* Elevated Levels Of Measles Antibodies In
Children With Autism
* Savant for a Day
LETTERS
* Mercury - Autism Debate Continues
* More on Mercury and Autism Research
* On MMR Vaccines and Autism To the Editor of
the Telegraph, UK
RESEARCH
New Study Shows MMR/Autism Link
[From Autism Research Campaign For Health
23 June 2003. See referenced abstract below Elevated levels of measles
antibodies in children with autism by Vijendra K. Singh PhD*, and Ryan L.
Jensen BS.]
A new study, published in Pediatric
Neurology, Vol. 28, No. 4, is expected to show that MMR and autism are linked,
despite the denials of the UK Department of Health and the recent court
judgement that ordered two girls to receive the controversial MMR vaccine.
World-renowned autism researcher Dr.
Vijendra Singh, at the Utah State University, and fellow-researcher Ryan Jensen
have announced that their latest study, Elevated Levels of Measles Antibodies
in Children with Autism, points directly to an MMR/autism link.
Singh and Jensen analysed samples from 52
autistic children, all of whom had had the MMR vaccination, and 30 normal
children, plus a further 15 siblings of autistic children.
They showed that measles antibody levels,
a sign of an immune reaction to measles virus, were significantly greater in
children with autism compared with the non-autistic children. Levels of mumps
and rubella antibodies were not different from the non-autistic children.
Strikingly, they found that 43 out of the
52 (83%) of the autistic children had antibodies to the measles vaccine virus.
None of the 30 normal children, and none of the 15 siblings, had these
antibodies.
Singh and Jensen have concluded that the
antibody results show that many autistic children have suffered an abnormal
response to the measles element of the MMR vaccine, causing them to develop
inappropriate antibodies.
Singh and Jensen were testing a hypothesis
that, as viruses are common trigger agents for autoimmune diseases, where the
human body attacks itself, then autism could involve a virus-induced autoimmune
response, in turn leading to autism.
The study looked at 88 autistic children,
all of whom had a firm diagnosis of autism. Not all children were tested for all
the three viruses, of measles, mumps or rubella. In those children tested, the
level of mumps or rubella antibodies did not attain statistical significance,
leaving the researchers to focus upon the measles element of MMR. None of the
autistic children had any history of measles rash or wild-type natural measles
infection.
This points to the source of the measles
antibody as being vaccine strain. The researchers are undertaking further study
work on this crucial aspect.
If the new research by Singh and Jensen is
correct, then it backs up the claims of many families who have reported that
their children became autistic after MMR. It also confirms the validity of
the1998 study by Dr. Andrew Wakefield and other researchers in the UK, and a
number of other studies published since that time.
Over 1,000 cases of autism following MMR
are being brought before the High Court in London in April 2004. If the claims
are upheld, it will have dramatic implications for vaccine policy worldwide, and
will throw a spotlight on the way vaccines are licensed and regulated.
Background
ARCH - Autism Research Campaign for Health
- is a group of parents campaigning for more research into the causes and
treatment of autism. It was set up in response to the departure of Dr Andrew
Wakefield from the Royal Free Hospital which ARCH viewed as a sign that
medical scientists were no longer free to follow their own lines of enquiry. We
are profoundly worried that medical science is now dictated by government, the
medical establishment and the pharmaceutical industry who between them control
the vast sums of research money and determine which topics are legitimate
research and which are not. This state of affairs is unacceptable to the growing
number of children and parents who must live with the painful consequences of
autism, and with the lack of research into the alarming increase in the
prevalence of autism in many countries across the world.
ARCH believes that there is mounting
evidence that suggests MMR is unsafe. It calls on the UK Government to fund
clinical research into the effects of MMR vaccine on the immune system of
autistic children and its role in the onset of regressive autism, epilepsy and
bowel disease.
Vijendra K. Singh PhD*, and Ryan L. Jensen BS
Department of Biology & Biotechnology Center, Utah State University, Logan,
Utah, USA
Virus-induced autoimmunity may play a
causal role in autism. To examine the etiological link of viruses in this brain
disorder, we conducted a serological study of measles virus, mumps virus, and
rubella virus. Viral antibodies were measured by enzyme-linked immunosorbent
assay in the serum of autistic children, normal children, and siblings of
autistic children.
