The immune system is responsible for helping the body heal itself after illness or injury, and to defend the body against attack from pathogens such as viruses, bacteria, and molds, and cancer cells that multiply too rapidly.
In some overly sensitive people however, the immune system may mistakenly view harmless substances, allergens (e.g., peanuts, pollen, dust mites, pet dander), as putting the body at risk of infection.
In response to an attack, the immune system produces large immune molecules called antibodies, immunoglobulins, along with smaller immune co-factors to help in the fight.
Individuals with allergies tend to have higher levels of immunoglobulin E (IgE), a class of antibody. IgE attaches tightly to special immune cells called mast cells. They are found in the skin and linings of the intestine, eyes, and nasal passages. Mast cells play a pivotal role in host defense, inflammation, and tissue repair.
Mast cells are pre-loaded with inflammatory factors. At the body’s next exposure to the allergen, the allergen binds to the IgE, like a key going into a lock, and triggers the release of mast cell biochemicals such as histamine, and small immune factors such as cytokines.
A number of studies suggest that men and women with allergies are at a lower risk of developing glioma, a brain cancer. Gliomas are among the most common and most rapidly growing brain tumors. Men and women with moderately higher levels of IgE, compared to clinically normal individuals, had statistically significant lower probabilities of developing gliomas.
However, as is usually the case in biology, more is not always better. Individuals with significantly elevated levels of IgE were not at a lower risk for developing malignant gliomas.
Look for future postings on the role of inflammation and cancer. Any search will reveal that inflammatory responses play major roles at different stages of tumor development. Since the relationship of inflammation, cancer, and immunological responses are under study, it is best to let the body do what it does best, and that is protect us from illnesses.
To optimize health, immune homeostasis, immune balance, is essential.
A recent guest post on kevinmd.com by Sophie Lee expressed her frustration and anger at physicians who dismiss her reports of pain with her severe bouts of irritable bowel syndrome (IBS). She repeatedly hears, “it isn’t really serious” “you will just have to live with it, etc. [ www.ibstales.com ].
I just do not get why conventional “wisdom” is that IBS is not an inflammatory disorder. Perhaps pain is possible without inflammation, but that would be atypical. My contention is that if the immune system was in homeostasis, autoimmune disease would either not occur, or it would be limited.
For years I have been questioning “experts”, how is it that IBS is categorized as an autoimmune* disease, yet you claim there is no inflammatory response in the gut?
Current research supports my contention. Recent studies are providing evidence that low levels of inflammation, along with immune mast and other immune cells, are found in the small and large intestines. Mast cells are typically associated with allergic reactions such as runny noses, watery eyes, swelling, and excessive mucous. The mast cells in the intestines appear to be involved in immune homeostasis, in helping the immune system balance.
Interestingly, many of the immune cells found in the gut are in close proximity to nerve cells. .. “Cross-talk” between these cells may explain the pain and other symptoms that individuals experience, and support the hypothesis of a brain-gut axis event in IBS.
It is time for individuals that have “tried everything”, to give their bodies a chance to heal naturally. The immune system has caused the problem, and the immune system can be gently guided to down-regulate overly active responses.
The key to greater comfort may be as simple as helping the body return to immune homeostasis. I hold a patent in the area of immune homeostasis and gut health, and numerous anecdotal reports suggest that balancing immune inflammatory responses makes a major difference in the quality of life of such individuals. Additionally there is a published clinical report by Mark Morningstar, DC, Grand Blanc, MI supporting the relationship between immune homeostasis and healthy bowel function.
One has everything to gain by letting one’s own body rebalance and limit inflammatory responses.
*The immune system mistakenly attacks “self”, the body’s own healthy tissues.
A properly functioning immune system protects the body against infections by bacteria, viruses, fungi and other pathogens, and helps it heal. When our bodies detect a threat, or a stimulus that is “perceived” to be a threat, it orchestrates a delicate but highly aggressive immune inflammatory response to meet that threat.
There are two initial phases of immune responses:
Innate/early phase — a “built-in” or “automatic” response that is prepared at all times to defend the body against infection and cell mutations, such as those seen in cancers, and
Acquired– a more “educated” immune response that takes time to evolve in response to a specific trigger.
Inflammation is a complex event during which immune cells migrate into an area in response to various immune factors. These messages, such as cytokines, are used to to communicate and coordinate an organize attack against pathogens, or to help the healing process. After the threat has been resolved, other immune cells come in to carry away dead organisms and cells, and start the repair process.
A well-balanced immune system, a system in immune homeostasis, will mount enough of an inflammatory response to eliminate the threat, and then go on to repair damaged tissues. However, problems may arise if the immune system continues to generate an inflammatory responses after a challenge has been met —when inflammatory responses do not lower in intensity.
In such cases, the immune system is “over-responsive”; it is unbalanced, out of homeostasis. An over-active immune system leads to conditions where the body starts to destroy its own healthy tissue (e.g. diabetes, thyroid, lupus, multiple sclerosis, fibromyalgia, etc.) or it may lead to allergies and chemical sensitivities, or poor healing.
Many people have the mistaken impression that “boosting” immune function at all times is useful. This is simplistic. People with autoimmune conditions, such as those mentioned above, are already “over responding”. The last thing they need is to further “boost” their immune response, increase their autoimmune responsiveness.
Another example of “boosting” immune response is artificially increasing the level of natural killer (NK) cells within the body. NK cells often make up part of the body’s “early response”. “Boosting” numbers of certain white cells is unnatural and may cause other difficulties due to excessive numbers of these cells.
Increased levels of NK cells, as well as autoimmunity, have been associated with women who have difficulty conceiving. Women who have experienced spontaneous abortions and miscarriages, have higher than normal levels of NK cells.
Additionally, other types of specific immune cells, for example those that play a role in protecting the body from infection, may promote miscarriage and premature births, when they are at higher than normal levels.
The lesson here is that all of our immune cells and their components have to be balanced, or in a state of homeostasis, for our body to naturally heal and protect itself.
There are a number of simple steps that one can take to return the body to homeostasis, including using recovery proteins, exercise, smarter food choices, and maintenance of healthier weights.
