Friday, July 28, 2006

He's not heavy metal poisoned, he's my brother.

A new study out today titled: Cultured lymphocytes from autistic children and non-autistic siblings up-regulate heat shock protein RNA in response to thimerosal challenge.

Sounds bad right? These guys took immune cells from kids with autism and their non-ASD siblings, infected the cells with Epstein Barr Virus, kept the cells alive in a laboratory, exposed the cells to thimerosal, and they saw an upregulation in RNA for HEAT SHOCK proteins.
HEAT and SHOCK! Scary stuff.

The first thing I noticed is that Steven Walker is the first author listed. If his name sounds familiar it's because he was in the news recently for "independently" confirming the presence of the Measles Virus in gut tissue from autistic children. Odd that he'd be interested in thimerosal and MMR but anything to help autistic kids I guess.

A little about Heat Shock Proteins (HSPs)
Heat Shock Proteins are so named because they are produced when cells are subjected to stress which includes the shock of heat, also cold, and many other stressful conditions. They are more accurately known as stress proteins and chaperonins since they are responsible for seeing that proteins behave themselves, fold properly, and do what they are supposed to. Here's a good overview of some of the basics of HSPs.
HSPs come in many different flavors and are usually referred to by their molecular weights. (i.e. HSP-60, HSC-70, etc.)

So Walker, et al. found that when these cells were exposed to 10 μM ethyl mercury there was an upregulation of several different HSPs. That's a pretty high concentration of mercury they used and far more than would be found in the bloodstream following vaccination. The materials and methods section lists thimerosal but for some reason the abstract calls it ethyl mercury.

The authors also wanted to find out what happened when they exposed autistic lymphocytes to zinc, or zinc chloride in this case.

Well the good news is that the cells responded exactly as expected. The thimerosal caused an upregulation in HSPs and the ZnCl2 caused an upregulation in metallothioneins. More good news, or bad if the authors were expecting otherwise, the lymphocytes from siblings responded in a similar fashion. Unfortunately it doesn't appear that they included a non-ASD and non-sibling control group but at least we know that lymphocytes from autistic children react to thimerosal just like lymphocytes form their brothers and sisters, at least as measured with these methods.

The differences in gene expression following zinc exposure was more compelling than the thimerosal data but the authors are forced to conclude:


The comparison of microarray results from individual samples yielded some compelling trends between gene expression responses following treatment with either zinc or thimerosal: however the between-individual (autistic and non-autistic siblings) gene expression changes did not appear to yield striking differences.


And in the discussions section the authors appear reluctant to close the door on the possibility that a larger study might reveal something of significance.



Although in this small sample size there were no differential responses between the autistic and non-autistic sibling, a larger number of individual samples (biological replicates)must be examined to determine with certainty the relevance of this observation. What was apparent from these experiments, when data from the siblings were combined and then analyzed based on treatment, was that the functional genomic responses to the two metals were quite distinct

The main conclusion we are able to draw from this study is that lymphocytes, be they from autistic or non-autistic children, respond to zinc chloride differently than thimerosal.

Excuse me while I yawn

15 Comments:

At 11:24 AM, Blogger Do'C said...

Hi NM.

I liked this part in the paper:

"Based on results from these pilot experiments, the assay conditions chosen to effect maximum response without cell death were a challenge with 10 for 6 hours."

Just like "The Concentration Is Right" game show. The most mercury without killing the experiment wins.

I'll say 10 μM, Bob.

 
At 12:08 PM, Blogger notmercury said...

Yeah Do'C, I liked that too.

Whatever doesn't kill EBV immortalized lymphocytes makes them stronger. Everybody knows that

 
At 12:42 PM, Blogger Joseph said...

More good news, or bad if the authors were expecting otherwise, the lymphocytes from siblings responded in a similar fashion. Unfortunately it doesn't appear that they included a non-ASD and non-sibling control group but at least we know that lymphocytes from autistic children react to thimerosal just like lymphocytes form their brothers and sisters, at least as measured with these methods.

That's the bottom line of the study for me. They did not find any difference between autistics and controls. Ok, they used siblings as controls. They should've had a third control group, because at the moment the results are useless. Pretty amateurish to not think of that in the first place.

 
At 1:49 PM, Anonymous Camille said...

The name "Heat Shock Proteins" did scare me when I didn't know what they were, thanks for explaining that.

