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Skeletal muscle bioenergetics in the Chronic Fatigue Syndrome (CFS)

  [ 31 votes ]   [ Discuss This Article ]
www.ProHealth.com • June 3, 1993


Skeletal muscle bioenergetics and control of intracellular pH
have been investigated in 46 patients with chronic fatigue
syndrome by phosphorus magnetic resonance spectroscopy. The
results have been compared with those from healthy controls
and from a group of patients with mitochondrial cytopathies
affecting skeletal muscle. No consistent abnormalities of
glycolysis, mitochondrial metabolism or pH regulation were
identified in the group when taken as a whole, although in 12
of the 46 patients the relationship between pH and
phosphocreatine utilisation during exercise fell outside the
normal range. Of these, 6 patients showed increased
acidification relative to phosphocreatine depletion while 6
showed reduced acidification. These findings do not support
the hypothesis that any specific metabolic abnormality
underlies fatigue in this syndrome although abnormalities may
be present in a minority of patients.

Barnes PR, Taylor DJ, Kemp GJ, Radda GK




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