Theoretical accounts of Gulf War Syndrome: from environmental toxins to psychoneuroimmunology and neurodegeneration.

作者: Eamonn Ferguson , Helen J. Cassaday

DOI: 10.1155/2002/418758

关键词: Mechanism (biology)PsychiatryEnvironmental exposureChronic fatigue syndromeSet (psychology)PsychoneuroimmunologyLimbic systemCognitionMedicineGulf War syndrome

摘要: Non-specific illness includes a wide variety of symptoms: behavioural (e.g., reduced food and water intake), cognitive memory concentration problems) physiological fever). This paper reviews evidence suggesting that such symptoms can be explained more parsimoniously as single symptom cluster than set separate illnesses Gulf War Syndrome (GWS) chronic fatigue syndrome (CFS). superordinate could have its biological basis in the activity pro-inflammatory cytokines (in particular interleukin-1: IL-1), give rise to what has become known 'sickness response'. It is further argued persistence non-specific conditions like GWS may part) attributable bio-associative mechanism (Ferguson Cassaday, 1999). In case GWS, challenges produced sickness response became associated with smells petrol), coincidentally experienced Persian Gulf. On returning home environment, these same would act associative triggers for maintenance (conditioned) responses. Such mechanisms mediated through hypothalamus limbic system via vagal nerve innervation provide an explanation fever) should normally short lived self-limiting. We also present pattern by reflects shift immune functioning towards (T-helper-1) Th1 profile. position contrasts other immunological accounts suggest demonstrates Th2 (allergy) Evidence pertaining two contrasting positions reviewed.

参考文章(114)
Kevin S. Kaiser, Anthony W. Hawksworth, Gregory C. Gray, Pyridostigmine bromide intake during the Persian Gulf War is not associated with postwar handgrip strength. Military Medicine. ,vol. 165, pp. 165- 168 ,(2000) , 10.1093/MILMED/165.3.165
, Stephen C. Joseph, Ronald R. Blanck, Gary Gackstetter, Robert Glaser, Kenneth C. Hyams, Sheila Kinty, Charles Magruder, John Mazzuchi, Francis L. O'Donnell, Michael D. Parkinson, Relford E. Patterson, David H. Trump, A comprehensive clinical evaluation of 20,000 Persian Gulf War veterans. Comprehensive Clinical Evaluation Program Evaluation Team Military Medicine. ,vol. 162, pp. 149- 155 ,(1997) , 10.1093/MILMED/162.3.149
Aernout D. van Haarst, Melly S. Oitzl, E. Ronald de Kloet, Facilitation of Feedback Inhibition Through Blockade of Glucocorticoid Receptors in the Hippocampus Neurochemical Research. ,vol. 22, pp. 1323- 1328 ,(1997) , 10.1023/A:1022010904600
S P Proctor, Chemical sensitivity and gulf war veterans' illnesses. Occupational medicine (Philadelphia, Pa.). ,vol. 15, pp. 587- 599 ,(2000)
F Gyntelberg, P Suadicani, M Appleyard, B Guldager, H O Hein, T Ishøy, State of health after deployment in the Persian Gulf. The Danish Gulf War Study. Danish Medical Bulletin. ,vol. 46, pp. 416- 419 ,(1999)
JOHN D. MALONE, BEVERLY PAIGE-DOBSON, CHRISTOPHER OHL, CLETE DiGIOVANNI, STEPHEN CUNNION, MICHAEL J. ROY, Possibilities for unexplained chronic illnesses among reserve units deployed in Operation Desert Shield/Desert Storm. Southern Medical Journal. ,vol. 89, pp. 1147- 1155 ,(1996) , 10.1097/00007611-199612000-00003
Frank Hucklebridge, Philip D. Evans, Angela Clow, Mind, immunity and health: the science of psychoneuroimmunology Free Association. ,(2000)
Edgar O'Ballance, The Gulf War ,(1988)
A taxonomy of medically unexplained symptoms. Journal of Psychosomatic Research. ,vol. 47, pp. 51- 59 ,(1999) , 10.1016/S0022-3999(98)00129-9