I am going with this model that alex has sketched: I think you're pretty much spot on alex, this model chimes very well with a whole load of...let's call them 'intuitions'...that I've had about all this for some years now.
Hi Mark and urbantravels, I have been proposing for years that truncated RNase L was an emergency antiviral response, that something was switching it on, and that CFS might be due to our massive antiviral effort. All this info makes me think this even more, with XMRV being the trigger. I said yesterday (on a private research forum) that I think we are sick because we are fighting XMRV and we stay sick because we can't beat XMRV. Now I would like to add that CFS remission might be linked to XMRV suppression. This is thanks to Cort's WPI letter on another thread. So I am in tentative agreement with your comments urbantravels and Mark, they make total sense to me.
One question I would like researchers to answer though: are we better off in survival terms with or without CFS? Could CFS be considered a survival mechanism gone awry?
Bye
Alex
To sum it up as I see it: the class of conditions including ME/CFS are suspected of being "autoimmune" disorders. They are, perhaps, "autoimmune" because actually some pathogen has invaded the body and 'got behind the defences', it's become part of the body and is now replicating, prompting an immune response. Thus "autoimmune" as a term is in a way a half-truth, because the body is trying to attack itself in a way, but really the part of itself it's trying to attack is the infiltrator, XMRV. In this confused state, the body ends up also attacking parts of itself as 'collateral damage'.
Further evidence for this whole model comes from the findings posted today about how cannabis switches off a particular part of the immune system. Put this together with the fact that in many of these rather mysterious conditions, patients report that the only effective pain relief comes from cannabis. If patients get pain relief because cannabis is switching off their immune system response, then that suggests that the pain was due to the immune response in the first place.
So our bodies are caught between a rock and a hard place, in a sense. Continually fight off the long-term effects of the pathogen (XMRV), and we stave off cancer but experience all the pain of the fight. Stop fighting the pathogen in the process of reducing ME symptoms and we deal with ME/CFS but allow the cancer to slowly develop.
The problem is that once XMRV has infected and taken hold, it is in a sense "part of us" now. We can fight off its virions as they replicate, which we are constantly doing - causing the symptoms we experience - but the immune system can't get to the root of the problem and deal with the XMRV-factories themselves - the bits which are now part of us, written into the DNA of infected cells.
Since we don't focus on it ever so much I'll just mention that factors that can provoke the XMRV-factories in is to start replicating include cortisol (stress), our body's anti-inflammatories, and hormones. I'm convinced the hormone factor explains why it's so much harder for women to fight off XMRV, because fluctuating hormone levels are going to be a regular factor that keeps bringing the root problem back into play, no matter how well your body has been coping.
To get a bit philosophical about it, the whole thing sounds like a bit of a metaphor of the dilemma of life in general: life
is pain and suffering (samsara): the struggle to be, to continue to exist, is hard and painful. Give up, and let go of that painful struggle, and you die...
Crude Summary:
Cancer=Death
ME/CFS=The Fight For Survival
XMRV=One of the Main Enemies
Where we go from there, with that knowledge, I don't know, but the obvious thing to aim to do would be to identify the XMRV-infected cells in us and remove or destroy them.
Another strand of all this: regarding initial infection. I'm thinking now in terms of XMRV being moderately infectious and widespread, but being something that normally all our bodies would hope to be able to deal with. If we have our "eye off the ball" though, and our immune defences are down or over-stressed (due to things like severe viral infection, smoking cannabis, or severe stress) then XMRV can slip through the net: once it has done so, and infected us, then when our defences are back up our bodies can fight the replicating XMRV as normal (the constant immune activation that is ME/CFS), but they can't fight the source because it's now part of the body.
Loads more thoughts firing off from all of this now...like: how many of those whose ME did
not start with acute viral infection (lowering immune response) were smoking cannabis around the time of onset? Of course that info is going to be a massive missing piece of the informational jigsaw, a piece of data that is going to be hidden or unreliable because most people won't want to admit to that because of the illegality.
One last note: putting this whole theory together with a number of connections in my own life to people who I know with ME and other ideopathic conditions who I suspect I may have been infected by, or who I may have infected, the whole thing pretty much fits like a glove. In each case of suspected transmission in my own life, the person who maybe got infected was either smoking cannabis or sick with flu at the time, and the person who maybe infected them was in particularly bad pain and thus likely to be more infectious. All fits really neatly.
Signing out now, but I bet I'll be thinking about all this for the next few hours...fascinating stuff...