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	<title>Symptom Advice .com &#187; parasite</title>
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		<title>Tick-borne parasite creeping into blood supply, CDC says</title>
		<link>http://symptomadvice.com/tick-borne-parasite-creeping-into-blood-supply-cdc-says/</link>
		<comments>http://symptomadvice.com/tick-borne-parasite-creeping-into-blood-supply-cdc-says/#comments</comments>
		<pubDate>Tue, 13 Sep 2011 04:51:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[lyme symptoms]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[screening tests]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/tick-borne-parasite-creeping-into-blood-supply-cdc-says/</guid>
		<description><![CDATA[According &#116;&#111; a USA Today article, doctors are worried because &#8220;the risk of transfusion-associated babesia infection may &#098;&#101; increasing. Cases are occurring year-round and &#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; &#115;&#101;&#101;&#110; &#105;&#110; states where ticks &#116;&#104;&#097;&#116; carry babesia are not endemic.&#8221; The study says &#116;&#104;&#097;&#116; &#097;&#116; &#108;&#101;&#097;&#115;&#116; 122 people &#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; infected &#115;&#105;&#110;&#099;&#101; 2000. The CDC notes &#116;&#104;&#097;&#116; babesiosis [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="" style="float:left;clear:both;margin:0 15px 15px 0" />
<p>According &#116;&#111; a USA Today article, doctors are worried because &#8220;the risk of transfusion-associated babesia infection may &#098;&#101; increasing. Cases are occurring year-round and &#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; &#115;&#101;&#101;&#110; &#105;&#110; states where ticks &#116;&#104;&#097;&#116; carry babesia are not endemic.&#8221;</p>
<p>The study says &#116;&#104;&#097;&#116; &#097;&#116; &#108;&#101;&#097;&#115;&#116; 122 people &#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; infected &#115;&#105;&#110;&#099;&#101; 2000.</p>
<p>The CDC notes &#116;&#104;&#097;&#116; babesiosis &#105;&#115; &#109;&#111;&#115;&#116; common &#105;&#110; &#116;&#104;&#101; Northeast and upper Midwest and usually peaks &#105;&#110; &#116;&#104;&#101; warmer months, although cases &#119;&#101;&#114;&#101; &#102;&#111;&#117;&#110;&#100; &#105;&#110; &#116;&#104;&#101; blood supply year &#114;&#111;&#117;&#110;&#100;. &#8220;Although many people who are infected with Babesia do not &#104;&#097;&#118;&#101; symptoms, for &#116;&#104;&#111;&#115;&#101; who do, effective treatment &#105;&#115; &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101;. Babesiosis &#105;&#115; preventable, if simple steps are &#116;&#097;&#107;&#101;&#110; &#116;&#111; reduce exposure &#116;&#111; ticks,&#8221; &#105;&#116; says.</p>
<p>No test &#099;&#097;&#110; screen for &#116;&#104;&#101; disease &#098;&#101;&#102;&#111;&#114;&#101; &#105;&#116; &#103;&#101;&#116;&#115; &#105;&#110;&#116;&#111; &#116;&#104;&#101; blood supply, so blood banks &#104;&#097;&#118;&#101; &#116;&#111; ask &#116;&#104;&#111;&#115;&#101; who are waiting &#116;&#111; donate if they&#8217;ve &#104;&#097;&#100; flu-like illnesses and tick bites. Screening tests are &#098;&#101;&#105;&#110;&#103; developed, according &#116;&#111; Barbara Herwaldt, lead author of &#116;&#104;&#101; study and a parasite expert.</p>
<p>USA Today reported &#116;&#104;&#097;&#116; &#115;&#105;&#110;&#099;&#101; 1979, &#119;&#104;&#101;&#110; &#116;&#104;&#101; first case &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; with a blood transfusion &#119;&#097;&#115; confirmed, 159 cases &#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; reported. More &#116;&#104;&#097;&#110; three-fourths of them &#104;&#097;&#118;&#101; occurred &#115;&#105;&#110;&#099;&#101; 2000. &#109;&#111;&#115;&#116; cases &#119;&#101;&#114;&#101; &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; with red blood cell components; &#102;&#111;&#117;&#114; &#119;&#101;&#114;&#101; linked &#116;&#111; platelets.</p>
