The only supplement I take that reduces all of my oxidative stress is a form of B2 (riboflavin) called Flavin Mononucleotide. For me, it helps not only reduce superoxides, but hydrogen peroxide as well (logical assumption). Note that I have cured myself with pharmacological doses of riboflavin, but this is only true for me because of my genetics, I am not saying it will work for all ME patients.
It is becoming increasingly clear, brought to us by the field of Nutiritional Genomics, that each of us have very specific supplement and dietary needs to reduce ROS. And that if one guesses they can actually increase ROS production by taking the wrong supplement. Our genetic differences are mostly what explains the variation in reaction to supplements. I have a feeling now that the two main vitamin cofactors deficiencies that can trigger ME are either Niacin, Riboflavin or a combination of the two. This has to do with an enzyme called NADPH Oxidase.
The following study looks at the ROS produced by phagocytes, not total body ROS production. Why is this important? Because most of out body systems have feedback mechanisms. So when phagocytes start producing ROS they will get a signal from the environment that they are producing too much and another chemical signal will make them stop. So ROS produced outside the phagocytes sends a signal that tells the phagocyctes to stop making ROS! THIS is why stress makes people more prone to colds and flu and other virii and bacterium, and it is why people with autoimmune diseases (CFS/ME) suffer infection more often. It is not that we have MORE EBV, it is that our phagocytes are turned off so we cannot fight them.
The redox-sensitive cation channel TRPM2 modulates phagocyte ROS production and inflammation
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3242890/
The NADPH oxidase activity of phagocytes and its generation of reactive oxygen species (ROS) is critical for host-defense, but ROS overproduction can also lead to inflammation and tissue injury. Here we report that TRPM2, a non-selective and redox-sensitive cation channel, inhibits ROS production in phagocytic cells and prevents endotoxin-induced lung inflammation in mice. TRPM2-deficient mice challenged with endotoxin (lipopolysaccharide) showed an increased inflammatory signature and decreased survival compared to controls. TRPM2 functions by dampening NADPH oxidase-mediated ROS production through depolarization of the plasma membrane in phagocytes. Since ROS also activates TRPM2, our findings establish a negative feedback mechanism inactivating ROS production through inhibition of the membrane potential-sensitive NADPH oxidase.
Phagocytes keep the ROS production
local to the pathogen. This is why we get inflammation in the area of a cut or phlem when we have a cold. This is called
respiratory burst.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2491708/
To combat infections, immune cells use NADPH oxidase to reduce O2 to oxygen free radical and then H2O2. Neutrophils and monocytes utilize
myeloperoxidase to further combine H2O2 with Cl− to produce
hypochlorite, which plays a role in destroying bacteria.
So we can see how a pollution, psychological stress, combined with a vitamin deficiency and/or genetics can trigger production of ROS outside of the phagocyte and tell that phagocyte to stop doing its job. This is the definition of an autoimmune disease.
The cofactors for NADPH oxidase are
riboflavin and niacin.
http://www.uniprot.org/uniprot/Q9Y5S8
And for the grand finale....
Immune and hemorheological changes in Chronic Fatigue Syndrome
These results indicate immune dysfunction as potential contributors to the mechanism of CFS, as indicated by decreases in neutrophil respiratory burst, NK cell activity and NK phenotypes. Thus, immune cell function and phenotypes may be important diagnostic markers for CFS. The absence of rheological changes may indicate no abnormalities in erythrocytes of CFS patients.
And I quote this as well:
http://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-7-29
Moreover, it has been demonstrated that a micronutrient deficiency can be the cause of suppression of immune function affecting both innate T-cell-mediated immune response and adaptive antibody response, thus altering the balanced host response. Therefore, an adequate intake of vitamins and antioxidant elements seems to be essential for an efficient function of the immune system.
I think that rests my case that ME is not caused by an infection, but rather, caused by the bodies inability to fight infection because of excessive non-phagocitic ROS production and a genetic susceptibility to certain vitamin deficiencies.
In fact, I beleive this to be the case with all autoimmune diseases.