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Parents Share Similar Metabolic Imbalances with their ASD Children - University of Arkansas Study Reveals Unexpected Finding
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A Message from SafeMinds President, Theresa Wrangham
In a study published in May, lead
investigator Dr. Jill James found parents of
children with Autism Spectrum Disorder (ASD)
have similar metabolic imbalances previously
documented in ASD children. The study was
conducted by the University of Arkansas and
is available on-line ahead of publication.
In her previous studies of children with ASD,
Dr. James found that cellular methylation
occurred 50% less in ASD children, than that
of age matched control children (James et al,
2006). DNA synthesis and the associated
methionine methylation cycle are critical
processes necessary for the production of
cellular energy and survival. Inhibition of
the methylation process has been associated
with a decrease in glutathione (an
antioxidant produced in all cells and
primarily by the liver), increased oxidative
stress and tissue damage and a reduction of
the body's ability to detoxify
(Ueha-Ishibashi et al, 2004; Waly et al,
2004). The resulting DNA hypomethylation and
glutathione deficit can lead to higher
vulnerability to alterations in gene
expression from toxic exposures such as
mercury. Glutathione deficits also contribute
to immune dysfunction and impairment of
cellular redox homeostasis in the methionine
metabolism associated with DNA synthesis.
Impairment of these processes (DNA synthesis,
methionine methylation and
redox/detoxification capacity) due to
gene-environment interactions and associated
with DNA hypomethylation, is highly
suggestive of an epigenetic component - and
likely environmental trigger - in the
development of autism. Additionally, the
impairment of methylation and glutathione
depletion in studies investigating these
epigenetic modifications to DNA, as they
pertain to heavy metals (mercury and lead)
and vaccine components (ethylmercury,
thimerosal, aluminum), found toxic exposures
to be associated with metabolic abnormalities
seen in autistic children (James et al, 2004
& 2006; Ueha-Ishibashi et al, 2004; Waly et
al, 2004).
This most recent study from Dr. James found
significant similarities in these same
metabolic biomarkers in parents of children
with autism, suggesting that parents share a
common metabolic phenotype with a consistent
underlying genetic susceptibility with their
ASD children (reported by James et al, 2006).
Data used in this study did not ascertain
whether the metabolic abnormalities occurred
as a result of dietary deficiencies, chronic
stress and anxiety or toxic exposures and/or
were present as a prenatal risk factor.
However, is it generally accepted that these
values tend to remain the same during
childbearing years pre and post-natally (Cuco
et al, 2006; Walker et al, 1999; Ono et al 2001).
A striking 54% of case mothers (mothers with
an ASD child) had elevated SAH* levels or a
decreased SAM/SAH** ratio and were 7.3 to
10.7 more likely to be the mother of an ASD
child, while case mothers with decreased
GSH/GSSG*** ratios had a 15.2 fold increase
in the likelihood of being a mother of an ASD
child. Furthermore, 41% of case mothers with
decreases of both SAM/SAH and GSH/GSSG ratios
had a dramatic 46 fold increase in the
likelihood of being a mother of an ASD child.
The health implications of these abnormal
levels have previously been established as
risk factors for heart disease, autoimmune
disease, structural birth defects and
neurodegenerative disease benefiting from
nutritional supplementation with B vitamins,
which are often used in the biomedical
treatment of autism.
While the study was small and must be
replicated to confirm its findings, it
demonstrates a significant metabolic
imbalance is shared between parents and ASD
children and possibly identifies a heritable
metabolic phenotype. Such phenotype
identification would provide gene candidates
indicating a possible epigenetic
predisposition to autism, as well as possible
prenatal intervention strategies to normalize
maternal metabolic imbalances to prevent
placental transfer to unborn children. It
could also show why some individuals are more
vulnerable to toxic and viral insults that
might not affect the majority, and why this
vulnerability might run in families.
*SAM: S-adensylmethionine, is a coenzyme
involved in methyl group transfers; it is
needed for cell growth and repair of cellular
proteins and is used in the production of
hormones and neurotransmitters such as
dopamine and serotonin.