<p>Doctors are &#110;&#111;&#119; required &#116;&#111; report cases of &#116;&#104;&#101; tick-borne illness &#116;&#111; local health departments. So far &#116;&#104;&#105;&#115; year, 314 cases &#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; reported nationally.</p>
<p>It&#8217;s &#115;&#116;&#105;&#108;&#108; not as common as Lyme disease, &#097;&#110;&#111;&#116;&#104;&#101;&#114; tick-borne illness, Herwaldt said.</p>
<p>United Press International noted &#116;&#104;&#097;&#116; cases of babesia from &#116;&#104;&#101; blood supply are very rare and &#116;&#104;&#097;&#116; &#116;&#104;&#111;&#115;&#101; &#109;&#111;&#115;&#116; likely &#116;&#111; experience severe complications are people who are immune-compromised, elderly or &#119;&#105;&#116;&#104;&#111;&#117;&#116; a spleen.</p>
<p>CDC says &#109;&#111;&#115;&#116; of &#116;&#104;&#101; cases &#119;&#101;&#114;&#101; &#105;&#110; &#111;&#110;&#101; of &#116;&#104;&#101; seven states where babesia-infected ticks are &#109;&#111;&#115;&#116; common: Connecticut, Massachusetts, Minnesota, &#110;&#101;&#119; Jersey, &#110;&#101;&#119; York, Rhode Island and Wisconsin.</p>
<p>Experts note &#116;&#104;&#097;&#116; people are far more likely &#116;&#111; get &#116;&#104;&#101; condition from ticks &#116;&#104;&#097;&#110; from blood.</p>
<p>The study&#8217;s limitation, according &#116;&#111; &#116;&#104;&#101; Annal&#8217;s abstract, &#119;&#097;&#115; &#116;&#104;&#097;&#116; &#116;&#104;&#101; &#8220;extent &#116;&#111; which cases &#119;&#101;&#114;&#101; not diagnosed, investigated, reported, or ascertained &#105;&#115; unknown.&#8221;</p>
<p>EMAIL: lois@desnews.&#099;&#111;&#109;, Twitter: loisco</p></p>
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		<item>
		<title>Mosquitoes raise heartworm concerns</title>
		<link>http://symptomadvice.com/mosquitoes-raise-heartworm-concerns/</link>
		<comments>http://symptomadvice.com/mosquitoes-raise-heartworm-concerns/#comments</comments>
		<pubDate>Sat, 20 Aug 2011 06:34:15 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[cough symptoms]]></category>
		<category><![CDATA[heart failure]]></category>
		<category><![CDATA[heartworms]]></category>
		<category><![CDATA[parasite]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/mosquitoes-raise-heartworm-concerns/</guid>
		<description><![CDATA[Heavy rains this summer &#104;&#097;&#118;&#101; resulted &#105;&#110; standing pools &#111;&#102; water that are breeding more mosquitoes than usual. Mosquitoes carry &#097;&#110;&#100; transmit &#109;&#097;&#110;&#121; diseases, including heartworm. Heartworm &#105;&#115; a &#115;&#101;&#114;&#105;&#111;&#117;&#115; &#097;&#110;&#100; life-threatening parasite transmitted between dogs &#098;&#121; mosquitoes. Heartworm-transmitting mosquitoes bite &#121;&#111;&#117;&#114; dog, &#116;&#104;&#101;&#110; larvae are transferred into the bloodstream &#119;&#104;&#101;&#114;&#101; &#116;&#104;&#101;&#121; &#119;&#105;&#108;&#108; incubate &#097;&#110;&#100; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="" style="float:left;clear:both;margin:0 15px 15px 0" />
<p>Heavy rains this summer &#104;&#097;&#118;&#101; resulted &#105;&#110; standing pools &#111;&#102; water that are breeding more mosquitoes than usual. </p>
<p>Mosquitoes carry &#097;&#110;&#100; transmit &#109;&#097;&#110;&#121; diseases, including heartworm. Heartworm &#105;&#115; a &#115;&#101;&#114;&#105;&#111;&#117;&#115; &#097;&#110;&#100; life-threatening parasite transmitted between dogs &#098;&#121; mosquitoes. </p>
<p>Heartworm-transmitting mosquitoes bite &#121;&#111;&#117;&#114; dog, &#116;&#104;&#101;&#110; larvae are transferred into the bloodstream &#119;&#104;&#101;&#114;&#101; &#116;&#104;&#101;&#121; &#119;&#105;&#108;&#108; incubate &#097;&#110;&#100; mature. This &#105;&#115; the onset &#111;&#102; heartworm disease. </p>
<p>If left &#105;&#103;&#110;&#111;&#114;&#101;&#100;, &#116;&#104;&#101;&#115;&#101; microscopic larvae &#119;&#105;&#108;&#108; develop into large worms &#105;&#110;&#115;&#105;&#100;&#101; &#121;&#111;&#117;&#114; dog&#8217;s heart &#097;&#110;&#100; eventually cause a &#115;&#101;&#114;&#105;&#111;&#117;&#115;, deadly condition. </p>
<p><strong>What Are the Signs &#111;&#102; </strong><strong>Heartworm Disease?</strong> </p>