The other one that sounds scary is "tumor necrosis factor." Singh, the guy that went belly-up on the mercury hypothesis, I guess, but has pushed the measles things, refers to "tumor necrosis factor." I think it shows up in post mortem brain studies, too... but I might be mixing that up with something else...

Do you know what "tumor necrosis factor" is... do I have to go do a web search for myself? :-) One pictures rotting tumors, you know...

 
At 2:26 PM, Blogger María Luján said...

Hi Not mercury

This is another one of a long list of studies on certain markers of inflammation or an altered answer under certain conditions. The lack of a group of control- not siblings- is a real problem..

For example
J Pediatr. 2005 May;146(5):605-10. Links
Comment in:
J Pediatr. 2005 May;146(5):582-4.
Evaluation of an association between gastrointestinal symptoms and cytokine production against common dietary proteins in children with autism spectrum disorders.Jyonouchi H, Geng L, Ruby A, Reddy C, Zimmerman-Bier B.
Department of Pediatrics, Division of Pulmonary, Allergy/Immunology, and Infectious Diseases, New Jersey Medical School/UMDNJ, 185 South Orange Avenue, Newark, NJ 07101-1709, USA.
OBJECTIVE: To evaluate an association between cytokine production with common dietary proteins as a marker of non-allergic food hypersensitivity (NFH) and gastrointestinal (GI) symptoms in young children with autism spectrum disorders (ASD). STUDY DESIGN: Peripheral blood mononuclear cells (PBMCs) were obtained from 109 ASD children with or without GI symptoms (GI [+] ASD, N = 75 and GI (-) ASD, N = 34], from children with NFH (N = 15), and control subjects (N = 19). Diarrhea and constipation were the major GI symptoms. We measured production of type 1 T-helper cells (Th1), type 2 T-helper cells (Th2), and regulatory cytokines by PBMCs stimulated with whole cow's milk protein (CMP), its major components (casein, beta-lactoglobulin, and alpha-lactoalbumin), gliadin, and soy. RESULTS: PBMCs obtained from GI (+) ASD children produced more tumor necrosis factor-alpha (TNF-alpha)/interleukin-12 (IL-12) than those obtained from control subjects with CMP, beta-lactoglobulin, and alpha-lactoalbumin, irrespective of objective GI symptoms. They also
produced more TNF-alpha with gliadin, which was more frequently observed in the group with loose stools. PBMCs obtained from GI (-) ASD children produced more TNF-alpha/IL-12 with CMP than those from control subjects, but not with beta-lactoglobulin, alpha-lactoalbumin, or gliadin. Cytokine production with casein and soy were unremarkable. CONCLUSION: A high prevalence of elevated TNF-alpha/IL-12 production by GI (+) ASD PBMCs with CMP and its major components indicates a role of NFH in GI symptoms observed in children with ASD.

Neuropsychobiology. 2002;45(1):1-6. Links
Activation of the inflammatory response system in autism.Croonenberghs J, Bosmans E, Deboutte D, Kenis G, Maes M.
University Center of Child and Adolescent Psychiatry, Antwerp, Belgium.

BACKGROUND/AIM: There is now some evidence that autism may be accompanied by abnormalities in the inflammatory response system (IRS). Products of the IRS, such as proinflammatory cytokines, may induce some of the behavioral symptoms of autism, such as social withdrawal, resistance to novelty and sleep disturbances. The main aim of the present study was to examine whether autism is accompanied by an activation of the IRS. METHODS: We measured the production of interleukin (IL)-6, IL-10, the IL-1 receptor antagonist (IL-1RA), interferon (IFN)-gamma and tumor necrosis factor (TNF)-alpha by whole blood and the serum concentrations of IL-6, the IL-2 receptor (IL-2R) and IL-1RA. RESULTS: This study showed a significantly increased production of IFN-gamma and IL-1RA and a trend toward a significantly increased production of IL-6 and TNF-alpha by whole blood of autistic children. There were no significant differences in the serum concentrations of IL-6, IL-2R and IL-1RA between autistic and normal children. CONCLUSIONS: These results suggest that autism may be accompanied by an activation of the monocytic (increased IL-1RA) and Th-1-like (increased IFN-gamma) arm of the IRS. It is hypothesized that increased production of proinflammatory cytokines could play a role in the pathophysiology of autism.