Individuals took a minimum of 75mg a day of aspirin for 6 years. Twenty years later, these individuals had a 24% lower risk of developing colon cancer in the first place, and a 35% lower risk of death from colon cancer as compared to placebo.
This was especially important because the some of the cancers studied are found in a part of the colon that is not easily seen with current screening tests.
The populations studied were males at cardiovascular risk. Forty percent of the patients were smokers and most were males. Therefore, the effectiveness of aspirin for non-smokers or females is not known.
“Cross-talk” between cancer and immune cells.
We have long known that there is “cross-talk” between cancer and immune cells. Immune cells affect the growth of cancer cells and cancer cells affect immune cell inflammatory responses.
Inflammation and Cancer.
Studies have shown that patients with inflammatory bowel diseases, such as ulcerative colitis, or Crohn’s disease, are more likely to develop gastrointestinal cancers than the general population.
Inflammation of the gut occurs with the release of inflammatory cytokines and other immune molecules. They have been shown to contribute to the development and growth of gastrointestinal cancers.
Aspirin regulating immune balance.
Thus aspirin may be helping to regulate the body’s inflammatory responses, and helping to keep the body in immune balance, immune homeostasis.
Recently, a professional networking site directed me to a short note by Lisa Moreno-Dickinson, President of the stopcaidnow.org. The title of her article was “When Doctors Don’t Know How to Help From Misdiagnosis to No diagnosis … What Can a Parent Do?”.
CAID refers to Childhood Auto Inflammatory Diseases. These genetic disorders usually start in infancy or childhood and are reported to be the result of gene mutations. The periodic attacks of these conditions affect many different organ systems. They are characterized by sudden inflammation and fever onset, and symptoms such as rashes, headache, abdominal, chest, muscle, and joint pains, swollen joints and scrotum.
Much of the science suggests that these conditions are not autoimmune in nature. These individuals have no any significant elevations of autoantibodies, immunoglobulins, large immune molecules that are directed against self, nor activation of specific white blood cells.
Our knowledge of the complexities of the immune system, especially its inflammatory pathways, are still in their infancy as supported by the fact that cancer, colds, infectious, and chronic diseases are rampant.
I respectfully suggest that perhaps autoinflammatory investigators have not used the appropriate assay to find autoimmune responses because a) it does not exist yet, or b) it is difficult to “test for everything”.
A recent report suggests that there is an association between autoinflammatory conditions and mitochondrial health. Mitochondria are the power stations of a cell that provides it with the energy it needs to grow, divide, and “do its job”. They play major roles in healthy aging, degenerative diseases, cancer, and ultimately, cell death. The greater its metabolic or energy requirements, the more mitochondria a cell appears to have. As an example, a muscle cell may have thousands of mitochondria and a skin cell only a few hundred.
Antibodies to mitochondrial proteins have been reported in autism spectrum disorders, which are attributed to inflammatory conditions of the nervous system. Additionally children with severe autism have higher levels of inflammatory cytokines and certain immune molecules than controls.
In Blau’s syndrome, an autoinflammatory disease, symptoms are associated with the skin, joints, and eyes. It is often mistaken for sarcoidosis, a known autoimmune disease of the skin and other organs. Crohn’s disease is an inflammatory autoimmune bowel disease in which the immune system attacks its own digestive lining.
There are two genes, NOD1 and NOD2 that help regulate the production pro-inflammatory cytokines, immune molecules that cause inflammation. Mutations of these genes are found in a number of inflammatory disorders including Blau’s syndrome, sarcoidosis, and inflammatory bowel diseases.
Investigations of the pivotal role of gene regulation of inflammatory responses are underway; however, ways to neutralize the effects of such mutations may be years away.
Parents and clinicians do not have the luxury of just waiting. We know that inappropriate inflammatory responses are occurring in many, so why not determine whether the re-introduction of immune homeostasis, immune balance would make a difference in their quality of life?
The Centers for Disease Control is investigating at least 100 reports of food poisoning, and 18 deaths, due to contaminated cantaloupes. DNA isolated from infected individuals has determined that Listeria is the responsible bacteria. Ninety-eight percent of 93 individuals contacted by monitoring agencies were hospitalized due to their infections. Because of lag times between consumption of these cantaloupes, illness, diagnosis, and laboratory confirmation, more cases are expected to occur.
Five percent of the human population has Listeria in its stool. It is also found in stools of non-human mammals, and birds. This may explain the fact that Listeria is found in water, soil, and animal feed.
Newborns, pregnant women, and individuals with immune disorders such as kidney disease, cancer, diabetes, and HIV/AIDS are at increased risk of becoming ill when infected with Listeria. In 89 % of cases, Listeria pass through the intestinal wall and enter the blood stream. From there, they are carried throughout the body and can end up in the brain, spinal cord, heart, eyes, liver, spleen, lungs, bones, and joints.
Instead of being attacked by immune cells, initially, Listeria hides in immune cells, multiplies, and infects other white blood cells. To stop the infection and return to immune balance, immune homeostasis, the body defends itself by releasing inflammatory and anti-inflammatory cytokines, cell messages, and antibodies, large proteins that mark the bacteria for destruction by inflammatory immune cells.
About half of adults with Listeria infection will be diagnosed with meningitis, an inflammatory condition of the brain and spinal cord. Endocarditis, inflammation of the inner lining of the heart, results in deaths of about 50% of patients.
So, ultimately, excessive inflammation kills infected individuals.
Today, three immunologists, Drs. Ralph Steinman*, Jules Hoffman, and Bruce Beutler, won the Nobel Prize in Medicine/Physiology for adding to our scant knowledge of immune system responses to pathogenic microorganisms and cancer cells. Their studies should also provide a better understanding as to how excessive inflammation leads to autoimmunity, attacks on the body’s own healthy tissues.
Two decades ago Dr. Ralph Steinman and his colleague, Dr. Zanvil Alexander Cohn at the Center for Immunology and Immune Diseases, Rockefeller University in New York City, described dendritic cells, specialized immune cells that interact with other immune cells to define how the body will respond to underlying infection and disease.
