“…12 Other preliminary evidence suggested that fatigue is associated with elevations in such proinflammatory cytokines as IL-1, IL-6, TNF-␣, and IFNs. 54 Cell types that are potential sources of cytokines and other immunoregulatory factors in cancer patients include the cancer cells themselves, 41 immune cells (neutrophils, macrophages, lymphocytes), 8,9,40,[42][43][44][45] and nervous system cells (paraganglial cells, glial cells [astrocytes, oligodendrocytes, microglia], and Schwann cells). 6,8,59,60 …”