*SAH: S-adenosylhomocysteine, is an amino
acid derivative formed when SAM is
demethylated. High levels of SAH can be toxic
to cells. Vitamin B6, B12, folate, and
choline help to regulate the cycle in which
SAM is converted to SAH and SAH back to SAM.
**SAM/SAH Ratio: Lower SAM and higher SAH
leads to decreased methylation of critical
cellular components including proteins, DNA,
RNA, and phospholipids. Growth Factor (IGF)
can increase the SAM/SAH ratio.
*** GSH/GSSG Ratio: Reduced
Glutathione/Inactive Oxidized Glutathione;
this ratio denotes the body's ability to
detoxify. A lower ratio (i.e., higher GSSG)
is an indication of the present of oxidative
stress.
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See the Light. Mercury is Not Green
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From the SafeMinds Environmental Committee
Shortsighted Legislation
Imagine a country that decided it was a good
idea to put a highly toxic element in very
fragile containers and encourage all its
citizens to keep these containers in every
room in their homes. Imagine that most of the
people didn't know the containers held a
toxin or that the containers were potentially
dangerous. Then, imagine that the leaders of
that country decided that these containers
were so great that they would make it against
the law for its citizens not to use them.
This is not your imagination. This is the
situation with compact fluorescent light
bulbs in the United States in 2008.
SafeMinds' Environmental Committee is working
to stop the unsafe proliferation of
fluorescent light bulbs because of the
significant mercury contamination hazard that
they pose in homes and because of the current
lack of effective recycling programs. With
the advent of global warming, there has been
a major push, including free give-aways, to
get consumers to purchase and use compact
fluorescent bulbs in place of incandescent
bulbs due to their greater energy efficiency.
Unfortunately, our government has given
little thought to the long-term consequences
of this action in terms of increasing mercury
exposure in homes and landfills. Many
Americans are not even aware of the fact that
there is mercury in fluorescent bulbs. Nor
are they aware that these bulbs must be
recycled properly.
Legislation that would outlaw incandescent
lighting is currently packaged within the
larger House energy bill. For a discussion of
some of the issues related to this change,
please see this video of Representative Ted
Poe of Texas speaking before the House.
"It's A Small Amount"
One argument that is often made about compact
fluorescents is that they only contain a
"small amount of mercury". Current CFLs
typically contain less than 5mg (not mcg) of
mercury. Some contain as "little" as half of
that or 2.5 mg. Let's put that number in
perspective:
There are 1000 mg in a gram so 400 CFLs
contain a gram of mercury. A gram of mercury
(about 1/70th of a teaspoon because mercury
is very heavy) is enough, if vaporized, to
contaminate a 20-acre lake for a year to the
point where the fish are unsafe to eat. Now
consider the fact that in 2007 the EPA
estimates that 380 million CFLs were sold.
Those bulbs contained enough mercury to make
950,000 lakes toxic! This is by no means a
"small" amount of environmental mercury.
Now let's look at the "small" amount of
mercury in a single compact fluorescent
assuming that it just broke in your home.
Again, we take a CFL containing 2.5mg of
mercury but this time we convert it to
nanograms, which are billionths of a gram.
2.5mg= 2,500,000 nanograms of mercury.
A typical 12'x14' room with an 8' ceiling
contains 38 cubic meters of air. If you
divide these numbers you get an air
concentration of 65,789 nanograms of mercury
per cubic meter of air. For argument's sake,
let's assume that only a 10th of the mercury
in that CFL actually vaporized (which is
conservative based on the published data), so
now you are down to 6,579 nanograms per cubic
meter of air. Next, let's look at some of the
safety reference ranges that the government
has established:
300 nanograms per cubic meter of air - this
is the Environmental Protection Agency's
reference concentration for chronic
occupational exposure to mercury vapor in
adult males.
200 nanograms per cubic meter of air - this
is the Agency for Toxic Substances and
Disease Registry's Minimal Risk Level for
chronic exposure in adult males. They have
also established a re-occupancy level of
1000ng/cubic meter; this is the level at
which it is safe for people to re-enter a
building that has been contaminated with mercury.