Dendritic cells are essential to the body’s ability to control immune inflammatory homeostasis. Immune homeostasis is the delicate balance of all immune responses, especially inflammatory and anti-inflammatory responses, that that the body uses to fight disease. Too little inflammation may result in uncontrolled growth of pathogens or cancer cells, whereas too much inflammation, may result in autoimmune conditions such as diabetes, arthritis, lupus, multiple sclerosis, Crohn’s disease, etc.
Part of the role of immune homeostasis is to determine “what comes next” in meeting immune challenges. Dr. Steinman and his colleagues described an important phase of the immune response, “maturation”, which helps the body determine inflammatory and other responses to infection.
Dendritic cells are also important in helping the body maintain immunological “memory”. This assures a more rapid and thorough immune response if is attacked by the same pathogen another time. [Successful immunization depends on immunological memory.]
Dr. Jules Hoffman and his team, described how the immune system first recognizes invading pathogens and then helps trigger the immune system to go into its protective mode.
Dr. Beutler discovered the inflammatory cytokine, tumor necrosis factor, TNF, and a marker on certain bacterial cells that helps the body recognize that it has been infected, so that it can mount an appropriate inflammatory attack.
*The Nobel Committee has expressed “deep sadness and regret” at the news that Dr.
Steinman died a few days before its announcement. Typically, the Nobel Prize is not awarded posthumously, but the Committee has decided to proceed with bestowing the award on Dr. Steinman.
According to the World Health Organization smoking is the second largest preventable cause of disease and premature death. Globally, tobacco products are responsible for 5 million deaths annually. A person dies every 6 seconds from smoking-related diseases including chronic diseases and cancer.
Among its many effects, smoking triggers an immunologic response in arteries and veins which is associated with increased levels of inflammatory markers, such as C-reactive protein and increases in white blood cells. C-reactive protein is strongly associated with lifetime smoking exposure as measured by pack-years. Several studies have shown that such markers predict future cardiovascular events including atherosclerosis.
However, once smokers quit, their risk of future cardiac events and death gradually declines, and within 5 years, smoking-associated inflammatory responses start to return to normal.
Cigarette smoking has also been linked to increased risk of autoimmune diseases, including lupus, rheumatoid arthritis, multiple sclerosis, thyroid, and liver. Autoimmune diseases are immune disorders where the body attacks itself resulting in excessive inflammation and tissue damage.
Considering that cigarette smoke contains over 7000 chemicals, the likelihood that smoking triggers autoimmune and other excessive inflammatory immunological responses makes sense. An example of smoke-induced illness is chronic obstructive pulmonary disease (COPD) in which a person has difficulty in getting enough air.
The lungs, in response to cigarette smoke, activate cells lining the lungs and immune cells, resulting in inflammatory responses. If an individual is infected with a bacterial or viral infection in addition to the smoke assault, it results in a vicious cycle of more difficulties in breathing and greater inflammation. Studies have indeed shown that patients with COPD have autoantibodies and inflammatory responses against lung cells.
Researchers have reported that in female smokers, physical activity, known to help reduce inflammation, reduced their relative risk of developing lung cancer by more than 65 percent.
Thus, it might be expected that if smokers were better able to control their inflammatory responses and return to immune homeostasis, that they might be less likely to develop chronic diseases.
Bernard Lown, MD The Lost Art of Healing Boston New York Houghton Mifflin Company 1996
Medicine in the United States is widely regarded as the best in the world*. Hardly a day passes without a major scientific breakthrough. Many formerly fatal diseases are now curable. People are healthier and live longer than ever. Still, patient dissatisfaction with doctors has rarely been more acute. Although physicians are increasingly able to cure disease and prolong life, the American public is suspicious, distrustful of, even antagonistic to, the profession. Doctors, uneasy, astonished, resentful, and angry, universally acknowledge a crisis in health care. With the focus on colossal medical expenditures, amounting to a trillion dollars annually, most of the numerous solutions involve containing runaway costs….
Medicine’s profound crisis, I believe, is only partially elated to ballooning costs, for the problem is far deeper than economics. In my view, the basic reason is that medicine has lost its way, if not its soul.
* And yet, depending on the Agency that sponsored the study on longevity, America ranks either 27 or 30th , in the world in terms of mortality. Countries like Malta and South Korea have longer life expectancies than individuals in the U.S.
Next week the United Nations will hold a unique Summit, the first one focusing on the worldwide chronic diseases such as diabetes, cancer, heart, and lung disease. These are also the major diseases that challenge Americans.
And it has become increasingly obvious that uncontrolled immune inflammatory responses are major contributors to disease. Inflammation results in illnesses of many types, and vice versa. For example in the case of cancer and inflammation, there is “cross talk” between immune and tumor cells with inflammatory responses playing major roles during different stages of tumor development.
The key to health is immune balance, immune homeostasis. Immune homeostasis is a state where the level of inflammatory cytokines, is inhibited by anti-inflammatory cytokines and other immune factors. The right ratio of these cell messages restores the body’s delicate immune balance, and lessens the likelihood that one will become ill. Controlling inflammation is a primary approach to decreasing chronic disease.
An article this week from Shirley Wang, a Wall Street Journal reporter, brought the public’s attention back to the fact that there is no cure for the usually fatal disorder, amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s disease. Amyotrophic lateral sclerosis (ALS) is a paralytic disease caused by the gradual degeneration of nerve cells in the brain and spinal cord. The breakdown of neruons interrupts the ability of muscles of the body to send messages to the brain. ALS results in difficulties in talking, swallowing, moving, and paralysis, and eventually, the loss of the ability to breathe.
An international group of scientists recently reported in the journal Nature, that the lack of a certain protein might be the common underlying cause of neurodegenerative diseases such as ALS, dementia, Parkinson’s, and Alzheimer’s. The task of this specialized protein is to remove the debris of damaged nerve cells and help in their repair. When this function no longer occurs, normal transmission of signals from muscles to brain is blocked.
One individual commented on Ms Wang’s article. “It seems outrageous to me that in 2011 a quickly fatal disease that was brought to our national attention in 1939 continues to steal our best and brightest without any treatment and with few clues as to the cause. We must do better….”