<p>In the early stages, there are &#102;&#101;&#119; clinical symptoms. As the heartworms grow the worms migrate &#116;&#111; the arteries &#097;&#110;&#100; eventually &#116;&#111; the heart &#097;&#110;&#100; lungs. This &#099;&#097;&#110; cause severe lung inflammation &#097;&#110;&#100; heart failure. Symptoms &#111;&#102; more advanced heartworm disease include a mild, persistent cough, lethargy, fatigue, reduced appetite &#097;&#110;&#100; weight loss. </p>
<p><strong>How &#105;&#115; Heartworm Dis</strong><strong>ease Detected?</strong> </p>
<p>Heartworm infection &#105;&#110; dogs &#099;&#097;&#110; be detected with a simple blood test. </p>
<p><strong>Are Cats Affected?</strong> </p>
<p>Mosquitoes &#099;&#097;&#110; transmit heartworm larvae &#116;&#111; cats. &#104;&#111;&#119;&#101;&#118;&#101;&#114;, heartworms do &#110;&#111;&#116; mature &#097;&#110;&#100; reproduce &#119;&#101;&#108;&#108; &#105;&#110; the cats. Thus, infected cats do &#110;&#111;&#116; typically &#104;&#097;&#118;&#101; symptoms &#110;&#111;&#114; progress &#116;&#111; a life-threatening condition. </p>
<p><strong>Prevention &#105;&#115; Key</strong> </p>
<p>Heartworm &#105;&#115; difficult &#116;&#111; treat, &#098;&#117;&#116; easy &#116;&#111; prevent. We recommend that pet guardians take steps now &#116;&#111; talk &#116;&#111; &#116;&#104;&#101;&#105;&#114; veterinarians about how &#116;&#111; best protect &#116;&#104;&#101;&#105;&#114; pets &#102;&#114;&#111;&#109; this &#100;&#097;&#110;&#103;&#101;&#114;&#111;&#117;&#115; disease. Heartworm prevention &#105;&#115; safe, easy &#097;&#110;&#100; inexpensive. &#119;&#104;&#105;&#108;&#101; treatment &#102;&#111;&#114; dogs with active heartworm disease &#105;&#115; possible, it &#099;&#097;&#110; be expensive &#097;&#110;&#100; take months. </p>
<p>There are a variety &#111;&#102; options &#102;&#111;&#114; preventing heartworm infection &#105;&#110; both dogs &#097;&#110;&#100; cats, including monthly chewable tablets &#097;&#110;&#100; monthly topical applications. All &#111;&#102; &#116;&#104;&#101;&#115;&#101; methods are extremely effective. &#116;&#104;&#101;&#115;&#101; medications interrupt heartworm development before adult worms reach the lungs &#097;&#110;&#100; cause disease. </p>
<p>Our pets count &#111;&#110; us &#116;&#111; protect them &#102;&#114;&#111;&#109; this preventable disease. The key &#116;&#111; prevention &#105;&#115; maintaining the monthly preventative program recommended &#098;&#121; &#121;&#111;&#117;&#114; veterinarian. &#099;&#114;&#101;&#097;&#116;&#105;&#110;&#103; calendar or smart-phone reminders &#116;&#111; &#104;&#101;&#108;&#112; remind &#121;&#111;&#117; &#116;&#111; give the medication &#105;&#115; a tool &#116;&#111; &#104;&#101;&#108;&#112; &#121;&#111;&#117; &#107;&#101;&#101;&#112; this responsibility. </p>
<p>For more information about heartworm disease, go &#116;&#111; heartwormsociety.org &#097;&#110;&#100; see &#121;&#111;&#117;&#114; veterinarian &#102;&#111;&#114; &#121;&#111;&#117;&#114; pet&#8217;s testing &#097;&#110;&#100; the monthly preventative. </p>
<p>Jennifer Bolser, DVM &#105;&#115; the Chief Clinic Veterinarian &#102;&#111;&#114; the Humane Society &#111;&#102; Boulder Valley&#8217;s full-service public veterinary clinic. The clinic &#105;&#115; located at 2323 55th Street &#105;&#110; Boulder. &#102;&#111;&#114; information or &#116;&#111; make &#097;&#110; appointment, call 303-442-4030 or go &#116;&#111; boulderhumane.org</p></p>
]]></content:encoded>
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		<item>
		<title>&#8220;LifeLine&#8221;, Hosted by Joan Lunden, is Producing a Series on Malaria</title>
		<link>http://symptomadvice.com/lifeline-hosted-by-joan-lunden-is-producing-a-series-on-malaria/</link>
		<comments>http://symptomadvice.com/lifeline-hosted-by-joan-lunden-is-producing-a-series-on-malaria/#comments</comments>
		<pubDate>Fri, 18 Mar 2011 23:17:12 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[malaria symptoms]]></category>
		<category><![CDATA[major health]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[tropics]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/lifeline-hosted-by-joan-lunden-is-producing-a-series-on-malaria/</guid>
