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P. D. White, K. E. Nye, A. J. Pinching, T. M. Yap, N. Power, V. Vleck, D. J. Bentley, J. M. Thomas, M. Buckland and J. M. Parkin, “Immunological Changes After Both Exercise and Activity in Chronic Fatigue Syndrome: A Pilot Study,” Journal of Chronic Fatigue Syndrome, Vol. 12, No. 2, 2004, pp. 51-66. doi:10.1300/J092v12n02_06

has been cited by the following article:

• TITLE: An Etiological Model for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

  AUTHORS: Leonard A. Jason, Matthew Sorenson, Nicole Porter, Natalie Belkairous

  KEYWORDS: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, Kindling, Limbic-hypothalamic-pituitary Cxis

  JOURNAL NAME: Neuroscience and Medicine, Vol.2 No.1, March 17, 2011

  ABSTRACT: Kindling might represent a heuristic model for understanding the etiology of Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS). Kindling occurs when an organism is exposed repeatedly to an initially sub-threshold stimulus re-sulting in hypersensitivity and spontaneous seizure-like activity. Among patients with ME/CFS, chronically repeated low-intensity stimulation due to an infectious illness might cause kindling of the limbic-hypothalamic-pituitary axis. Kindling might also occur by high-intensity stimulation (e.g., brain trauma) of the limbic-hypothalamic-pituitary axis. Once this system is charged or kindled, it can sustain a high level of arousal with little or no external stimulus and eventually this could lead to hypocortisolism. Seizure activity may spread to adjacent structures of the limbic-hypothalamic-pituitary axis in the brain, which might be responsible for the varied symptoms that occur among patients with ME/CFS. In addition, kindling may also be responsible for high levels of oxidative stress, which has been found in patients with ME/CFS.