I agree. Instead of treating a condition after damage has occurred, why not prevent excessive inflammatory responses from causing damage in the first place? The ALS Association does an excellent job explaining that, “The glia cells that usually support and nourish their neighboring neurons in the nervous system can become over active in certain diseases”. And that leads to over production of cytokines, immune signals, that are mediators of inflammation,and damage to the nerve cells.
Inflammation protects the body from infection and repairs tissue damage. But uncontrolled levels of inflammation damages healthy by-stander cells, and tissues. When it comes to the repair protein mentioned above, perhaps individuals with ALS, or other neurodegenerative diseases, are attacking this protein, and decreasing the quantities needed for clean-up and repair.
A body in immune homeostasis, immune balance, is unlikely to attack itself. Instead one approach that research should take is finding ways to help the body modulate inappropriate levels of inflammation.
This is the second part of a two day posting. Please see yesterday’s posting for the introduction to this posting. Thank you.
Cancer Risks
Responders are 19% more likely to develop cancer than their non-exposed colleagues, with skin, prostate, thyroid, and non-Hodgkin’s lymphoma, being the most common of the cancers. Many of the airborne toxins to which individuals were exposed, benzene, volatile organics, metals, polycyclic aromatic hydrocarbons, pulverized building materials, glass fibers, asbestos, lead, hydrochloric acid, polychlorinated biphenyls, organochlorine pesticides, and polychlorinated dioxins and furans are linked to causing cancer.
Cancer is an illness that may take years to develop and detect. Dr. Ware Kuschner, Stanford School of Medicine, CA says, “Carcinogenic effects, if any, will not be observed for a very long period of time.” [As an aside, according to the University of Pennsylvania School of Veterinary Medicine, eight search and rescue dogs have died from cancer since their exposure to rubble from the Sept. 11 terrorist attack.]
Pulmonary Function Declines
We do not have sufficient data from the general population residing and working in lower Manhattan, nor detailed health information of individuals that returned to their home states or countries after their contributions to rescue efforts. However, of the rescue, recovery, and clean-up personnel that were monitored, 42% have respiratory problems.
Steep declines in pulmonary function were first detected after 9/11 and they have largely persisted. Over the last nine years, 28% of those monitored have had asthma and 42% sinusitis (inflammation of sinuses). They also suffer from upper airway cough syndrome (UACS) and sarcoidosis. Sarcoidosis is an inflammatory autoimmune disorder in which the body’s own immune system attacks and destroys the tissues of the body. There has been a 36-fold increase in the number of individuals with this disease that can affect the lungs, lymph nodes, eyes, skin, heart, liver, and brain. The hallmarks of the disease are clusters of inflammatory cells throughout the body and often, significant, life-altering declines in breathing and other bodily functions.
Inflamamtion: The Body’s Defense Against Perceived Threats
The immune system mounts an immune, inflammatory response when the body is exposed to pathogens, pollutants, or toxins. The inflammatory cells release immune factors, such as cytokines, cellular messages, that are involved in cell-to-cell communication with the “purpose” of recruiting more inflammatory cells into an area to help eliminate a perceived threat.
Pollutants and chemicals can trigger airway inflammation and increase mucous production. Other immune molecules cause narrowing of airways resulting in the contraction of the muscles lining the airways. The combination of inflammation and increased mucous makes it difficult for air to enter or leave the lungs and can result in breathing issues.
Additionally, lungs that do not function properly, areideal for the multiplication of molds, bacteria, and viruses. The lungs continue their struggle to eliminate pollutants and pathogens, resulting in a chronic, persistent, dry cough and worsened lung function.
Immune Homeostasis, Immune Balance
A healthy person produces the right amount of inflammation in response to environmental and biological challenges. If WTC responders and others involved in rescue and clean-up of the 9/11 destruction, were able to control the amount of inflammation in their bodies , the body could finally start its healing process. Returning the body to inflammatory homeostasis, to inflammatory balance, would result in significant differences in the quality of their lives.
A Personal Note
It has been my conviction for years that a compromised immune system is at the root of the majority of health issues of World Trade Center responders, recovery and clean-up workers.
As a former New Yorker, I, as most Americans and overseas friends, took the attacks on America’s premier city personally and we still feel-grief and compassion, especially around this time of the year.
But what has really gnawed at me all these years is that surviving workers,–individuals who thought only of others and risked their lives to help despite terrible odds, are still suffering emotionally and physically.
I have been frustrated by my inability to reach the right people to share my decades long experience suggesting a different approach to helping individuals regain their health.
Based on decades of working with individuals having immune issues, I am confident that World Trade Centers workers would experience major quality of life changes if they were able to help their body regain its delicate balance—return to its optimum immune homeostasis.
These brave souls have visited physician after physician, clinic after clinic without a solution to what ails them. Ten years of searching for answers is long enough. It is now time for these individuals to take control of their own health by helping their bodies return to inflammatory homeostasis, balance.
I am not a health practitioner, but I am a scientist who can provide the facts to you. You will know within a short period of time whether or not my suggestions work for you.
I encourage you to contact me so we can start on the journey.
It is ten years since the horrific 9/11/01 attacks on the World Trade Center in New York City, The Pentagon in Washington, DC, and Flight 93 in Pennsylvania. On that day at the World Trade Center alone, there were approximately 3,000 murders.
These events have not only left the families, friends, and citizen survivors distraught and at great emotional and financial risk, but the heroic responders, the rescuers, recovery, and clean-up personnel, and civilians that lived and worked in the area, continue to pay a significant price in terms of their health.
There will never be a true accounting of how many individuals were exposed to smoke, thick-coatings of dust, combustion materials, asbestos, polychlorinated biphenyls (PCBs), dioxin, asbestos, and metals. Fire fighters, police, military members, paramedics, construction and iron workers, municipal employees, security workers, residents and workers in the area, and those that came from afar to help, were exposed to these toxic chemicals for days, weeks, and months. Fires burned for 69 days and even eight months after the destruction, workers were still searching for body fragments (1).
For some, the years may be receding from memory, but there are many individuals, and rescue and recovery dogs, that have, or are, still, paying a significant price for their heroic sacrifices. If they are still alive, their emotional and physical health has declined significantly, and no one seems to be able to help them.