Both of these reference ranges have safety
factors of 30 built into them. One single
CFL, when broken, produces an air
concentration of mercury roughly equivalent
to the level that is known to cause
neurological effects in adults
90 nanograms per cubic meter of air - this is
California's Reference Exposure Level to
prevent mercury damage to the developing
brain based on animal studies. In our
conservative example a broken CFL exceeds
this reference range by 73 times!
Obviously, the amount of mercury in the air
will dissipate over time, but this assumes
that the homeowner knows that there is
mercury in the CFL and cleans up and
ventilates appropriately. At SafeMinds, we
would rather be cautious and consider the
"what if" scenarios:
"What if the homeowner is a pregnant woman?"
"What if the bulb breaks in a toddler's
bedroom - or a daycare?"
"What if someone drops a multi-pack of
bulbs?"
"What if the room has no windows to ventilate
through?
"What if the broken bulb gets left in the
trash can for a week?
"What if the homeowner doesn't have a clue
that they have a neurotoxin on the
floor?"
Even a "small amount" of mercury should not
be taken lightly.
To be continued: Look for "Recycling and
Cleaning Up" in a future e-newsletter.
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A Special Report: Rattling Autism's Lock on the Brain
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By Eve Jacobs
A special report from UMDNJ Magazine,
Spring/Summer 2008.
Moving quickly is a crucial factor when a
child is diagnosed with autism. Perceived
until recently as a gargantuan and immovable
lock on the brain, this diagnosis now raises
a slew of questions, possibilities and
windows for change - and maybe even
prevention - that can't be ignored. With no
cure on the horizon, a new approach - not
unlike the drug "cocktails" used to keep
HIV/AIDS patients alive and ticking for
decades - relies on combining many different
therapies, including some that are very new,
and is bringing additional hope for a better
life to those with autism.
Tackling the Medical Issues, One by One
Certainly a major aspect of this sea change
in outlook is the recognition that many
children with autism have specific medical
issues that seriously impact their everyday
lives and abilities. While no one yet fully
comprehends why these medical problems are so
prevalent, oftentimes they are treatable, and
when treatment is successful, can make a
world of difference.
Xue Ming, MD, an associate professor of
neurosciences and pediatrics, conducts
research in autism and provides hands-on care
for more than 600 children with this
diagnosis at The Autism Center of NJ at
UMDNJ-New Jersey Medical School in Newark. In
her practice, she sees many children
suffering from sleep problems, as well as
gastrointestinal reflux, bloating, and
intolerance to various foods. Autonomic
dysfunction - a disorder producing increased
blood pressure and heart rate, among other
symptoms - is another concern and
psychological issues such as anxiety,
depression and rage attacks are not uncommon
in these children.
"Many of these symptoms are interconnected.
Aggressive behavior and lack of sleep, for
instance, are often related," Ming comments.
She enrolled 32 children with autism in a
sleep study - quite a challenge since
spending two nights in a sleep lab is clearly
not a possibility for many of them. "Some
couldn't tolerate it," she says, so the
actual number who completed the study turned
out to be 23. A sleep technician and a parent
were present at all times. What she confirmed
was an increased rate of parasomnias (14 out
of 23 with autism were affected, compared
with 1 out of 23 in the healthy group), with
such symptoms as night terrors, confusion on
waking and bed-wetting. "We also found an
increase in apnea and abnormalities in sleep
structure," she explains. "In many of these
kids, the sleep disorders are exacerbated by
medications."
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Wilson: Some Vaccines Still Contain Mercury
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Detroit ABC Affiliate Report
Click
here to watch extended video report.
Anchor Lead: It's the controversy that won't
go away. Is the skyrocketing rate of Autism
in children due in any way to the mercury
long contained in childhood vaccines? It's an
issue our chief investigative reporter Steve
Wilson has stayed with from the start, and
Steve will science ever answer this one?
It could happen one day but only if
researchers keep looking -- and with 1 in 150
children now diagnosed with Autism in this
country-more than 100 new, young victims
every single day-a lot of skeptical parents
and others believe there's a big incentive
for industry and government to cover up the
truth.
Dr. Renee Jenkins, M.D./Pediatrician: I don't
think anybody is saying you want to inject
mercury. (Wilson) Why would I do it? Why
would I allow it to happen? (Jenkins) Well,
for routine vaccinations, we don't allow it
to happen."
