA015D

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright: © 2019 Jammes Y and Retornaz F.

Déclaration de conflit d'intérêts

No competing interests were disclosed.No competing interests were disclosed.No competing interests were disclosed.

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Auteurs

Yves Jammes (Y)

C2VN Inserm Inra, Faculty of Medicine, Aix Marseille University, Marseille, France, France.

Frédérique Retornaz (F)

Department of Internal Medicine, European Hospital, Marseille, France, France.

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Classifications MeSH