Thanks
@V.R.T.
I’m a bit caught up in projects at the moment so can’t write as much as I would like, but I would start with neuron populations implicated in propagating peripheral immune signals to the brain during active infection. There’s a TRPV1+ subset that’s been described in fever response/thermal regulation via IL-1B/prostaglandin signaling (covering both peripheral nerves and hypothalamic neurons). Also DRG neurons that interact with a local population of macrophages, I believe. I will try to link the studies I’m thinking of when I have a chance.
Another idle possibility ive been tossing around is whether ME/CFS is perpetuated by one of the many intracellular signaling cascades that get activated by calcium flux (and would be triggered by repeated neuron firing). In which case, I’d be interested in whether the CA10 variant associated with ME/CFS just generally increases neuron excitability. There are some cytokines that also have that effect (example
here), so that seemed to be a way to tie a persisting neurological problem to an initial infection. Some folks on the forum also report that benzodiazepines/drugs that work via GABA help substantially, which might support that line of thought. The most promising population to explore this might just be some neuron types in the sensory cortex, since sensitivity to light and sound is a widely reported symptom.
Nice to meet you
@James Cox , I’m a PhD student in computational biology with a personal interest in ME/CFS. Happy to chat more