The level of measles antibody, but not
mumps or rubella antibodies, was significantly higher in autistic children as
compared to normal children (p = .003) or siblings of autistic children (p [less
than or equal to] .0001). Furthermore, immunoblotting of measles vaccine virus
showed that the antibody was directed against a protein of approximately 74 kd
molecular weight.
The antibody to this antigen was found in
83% of autistic children but not in normal children or siblings of autistic
children. Thus autistic children have a hyper-immune response to measles virus,
which in the absence of a wild-type measles infection might be a sign of an
abnormal immune reaction to the vaccine strain or virus reactivation.
Corresponding author. Correspondence
should be addressed to: Dr. Singh; Biotechnology Center; Utah State University;
4700 Old Main Hill, , Logan, Utah, 84322, USA.
In a concrete basement at the University
of Sydney, I sat in a chair waiting to have my brain altered by an
electromagnetic pulse. My forehead was connected, by a series of electrodes, to
a machine that looked something like an old-fashioned beauty-salon hair dryer
and was sunnily described to me as a Danish-made transcranial magnetic
stimulator. This was not just any old Danish-made transcranial magnetic
stimulator, however; this was the Medtronic Mag Pro, and it was being operated
by Allan Snyder, one of the worlds most remarkable scientists of human
cognition.
Nonetheless, the anticipation of
electricity being beamed into my frontal lobes (and the consent form I had just
signed) made me a bit nervous. Snyder found that amusing. Oh, relax now! he
said in the thick local accent he has acquired since moving here from America.
Ive done it on myself a hundred times. This is Australia. Legally, its far
more difficult to damage people in Australia than it is in the United States.
Damage? I groaned.
Youre not going to be damaged, he said.
Youre going to be enhanced. The Medtronic was originally developed as a tool
for brain
surgery: by stimulating or slowing down specific
regions of the brain, it allowed doctors to monitor the effects of surgery in
real time. But it also produced, they noted, strange and unexpected effects on
patients mental
functions: one minute they would lose the
ability to speak, another minute they would speak easily but would make odd
linguistic errors and so on. A number of researchers started to look into the
possibilities, but one in particular intrigued Snyder: that people undergoing
transcranial magnetic stimulation, or TMS, could suddenly exhibit savant
intelligence -- those isolated pockets of geniuslike mental ability that most
often appear in autistic people.
Snyder is an impish presence, the very
opposite of a venerable professor, let alone an internationally acclaimed
scientist. There is a whiff of Woody Allen about him. Did I really want him, I
couldnt help thinking, rewiring my hard drive? Were not changing your brain
physically, he assured me. Youll only experience differences in your thought
processes while youre actually on the machine. His assistant made a few final
adjustments to the electrodes, and then, as everyone stood back, Snyder flicked
the switch.
A series of electromagnetic pulses were
being directed into my frontal lobes, but I felt nothing. Snyder instructed me
to draw something. What would you like to draw? he said merrily. A cat? You
like drawing cats? Cats it is. Ive seen a million cats in my life, so when I
close my eyes, I have no trouble picturing them. But what does a cat really look
like, and how do you put it down on paper? I gave it a try but came up with some
sort of stick figure, perhaps an insect.
While I drew, Snyder continued his
lecture. You could call this a creativity-amplifying machine. Its a way of
altering our states of mind without taking drugs like mescaline. You can make
people see the raw data of the world as it is. As it is actually represented in
the unconscious mind of all of us. Two minutes after I started the first
drawing, I was instructed to try again. After another two minutes, I tried a
third cat, and then in due course a fourth. Then the experiment was over, and
the electrodes were removed. I looked down at my work. The first felines were
boxy and stiffly unconvincing. But after I had been subjected to about 10
minutes of transcranial magnetic stimulation, their tails had grown more
vibrant, more nervous; their faces were personable and convincing. They were
even beginning to wear clever expressions.
I could hardly recognize them as my own
drawings, though I had watched myself render each one, in all its loving detail.
Somehow over the course of a very few minutes, and with no additional
instruction, I had gone from an incompetent draftsman to a very impressive
artist of the feline form.
Snyder looked over my shoulder. Well, how
about that? Leonardo would be envious. Or turning in his grave, I thought.
