Testing for immunological abnormalities in ME
Most of these tests can be done in a general hospital or immunology Clinic
In ME you see immune system abnormalities like:
· Abnormal CD4/CD8 ratio
· Increased numbers of activated cytotoxic T cells (most patients have evidence of T-cell activation)
· Elevation of circulating cytokines
· Reduced CD8 suppressor cell population and increased activation markers(CD38, HLA-DR) on CD8 cells
· Activated circulated immune complexes
· Atypical lymphocyte count
· Flow cytometry for activated/elevated lymphocytes
· Immunoglobulin deficiencies (primarily IgG 1 and IgG 3)
· Low NK cells (NKC1, NKC2, NKC3)
· Slightly increased positive ANA (anti-nuclear antibody)
· Rnase-L (not available in general hospitals)
· Elevated PKR cleavage (not available in general hospitals)
· Elevated NO (not available in general hospitals)
· Elevated elastase activity, (not available in general hospitals)
· Elevated IgE (allergic to food or food additives and to airborne allergens: pollen, mold, animal dander, fur and feathers or dust.)
· Anti-gliadine antibody for wheat
· Devious Th1 and Th2 shift, response to nitrogen stimulation (high levels of Th2
indicate autoimmunity)
· Anti-lamin antibodies may cause autoimmunity and brain cell damage (lamin B antibodies
are evidence of autoimmunity)
· Humoral autoimmunity for polypeptides of the nuclear envelope (NE)
· Antibodies in neuronel cells MAP2 (kinase regulators)
· Low or elevated Erythrocyte Sedimentation Rate (ESR)
· Devious testing in IgM`s, IgA`s and IgG`s for infections or PCR ( DNA) tests for viral
like HHV-6,HHV-7, HHV-8,HHV-1 and 2, EBV, CMV. Also for Lyme, parvovirus, enterovira, Q-fever, Bartonella, Rickettsiae, Mycoplasma, Chlamydia, Babesia etc.
· Elevated Anti-streptolysin O titre
· Nose swap positive for Staphylococci
· Immunobilan test for detection of IgA/IgM directed against Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas aeruginosa, Citrobacter koseri, Pseudomonas putida, Morganella morganii and Hafnia alvei
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