I found a clear explanation of TNF-in
http://en.wikipedia.org/wiki/Tumor_necrosis_factor
and a more detailed one
http://theoncologist.alphamedpress.org/cgi/content/full
/11/1/83.


María Luján

 
At 2:41 PM, Blogger Ruth said...

TNF-binding is necessary for apoptosis or programed cell death. In early development, some initial structures must break down for the next developmental step to occur. TNF is also involved in the inflammatory response of the immune system.

I prefer the term chaperonins to heat shock protein-it suggests well behaved proteins walzing along. Lots of factors are found in tumors first, then found in regular cells, as tumor cells are easier to work with in culture.

 
At 3:46 PM, Blogger notmercury said...

María Luján said: This is another one of a long list of studies on certain markers of inflammation or an altered answer under certain conditions.

Thanks Maria,
I don't see this is as another one of any list unless you want to include it as part of the very long list of studies that don't add anything to the body of knowledge.

The other two you listed are meaningful because they showed something different in the immune response of autistic children when compared to non-autistic individuals.

The new Walker study fails to show us anything new.

 
At 5:24 PM, Blogger María Luján said...

Hi Not mercury
In general, I consider, as I always have told you, that there are from very useful to totally useless published scientific papers in high quality journals. The long list I mentioned is related to manuscripts such as I cited to you.However, many times, only further knowledge brings new light on previous apparently useless published data/analysis on medical topics ( or even in chemistry or physics) or discard as wrong previous apparently "last word" papers. For me, today, apparently considering different points of view this or that can be useless or not. Because this is a work in progress, I am not conclussive about. What I try to focus is in the methodology, the question to answer and the data quality and analysis. Conclussions are to confirm/replicate. I consider not serious the absolutisms in this field, IMHO.
María Luján

 
At 5:28 PM, Blogger notmercury said...

Conclussions are to confirm/replicate. I consider not serious the absolutisms in this field

Absolutely.

 
At 5:55 AM, Anonymous Microarray & Monetary Morons said...

Whoever financially supported this work ought to be pissed.

Terrible experimental design.

Questionable experimental excecution. What should have happened: GC RMA, mode:log(ratio), ANOVA, filter on expression level (raw data), filter on fold change (mode:ratio), filter on error, filter on confidence.

Meaningless results. How surprising is that. In other news from this journal, Lance Bass is gay too.

Microarray data in the hands of anyone who is not a real scientist (walker et al) and who is not schooled in statistics (walker et al) is meaningless (this paper).

Way to blow some money, morons.

 
At 6:53 AM, Blogger GadFlier said...

There is a way to tell whether or not the cry of "small sample size" is just a bunch of fast-talk and smoke-screen. I did some power calculations (using GPower) based on the effect sizes demonstrated by the study in question. Here is what I found:

Autism vs. Non-autism, sample sizes recommended for effect sizes in study.
Thimerisol
upregulated: 2.7 million
downregulated: 1,800

Zinc
upregulated: 354
downregulated: 216

What does this mean? It means that, presuming a typical distribution, were we to design a study expecting the approximate effect differences as seen in this pilot study, we would need the recommended sample sizes for the presumed effect differences to not be invalidly rejected as insignificant. As recommended sample size increases, the "reality" of an effect size diminishes, but the cut-off is an empirical judgment, not one that can be mechanically plugged-and-chugged. However, a rule of thumb is that one looks for the effects with smaller recommended sample sizes as fruitful avenues of exploration first.

Therefore, if anything, the study in question has demonstrated that zinc chloride is a far more viable "culprit" in autism than thimerosol.

 
At 6:58 AM, Blogger GadFlier said...

I forgot to mention that the effect I used was the number of genes upregulated or downregulted on their microarrays.

 
At 5:31 PM, Blogger notmercury said...

Therefore, if anything, the study in question has demonstrated that zinc chloride is a far more viable "culprit" in autism than thimerosol

Thank you GadFlier!

 
At 5:05 AM, Anonymous Andrew Wade said...

The materials and methods section lists thimerosal but for some reason the abstract calls it ethyl mercury.
Thimerosal is "metabolized to" ethylmercury and thiosalicylate in the body. (Wikipedia)

 
At 3:53 PM, Blogger notmercury said...

Andrew Wade said: Thimerosal is "metabolized to" ethylmercury and thiosalicylate in the body. (Wikipedia)

Maybe, but the kinetics of thimerosal in an in vitro cell culture might be quite different. The two words are not interchangeable.

 

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