Only limited funding has been available to study and monitor individuals that were at Ground Zeroand its surrounding environs. When researching information for this article I was surprised at the relatively few, peer-reviewed publications on this topic, and there is even less information on the effects of this trauma on children and adolescents.
Multiple Health Issues
A primary investigation now led by Dr Juan Wisnivesky, Mount Sinai School of Medicine in New York, has said, “Our findings show a substantial burden of persistent physical and mental disorders in rescue and recovery workers who rushed to the site of the WTC and labored there for weeks and months. Many of these individuals now suffer from multiple health problems (2), since World Trade Center-related mental and physical health conditions often co-exist (3).
Mental Health Issues Persist
One year after 9/11, it was estimated that more than 420,000 people New Yorkers were suffering from post traumatic stress disorders (PTSD) as a result of the attacks (1). This month, the prestigious British journal, Lancet, reports that 32% of tested personnel experienced post traumatic stress disorders and 28% per cent experienced depression at some time after 9/11. The incidence of most of the disorders was highest in workers with greatest World Trade Center exposure (3,4). Other emotional problems such as recurring nightmares, flashbacks, self-medication with alcohol, etc. have also been persistent issues.
Tomorrow: 9/11 Responders: Cancer Risks, Pulmonary Function, Immune Homeostasis, Balance.
>Gina Kolata of the NY Times reports that many athletes, both professional and amateur, often have difficulties in finding the right approach when they injure themselves. They spend thousands of dollars visiting physicians who are confident that they can help, but too often, the procedures are not very helpful.
Research clinicians are questioning the benefits of certain procedures recommended by physicians. Their concern is that there is little “credible evidence” to back up many of the methods that their colleagues use (1).
Most physicians would probably agree that the pain their patients experience is due to excessive levels of inflammation. Inflammation is essential for good healing, but it is just as important that inflammation be a controlled event.
“Inflammation is the immune system’s response to injury and infection, and quick decisions must be made when one or both are present. If the immune system detects an infection, it also looks for signs of injury (broken cell parts, spilled cell constituents). The reverse holds as well — after sensing an injury, the immune system searches for telltale signs of the presence of microbes launching an infection. In many cases, both an infection and an injury set off an inflammatory response. After massive tissue damage caused by trauma …, a systemic inflammatory reaction can set in (2).”
Tissue injury is associated with “an inflammatory soup bathing small nerve fibers”. The immune factors, cytokines, that make up this “soup” are initially pro-inflammatory (2). They trigger inflammation, resulting in pain sensation that occur throughout the body, including in the brain.
When athletes are injured, the key is for the body to heal the injury, and then down-regulate, “calm-down”, the inflammatory response and return to immune homeostasis.
Dr. Cynthia L. Ogden at the Centers for Disease Control reported this week that nearly 50% of Americans consume drinks containing sugar, such as soda and energy drinks on a daily basis. Five percent of this population drinks the equivalent of more than four cans of soda each day. Teenagers and young adults drink the most, with males consuming more sweet beverages than females. Most of the sugar drinks consumed outside of the home, are purchased at stores, not schools or restaurants, and lower- income individuals consume more sugary drinks than those with higher incomes (1).
Sugar drinks or sugar-sweetened beverages (SSBs) are the largest source of added sugars in the diet of U.S. youths, and probably adults as well. Drinking excessive amount of calories contributes to the problem of obesity in this country (2). Previous studies have shown that the average teenager consumes about 300 calories a day from sugar-sweetened beverages. Over a period of a year, 300 calories/day is equivalent to an extra 30 pounds of weight!
The fat tissue around the belly, called abdominal or visceral fat, consists of immune-like cells that release pro-inflammatory cytokine molecules that result in body-wide inflammation. Extra weight around the midsection is linked to an increased risk of inflammatory diseases such as atherosclerosis (hardening and clogging of the arteries), heart attacks, diabetes, certain cancers, sleep apnea, arthritis, etc.
A healthy body controls the amount of inflammation it produces. Wellness is about maintaining “balance”, immune homeostasis. Balance one’s immune function and restore the proper and healthy balance of key systems that regulate the human body – metabolic, intestinal, hormonal, emotional, etc.–all mediated with the involvement of our immune systems.
An essential, simple step one can take to help the body regain immune and metabolic homeostasis and control weight, is to consume two or more servings/day of hyperimmune egg (http://www.HyperimmuneEgg.org ).
In addition, besides drinking less soda and other sugary beverages, incorporating the following steps will help achieve weight goals:
• Increase your physical activity-remember you have to use up more calories than you are consuming.
• Eat smaller portions then you typically consume.
• Increase intake of beans, nuts, lentils and colorful fruits and vegetables (berries, spinach, broccoli, etc.)
• Limit intake of:
Fast foods
Fried foods
Sugary desserts
Corn and potato processed products, (chips, nachos, French fries.)
White rice (use brown rice instead; it is higher in fiber and macronutrients)
Artificially-sweetened sodas and drinks—the body cannot tell the difference between “sweet”, and “sweet”
Many more bacterial genes than human genes are found in the body. Samples from 124 healthy Europeans found on average more than 530,000 unique genes in each sample and 99.1% were from bacteria. These bacteria live symbiotically, on, or in, our bodies. While we provide them with food and lodging, they help us stay healthy in many ways including helping us to digest our food, and providing vitamins and other nutrients for us to use.
Dr. David A. Relman of Stanford University, Palo Alto, CA has found that when people take bacteria-killing antibiotics, the microbial ecosystem that returns is different from the microbe population prior to taking antibiotics. Moreover, if the same antibiotic is taken again, even 6 months later, the bacteria take longer to come back and the bacteria are even more different.
Dr. Relman says, “Everything comes with a cost,” he said. “The problem is finding the right balance. As clinicians, we have not been looking at the cost to the health of our microbial ecosystems.”*
Once again, the importance of balance in the body is paramount. Considering that over 75% of the immune system is represented in the gut, immune balance, inflammatory homeostasis, helps the body provide natural resistance to disease. If the immune system is not functioning properly, if it is in disorder, the physical and emotional aspects of our life and health will be out of balance and in disarray.
