Tuesday, March 21, 2006

Way To Go Einstein

A recent comment made by Joseph, over on the Autism - Natural Variation blog, reminded me of some of the unusual aspects of Albert Einstein's life and also his brain structure.

There are many good Einstein biographies on the web but most agree Einstein didn't speak until he was three and wasn't fluent in his native language until the age of nine.

One biography says he did not speak till three years old. In Einstein: The Life And Times author says, "Nothing in Einstein's early history suggests dormant genius. Quite the contrary. The one feature of his childhood about which there appears no doubt is the lateness with which he learned to speak. Even at the age of nine he was not fluent, while reminiscences of his youth stress hesitancies and the fact that he would reply to questions only after consideration and reflection. His parents feared that he might be subnormal."
He was not a good student, withdrawn: "was withdrawn from the world even as a boy -- a pupil for whom teachers held out only poor prospects."
When his father "asked his son's headmaster what profession his son should adopt, the answer was simply: 'It doesn't matter; he'll never make a success of anything.'"
"As remembered by Einstein in later years, this backwardness had its compensations, since it indirectly helped guide him towards the field he was to make his own. 'I sometimes ask myself,' he once said, 'how did it come that I was the one to develop the theory of relativity. The reason, I think, is that a normal adult never stops to think about problems of space and time. These are thing which he has thought of as a child. But my intellectual development was retarded, as a result of which I began to wonder about space and time only when I had already grown up."


Would Einstein meet the requirements to be labeled autistic and receive services if he was born today? It seems likely.

Albert Einstein was born with a misshapen head and abnormally large body to Hermann Einstein and Pauline Koch in Ulm, an old city on the Danube, lying in the foothills of the Swabian Alps. In 1880, his father moved to Munich to start an electronics business. He learned to talk so late that his parents feared that he was mentally retarded, not until he was three, and was not fluent until he was nine. For awhile, he was considered subnormal because of his slow development, and his teachers were continually saying that he would never amount to anything

It's also worth noting that one of his two son's may have been diagnosed as schizophrenic and he may have had a daughter born with Down Syndrome.

The couple had two sons, Hans Albert, and Edward. One died in a mental institution, the other became an engineering professor. New evidence has surfaced that Mileva gave birth to a baby girl, 1/27/1902, before their marriage. The daughter was named Lieserl and soon mysteriously vanished. The knowledge of this daughter did not come forward until 30 years after Einstein's death. There is some speculation as to the daughter being retarded or having Down Syndrome.

We all know the remarkable story of Einstein's life and his many achievements but the story of Einstein's brain after his death is equally fascinating and ultimately provided a few intriguing clues into the nature of his superior intelligence.

As the story goes, the pathologist who performed the autopsy of Albert Einstein brought home a souvenir; Einstein's brain.


The recent book Driving Mr. Albert tells the true story of pathologist Thomas Harvey, who
performed the autopsy of Albert Einstein in 1955. After finishing his task, Harvey irreverently
took Einstein's brain home, where he kept it floating in a plastic container for the next 40 years. From time to time Harvey doled out small brain slices to scientists and pseudoscientists around the world who probed the tissue for clues to Einstein's genius. But when Harvey reached his 80s, he placed what was left of the brain in the trunk of his Buick Skylark and embarked on a road trip across the country to return it to Einstein's granddaughter.


A scientist lucky enough to examine samples of Einstein's brain was interested in certain types of brain cell known as Glia:

One of the respected scientists who examined sections of the prized brain was Marian C.
Diamond of the University of California at Berkeley. She found nothing unusual about the numberor size of its neurons (nerve cells). But in the association cortex, responsible for high-levelcognition, she did discover a surprisingly large number of nonneuronal cells known as glia--amuch greater concentration than that found in the average Albert's head.


If Albert Einstein had an unusually high ratio of glial to neural cells it's possible that it had nothing to do with his intelligence or eccentricities but it is captivating to think that his brain was different at the cellular level and it may have involved neuroglia.

Last year a group of Researchers at Johns Hopkins detected changes in neuroglial cell populations in post mortem brain tissue samples from autistic subjects. The full study is available here:

Neuroglial activation and neuroinflammation in the brain of patients with autism

Vargas, et al, found evidence of CNS neuroglial activation, that is activation of the brain's resident immune cells, Neuroglia (microglial and astroglial cells). They did not report an increase in the number or density of microglia but rather they were in an alternate state of activation as opposed to a resting or ramified state.