As remarkable as the cat-drawing lesson
was, it was just a hint of Snyders work and its implications for the study of
cognition. He has used TMS dozens of times on university students, measuring its
effect on their ability to draw, to proofread and to perform difficult
mathematical functions like identifying prime numbers by sight. Hooked up to the
machine, 40 percent of test subjects exhibited extraordinary, and newfound,
mental skills. That Snyder was able to induce these remarkable feats in a
controlled, repeatable experiment is more than just a great party trick; its a
breakthrough that may lead to a revolution in the way we understand the limits
of our own intelligence -- and the functioning of the human brain in general.
Snyders work began with a curiosity about
autism. Though there is little consensus about what causes this baffling -- and
increasingly common -- disorder, it seems safe to say that autistic people share
certain
qualities: they tend to be rigid, mechanical and
emotionally dissociated. They manifest what autisms great discoverer, Leo
Kanner, called an anxiously obsessive desire for the preservation of sameness.
And they tend to interpret information in a hyperliteral way, using a kind of
language which does not seem intended to serve interpersonal communication.
For example, Snyder says, when autistic test subjects came to see him at the
university, they would often get lost in the main quad. They might have been
there 10 times before, but each time the shadows were in slightly different
positions, and the difference overwhelmed their sense of place. They cant
grasp a general concept equivalent to the word quad, he explains. If it
changes appearance even slightly, then they have to start all over again.
Despite these limitations, a small subset of autistics, known as savants, can
also perform superspecialized mental feats. Perhaps the most famous savant was
Dustin Hoffmans character in Rain Man, who could count hundreds of
matchsticks at a glance. But the truth has often been even
stranger: one celebrated savant in
turn-of-the-century Vienna could calculate the day of the week for every date
since the birth of Christ. Other savants can speak dozens of languages without
formally studying any of them or can reproduce music at the piano after only a
single hearing. A savant studied by the English doctor J. Langdon Down in 1887
had memorized every page of Gibbons Decline and Fall of the Roman Empire. At
the beginning of the 19th century, the splendidly named Gottfried Mind became
famous all over Europe for the amazing pictures he drew of cats.
The conventional wisdom has long been that
autistics hyperliteral thought processes were completely separate from the more
contextual, nuanced, social way that most adults think, a different mental
function altogether. And so, by extension, the extraordinary skills of autistic
savants have been regarded as flukes, almost inhuman feats that average minds
could never achieve.
Snyder argues that all those assumptions
-- about everything from the way autistic savants behave down to the basic brain
functions that cause them to do so -- are mistaken. Autistic thought isnt
wholly incompatible with ordinary thought, he says; its just a variation on it,
a more extreme example.
He first got the idea after reading The
Man Who Mistook His Wife for a Hat, in which Oliver Sacks explores the link
between autism and a very specific kind of brain damage. If neurological
impairment is the cause of the autistics disabilities, Snyder wondered, could
it be the cause of their geniuslike abilities, too? By shutting down certain
mental functions -- the capacity to think conceptually, categorically,
contextually -- did this impairment allow other mental functions to flourish?
Could brain damage, in short, actually make you brilliant? In a 1999 paper
called Is Integer Arithmetic Fundamental to Mental Processing? The Minds
Secret Arithmetic, Snyder and D. John Mitchell considered the example of an
autistic infant, whose mind is not concept driven. . . . In our view such a
mind can tap into lower level details not readily available to introspection by
normal individuals. These children, they wrote, seem to be aware of
information in some raw or interim state prior to it being formed into the
ultimate picture. Most astonishing, they went on, the mental machinery for
performing lightning fast integer arithmetic calculations could be within us
all. And so Snyder turned to TMS, in an attempt, as he says, to enhance the
brain by shutting off certain parts of it. In a way, savants are the great
enigma of todays neurology, says Prof. Joy Hirsch, director of the Functional
M.R.I. Research Center at Columbia University. They exist in all cultures and
are a distinct type. Why? How? We dont know. Yet understanding the savant will
help provide insight into the whole neurophysiological underpinning of human
behavior. Thats why Snyders ideas are so exciting -- hes asking a really
fundamental question, which no one has yet answered. If Snyders suspicions are
correct, in fact, and savants have not more brainpower than the rest of us, but
less, then its even possible that everybody starts out life as a savant. Look,
for example, at the ease with which children master complex languages -- a
mysterious skill that seems to shut off automatically around the age of 12.
