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  1. Jonathan Edwards

    An Isolated Complex V Inefficiency and Dysregulated Mitochondrial Function in Immortalized Lymphocytes from ME/CFS Patients Missailidis et al. 2019

    Yes, good question, it would be useful for people to have a handle on this. Immune cells / white blood cells in general derive from bone marrow stem cells that can decide to follow one of several maturation paths. They can become B lymphocytes or macrophages or even red cells. To follow a path...
  2. Jonathan Edwards

    An Isolated Complex V Inefficiency and Dysregulated Mitochondrial Function in Immortalized Lymphocytes from ME/CFS Patients Missailidis et al. 2019

    This is the problem. It seems unlikely that other cells/systems can do that. The genetic material should not be changed. The effect should be epigenetic, but in general epigenetic changes involved in cell maturation and function do not survive transformation into immortalised lines.
  3. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    High hydroxyproline levels would be an effect of collagen breakdown, not a cause. But in any case it makes no sense to relate collagen breakdown to ligamentous laxity. This is where people are simply not understanding the anatomy. Ligaments are like elasticated cords. The collagen provides the...
  4. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    I believe that there is a rare syndrome reported in young children where pharyngitis appears to be followed by cervical instability problems. I know very little about it and I doubt anyone does much. Whether it is anything to do with viruses or not I do not know. The pharynx is very close to the...
  5. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    I think the answer is that by and large virus infections do not cause structural damage to tissues, except sometimes epithelia like skin vesicles. I do not think there is evidence for viruses causing structural change to ligaments.
  6. Jonathan Edwards

    A study I want someone to do

    I appreciate your explanation is very helpful @Woolie but cognition is neural as far as I am concerned. I realise that I may be seen as a 'reductionist' biologist by some but in reality I am an anti-reductionist Leibnizian if one really wants to go in to metaphysics. (Like Leibniz and Descartes...
  7. Jonathan Edwards

    Trial By Error: An Open Letter to Dr Godlee about BMJ’s Ethically Bankrupt Actions

    Don't be so sure. I am certain that LP will have been evaluated along with everything else for evidence and cost effectiveness by NICE. If it scores high enough it will be funded by NHS.
  8. Jonathan Edwards

    B-Lymphocyte Depletion in Patients With ME/cfs: A Randomized, Double-Blind, Placebo-Controlled Trial (2019) Fluge et al

    I am not sure that 'comorbid autoimmunity ' or mast cell activation makes much sense though! I agree with Dr v E that feeling bad is often part of the immune response - which is precisely why getting rid of immune cells, i.e. B cells, works when it does. I think he is assuming that immune...
  9. Jonathan Edwards

    B-Lymphocyte Depletion in Patients With ME/cfs: A Randomized, Double-Blind, Placebo-Controlled Trial (2019) Fluge et al

    Presumably Dr van Elszakker is not familiar with the reason why we use rituximab in autoimmunity. It is to remove clones making the autoantibodies that cause symptoms. If a subset of people with ME had hidden autoantibodies - and that was quite plausible - then rituximab makes as much sense as...
  10. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    I have every reason to think this is the case. The suggestions of an association look to me highly unreliable. PEM involves a worsening of symptoms over a time frame that does not fit with simple exhaustion of energy supply at the time or even with the normal fatiguing that occurs after a...
  11. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    A search of Ehlers Danlos and cervical (without compression) brings up the Brodbelt review and the Henderson review of Chiari cases. Nothing else of significance as far as I can see.
  12. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    I have done a PubMed search on Ehlers Danlos and cord compression. There are 5 papers in all. 1. Case report of cervical vertebral anomaly (not instability) in 16 yr old. 2. Case report of cervical vertebral anomaly (not instability) in 15 month old. 3. An Ontario Health Technology...
  13. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    I might add that so far in all these discussions I have not yet seen an MRI image on someone with ME or EDS with actual brain stem or cord compression. Maybe such images exist but I have not seen them.
  14. Jonathan Edwards

    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    As I understand it BAI is basion-axis-interval. As far as I am aware the best way to measure this would be on plain x-rays of the sort we have had for fifty years - and specifically with a view taken with the head bent forward, which is when the BAI tends to increase. The BAI is a measurement...
  15. Jonathan Edwards

    A study I want someone to do

    So maybe there might be a clue in the everyday experience of PWME? Is it possible that PWME recognise that certain sorts of memory, e.g. from yesterday's events, stick around longer than expected? Might visual images hang around longer - anything like that?
  16. Jonathan Edwards

    Open Institute for Neuro-Immune Medicine: ME/CFS: Detecting Mycotoxin Subgroup

    This looks like bad methodology to me. A study like this needs to be done on a strict population based cohort with matched controls from the same population. It worries me that research groups are setting up projects in this way.
  17. Jonathan Edwards

    A study I want someone to do

    I think Marco was referring to the suggestion I had made in the post he quoted. We need an experimental neuropsychologist. Maybe @Woolie would know?
  18. Jonathan Edwards

    A study I want someone to do

    Can you quote anything specific?
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