		<description><![CDATA[LifeLine hopes &#116;&#111; raise awareness &#111;&#110; &#097; parasitic disease affecting &#109;&#117;&#099;&#104; of &#116;&#104;&#101; tropics and &#115;&#117;&#098; tropics &#8211; malaria. BOYNTON BEACH, FL, March 18, 2011 /24-7PressRelease/ &#8212; Estimated &#116;&#111; cause three &#104;&#117;&#110;&#100;&#114;&#101;&#100; &#116;&#111; five &#104;&#117;&#110;&#100;&#114;&#101;&#100; clinical cases and nearly &#111;&#110;&#101; million deaths &#097; year, malaria &#105;&#115; &#097; major health problem in &#109;&#117;&#099;&#104; of &#116;&#104;&#101; Tropics [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/03/1300490232-48.jpeg" style="clear:both;clear:both;margin:0 15px 15px 0" /><i>LifeLine hopes &#116;&#111; raise awareness &#111;&#110; &#097; parasitic disease affecting &#109;&#117;&#099;&#104; of &#116;&#104;&#101; tropics and &#115;&#117;&#098; tropics &#8211; malaria.</i>
<p>BOYNTON BEACH, FL, March 18, 2011 /24-7PressRelease/ &#8212; Estimated &#116;&#111; cause three &#104;&#117;&#110;&#100;&#114;&#101;&#100; &#116;&#111; five &#104;&#117;&#110;&#100;&#114;&#101;&#100; clinical cases and nearly &#111;&#110;&#101; million deaths &#097; year, malaria &#105;&#115; &#097; major health problem in &#109;&#117;&#099;&#104; of &#116;&#104;&#101; Tropics and Sub-Tropics, particularly in South Africa, South East Asia and South America. Malaria &#105;&#115; &#097;&#110; infectious blood disease caused by &#097; parasite that &#105;&#115; transmitted from &#111;&#110;&#101; human &#116;&#111; another by &#116;&#104;&#101; bite of infected Anopheles mosquitoes and &#099;&#097;&#110; also be transmitted via blood transfusions and congenitally from &#097; mother &#116;&#111; her unborn child. Young children contribute &#116;&#111; &#097; bulk of malaria deaths worldwide as &#116;&#104;&#101;&#121; &#104;&#097;&#118;&#101; &#110;&#111;&#116; yet developed protective immunity &#097;&#103;&#097;&#105;&#110;&#115;&#116; &#109;&#111;&#115;&#116; severe forms of &#116;&#104;&#101; disease. Symptoms which &#111;&#102;&#116;&#101;&#110; appear 10 &#116;&#111; 14 days after infection include fever, headache, muscle aches, vomiting and other flu-like symptoms. &#116;&#104;&#101; first symptoms may be mild and difficult &#116;&#111; recognize as malaria. Left untreated, malaria &#099;&#097;&#110; progress &#116;&#111; severe illness &#111;&#102;&#116;&#101;&#110; leading &#116;&#111; death.</p>
<p>The Public Television series, LifeLine, seeks &#116;&#111; raise awareness &#111;&#110; malaria disease. Though &#105;&#116; causes nearly &#111;&#110;&#101; million deaths &#097; year, Malaria &#105;&#115; preventable and treatable. &#110;&#111; vaccine &#105;&#115; &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101;, but personal protection &#097;&#103;&#097;&#105;&#110;&#115;&#116; mosquito bites &#105;&#115; &#116;&#104;&#101; first line of defense in malaria prevention. Effective forms of prevention include insecticide-treated mosquito nets and indoor spraying with Residual Insecticides. In addition, there are medications &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; &#102;&#111;&#114; individuals &#112;&#108;&#097;&#110;&#110;&#105;&#110;&#103; &#116;&#111; travel &#116;&#111; regions prone &#116;&#111; malaria. Treatment of malaria depends &#111;&#110; &#109;&#097;&#110;&#121; factors including disease severity, &#116;&#104;&#101; species of malaria parasite causing &#116;&#104;&#101; infection and &#116;&#104;&#101; &#112;&#097;&#114;&#116; of &#116;&#104;&#101; world in which &#116;&#104;&#101; infection &#119;&#097;&#115; &#097;&#099;&#113;&#117;&#105;&#114;&#101;&#100;. These factors help determine &#105;&#102; &#116;&#104;&#101; organism &#105;&#115; resistant &#116;&#111; &#099;&#101;&#114;&#116;&#097;&#105;&#110; antimalarial drugs. Additional factors such as age, weight, and pregnancy status may limit &#116;&#104;&#101; &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; options &#102;&#111;&#114; malaria treatment. LifeLine hopes &#116;&#111; bring awareness &#116;&#111; &#116;&#104;&#105;&#115; disease and asks individuals &#116;&#111; contact organizations,such as &#116;&#104;&#101; World Health Organization (WHO) &#105;&#102; &#121;&#111;&#117; are &#112;&#108;&#097;&#110;&#110;&#105;&#110;&#103; international travel &#116;&#111; learn &#097;&#098;&#111;&#117;&#116; &#116;&#104;&#101; specific risks in that geographic area.</p>
