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Current Medicinal Chemistry • July 2009<br />

Immune-glutamatergic dysfunction<br />

as a central mechanism of the<br />

autism spectrum disorders<br />

Author information<br />

Blaylock RL1, Strunecka A.<br />

Belhaven College<br />

Jackson, Mississippi, USA<br />

Abstract<br />

Despite the great number of observations being made concerning cellular and the molecular<br />

dysfunctions associated with autism spectrum disorders (ASD), the basic central<br />

mechanism of these disorders has not been proposed in the major scientific literature.<br />

Our review brings evidence that most heterogeneous symptoms of ASD have a common<br />

set of events closely connected with dysregulation of glutamatergic neurotransmission<br />

in the brain with enhancement of excitatory receptor function by pro-inflammatory<br />

immune cytokines as the underlying mechanism. We suggest that environmental and<br />

dietary excitotoxins, mercury, fluoride, and aluminum can exacerbate the pathological<br />

and clinical problems by worsening excitotoxicity and by microglial priming. In addition,<br />

each has effects on cell signaling that can affect neurodevelopment and neuronal<br />

function. Our hypothesis opens the door to a number of new treatment modes, including<br />

the nutritional factors that naturally reduce excitotoxicity and brain inflammation.<br />

“... environmental and dietary excitotoxins,<br />

mercury, fluoride, and aluminum can exacerbate<br />

the pathological and clinical problems by worsening<br />

excitotoxicity and by microglial priming. In addition,<br />

each has effects on cell signaling that can affect<br />

neurodevelopment and neuronal function.”<br />

http://www.ncbi.nlm.nih.gov/pubmed/?term=19149568

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