A map of metabolic phenotypes in patients with myalgic encephalomyelitis/chronic fatigue syndrome
This study looked at 3 metabolic phenotypes in 83 people with ME/CFS (MEall, ME1, ME2, ME3) and 35 healthy controls (HC). The study mentions adenosine being increased in pwME. When I pulled the sublemental data for the study, I found this showing an almost 5 fold increase in adenosine pwME.
Where is all the adenosine coming from?
Found one thing that raises adenosine, ethanol.
Since adenosine levels are increased in response to acute ethanol exposure, adenosine-regulated inhibition of glutamate release partially accounts for the intoxicating effects of ethanol.
"As a neuromodulator, one of the main functions of adenosine is to
inhibit glutamate release via presynaptic A1 receptors in the nucleus accumbens (NAc)."
Studies have also shown that adenosine is released [3] from cortical slices and inhibits
acetylcholine (ACh) release from cholinergic terminals evoked by axonal stimulation via activation of theophylline-sensitive receptors.
And then:
Adenosine agonists acting upon A2A receptors instead counteract the effect of dopamine acting upon D2R. In fact, activation of A2A receptors leads to
a decrease in receptor affinity for dopamine agonists, especially of the high- affinity state
I'm trying to figure out if it has anything to do with orthostatic hypotension.