“”There is a dramatic association with chronic fatigue syndrome … but we have not proven causality for the agent,”” said Dr.
Co-author
Researchers hope some of those questions will be answered within the next year or so. The government is sponsoring a number of studies to determine, among other things: whether the virus is, in fact, present in many or most patients with CFS; whether researchers can find antibodies against it in such patients; whether a standardized test for the virus can be developed; how common the virus may be in the blood supply; and whether it can be transmitted through blood donations.
In an editorial accompanying the report, French and Canadian researchers even called for clinical trials to determine whether CFS patients can be treated with anti-AIDS drugs that have been shown to block replication of the virus in the test tube. Desperate patients have already begun taking the drugs despite the lack of proof that the virus is even related to their symptoms.
Alter cautioned, however, that all of the questions surrounding the virus will remain controversial “”when not everybody finds the same thing. Very good laboratories have come up with disparate results,”” and no one is sure why that is so. It may be due to differences in the laboratory testing or, more likely, due to differences in patient populations. It is also possible that there is more than one cause of CFS.
Chronic fatigue syndrome itself has a long history of controversy. Thought to affect at least 1 million Americans and 17 million people worldwide, it is characterized by debilitating fatigue, chronic pain and depression, among other symptoms. But because there are no biochemical markers to identify it, some physicians still argue that it resides mostly in the minds of patients; activists contend that the CDC and other government agencies have refused to study the disease adequately.
Xenotropic murine leukemia virus-related virus, or XMRV, was first discovered — in some human prostate tumors — four years ago. That study has been only partially replicated, and the link to tumors is also controversial.
In
Earlier this summer, however, three separate groups of researchers reported that they could not replicate the Whittemore Peterson findings. The first two negative results were from
The study reported Monday had already been accepted for publication in the Proceedings of the National Academy of Sciences when the CDC study was published in July. The current study’s authors requested a delay in publication while they tried to resolve conflicts between the two reports. Ultimately, they were unable to do so and publication proceeded.
The team from CDC, NIH and the Food and Drug Administration studied blood samples from 37 CFS patients collected in the mid-1990s for a study to determine if the disease was caused by a type of infection-causing bacteria known as mycoplasma. Mycoplasma was not found and the samples were stored in a freezer. Using very sensitive assays, the team found evidence for several virus variants in 32 of the 37 samples and in 3 of 44 (7 percent) of the samples from healthy patients. Fresh samples from some of the patients showed the same viruses.
The key difference in the new study is that the government team found viruses that appear to be polytopic. That is, they can replicate in more than one species, including mice and humans. The original virus isolated in
Alter noted that, since the original discovery, the Whittemore Peterson group has isolated the virus, grown it in culture, identified antibodies against it in humans and transmitted it to monkeys. Dr.