<p>*LifeLine and its programming are &#110;&#111;&#116; affiliated with PBS. &#111;&#117;&#114; programs are independently produced and distributed &#116;&#111; Public Television affiliate stations nationwide. </p>
<p>LifeLine &#105;&#115; &#097; compelling series distributed &#116;&#111; Public Television nationwide. &#101;&#097;&#099;&#104; program addresses &#116;&#104;&#101; latest issues impacting society today. &#102;&#111;&#114; &#109;&#111;&#114;&#101; information, visit &#117;&#115; online &#097;&#116; lifelineps.com.</p>
<p>Press release service and press release distribution &#112;&#114;&#111;&#118;&#105;&#100;&#101;&#100; by 24-7pressrelease.com</p></p>
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		<title>Benefits Of Generic Heartgard For Heartworm Prevention In Dogs</title>
		<link>http://symptomadvice.com/benefits-of-generic-heartgard-for-heartworm-prevention-in-dogs/</link>
		<comments>http://symptomadvice.com/benefits-of-generic-heartgard-for-heartworm-prevention-in-dogs/#comments</comments>
		<pubDate>Sun, 13 Mar 2011 16:51:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[exhaustion symptoms]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[pet meds]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/benefits-of-generic-heartgard-for-heartworm-prevention-in-dogs/</guid>
		<description><![CDATA[Heartworm &#105;&#115; &#097; very &#115;&#101;&#114;&#105;&#111;&#117;&#115; disease which affects dogs. It &#105;&#115; caused &#098;&#121; &#097; parasite spread through mosquitoes. &#097;&#108;&#116;&#104;&#111;&#117;&#103;&#104; &#116;&#104;&#105;&#115; disease &#105;&#115; dangerous &#101;&#110;&#111;&#117;&#103;&#104; &#116;&#111; &#099;&#097;&#117;&#115;&#101; death when left untreated, it &#105;&#115; easily preventable with medication &#115;&#117;&#099;&#104; as generic Heartgard. Royal Pet Meds does not require &#097; prescription for your animals Petcam. &#102;&#105;&#110;&#100; brand name [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/03/1300035071-39.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Heartworm &#105;&#115; &#097; very &#115;&#101;&#114;&#105;&#111;&#117;&#115; disease which affects dogs. It &#105;&#115; caused &#098;&#121; &#097; parasite spread through mosquitoes. &#097;&#108;&#116;&#104;&#111;&#117;&#103;&#104; &#116;&#104;&#105;&#115; disease &#105;&#115; dangerous &#101;&#110;&#111;&#117;&#103;&#104; &#116;&#111; &#099;&#097;&#117;&#115;&#101; death when left untreated, it &#105;&#115; easily preventable with medication &#115;&#117;&#099;&#104; as generic Heartgard.</p>
<p>Royal Pet Meds does not require &#097; prescription for your animals Petcam. &#102;&#105;&#110;&#100; brand name medication &#111;&#114; save money &#097;&#110;&#100; &#103;&#101;&#116; safe &#097;&#110;&#100; effective generic brands.royalpetmeds.com</p>
<p>Heartworm &#105;&#115; &#097; very &#115;&#101;&#114;&#105;&#111;&#117;&#115; disease which affects dogs. It &#105;&#115; caused &#098;&#121; &#097; parasite spread through mosquitoes. &#097;&#108;&#116;&#104;&#111;&#117;&#103;&#104; &#116;&#104;&#105;&#115; disease &#105;&#115; dangerous &#101;&#110;&#111;&#117;&#103;&#104; &#116;&#111; &#099;&#097;&#117;&#115;&#101; death when left untreated, it &#105;&#115; easily preventable with medication &#115;&#117;&#099;&#104; as generic Heartgard.</p>
<p>Mosquitoes are fairly common in &#109;&#097;&#110;&#121; areas &#111;&#102; &#116;&#104;&#101; world &#097;&#110;&#100; heartworm &#105;&#115; prevalent &#119;&#104;&#101;&#114;&#101; &#116;&#104;&#101;&#115;&#101; insects thrive. &#116;&#104;&#101; process &#111;&#102; transmission &#115;&#116;&#097;&#114;&#116;&#115; with an infected mosquito biting &#116;&#104;&#101; dog which transfers larvae &#105;&#110;&#116;&#111; &#116;&#104;&#101; bloodstream. After an incubation period, larvae turn &#105;&#110;&#116;&#111; adult worms which begin &#116;&#111; infect &#116;&#104;&#101; heart &#097;&#110;&#100; other organs.</p>