What were doing is counterintuitive, Snyder tells me. Were saying that all
these genius skills are easy, theyre natural. Our brain does them naturally.
Like walking. Do you know how difficult walking is? Its much more difficult
than drawing! To prove his point, he hooks me up to the Medtronic Mag Pro
again
and asks me to read the following lines: A
bird in the hand is worth two
in the the bush A bird in the hand is worth
two in the bush, I say.
Again, Snyder says, and smiles.
So once more: A bird in the hand is worth
two in the bush. He makes me repeat it five or six times, slowing me down until
he has me reading each word with aching slowness.
Then he switches on the machine. He is
trying to suppress those parts of my brain responsible for thinking
contextually, for making connections. Without them, I will be able to see things
more as an autistic might.
After five minutes of electric pulses, I
read the card again. Only then do I see -- instantly -- that the card contains
an extra the. On my own, I had been looking for patterns, trying to coax the
words on the page into a coherent, familiar whole. But on the machine, he
says, you start seeing whats actually there, not what you think is there.
Snyders theories are bolstered by the documented cases in which sudden brain
damage has produced savant abilities almost overnight. He cites the case of
Orlando Serrell, a 10-year-old street kid who was hit on the head and
immediately began doing calendrical calculations of baffling complexity. Snyder
argues that we all have Serrells powers. We remember virtually everything, but
we recall very little, Snyder explains. Now isnt that strange? Everything is
in there -- he taps the side of his head. Buried deep in all our brains are
phenomenal abilities, which we lose for some reason as we develop into
normal conceptual creatures. But what if we
could reawaken them? Not
all of Snyders colleagues agree with his
theories. Michael Howe, an eminent psychologist at the University of Exeter in
Britain who died last year, argued that savantism (and genius itself) was
largely a result of incessant practice and specialization.
The main difference between experts and
savants, he once told New Scientist magazine, is that savants do things which
most of us couldnt be bothered to get good at. Robert Hendren, executive
director of the M.I.N.D. Institute at the University of California at Davis,
brought that concept down to my level: If you drew 20 cats one after the other,
theyd probably get better anyway. Like most neuroscientists, he doubts that an
electromagnetic pulse can stimulate the brain into creativity: Im not sure I
see how TMS can actually alter the way your brain works. Theres a chance that
Snyder is right. But its still very experimental. Tomas Paus, an associate
professor of neuroscience at McGill University, who has done extensive TMS
research, is even more dubious. I dont believe TMS can ever elicit complex
behavior, he says.
But even skeptics like Hendren and Paus
concede that by intensifying the neural activity of one part of the brain while
slowing or shutting down others, TMS can have remarkable effects. One of its
most successful applications has been in the realm of psychiatry, where it is
now used to dispel the inner voices of schizophrenics, or to combat clinical
depression without the damaging side effects of electroshock therapy.
(NeuroNetics, an Atlanta company, is developing a TMS machine designed for just
this purpose, which will probably be released in 2006, pending F.D.A.
approval.) Meanwhile, researchers at the
National Institute of Neurological Disorders and Stroke found that TMS applied
to the prefrontal cortex enabled subjects to solve geometric puzzles much more
rapidly. Alvaro Pascual-Leone, associate professor of neurology at the Beth
Israel Deaconess Medical Center in Boston (who, through his work at the
Laboratory for Magnetic Brain Stimulation, has been one of the American
visionaries of TMS), has even suggested that TMS could be used to prep
students minds before lessons.
None of this has gone unnoticed by canny
entrepreneurs and visionary scientists. Last year, the Brain Stimulation
Laboratory at the Medical University of South Carolina received a $2 million
government grant to develop a smaller TMS device that sleep-deprived soldiers
could wear to keep them alert. Its not Star Trek at all, says Ziad Nahas,
the laboratorys medical director. Weve done a lot of the science on reversing
cognitive deficiencies in people with insomnia and sleep deficiencies. It
works. If so, it could be a small leap to the day it boosts soldiers cognitive
functioning under normal circumstances.