Another group, led by Dr. Payam Rezaie, also reported alterations in neuroglial cells and varying degrees of astrocyte and microglial activation but no clear signs of an inflammatory process.

[...]Glial cell activation (restricted primarily to astrocytes) was noted within frontal cortical white matter (WM) in all cases of autism. The degree of astrocyte activation varied between cases from moderate to extensive and severe, with concomitant degeneration of astrocytic processes and reactive-gemistocytic astrocyte morphologies evident in latter cases. Sub-pial astrocytosis was present to varying degrees in all autism cases. In contrast, only very mild and typically focal microglial activation could be detected, strictly confined to the WM.

So there is some disagreement as to the nature and significance of neuroglial cell populations and activation within the brains of some autistic individuals. Fortunately, post mortem brain tissue from autistic victims is scarce.

Shortly after the Hopkins study was published, thimerosal proponents were quick to point out that mercury is able to trigger microglial activation and is therefore consistent with the new findings. True, of course, mercury at high enough concentrations can trigger mircroglial activation. One of the functions of microglial cells is to engulf and remove toxic and foreign substances away from neural cells. In high concentrations mercury in the brain is primarily located within microglial cells and bound to glutathione. exposure to certain toxins, including mercury, triggers expansion and proliferation of the brain's resident immune cells because they are in charge of responding to and removing agents that can harm neural cells. In other words, they are doing their jobs.

Let's assume that Einstein had more glial cells than the average Joe. Wouldn't that afford greater protection against toxins including mercury?

We don't know if an abundance of glial cells was responsible or even related to Einstein's genius but it apparently didn't cause him to be less intelligent or mentally disabled in ways we might expect from mercury toxicity. If glial cell expansion and activation is supposed to be an effect of thimerosal exposure how does that explain Einstein's brain?

Thomas Burbacher, best known for a recent study Comparison of Blood and Brain Mercury Levels in Infant Monkeys Exposed to Methylmercury or Vaccines Containing Thimerosal , is familiar with the effects of mercury exposure on neuroglial cells:

Changes in the number of astrocytes and microglia in the thalamus of the monkey Macaca fascicularis following long-term subclinical methylmercury exposure.

[...]Neurons, oligodendrocytes, endothelia, and pericytes did not show a significant change in cell number for any exposure group. Astrocyte cell number exhibited a significant decline for both the 6 month and clearance exposure groups. The microglia, in contrast, showed a significant increase in the 18 month and clearance exposure groups.

So mercury exposure caused astrocyte populations to decline and microglia to increase. Is that in any way consistent with cell morphology reported in autism? Probably not but that study was done with methylmercury at neurotoxic levels and Burbacher's more recent work tells us that the toxicokinetics of methylmercury are very different from thimerosal.

The initial and terminal half-life of Hg in blood after thimerosal exposure was 2.1 and 8.6 days, respectively, which are significantly shorter than the elimination half-life of Hg after MeHg exposure at 21.5 days

So mercury from thimerosal in vaccines is cleared faster than methylmercury by oral route.

Brain concentrations of total Hg were significantly lower by approximately 3-fold for the thimerosal-exposed monkeys when compared with the MeHg infants, whereas the average brain-to-blood concentration ratio was slightly higher for the thimerosal-exposed monkeys

So significantly less mercury from thimerosal was found in the brains of the monkeys as compared to methylmercury exposure.

Here's the part that is held up as a mechanism whereby thimerosal may be more toxic to brain cells:

A higher percentage of the total Hg in the brain was in the form of inorganic Hg for the thimerosal-exposed monkeys

The theory has morphed again to accommodate newer findings. Just ask your lawyer:

[...] Burbacher and colleagues found ethylmercury's fast breakdown leaves higher levels of so-called ″inorganic″ mercury in the brain. Inorganic mercury lingers in the brain for a year or more, potentially altering certain cells. A previous study has shown such damaged cells are also found in childrenwith autism.

Now the theory is that inorganic mercury is more toxic to brain cells because it sticks around longer. Methylmercury is far more toxic to brain cells but that point is ignored in favor of damage over time. How much time? Isn't the whole idea based on parent assertions of immediate and apparent regressions into autism following immunization with thimerosal containing vaccines? Additionally, what evidence of neural cell death do we have?

