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Published: November 11, 2009

TO many people who suffer from the poorly understood illness called chronic fatigue syndrome, a recent study linking the disorder to a virus was a victory for the little guys.


Is a Virus the Cause of Fatigue Syndrome? (October 13, 2009)

For one thing, the study pointed to a physical cause for an illness that the medical establishment had often snidely dismissed as psychosomatic. The research could not be ignored: it was published last month in Science, one of the world’s pickiest and most prestigious journals. The discovery came, in a sense, from within the patients’ own ranks: several of the scientists, including the lead author of the report, worked for the Whittemore Peterson Institute for Neuro-Immune Disease, a nonprofit in Reno, Nev., founded recently by the parents of a young woman who has the syndrome. And even though the institute was new, it had attracted collaborators from two high-powered centers, the National Cancer Institute and the Cleveland Clinic.

Harvey and Annette Whittemore were not the first to start a research foundation out of desperation to find answers for an incurable disease. The actor Michael J. Fox did the same for his own illness, Parkinson’s disease. Others have created groups for pancreatic cancer, amyotrophic lateral sclerosis (Lou Gehrig’s disease) and breast cancer. The foundations have in common a desire to pick up the pace of research, often by financing innovative ideas and avoiding red tape and bureaucracy. But few if any of the private groups have produced notable results as quickly as the Whittemore Peterson Institute has.

At least one million Americans have chronic fatigue syndrome, which causes severe fatigue, muscle and joint pain, sleep problems, difficulty concentrating and other problems. Its cause is unknown, symptoms can last for years and there is no effective treatment. Women outnumber men as patients, and many people with the syndrome feel stigmatized and brushed off as neurotic by doctors. Andrea Whittemore-Goad, who is 31, has had a severe case of the syndrome for 20 years.

“Three major medical institutions tried to marginalize her, tell her she didn’t want to get well,” Annette Whittemore said in an interview.

But Mrs. Whittemore had seen her daughter turn abruptly from a happy, healthy child to a very sick one, and she has steadfastly believed that some sort of infection must have been the cause. Researchers have not pursued the infection theory seriously enough, in her opinion, and doctors have been scornful. One physician told her that if he could not understand her daughter’s lab results, they couldn’t be important.

Another said “he didn’t look at my daughter’s medical information because he didn’t want the facts to get in the way of his theory,” Mrs. Whittemore said in an e-mail message. “I could write a book on ridiculous things that doctors say to patients with C.F.S.” She added: “One day I just had enough. I said, ‘I’ve got to do something.’ ”

She and her husband had the means, the knowledge and the connections. They are real estate developers and part owners of a gas company and an energy drink, and they hold interests in other businesses. Mr. Whittemore is also a lawyer and a lobbyist. Starting in the fall of 2004, they put $5 million of their own money into setting up an institute at the University of Nevada’s medical school. They also persuaded the governor and State Legislature to commit $10 million for a new building that would house the institute’s researchers and a clinic, as well as scientists from the university and the Nevada Cancer Institute. The research began in 2006, and a clinic for patients is scheduled to open in about a year.

Rather than just doling out money to far-flung researchers, the Whittemores wanted to employ their own scientists who would be devoted full time to the cause. In the spring of 2006, they met Dr. Judy A. Mikovits, a virus expert who had spent 22 years working at the National Cancer Institute. She had left the institute in 2001 to get married and move to California, where she went to work for a drug development company that failed. She was tending bar at a yacht club when a patron said her constant talk about viruses reminded him of someone he knew in Nevada. That person was a friend of Annette Whittemore’s. Dr. Mikovits soon found herself at a conference on chronic fatigue syndrome.

“The meeting was terrible,” she said. “The science in C.F.S. is awful, not because the researchers are awful, but because they have no resources.”

But one presentation made her practically leap out of her seat. The speaker was Dr. Daniel L. Peterson, who treats Ms. Whittemore-Goad (he is the Peterson for whom the institute is named). He has seen about 5,000 patients with the syndrome in the last 20 years, and he described some who had also developed a rare type of lymphoma.

“I said, ‘That’s a retrovirus,’ ” Dr. Mikovits recalled.

Dr. Mikovits began connecting the dots almost immediately. She knew that some patients with chronic fatigue syndrome, and some men with prostate cancer, had a certain enzyme deficiency. And she also knew that tissue samples from men with prostate cancer had been found to harbor a retrovirus called XMRV, for xenotropic murine leukemia virus-related virus. She began working part time with the institute, and by the fall of 2006, the Whittemores had hired her as research director. One of her first projects was to look for XMRV in blood samples from people with chronic fatigue syndrome and from healthy control subjects.

Many of the samples from syndrome patients — 68 of 101, or 67 percent — were infected, she and her colleagues reported in Science. Only 3.7 percent of the healthy controls carried the virus. XMRV, the scientists suggested, may cause or at least contribute to chronic fatigue syndrome. Further tests found the virus in 90 of the 101, Dr. Mikovits said.

Retroviruses can cause cancers in animals, and in humans, they include HIV and a virus that can cause leukemia. “I knew how serious a retrovirus is,” Mrs. Whittemore said. “I was very concerned, knowing there would be serious implications. My second thought was, of course it was going to be something serious like that. Look at my daughter and how ill she is. Why would we expect it to be something simple? I also felt like the weight of world was on my shoulders. We would have to be telling people some very bad news.”

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