A body in immune homeostasis is able to respond appropriately to challenges by either “boosting” the “fire power” of an inflammatory immune response to “burn out” an infection, or suppress an inappropriately excessive immune response to the challenge. The key is to maintain immune homeostasis.
Dengue fever is caused by a virus that is carried by an infected female Aedes mosquito (called a vector) that injects the virus into a human while she is drawing her blood meal, a meal that she needs in order to reproduce. Over 50 million people, in over 100 countries, are infected every year with dengue. Until a report last week, there was still no way to control the disease. More on the study later.
The symptoms of Dengue Fever appear from a few days to two weeks after being bitten by an infected mosquito. The symptoms may be a sudden onset of high fever, nausea, vomiting, severe headache, muscle and joint pain, and pain behind the eyes, which worsens with eye movements.
The Response of the Immune System to Dengue
There are four genetically similar types of Dengue viruses (subtypes). When a person is exposed to the virus, specialized immune cells produce large proteins called antibodies, also known as immunoglobulins (Igs), that attach to the virus particles and mark them for destruction by incoming inflammatory immune cells.
Unfortunately, exposure to one of the four subtypes does not confer immunity against the other three types. Even more troublesome, because of the peculiarities of the immune response, if one has been previously exposed to one type of Dengue virus, exposure to another subtype may result in Dengue Hemorrhagic Fever. In this stage of the disease, there is a significant amount of bleeding and a person may go into shock. Unfortunately, this disease is frequently fatal especially in children or the elderly.
As in all immune responses, a controlled, well-modulated response is needed by the body when it is exposed to a pathogen like Dengue. When the immune system has a balanced inflammatory response to disease, when it is in immune homeostasis, a person is more likely to successfully fight infection and survive. The key is that the body has to generate enough of an inflammatory immune response to destroy the pathogen, but not so much inflammation that nearby healthy tissue is damaged.
Inflammatory Cytokine Storm
Too vigorous, inflammatory response to infection, for example to the Dengue virus during Dengue Hemorrhagic Fever, may result in destruction of the walls of blood vessels, bleeding, abnormal clotting, and loss of fluids (which can lead to severe dehydration).
This sort of extreme immune response is also reminiscent of what is seen in diseases such as SARS (Severe Acute Respiratory Syndrome), in which the body has an inflammatory or cytokine storm directed initially against the lungs, and goes on to destroy many different organs, resulting in death. [Cytokines are small immune molecules that trigger immune responses].
Decrease Mosquito Breeding Opportunities
Prevention- It Only Takes 15 Minutes:
There is no treatment for Dengue Fever, nor has vaccine development been successful. For now, the best way to avoid infection is to lower the risk of being bitten by an infected mosquito. Unfortunately, since the Aedes mosquito is active during daytime hours, nets around the bed are not an adequate solution.
However, all mosquitoes need water to complete their life cycle, so it is prudent to eliminate any standing water around the home. Think like a mosquito that is looking to lay eggs—it can be in any container imaginable, or a puddle that will not dry out within a few days.
Keep plant saucers, tarps, coolers, tanks, barrels, drums, bottles, tins, coconut shells, tires, buckets, and trenches, free of water.
Empty, cover them, or turn containers over when not in use, so water does not accumulate.
Keep containers of stored water covered at all times.
Empty refrigerator drip pans at least every other day.
Mr. Minchington Israel, Environmental Health Officer of the Government of the British Virgin Islands mantra is: “It only takes 15 minutes to go around the yard, … in search of stagnant bodies of water and do[ing] something about it.”
Mr. Israel also points out that since so many people have moved out of the countryside and crowded into urban areas, family and community-wide efforts are needed to slow mosquito population growth. In addition to the suggestions above, Mr. Israel strongly advocates:
Maintaining properties free of rubbish, junk, and overgrown vegetation.
Managing empty lots and abandoned properties.
Becoming knowledgeable as to where mosquitoes breed and eliminate these breeding areas.
Promising New Approach:
Last week the prestigious journal Nature, published results from an Australian research group reporting that they were able to stop the transmission of Dengue virus (ǂ). Researchers infected the Aedes mosquito with bacteria that “completely blocks the ability of the virus to grow in mosquitoes” (◊). The bacteria do not kill the mosquito, so the mosquito can continue to reproduce itself, and pass the bacteria to other mosquitoes. The infection is highly contagious so it spreads rapidly throughout the mosquito population. Successful testing in the wild supports its promise as a way to control vector populations. According to Flaminia Catteruccia, who works with malaria-carrying mosquitoes in London, “It’s an environmentally friendly approach that does not affect the mosquitoes, just the [growth of the] virus”(◊).
Personal Defenses:
If this concept works, it will take time for further studies to be completed and vector control to occur, so for now, taking personal responsibility is necessary. So in addition to the recommendations above:
Dengue carrying mosquitoes are active during the day, so netting around beds is not as helpful as in other mosquito-borne diseases.
Use mosquito repellents on your clothing and person.
Screen windows and doors against mosquitoes and use bed nets around ill, bed-ridden individuals.
Wear light-colored long-sleeves and slacks with thick socks.
A body in immune homeostasis, in immune balance, is better prepared to defend itself against infection.
To optimize one’s immune system: walk or be physically active in other ways for at least 150 minutes a week; eat in a nutritious manner; control your weight; eat darkly-pigmented fruits and vegetables on a daily basis; and consume fish or omega-3 supplements 2-3 times/week.
In addition, it is important to help the body achieve immune homeostasis, immune balance so that the body can battle illness and yet, control unchecked inflammation.
Hyperimmune egg contains a cocktail of antibodies and other active immune factors that help the body balance immune function. Consuming two or more servings/day of hyperimmune egg makes a major difference in your body’s ability to support immune health and heal itself.
Autism spectrum disorders are poorly understood disorders that affect a child’s communication, thought, and social processes, and often wreck havoc on families.*
Dr. Sally Ozonoff of University of California Davis, just reported on the results of the largest study ever of siblings with and without autism. The investigators of this international, multi-center study concluded that male infants with an autistic older sibling have a 26%increased probability that they too will develop autism. If an infant has more than one older autistic sibling, then there was a 32% probability that they would develop ASD.