<p>Initial symptoms are coughing &#111;&#114; unusual exhaustion during exercise because &#116;&#104;&#101; parasites affect lungs as &#119;&#101;&#108;&#108; as &#116;&#104;&#101; heart. Dogs will experience chest pain. Other effects are abnormal operation &#111;&#102; veins &#097;&#110;&#100; liver failure. &#116;&#104;&#101;&#114;&#101; are no outward signs affecting fur &#111;&#114; skin so heartworm &#105;&#115; &#115;&#111;&#109;&#101;&#116;&#105;&#109;&#101;&#115; difficult &#116;&#111; detect until it becomes extremely &#115;&#101;&#114;&#105;&#111;&#117;&#115;. Late stage symptoms include weight loss, fainting &#097;&#110;&#100; eventually heart failure.</p>
<p>The active ingredient in Heartgard &#105;&#115; ivermectin. &#116;&#104;&#105;&#115; &#105;&#115; &#097; widely used antiparasitic drug which &#104;&#097;&#115; virtually no side effects. It works &#098;&#121; destroying &#116;&#104;&#101; larval stage when it enters &#116;&#104;&#101; bloodstream. &#116;&#104;&#101; larvae &#110;&#101;&#118;&#101;&#114; develop &#105;&#110;&#116;&#111; adult worms. It works effectively for about &#097; month, so it should &#098;&#101; administered monthly during seasons &#119;&#104;&#101;&#114;&#101; mosquitoes are active. &#115;&#111;&#109;&#101; veterinarians &#097;&#110;&#100; disease prevention organizations recommend giving preventative medications &#101;&#118;&#101;&#114;&#121; month &#111;&#102; &#116;&#104;&#101; year, not just when mosquitoes are prevalent.</p>
<p>Before starting &#097; prevention program, &#116;&#104;&#101; pet needs &#097; simple blood test &#116;&#111; ensure infection &#104;&#097;&#115; not &#097;&#108;&#114;&#101;&#097;&#100;&#121; &#116;&#097;&#107;&#101;&#110; &#112;&#108;&#097;&#099;&#101;. Initial testing &#105;&#115; needed because &#116;&#097;&#107;&#105;&#110;&#103; heartworm medication when larvae &#097;&#108;&#114;&#101;&#097;&#100;&#121; exist in &#116;&#104;&#101; bloodstream can &#109;&#097;&#107;&#101; &#116;&#104;&#101; dog ill. &#116;&#104;&#101; American Heartworm Association recommends dogs &#098;&#101; tested if they have &#110;&#101;&#118;&#101;&#114; &#116;&#097;&#107;&#101;&#110; heartworm medication, when they have had &#097; break in &#116;&#097;&#107;&#105;&#110;&#103; medication, are changing &#116;&#111; &#097; &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; type &#111;&#102; medication, &#111;&#114; annually when they are on &#097; preventative just &#116;&#111; &#098;&#101; safe.</p>
<p>Heartworm medicine &#105;&#115; usually administered as &#097; pill. &#097;&#108;&#116;&#104;&#111;&#117;&#103;&#104; &#115;&#111;&#109;&#101; pills are flavored, generic versions typically have no flavor. &#116;&#104;&#105;&#115; &#105;&#115; not an issue because medication can &#098;&#101; &#103;&#105;&#118;&#101;&#110; along with &#097; treat &#116;&#111; hide &#116;&#104;&#101; pill &#097;&#110;&#100; mask &#116;&#104;&#101; taste. It &#105;&#115; &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; &#116;&#111; stay on &#097; regular schedule &#101;&#097;&#099;&#104; month. &#097; &#103;&#111;&#111;&#100; idea &#105;&#115; &#116;&#111; pick &#097; certain day &#111;&#102; &#116;&#104;&#101; month &#116;&#104;&#097;&#116; &#105;&#115; easy &#116;&#111; remember. Any irregularity in &#116;&#104;&#101; schedule can result in decreased effectiveness &#111;&#102; &#116;&#104;&#101; drug.</p>
<p>Generic forms &#111;&#102; Heartgard are just as effective as brand medications in preventing heartworm. They &#099;&#111;&#110;&#116;&#097;&#105;&#110; &#116;&#104;&#101; exact same medicine &#097;&#110;&#100; dosages. Generic medicines have been through &#116;&#104;&#101; same safety procedures as brand drugs. They will not have any unusual side effects. &#116;&#104;&#101; main advantage &#105;&#115; price. &#109;&#097;&#110;&#121; generic versions are less expensive.</p>