Burbacher used very sensitive equipment to detect very minute quantities of mercury in samples of primate brain tissue. As far as I know, he did not look for changes in neural or glial cell populations or morphology but saw fit to include this somewhat misleading sentence:


Stereologic and autometallographic studies on the brains of these adult monkeys
indicated that the persistence of inorganic Hg in the brain was associated with a
significant increase in the number of microglia in the brain, while the number of
astrocytes declined.


Except for one thing. These adult monkeys referenced here are not the same monkeys from the present study.

Reading on:

Notably, these effects were observed 6 months after exposure to
methymercury ended, when inorganic Hg concentrations were at their highest levels, or
in animals solely exposed to inorganic Hg (Charleston et al. 1994, 1995, 1996). The
effects in the adult macaques were associated with brain inorganic Hg levels
approximately 5 times higher than those observed in the present group of infant
macaques. The longer-term effects (greater than 6 months) of inorganic Hg in the brain
have not been examined


Interesting, no doubt, but misleading when discussed in the context of a study where none of these parameters apply and immediately followed by:


It is important to note that a recent publication has demonstrated “an active neuroinflammatory process” in brains of autistic patients, including a marked activation of microglia (Vargas et al. 2005).

Why is it important to note this if “an active neuroinflammatory process” wasn't observed in the current study animals? It wasn't assessed in the methylmercury group, not in the group where "Brain concentrations of total Hg were significantly lower by ~3-fold," and not in the control group.

Of course it is still possible that some of the mercury exposed monkeys developed “an active neuroinflammatory process” but it wasn't reported by this group in this study.

It should be interesting to see the results of this project http://www.safeminds.org/research/

Thimerosal Neurotoxicity, Thomas Burbacher, PhD, University of WashingtonThe specific aim of this research project is to determine the extent of changes in the absolute number of neurons, astrocytes and microglia within six specific regions of the central nervous system of the nonhuman primate (NHP) Macaca fascicularis following a known low-level thimerosal (ethylmercury) exposure.

Even if the changes in brain cell population don't resemble changes found in autistic brains, any significant changes in the brains of primates following thimerosal exposure at simulated vaccine levels will be a strong case against the safety of thimerosal in vaccines. Let's hope the study is well designed and will use vaccine levels of thimerosal.

Back to Einstein's brain.

Other than the microcellular peculiarities, what about structural differences?

Was Einstein's Brain Different?
When Einstein died in 1955, pathologist Thomas Harvey quickly preserved the brain and made samples and sections. He reported that he could see nothing unusual. The variations were within the range of normal human variations. There the matter rested until 1999. Inspecting samples that Harvey had carefully preserved, Sandra F. Witelson and colleagues discovered that Einstein's brain lacked a particular small wrinkle (the parietal operculum) that most people have. Perhaps in compensation, other regions on each side were a bit enlarged—the inferior parietal lobes. These regions are known to have something to do with visual imagery and mathematical thinking. Thus Einstein was apparently better equipped than most people for a certain type of thinking.

His Brain Measured Up
[...]But the elegant study on Einstein, published in the medical journal The Lancet by Sandra F. Witelson, Debra L. Kigar and Thomas Harvey, is consistent with the themes of modern cognitive neuroscience. Every aspect of thought and emotion is rooted in brain structure and function, including many psychological disorders and, presumably, genius. The study confirms that the brain is a modular system comprising multiple intelligences, most nonverbal. Contrary to widespread belief, we do not think exclusively in language.
Indeed, Einstein said he reasoned by combining mental images of a ''visual and muscular type.'' Only after he could reproduce a crucial episode of mental play at will did he ''laboriously'' seek words and symbols to convey the insight to others
.

Hmmm. So Einstein was a visual thinker and didn't use language centers of his brain to come up with his ideas and theories.


The difference between the inferior parietal lobules of Einstein and of us mortals is not subtle. Our lobules are deeply cleaved by a branch of the Sylvian fissure, the horizontal Grand Canyon of each cerebral hemisphere. Einstein's fissure veered sharply upward, skirting the lobule and leaving it undivided.
Also, the inferior parietal lobule is ordinarily smaller in the left hemisphere, perhaps because it is crowded by adjacent areas involved in language. Einstein's left lobule was as large as his right, and both were larger than normal. But his brain as a whole was no heavier than average for a man of his age and height.


Too bad Einstein's parents didn't have access to doctors, therapists and drugs to help the poor boy cope with his differences. History might have been very different had they tried to 'fix' him.

