Ron Davis - Stanford University Medical Center
www.youtube.com/watch?v=7inKF32vtl8ME/CFS causes: viral infection bacterial infection fungal infection parasite infection trauma surgery childbirth activation of innate immunity interferon alpha: upon activation of innate immunity, interferon alpha is produced that initiates the itaconate pathway in almost every cell itaconate shunt: itaconate pathway is in mitochondria and decreases ATP production CAD = cis-aconitate decarboxylase interferon alpha and CAD triggers itaconate shunt crashes might activate innate immunity seems like crashing resets the disease. to cure the disease, don't trigger innate immunity for 1 year crash = post-exertional malaise (PEM) sicker patients are easier to crash use interferon alpha inhibitor looking for CAD inhibitors