<p>Since heartworm &#105;&#115; fairly common &#097;&#110;&#100; easily spread &#098;&#121; mosquitoes, it &#105;&#115; &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; &#116;&#111; use preventative medication on &#097; regular basis &#116;&#111; reduce risk &#111;&#102; infection. Generic Heartgard contains &#116;&#104;&#101; same active ingredient &#097;&#110;&#100; effectiveness as brand name drugs at &#097; &#108;&#111;&#119;&#101;&#114; price. It can &#098;&#101; &#097; &#103;&#111;&#111;&#100; choice especially for pet owners &#119;&#104;&#111; are just starting &#097; prevention routine &#097;&#110;&#100; have not used &#097; particular brand &#098;&#101;&#102;&#111;&#114;&#101;. It &#105;&#115; crucial &#116;&#111; use &#116;&#104;&#105;&#115; type &#111;&#102; medicine &#116;&#111; maintain healthy pets.</p>
<p>Make sure &#116;&#111; explore other articles in &#116;&#104;&#101; <strong>Family</strong> category &#111;&#114; contact us &#116;&#111; suggest &#097; website &#111;&#114; &#097; service &#116;&#111; review.</p></p>
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		<title>Should I treat for Malaria P.Vivax if blood test says I have, but no symptoms?</title>
		<link>http://symptomadvice.com/should-i-treat-for-malaria-p-vivax-if-blood-test-says-i-have-but-no-symptoms/</link>
		<comments>http://symptomadvice.com/should-i-treat-for-malaria-p-vivax-if-blood-test-says-i-have-but-no-symptoms/#comments</comments>
		<pubDate>Tue, 15 Feb 2011 00:17:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[malaria symptoms]]></category>
		<category><![CDATA[fever]]></category>
		<category><![CDATA[kalimantan indonesia]]></category>
		<category><![CDATA[malaria]]></category>
		<category><![CDATA[medication]]></category>
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		<description><![CDATA[I&#039;m an 18 yr &#111;&#108;&#100; female Aussie living &#105;&#110; West Kalimantan Indonesia &#097;&#110;&#100; &#104;&#097;&#118;&#101; been feeling quite tired &#108;&#097;&#116;&#101;&#108;&#121; &#115;&#111; I recently &#108;&#111;&#111;&#107; &#097; blood test (Thinking I &#109;&#097;&#121; &#098;&#101; anemic). I &#119;&#097;&#115; also tested &#102;&#111;&#114; dengue &#097;&#110;&#100; Malaria &#097;&#110;&#100; &#116;&#104;&#101; results &#099;&#097;&#109;&#101; &#098;&#097;&#099;&#107; with positive Malaria P.Vivax. I don&#039;t &#104;&#097;&#118;&#101; &#097; fever &#097;&#110;&#100; I&#039;m [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/02/1297729030-44.jpg" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>I&#039;m an 18 yr &#111;&#108;&#100; female Aussie living &#105;&#110; West Kalimantan Indonesia &#097;&#110;&#100; &#104;&#097;&#118;&#101; been feeling quite tired &#108;&#097;&#116;&#101;&#108;&#121; &#115;&#111; I recently &#108;&#111;&#111;&#107; &#097; blood test (Thinking I &#109;&#097;&#121; &#098;&#101; anemic). I &#119;&#097;&#115; also tested &#102;&#111;&#114; dengue &#097;&#110;&#100; Malaria &#097;&#110;&#100; &#116;&#104;&#101; results &#099;&#097;&#109;&#101; &#098;&#097;&#099;&#107; with positive Malaria P.Vivax. I don&#039;t &#104;&#097;&#118;&#101; &#097; fever &#097;&#110;&#100; I&#039;m feeling fine &#110;&#111;&#119;. Is &#105;&#116; &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; that &#116;&#104;&#101; parasite hasn&#039;t fully developed yet &#097;&#110;&#100; I&#039;ll &#098;&#101; sick &#115;&#111;&#111;&#110; or &#099;&#111;&#117;&#108;&#100; &#105;&#116; &#098;&#101; &#097; &#102;&#097;&#108;&#115;&#101; test? Should I treat &#109;&#121;&#115;&#101;&#108;&#102; &#102;&#111;&#114; malaria anyway &#097;&#110;&#100; &#105;&#102; &#115;&#111;, &#119;&#104;&#097;&#116; medication is recommended? I don&#039;t &#119;&#097;&#110;&#116; to get &#114;&#101;&#097;&#108;&#108;&#121; sick!&#8230;..<br /> It&#039;s common here &#098;&#117;&#116; it&#039;s unusual to &#104;&#097;&#118;&#101; &#110;&#111; symptoms&#8230;.<br /> Please let &#109;&#101; &#107;&#110;&#111;&#119; &#105;&#102; you &#104;&#097;&#118;&#101; any information about &#116;&#104;&#105;&#115;&#8230;Thank you</p>
<p>Here i s an &#101;&#120;&#099;&#101;&#108;&#108;&#101;&#110;&#116; site with some wonderful options &#102;&#111;&#114; you. &#105;&#116; will definitely &#104;&#101;&#108;&#112; you. &#104;&#097;&#118;&#101; &#097; &#108;&#111;&#111;&#107;. webmd7.notlong.com/AAdhljg</p></p>
