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Poster - Cognitive dysfunction in women with chronic fatigue syndrome: examining the role of the endometrium, the nuclear receptors, and the antimicrobial peptides

Type: Abstract presentation
Presented by: Amy Proal
Conference: Days of Molecular Medicine 2008
Location: Karolinska Institue, Sweden
Date: April 17-19, 2008
Additional content: poster; Notes from the Conference by Amy Proal
Notes: presentation begins at 28:13;

Abstract

Chronic fatigue syndrome (CFS/ME) has recently been recognized by the CDC as a physiological disease that leaves patients substantially debilitated. Increasing evidence, including data from twin studies1), points to the fact that patients with the illness also suffer from a significant degree of cognitive dysfunctionThe loss of intellectual functions such as reasoning; memory loss; and other neurological abilities that is severe enough to interfere with daily functioning. - impairing their ability to process information, and recall verbal and visual information2). We present data from a large cohort of CFS/ME patients in a study of a VDRThe Vitamin D Receptor. A nuclear receptor located throughout the body that plays a key role in the innate immune response. nuclear receptorIntracellular receptor proteins that bind to hydrophobic signal molecules (such as steroid and thyroid hormones) or intracellular metabolites and are thus activated to bind to specific DNA sequences which affects transcription. agonist, which suggest that women with CFS/ME tend to suffer from a greater decline in cognitive function then their male counterparts, and that cognitive function is at least partly restored by the agonist. The cognitive function of five women is examined in greater detail. For example, after falling ill with CFS/ME, one 45-year-old female went from being a corporate executive to reading at a 4th grade level. She became too confused to drive, lost her short-term memory, and forgot words, grammar, and basic math. Another patient was a corporate attorney who, after falling ill with CFS/ME, found that her reading skills fell to an 8th grade level. She lost the ability to problem solve and could not get beyond the first set of questions on an IQ test. In view of the recent report that the VDR nuclear receptor is over-expressed in the endometrium3), it is possible that the severity of cognitive dysfunction among women may not be due to serendipity and that there is need for future research of gene expression in the endometrium.

References

1)
Claypoole KH, Noonan C, Mahurin RK, Goldberg J, Erickson T, Buchwald D. A twin study of cognitive function in chronic fatigue syndrome: the effects of sudden illness onset. Neuropsychology. 2007 Jul;21(4):507-13. doi: 10.1037/0894-4105.21.4.507.
[PMID: 17605583] [DOI: 10.1037/0894-4105.21.4.507]
2)
DeLuca J, Johnson SK, Natelson BH. Information processing efficiency in chronic fatigue syndrome and multiple sclerosis. Arch Neurol. 1993 Mar;50(3):301-4. doi: 10.1001/archneur.1993.00540030065016.
[PMID: 8442710] [DOI: 10.1001/archneur.1993.00540030065016]
3)
Viganò P, Lattuada D, Mangioni S, Ermellino L, Vignali M, Caporizzo E, Panina-Bordignon P, Besozzi M, Di Blasio AM. Cycling and early pregnant endometrium as a site of regulated expression of the vitamin D system. J Mol Endocrinol. 2006 Jun;36(3):415-24. doi: 10.1677/jme.1.01946.
[PMID: 16720713] [DOI: 10.1677/jme.1.01946]
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