16 Comments:

At 2:08 PM, Blogger Do'C said...

NM, most interesting. As usual, your willingness to provide substantial detail does not disappoint.

Of course this left me thinking about the true "special-ness" of his special theory of relativity - perhaps inconceivable by a "neurotypical" - if there even is such a thing.

 
At 3:22 PM, Blogger María Luján said...

Hi NM
Really thank you for your analysis.
I wonder if a virus infection can produce this kind of problems in glia in brain.
Some reports
J Neuroimmunol. 2005 Dec;169(1-2):116-25. Epub 2005
In response to pathogens, glial cells dynamically and differentially regulate Toll-like receptor gene expression.

McKimmie CS, Fazakerley JK.

The mechanisms that mediate innate immune recognition of CNS infections are unknown. This study provides a comparison of Toll-like receptor (TLR) gene expression in resting and virus infected CNS cells... RNA virus infection substantially increased levels of type-I interferon (IFN) and TLR 3 transcripts and to a lesser extent TLR 9 transcripts. Microglia and astrocytes thus have the ability to discriminate between pathogens and elicit an appropriate response.

Glia. 2006 Feb;53(3):331-7.
Mouse model for ablation of proliferating microglia in acute CNS injuries.
Gowing G, Vallieres L, Julien JP.


Therefore I wonder
what about a viral infection that can produce this kind of glial activation early, besides toxins?

What do you think?
María Luján

 
At 4:28 PM, Anonymous HCN said...

I read a pair of Einstein biographies that had the same anecdote. Apparently when his sister was born he was told he could play with her. He looked at her and said "Where are the wheels?".

He was about 2 1/2 years old... I wish my kid could have spoken that well then. I wish my kid could even utter more than a dozen mono-syllabic utterances.

These books are: _The Private Lives of Albert Einstein_ by Roger Highfield and Paul Carter, 1993 and _Albert Einstein_ by Albrecht Folsing, 1997, translated from German by Ewald Osers.

In other words... I don't buy into the Late Talking Einstein Myth. The creation and maintenance of the myth is explained in the first book listed. Even his older son was forbidden to write about his father.

 
At 5:20 PM, Blogger notmercury said...

Thanks HCN,
I didn't realize that this was possibly a myth. The wheels story is funny and sounds like something he would say but to be honest, it sounds a bit like a fable to me too. Like George Washington's cherry tree story.

I guess it's hard to verify events that are largely anecdotal to begin with

 
At 5:54 PM, Blogger notmercury said...

Dad Of Cameron said...
Of course this left me thinking about the true "special-ness" of his special theory of relativity - perhaps inconceivable by a "neurotypical" - if there even is such a thing.

My Thoughts exactly D.o.C., Mind boggling if you really think about it.

Hi Maria,
I think there are many things that can trigger glial cell activation. As far as increased population, I'm not sure.

I was wondering if prolonged illness later in his life may have contributed in some way. I think I remember reading that Einstein was very sick as a child too.

 
At 2:39 AM, Blogger Jemaleddin said...

NM: interesting, but there's obviously a lot of confusion mixed up in the Einstein legend. He has almost as many apocryphal stories told about him as George Washington.

I'm curious about the way you ended your article: are you against giving children any medications? My (six-year-old autistic) son get's an SSRI that helps him with depression and two kinds of blood pressure medicine that help him with impulse control (read: destroying things). We've never thought of those medicines as trying to "fix" him - they help him act more like himself. I was wondering what your thoughts were on medicines like these, and more generally the thoughts of the ND community. Anybody?

 
At 4:46 AM, Blogger Ruth said...

jemaleddin,

We used a sleeping med (Trazadone) and an SSRI on my now 9-yr old. They were a lifesaver. We used them for about 3 years, when a combination of maturation and all that behavior mod kicked in. She is able to sleep all night (at age 4 she slept only 4 hours a day) and her mood has improved. I think meds can be a useful tool, while you help your child develop coping mechanisms. It is wrong to merely sedate a child.

 
At 5:05 AM, Blogger notmercury said...

Hello Jemaleddin,
You said: are you against giving children any medications?
Absolutely not. I think that is a decision best left to the parents but I am not against it when it is appropriate.

I agree with Ruth: I think meds can be a useful tool, while you help your child develop coping mechanisms. It is wrong to merely sedate a child.

There have been times when I've thought about it but we've always managed to work out alternative coping strategies once we've identified the source of the behavior.