And from there, how long before Americans
are walking around with humming antidepression helmets and math-enhancing hair
dryers on their heads? Will commercially available TMS machines be used to turn
prosaic bank managers into amateur Rembrandts? Snyder has even contemplated
video games that harness specialized parts of the brain that are otherwise
inaccessible.
Anything is possible, says Prof.
Vilayanur Ramachandran, director of the Center for Brain and Cognition at the
University of California at San Diego and the noted author of Phantoms in the
Brain. Snyders theories have not been proved, he allows, but they are
brilliantly suggestive: Were at the same stage in brain research that biology
was in the 19th century. We know almost nothing about the mind. Snyders
theories may sound like The X-Files, but what hes saying is completely
plausible. Up to a point the brain is open, malleable and constantly changing.
We might well be able to make it run in new ways. Of those who dismiss Snyders
theories out of hand, he shrugs: People are often blind to new ideas.
Especially scientists.
Bruce L. Miller, the A.W. and Mary
Margaret Claussen distinguished professor in neurology at the University of
California at San Francisco, is intrigued by Snyders experiments and his
attempts to understand the physiological basis of cognition. But he points out
that certain profound questions about artificially altered intelligence have not
yet been answered. Do we really want these abilities? he asks. Wouldnt it
change my idea of myself if I could suddenly paint amazing pictures? It
probably would change peoples ideas of themselves, to say nothing of their
ideas of artistic talent. And though that prospect might discomfort Miller,
there are no doubt others whom it would thrill. But could anyone really guess,
in advance, how their lives might be affected by instant creativity, instant
intelligence, instant happiness? Or by their disappearance, just as instantly,
once the TMS is switched off?
As he walked me out of the university -- a
place so Gothic that it could be Oxford, but for the intensely flowering
jacaranda in one corner and the strange Southern Hemisphere birds flitting about
-- and toward the freeway back to downtown Sydney, Snyder for his part radiated
the most convincingly ebullient optimism. Remember that old saw which says that
we only use a small part our brain? Well, it might just be true. Except that now
we can actually prove it physically and experimentally. That has to be
significant. I mean, it has to be, doesnt it? We stopped for a moment by the
side of the roaring traffic and looked up at a haze in the sky.
Snyders eyes contracted inquisitively as
he pieced together the unfamiliar facts (brown smoke, just outside Sydney) and
eased them into a familiar narrative framework (the forest fires that had been
raging all week). It was an effortless little bit of deductive, nonliteral
thinking -- the sort of thing that human beings, unaided by TMS, do a thousand
times a day. Then, in an instant, he switched back to our conversation and
picked up his train of thought. More important than that, we can change our own
intelligence in unexpected ways. Why would we not want to explore that?
* * *
LETTERS
Mercury - Autism Debate Continues
[Last Thursday, the Schafer Autism Report
featured and article on a new study related to mercury levels found in baby
hair, entitled Toxic Metal Clue To Autism. Frank Marone responded with a
critique which, amongst other things, charged that the study was sloppy at best,
and manipulative. Here one of the studys co-authors responds. -Editor.]
I am a co-author of the baby hair study.
You cannot yet have read [our study] (it will be published in a peer-reviewed
journal shortly) so you can have no basis whatever for your assertion that we
have had to resort to manipulation of data, fabrication, distortion, what ifs,
etc. But facts have never gotten in the way of your opinions in the past, so
why should you feel constrained now?
You criticize supporters of the
autism-mercury hypothesis for overlooking the point that Mercury is introduced
by many means, not only vaccines preserved with Thimerosol. This could include
food ingested by the mother during gestation, food ingested by the child after
birth, and environmental exposure both for mom and baby. This is broadly true,
but what you have not bothered to consider is the idea that measuring multiple
sources of exposure might actually have been part of a well designed study!
Our study carefully assessed all major
sources of pre-natal and infant mercury exposure, including maternal amalgam
fillings, seafood consumption, Rho D immunoglobulin injections and childhood
immunizations. These exposures are analyzed and the results discussed in our
paper. Logical and reasoned criticism of the study will almost certainly follow
and we welcome it. But responses such as yours (even if they do come from a PhD,
MFT, BCNA) are worth little when they neglect even a rudimentary attempt to
review the facts.
