Chronic inflammatory diseases such as rheumatoid arthritis,
ankylosing spondylitis, multiple sclerosis, inflammatory bowel
diseases, and others typically stimulate a systemic response of the
entire body. This response has a uniform character in many diseases
because common pathways are switched on. The uniform response
regulates systemic energy and water provision. However, long-term
application of this program leads to typical disease sequelae such
as fatigue / depressive symptoms, sleep disturbances, anorexia,
malnutrition, muscle wasting - cachexia, cachectic obesity, insulin
resistance, dyslipidemia, alterations of steroid hormone axes,
disturbances of the hypothalamic-pituitary-gonadal axis, elevated
sympathetic tone, hypertension, volume expansion, decreased
parasympathetic tone, inflammation-related anemia, bone loss,
hypercoagulability, circadian rhythms of symptoms, and disease
exacerbation by stress . The Origin of Chronic Inflammatory
Systemic Diseases and Their Sequelae demonstrates concepts of
neuroendocrine immunology, energy and water regulation, and
evolutionary medicine in order to show that the uniform response
that regulates systemic energy and water provision, has been
positively selected for acute physiological responses and
short-lived disease states, but is a misguided program in chronic
inflammatory diseases and aging.
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