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PLoS One. 2017 Oct 24;12(10):e0186802. doi: 10.1371/journal.pone.0186802. eCollection 2017.

Cellular bioenergetics is impaired in patients with chronic fatigue syndrome.

Author information

1
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
2
Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
3
Newcastle upon Tyne Hospitals, NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
4
Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
5
Centre for Human Metabolomics, North-West University, Potchefstroom, South Africa.

Abstract

Chronic fatigue syndrome (CFS) is a highly debilitating disease of unknown aetiology. Abnormalities in bioenergetic function have been cited as one possible cause for CFS. Preliminary studies were performed to investigate cellular bioenergetic abnormalities in CFS patients. A series of assays were conducted using peripheral blood mononuclear cells (PBMCs) from CFS patients and healthy controls. These experiments investigated cellular patterns in oxidative phosphorylation (OXPHOS) and glycolysis. Results showed consistently lower measures of OXPHOS parameters in PBMCs taken from CFS patients compared with healthy controls. Seven key parameters of OXPHOS were calculated: basal respiration, ATP production, proton leak, maximal respiration, reserve capacity, non-mitochondrial respiration, and coupling efficiency. While many of the parameters differed between the CFS and control cohorts, maximal respiration was determined to be the key parameter in mitochondrial function to differ between CFS and control PBMCs due to the consistency of its impairment in CFS patients found throughout the study (p≤0.003). The lower maximal respiration in CFS PBMCs suggests that when the cells experience physiological stress they are less able to elevate their respiration rate to compensate for the increase in stress and are unable to fulfil cellular energy demands. The metabolic differences discovered highlight the inability of CFS patient PBMCs to fulfil cellular energetic demands both under basal conditions and when mitochondria are stressed during periods of high metabolic demand.

PMID:
29065167
PMCID:
PMC5655451
DOI:
10.1371/journal.pone.0186802
[Indexed for MEDLINE]
Free PMC Article

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