As to your claim that kids with lower
levels of mercury in their hair may simply have been exposed to less mercury,
this is simply false. You will find, when (or if) you review the data, that the
autistic children were in fact exposed to significantly higher levels of mercury
than the controls, especially in regard to maternal amalgam fillings and Rho D
immunoglobulin injections. The only notable exception to this fact was the
exposure to thimerosal in vaccines: one design feature of the study was to
include only children--both autistic and controls--who had fully complied with
the recommended childhood immunization schedule. You will also find that the
normal level of infant hair mercury levels is alarmingly high, not by any
means a marker of (let alone an aid to) normal development.
In this regard, the study is most
definitely NOT a direct test of the mercury in vaccines theory of autism. The
study compares relative rates of exposure in all measurable categories EXCEPT
childhood vaccines and examines the only clinical samples available
retrospectively that might speak to such exposures. It demonstrates clear
evidence of different metabolism of mercury in autistic infants when compared to
controls. Thats all it does. But thats a lot.
Facts matter. Data matters. The truth
matters. Knee jerk responses that precede careful data review are the only
things that are not helpful in understanding the causes of autism.
The only thing I am convinced about, with
the low mercury in hair suggesting that the kids who exhibit this may be damaged
by an inability to excrete mercury normally, is that nobody knows the answer to
this hypothesis and a large study should be done, collecting the hair of
newborns (or later when they have some) and looking for correlations as they
become diagnosed with autism. To parents I would suggest they avoid
immunizations containing thimerosal, because we know mercury is dangerous. They
should also avoid fish whether it be Tuna, or Sushi or whatever. I am not
certain the mercury in the vaccine is the causative agent, but why take the
risk?
I have worked as a biochemical scientist
for over 30 years. I find the inactivity on damaging environmental chemicals to
health very frustrating. Corporations are making the planet uninhabitable for
homo sapiens and governments protect them. Use of diesel fuel has been
suggested as a source of cancer but are we banning it? We need to realize the
problem is bigger than autism and mercury in vaccines and develop a more
responsible approach to the way life is lived. Vaccines have saved many more
lives than have been damaged but why do they have to contain potentially
dangerous chemicals? They do not have to.
We need some political leadership that
will make sure these issues are investigated and addressed, not just discussed
to death.
- Colin Newton
* * *
I wish that more of the articles and
studies citing the link between toxic metals (mercury) and autism also made
mention of the very scientific fact that a high number of autistic subjects
tested by the Carl Pfeiffer Center had an error of metabolism involving
metallothionein. This clearly provides a metabolic marker for those who are
unable to metabolise the amounts of heavy metals they are subjected to.
Why on earth cant the researchers make
their studies more relevant and scientific?
What if the prevention of autism in a
large number -- perhaps 75-85% -- could be accomplished with a simple blood
test, dietary modification, vitamin regimen and avoidance of heavy metal
exposure?
- Nathaniel Berman
* * *
On MMR Vaccines and Autism To the Editor of the
Telegraph, UK
Sir- When a majority of British children
are exposed to the MMR vaccination, it is not surprising that a majority of
children in Britain with autism have had the MMR vaccination (letter, June 19).
I have an extensive clinical practice,
seeing many children with autism from many countries. Many parents are concerned
that they have placed their children at risk by having them vaccinated with MMR.
However, I do have children with autism
with the same clinical evolution who have not been exposed to vaccination of any
kind, who are the siblings of children with autism. There is evidence that there
is a risk within the same family of a similar communication disorder of about 30
per cent. In identical twins the concordance is 70 per cent.
There are extensive videotape-based
publications which suggest that there is evidence of delayed development by six
weeks of age as the first smile date is missed.
This is long before any vaccination
exposure, and suggests both genetic and environmental origins. Many parents
recognise failing function in their second child long before vaccination has
been offered or taken.
There has not been any plateau or
fall-off in the incidence of autism as vaccination rates have fallen. There is
no single event that can be held to be responsible. Simplistic solutions are not
the answer. The Medical Research Councils report is extensive and offers no
conclusion as to the precise cause.
Arguing about the semantics of linkage or
association with MMR has distracted attention from seeking the resolution of a
distressing physical and psychological condition.
Single vaccination protocols are not the
answer. Autism occurs in Japan, where MMR is not given and single vaccination
protocols result in infant morbidity and death from the very conditions from
which protection is sought.
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