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Autism Studies and Related Medical Conditions, January 2009 - TACA

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87. Semba RD. Vitamin A <strong>and</strong> immunity to viral, bacterial <strong>and</strong> protozoan infections. Proc<br />

Nutr Soc 1999 58(3): 719-27. PMID 10604208<br />

"…vitamin A <strong>and</strong> related retinoids play a major role in immunity, including expression of<br />

mucins <strong>and</strong> keratins, lymphopoiesis, apoptosis, cytokine expression, production of<br />

antibody, <strong>and</strong> the function of neutrophils, natural killer cells, monocytes or<br />

macrophages, T lymphocytes <strong>and</strong> B lymphocytes. Recent clinical trials suggest that<br />

vitamin A supplementation reduces morbidity <strong>and</strong> mortality in different infectious<br />

diseases, such as measles, diarrhoeal disease, measles-related pneumonia, human<br />

immunodeficiency virus infection <strong>and</strong> malaria. Immune responses vary considerably<br />

during different infections, <strong>and</strong> the available data suggest that the modulation of<br />

immune function by vitamin A may also vary widely, depending on the type of infection<br />

<strong>and</strong> immune responses involved."<br />

88. Molina EL, Patel JA. A to Z: vitamin A <strong>and</strong> zinc, the miracle duo. Indian J Pediatr.<br />

1996 63(4): 427-31. PMID 10832460<br />

"Dietary micronutrients such as vitamins <strong>and</strong> trace minerals are known modulators of<br />

host immune responses against common pathogens. In this respect, vitamin A <strong>and</strong> zinc<br />

have recently received increased attention. Several in vivo <strong>and</strong> in vitro studies suggest<br />

that vitamin A may be a critical player in the mucosal immune responses in the<br />

respiratory <strong>and</strong> gastrointestinal tracts, particularly in undernourished children. The<br />

effect may be mediated primarily by stabilization of the membrane of mucosal epithelial<br />

cells, as well as enhanced leukocyte functions. The beneficial effect of vitamin A<br />

therapy in reducing measles-associated morbidity <strong>and</strong> mortality suggests its crucial role<br />

in defenses against viral pathogens. Zinc is also known affect leukocyte functions such<br />

as phagocytosis <strong>and</strong> T-lymphocyte-mediated immune responses… Dietary<br />

supplementation or therapeutic treatment with vitamin A <strong>and</strong> zinc may be a cheap yet<br />

effective means of preventing or treating infections in highly susceptible populations.<br />

Additional studies, however, are required to better define the types of pathogens <strong>and</strong><br />

the specific human populations that may benefit from such therapy."<br />

88b. Ch<strong>and</strong>ra RK, Wadhwa M. Nutritional modulation of intestinal mucosal immunity.<br />

Immunol Invest. 1989 Jan-May;18(1-4):119-26. PMID: 2659508<br />

"Protein-energy malnutrition results in an increased risk of gastrointestinal infection.<br />

This can be attributed in part to impaired immune responses. Cell-mediated immunity is<br />

decreased as judged by reduced number <strong>and</strong> function of thymus-dependent<br />

lymphocytes, impaired delayed cutaneous hypersensitivity reactions, <strong>and</strong> decreased<br />

production of lymphokines. Concentration of secretory IgA is reduced <strong>and</strong> there are<br />

fewer intraepithelial lymphocytes. Antibody responses following viral vaccine<br />

administration are reduced <strong>and</strong> there is decrease in natural killer cell activity. In<br />

addition, the number of bacteria binding to epithelial cells is increased. These changes<br />

are observed also in certain selected nutrient deficiencies, such as that of vitamin A. It<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 325

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