Modulating immune responses, for example, maintaining immune
homeostasis or balance, may be a major contributor to getting individuals with ASDs healthy.
The immune system works constantly to maintain immune homeostasis (1). Immune homeostasis is important in the gut as well and to facilitate immune health the digestive tract contains one of the body’s largest immune compartments– gut-associated lymphoid tissue (GALT) (2).
Organisms enter the body primarily through the mouth and end up in the intestinal tract. It is useful that 75-80% of the immune system is represented in the gut, to help defend thebody against infection. More immunoglobulin, antibody, is produced by the cells in the digestive tract, than anywhere else in the body. Embedded plasma cells, B-cells, produce large amounts of IgA, morethan the other antibodies, IgD, IgE, IgG, and IgM, combined (3,4).
Autism spectrum disorders (ASDs) are multi-factorial conditions which involve interactions of the gut (5,6), hormones (7), nervous (7), and immune systems (8). The relationship between some of these pathways is so suggestive that often it is called the immune-brain-gut triangle of autism. Immunological imbalances, such as impaired immune responses to certain pathogens (8) or excessive inflammation and/or responses of an autoimmune nature are often implicated as well (9-11).
Levels of various immune related molecules including proinflammatory and anti-inflammatory cytokines, nitric oxide**, specific antibodies, and antibodies against self, are different from levels found in non-autistic individuals.
Other studies show that inflammatory mediators in autism involve activation of immune brain cells (9) of the brain which are play a role in neuron function and homeostasis.ǂ
Autistic children suffer from intestinal inflammation, colitis, and have large numbers of cells indicative of infection in the gut. When their digestive problems are treated, behavioral issues are positively effected (12,13).
Autistic children and adults that have approached immune homeostasis, have necdotally experienced significant differences in theirbehavior, grades, focus, cognitive function, and social abilities.
Polyvalent hyperimmune egg has been clinically shown to help the body support and modulate immune and digestive homeostasis (14-19). The ingredient is listed in the 2011 Physicians’ Desk Reference. † The technology is based on over 30 years of research and development, and is protected by numerous patents.
Hyperimmune egg has been shown to help the body support immune and digestive function, and modulate autoimmune responses. Consider incorporating hyperimmune egg to change the quality of life of children and adults with ASDs.
1 Crimeen-Irwin B, Scalzo K, Gloster S, Mottram PL, Plebanski
M. Failure of immune homeostasis — the consequences of under and over reactivity. Curr Drug Targets Immune Endocr Metabol Disord. 2005 5:413-22
2 Bodera P, Chcialowski A. Immunomodulatory effect of probiotic bacteria. Recent Pat Inflamm Allergy Drug Discov. 2009 3:58-64
3 Brandtzaeg P, Baekkevold ES, Farstad IN, Jahnsen FL,Johansen FE, Nilsen EM, et al. Regional specialization in the mucosal immune system: what happens in the microcompartments? Immunol Today. 1999 20:141-51
4 van Egmond M, Damen CA, van Spriel AB, Vidarsson G, van Garderen E, van de Winkel JG. IgA and the IgA Fc receptor. Trends Immunol 2001 22: 205-11
7. Hu VW, Nguyen A, Kim KS, Steinberg ME, Sarachana T, Scully MA, Soldin SJ, Luu T, Lee NH. Gene expression profiling of lymphoblasts from autistic and nonaffected sib pairs: altered pathways in neuronal development and steroid biosynthesis. PLoS One. 2009 3;4:e5775
8 Kawashti MI, Amin OR, Rowehy NG. Possible immunological disorders in autism:
concomitant autoimmunity and immune tolerance. Egypt J Immunol. 2006 13:99-104
9 Cohly HH, Panja A. Immunological findings in autism. Int Rev Neurobiol. 2005 71:317-41
10. Castellani ML, Conti CM, Kempuraj DJ, et al., Autism and immunity: revisited study. Int J Immunopathol Pharmacol. 2009 22:15-9
11. Enstrom AM, Van de Water JA, Ashwood P. Autoimmunity in autism. Curr Opin Investig Drugs 2009 10:463-73
12 Galiatsatos P, Gologan A, Lamoureux E. Autistic enterocolitis: fact or
fiction? Can J Gastroenterol. 2009 23:95-8
15 Trentham D et al. Hyperimmune egg in the collagen-induced arthritis model and
anti-inflammatory assays. Int Soc Rheumatol Ther (ISRT) 1998 [Abstract] p.23
16 Greenblatt HC Adalsteinssön O Kagen L. Administration to arthritis patients of a dietary supplement containing immune egg: an open-label pilot Study J Medicinal Food 1998 1:171-179
17 Jacoby HI Moore G Wnorowski G. Inhibition of diarrhea by immune egg: a castor oil mouse model J Nutraceut Function Med Foods 2001 3:47
18 US Pat # 5,772,999 Method of preventing, countering or reducing NSAID-induced gastrointestinal damage by administering milk or egg products from hyperimmunized animals
19 Kizito FB. Improvements in quality of life for HIV/AIDS patients using hperimmune egg 3rd Int AIDS Soc Conf HIV Pathogenesis and Treatment 2005 Abst #. MoPe11.2C43
In today’s Wall Street Journal*, Jonathan Rockoff reports on new cancer treatments that are “personalized” depending on whether one is carrying a certain mutated gene. When individuals with specific types of cancer carry the mutated gene, and are treated with these new medications, the results are impressive. Almost 50% of cancer patients taking these medications had shrinkage of tumors compared with 5.5% of those on conventional chemotherapy.
Some patients taking the medications report side effects such as fatigue and joint pain which led their physicians to lower their dose. Fatigue and joint pain are signs of immune dysfunction, typically excessive levels of inflammatory responses by the immune system. The key is to help the body return to immune homeostasis (immune balance).
Immune inflammation has two main functions: a) defending the body from infection, and b) healing the body when an infection has occurred, or if the body injured.