A loving grandmother and president of the
American Academy of Pediatrics, Dr. Renee
Jenkins is among those in medicine, in
government, in the media, pretty much telling
parents this problem's been solved, there is
no mercury in the routine schedule of
childhood vaccines anymore, except maybe just
"trace" amounts. She's talking about a
mercury-based vaccine preservative called
Thimerosal, and the truth is there's still as
much as ever in 11 vaccines including most
flu vaccines injected into pregnant women and
kids, and some of them younger than 9 get two
doses in a season. And also high levels of
mercury from Thimerosal in tetanus shots and
the boosters routinely injected into
11-year-olds and also in some meningitis and
diphtheria-tetanus formulas, too.
Heidi Scheer/Mother of Autistic Child: and I
know for a fact people that have gone to
their physician and have been told there was
no Thimerosal in their vaccine, then the
parents asked to see the package insert and
they find it there.
Mrs. Michigan joined parents of other
autistic children marching on Washington just
recently not only to alert new parents but to
point out the half-million children already
stricken, they believe by the large doses of
mercury they got in the increasing number of
vaccines the government and their doctors
recommended.
A congressional committee that studied the
matter has already concluded: "Thimerosal is
directly related to the Autism epidemic."
It could have been prevented or curtailed
"had the FDA not been asleep at the switch"
allowing the untested toxic to be part of the
vaccine recipe, something the committee
report blamed on "misplaced protectionism of
the pharmaceutical industry."
Presidential candidate John McCain says now
there's "strong evidence" of a link between
skyrocketing Autism and the mercury in
vaccines. Boyd Haley is a scientist and
pioneer in the study of this issue.
Dr. Boyd Haley/Researcher: And I want to talk
to a lot of the journalists here because
you're a big part of the problem. Most of you
(crowd cheering) you've allowed the CDC to
hijack what's perceived as the science of
Autism. There hasn't been one publication
ever published where Thimerosal was tested
against a living cell, a living animal, where
it wasn't found to be severely toxic,
psydotoxic and neurotoxic, and yet you can go
in there and they'll tell you 'Oh we know
it's not connected.' Why don't you go read
the papers?
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Caregivers Urged to Register Loved Ones
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Tissue Bank for Developmental Disorders and
ARI Provide Ongoing Registration to Advance
ASD Research
The Autism Research Institute is working
closely with scientists and clinicians
throughout the country in an effort to find
effective treatments for this devastating
disorder. According to these experts, limited
availability of tissue from children who
suffer with autism is hampering research,
because without actual tissue it is difficult
to determine the basic biological defects
responsible for this disorder. This need has
prompted ARI to enter into a partnership with
the Brain and Tissue Bank for Developmental
Disorders at the University of Maryland,
under contract to the National Institute of
Child Health and Human Development (NICHD),
to support tissue donations.
Anyone Can Be a Donor
Anyone, regardless of age, is invited to
register as a tissue donor. The tissue bank
is as much in need of control tissue as
tissue from those with autism. Tissue must be
recovered within 24 hours, because after this
time the tissue has lost most of its
usefulness for research purposes. Therefore,
advance registration is important in that it
enables the intricate process of tissue
recovery to occur in a timely manner.
Even if a person is not registered in
advance, tissue donation may still be
possible by calling the toll free number below.
To register: call 1-800-847-1539 or
1-410-706-1755 (from outside the continental
U.S.) to request a packet or discuss any
questions or concerns relating to tissue
donation.
How to help spread the word:
* Forward this information
* Print
brochure (pdf)
* Request brochures by e-mailing
nancale@aol.com
Contact the NICHD Tissue Bank:
University of Maryland
Department of Pediatrics
655 West Baltimore St., 13-013 BRD
Baltimore, MD. 21201-1559
Toll free 800-847-1539
Ph. 410-706-1755
Fx. 410-706-0038
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CDC'S GERBERDING: "MISTAKES WERE MADE"
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SafeMinds board member Katie Wright speaks out on Age of Autism
Julie Gerderding's recent admission that much
of the CDC's research exonerating vaccines as
a trigger for autism was both shoddily done
and politically compromised. It felt like a
bittersweet victory. The selection bias
errors are numerous and egregious. But I
didn't need Dr. Gerberding to admit the
obvious in order to know that the CDC
endangered my son and an entire generation of
children. Like so many other families, we
lived the nightmare after Christian received
7 vaccines in one day, initiating the mental
and physical deterioration of my child that
became autism.
