Please see the Treatment section for details on individual treatments
41 In detail, the elevated extracellular ATP induced by SD stress stimulates P2 7 R and down-regulates the expression of 5-HT 2B R by suppressing the activation of AKT, which inhibits the phosphorylation of FoxO3a and promotes its transportation into the nucleus, the reduced 5-HT 2B R alleviates the inhibition of STAT3 to cPLA 2 , the activated cPLA 2 further increases the release of AA and PGE2, these indicators have high relationship with the depressive-like behaviors, because in P2X 7 R knockout mice, the above changes of these indicators and behavioral performance are all eliminated
(In other words: Some work, some don't
Understanding this distinction helps patients and clinicians address fatigue appropriately, whether through medication adjustment, nutritional support, or investigation of alternative causes
PLoS ONE 11 , e0146797 (2016)