People are becoming increasingly aware that inflammation is also associated with other conditions such as atherosclerosis (1), autoimmune conditions, and even the development of cancer [2, 3].
The relationship between immune inflammation and cancer is not well understood, but it appears that inflammatory responses feed cancer cells and cancer cells trigger inflammatory responses.
The relationship between cancer and inflammation is not simple (4). But studies suggest that if approximately 15 percent of cancer [5], is associated with microbial infection one would expect that if infections were reduced world-wide, so would cancer.
There are certain “hallmarks of cancer” [4]:
Cancer cells:
Are often “immortal”. In a test tube, whereas “normal” cells will divide a number of times before they die off, cancer cells keep dividing and multiplying for a long time—they seem to disregard the natural “death” cycle.
Appear to stimulate blood vessels to grow to them bringing them “good blood circulation” and nutrients.
Are independent—they can grow without input or control from other cells.
Lack “contact-inhibition”. [Normal cells will stop growing when they touch one another, cancer cells will “overgrow” each other.]
Are able to invade other tissues and spread throughout the body (metastasize).
Some scientists consider pre-malignant tumors as being “wound-like” [6]. The body recognizes the presence of the tumor and starts to combat it using inflammation as its weapons system.
The inflammatory response produces immune factors that recruit other inflammatory immune cells into the area to “heal” the “lesion”. Unfortunately however, due to the nature of cancer cells, some of these molecules may only stimulate the growth of more cancer cells resulting in more tissue invasion and metastasis [7]. This is why immune homeostasis is essential to our health.
Taking the following steps may help decrease the chances of getting cancer:
a) Stop the use of tobacco.
b) Drink alcohol in moderation (if you consume alcohol).
c) Have moderate sun exposure (10 minutes/day) and plenty of fresh air.
d) Eat plant-based foods, especially those high in phytonutrients: berries, dark, green, leafy vegetables, cauliflower, broccoli, nuts (in moderation), are great choices.
e) Increase your physical activity. (Physical activity is associated with a reduced risk of cancers of the colon and breast, improved quality of life among cancer patients, and cancer survival (8)).
f) Maintain a healthy weight (obese people have higher rates of cancer)
g) Avoid risky sexual and chemical-abuse behaviors that may expose you to certain infections that may lead to cancer (for example: HIV/AIDS, hepatitis, etc.)
h) Screen regularly for cancer
Also, to help the body achieve inflammatory immune homeostasis, along with eating a healthful diet and controlling your portion sizes, consumption of on a daily basis of hyperimmune egg is prudent.
Severe nasal reactions to medications, pollen, dander, foods, fragrances, and other environmental stimuli may occur as people age. These responses, often not a true allergic response, are termed vasomotor or nonallergic rhinitis (1), because they are not due to a typical “allergic” response.
Nonallergic rhinitis (“itis” as in inflammation) is associated with increased irritability, problems in focusing, sleep issues, and daytime sleepiness. Also individuals with rhinitis are at higher risk of getting asthma (2).
Hallmarks of nonallergic rhinitis include inflamed sinuses, drippy, congested nose, chronic sneezing or coughing. Nonallergic rhinitis is seen when inflammation occurs in the sinuses of the face, and the nasal membranes and blood vessels in the nose expand filling the lining of the nose with blood and fluids.
According to the Mayo Clinic specific triggers for nonallergic rhinitis also include (3):
Infections: Viral infections can result in nonallergic rhinitis due to postnasal drip and nasal discharge. Facial pain and sinusitis (inflammation and pressure in the sinus cavities of the face) may also be an unwelcome outcome.
Medications: Overuse of decongestant nasal sprays can cause rhinitis as can medications such as sedatives, beta blockers, antidepressants, oral contraceptives, erectile dysfunction drugs, blood pressure medications, aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs).
Environmental: Strong odors, such as perfumes or cleaning fluids, smoking, secondhand smoke, dust, can become a cause of nonallergic rhinitis.
Foods and beverages: Nonallergic rhinitis may occur when you eat, especially when eating hot or spicy foods. Drinking alcoholic beverages, such as beer and wine, also may cause the membranes inside your nose to swell, leading to nasal congestion.
Weather: Temperature or humidity changes can trigger the membranes inside your nose to swell and cause a runny or stuffy nose. Dr. Rohit Katial, Director of Adult Allergy and Immunology at National Jewish Health, Denver, CO states “Even cold air becomes more problematic as we get older” (1).
Stress and Exercise: Stress and exercise have been shown to induce inflamed sinuses.
Hormonal changes: Changes in hormones due to menstruation or pregnancy, or a autoimmune hormonal conditions.
The majority of inflammatory illnesses result from over production of pro-inflammatory (inflammation enhancing) cytokines, and other immune cellular factors. Our survival on earth depends on the ability of the body to rapidly generate appropriate inflammatory responses to “burn out” pathogens that threaten to destroy us.
The body must be able to modulate the amount of inflammation produced and decrease its intensity as the challenge is met. The key to health is immune homeostasis. We must generate enough of an inflammatory response to meet the threat, but in controlled amounts so that bystander tissues and organs are effected.
This morning I had a note from a client that said:
“I hope you can help me fight off the fungal, bacteria and EBV in me.”
Part of my response was: No I cannot. Neither I, nor anyone else, can help your body fight infections-
that is the job of an optimized immune system which you have to achieve yourself.
The key is to re-educate your body to learn to balance its inflammatory immune responses. One has to generate enough of an inflammatory response to destroy pathogens, but not so much as to cause the numerous health issues with which you are dealing.
Immune homeostasis, immune balance, is the only way our body defends itself against infection. Even if we are infected, the body is more able to resolve the infection if the immune system is functioning optimally.
Take the following steps to help your body return to immune homeostasis. Once you are in homeostasis your body will figure it out.
Incorporate physical activity into your daily life (burn off about 150 calories/day, or consume at least 150 fewer calories a day if you have a weight problem).
Eat nutritious meals and emphasize plenty of darkly pigmented vegetables and fruits (especially berries).
Get moderate amounts of sun and PLENTY of fresh air
Supplement your diet with vitamin D and omega-3 fatty acids