It astounds me that Gerberding has not
resigned. But then so much astounds me, such
as the AAP's recent publication on how to
"handle" vaccine adverse parents. I had high
hopes after speaking with Dr. Louis Cooper
from the AAP at the DAN! Conference. Not only
did Dr. Cooper show up and listen to parents,
he attended numerous lectures and workshops.
What happened? The AAP "parent handling"
imitative is both condescending and
ridiculous. The days when parents
unquestionably accepted whatever their
pediatrician says are over, especially when
they have been wrong about so much and have
ignored the needs of our children for
decades. Threatening to "fire" families from
a practice or telling them that they are
endangering other children is not an
effective way to go. The fact that the AAP
comes out with this guide right as the CDC
admits so many of their vaccine safety
studies are compromised is bizarre. These are
the people we are supposed to trust with our
children's health? Who do they think they are
kidding?
We need an autism enlightenment movement,
which can move this discussion beyond the
flat earth, or scorch earthed policies of the
CDC and the AAP. We need more AAP doctors,
CDC researchers and AS scientist to come to
AutismOne, DAN!, the NAA conference and hear
from these parents, meet our children and
learn from their stories of hope and
recovery. I am so tired of hearing the same
old autism careerists put forth the same
stale information in the safest of safe
environments, where their travel and lodging
has been paid for by someone else, lecture
more careerists about the "autism is genetic"
groupthink agenda. And if they only had $10
million more they would be able to find 2
more genes out of the 1,000 thousand that
compromise autism. Enough! None of that has
helped one child with autism.
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NAA's National Autism Conference Nov 13-16 2008
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HOPEISM. NOW AFFECTING 1 IN 150.
It starts with that one parent. Grandparent.
Friend of a friend. They mention something
they heard, tried, researched. So you look
into it. You research it. Analyze it. Get a
doctor's help with it.
And for some parents, it could prompt slight
progress in their child, significant leaps,
or even recovery.
We've seen enough to know it's possible.
Very.
So if you're new to the diagnosis, or simply
want to keep learning and connecting, we
invite you to the National Autism
Association's 2008 National Autism Conference
in Fort Lauderdale.
Because together, anything's possible.
ABOUT THE NATIONAL AUTISM CONFERENCE
(NAC):
In response to the growing needs of families
and professionals impacted by autism, the
National Autism Conference has assembled the
best of the best in terms of conference
presenters and relevant topics. NAC has also
lined up some very special events surrounding
our presentation schedule to allow parents
and caregivers well-earned time for relaxing.
WHERE:
Fort Lauderdale, Florida
WHEN:
November 13 -16, 2008
REGISTRATION:
Now pre-registering at www.nationalautismconference.org
(early registrants qualify for savings)
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Looking for an easy way to support SafeMinds?
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Go Shopping!
That's right, go ahead and buy something for
yourself -- a new CD, the latest bestseller,
everyday essentials like pet food or
vitamins, even a computer. But first join
www.iGive.com/SafeMinds.
Every time you shop at one
of the over 680 name-brand stores in the
iGive.com Mall, we'll receive a donation of
up to 26% of each purchase you make, at no
cost to you.
Remember, donating to SafeMinds won't cost
you a thing. But we'll miss out on a lot of
extra dough, if you don't join. So visit
www.iGive.com/SafeMinds
now. Membership is
free and your privacy is guaranteed.
Click
here to join.
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Visit The Age of Autism
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The Age of Autism is the nation's first daily Web newspaper for the environmental-biomedical community - those who believe autism is an environmentally induced illness, that it is treatable, and that children can recover. For the most part, the major media in the United States aren't interested in that point of view, they won't investigate the causes and possible biomedical treatments of autism independently, and they don't listen to the most important voices - those of the parents. Visit the website at www.ageofautism.com.
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