Of course I have no idea how I'll feel about the whole thing years from now should one of my children become more difficult but I certainly don't sit in judgment of parents who choose medications.

 
At 8:45 AM, Anonymous HCN said...

I agree "wheels" story could be just a myth. The problem is that there is no real written records that you can go to possibly verify the facts. I recently watched the Penn and Teller "Bullshit!" Second Season DVDs. In their explanation on the validity of the Bible they pull up a pair of books about Elvis Presley that had a recipe for Elvis' favorite fried chicken. Each recipe was different, which one was the RIGHT one?

I even have problems with the mountain of papers I've collected on my son. On one of them the special ed. resource teacher transposed his scores for math and reading. So it showed his reading was normal and his math was several years behind! Uh, oops!

One biography of Einstein (an older one, library book so I forgot the title) attributed the "problems" with grammar school to be more of a problem with the school and a particularly rigid teacher or headmaster. Something that seems to be a common problem I found in biographies I've read of people who grew up in the 19th and early 20th century. There is a common opinion on boarding schools by both Roald Dahl in his autobiography _Boy_, and Oliver Sacks in his book _Uncle Tungsten: Memories of a Chemical Childhood_.

I started to read biographies when I kept getting that "So and so" did not talk until 3, 4, 5 or 7 years old. This was about 15 years ago when I was searching for speech therapy and other early intervention. Most often the "helpful" person was trying to discourage me from getting the kid speech therapy because of the "stigma" it would have. As it turns out, the kid received over ten years of speech/language therapy, and while he does talk he still has some very severe written communication deficits.


The two most commonly mentioned "late talkers" were Einstein and Tesla. As it turns out the Princeton Papers with letters that show more of Einstein were not released until the death of a pair of very loyal secretaries in the 1990's (they even restricted what family members could write!... by the way the story of his younger son is particularly tragic). As it turns out Tesla did VERY VERY well in school... he just went a bit nuts when he was older.

 
At 9:43 AM, Blogger notmercury said...

Nikola was about as loopy as they came later in life but oh what a mind! My favorite picture, and probably one of the more common photos of him, is the one where he is sitting in a chair surrounded by lightning bolts. The blasé expression on his face is great.
This isn't the one I'm thinking of but still a good one.

 
At 1:53 PM, Blogger Joseph said...

Really thank you for your analysis. I wonder if a virus infection can produce this kind of problems in glia in brain.

But I think a good portion of the population would want this virus infection, don't you think?

 
At 2:02 PM, Blogger Joseph said...

There is some dispute about the late talking. Much of the problem is perhaps the definition of late talking. For example, what does "did not talk by 3 or 4" mean? It could mean he did not speak in sentences. Also, many autistic kids talk some at the age of 2 and not at all at 3 or 4. In any case, it would be far fetched to say Einstein was neurotypical. Eduard Einstein, his son diagnosed with schizophrenia, might have been an Asperger autistic misdiagnosed. His other son became an engineer; what a surprise.

Thomas Edison, who is claimed by those with ADHD, was also a late talker, was hyperactive, and had a large forehead. He was homeschooled. Again, pretty hard to be typical and extraordinary at the same time.

 
At 7:55 PM, Anonymous HCN said...

When I was thinking of the _Private Lives of Albert Einstein" book's description of Eduard Einstein... I was thinking there had to be some autistic tendencies.

It was noted that he was even more brilliant than his father. But I think (it has been a few years since I read it), that Eduard had some psychotic episodes as a teenager that prompted the trip to a hospital. A hospital where the cure was worse than the disease (can't remember exactly, but I think thare was some medication nor other very nasty treatments involved).

 
At 4:59 AM, Blogger Ruth said...

Books I've read mention Einstein's echolalia. My daughter was always verbal, but much of her 'speech' was repeating lines from videos. She was actually good at using appropriate quotes for various situations. If you weren't familiar with her style, you would have thought it was original. Was that 'late speaking'?

 
At 7:40 AM, Blogger Joseph said...

Books I've read mention Einstein's echolalia

Just to nitpick, I think he repeated his own sentences. I believe that's not exactly echolalia, but palilalia.

 
At 2:56 AM, Blogger Maya M said...

After I learned that Einstein may have been on the autism spectrum, I began to think that his abandoned daughter may have been a low-functioning autistic (or at least has seemed to be low-functioning).

 

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