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		<title>Opening a Can of Worms</title>
		<link>http://symptomadvice.com/opening-a-can-of-worms/</link>
		<comments>http://symptomadvice.com/opening-a-can-of-worms/#comments</comments>
		<pubDate>Wed, 09 Feb 2011 13:51:14 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[crohn s symptoms]]></category>
		<category><![CDATA[decade]]></category>
		<category><![CDATA[dietary modifications]]></category>
		<category><![CDATA[lithium]]></category>
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		<description><![CDATA[Nematode parasite, Trichuris suis, found in the intestines &#111;&#102; pigs In 2005 the Johnson family &#119;&#097;&#115; &#097;&#116; its breaking point. Lawrence, the family&#8217;s 13-year-old son, &#119;&#097;&#115; diagnosed &#119;&#105;&#116;&#104; autism &#097;&#116; age two &#097;&#110;&#100; a &#104;&#097;&#108;&#102;, &#097;&#110;&#100; his parents had valiantly coped &#119;&#105;&#116;&#104; his illness &#102;&#111;&#114; the ensuing decade. Throughout his childhood, Lawrence&#8217;s disorder progressed &#097;&#108;&#111;&#110;&#103; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="images.the-scientist.com/content/images/articles/57941/42-1.jpg" border="0" width="300" height="364" alt="">Nematode parasite, Trichuris suis, found in the intestines &#111;&#102; pigs
<p>In 2005 the Johnson family &#119;&#097;&#115; &#097;&#116; its breaking point. Lawrence, the family&#8217;s 13-year-old son, &#119;&#097;&#115; diagnosed &#119;&#105;&#116;&#104; autism &#097;&#116; age two &#097;&#110;&#100; a &#104;&#097;&#108;&#102;, &#097;&#110;&#100; his parents had valiantly coped &#119;&#105;&#116;&#104; his illness &#102;&#111;&#114; the ensuing decade.</p>
<p>Throughout his childhood, Lawrence&#8217;s disorder progressed &#097;&#108;&#111;&#110;&#103; the typical path: he &#119;&#111;&#117;&#108;&#100; &#110;&#111;&#116; engage in pretend play &#108;&#105;&#107;&#101; other children, he repeated himself incessantly, his interests were &#118;&#101;&#114;&#121; restricted, &#097;&#110;&#100; he &#119;&#097;&#115; frequently agitated &#097;&#110;&#100; anxious.</p>
<p>Over the years, the Johnsons tried several treatments &#116;&#111; curb Lawrence&#8217;s violent &#097;&#110;&#100; disruptive outbreaks. &#116;&#104;&#101;&#121; started &#119;&#105;&#116;&#104; applied behavior analysis when he &#119;&#097;&#115; young, &#097;&#110;&#100; attempted interventions ranging from dietary modifications &#116;&#111; music therapy. Lawrence &#116;&#111;&#111;&#107; every pharmaceutical &#116;&#104;&#097;&#116; could potentially treat his problems&#8212;antiseizure medications, serotonin-reuptake inhibitors, atypical antipsychotics, lithium, &#097;&#110;&#100; &#111;&#116;&#104;&#101;&#114;&#115; in various combinations. </p>
<p>Some &#111;&#102; &#116;&#104;&#101;&#115;&#101; treatments offered the family momentary reprieves from &#119;&#104;&#097;&#116; Stewart calls Lawrence&#8217;s &#8220;freak outs.&#8221; But &#097;&#110;&#121; improvements in the boy&#8217;s behavior were &#117;&#115;&#117;&#097;&#108;&#108;&#121; short-lived. &#8220;&#111;&#102; all &#111;&#102; &#116;&#104;&#101;&#109;, the only one &#116;&#104;&#097;&#116; gave &#117;&#115; a &#098;&#114;&#105;&#101;&#102; respite &#119;&#097;&#115; risperidone [a potent antipsychotic], &#097;&#110;&#100; &#116;&#104;&#097;&#116; &#097;&#099;&#116;&#117;&#097;&#108;&#108;&#121; &#100;&#105;&#100;, &#102;&#111;&#114; a &#098;&#114;&#105;&#101;&#102; window, &#115;&#116;&#111;&#112; his agitation &#097;&#110;&#100; aggression,&#8221; Stewart recalls. But after a year &#111;&#114; &#115;&#111;, the drug &#115;&#116;&#111;&#112;&#112;&#101;&#100; working. &#119;&#104;&#105;&#108;&#101; &#115;&#116;&#105;&#108;&#108; &#111;&#110; risperidone, Lawrence began &#116;&#111; gain weight rapidly &#097;&#110;&#100; his daily bouts &#111;&#102; violence &#097;&#110;&#100; aggression returned. </p>
<p>When traditional pharmacotherapy failed, Stewart began &#116;&#111; search &#111;&#117;&#116;&#115;&#105;&#100;&#101; the medical establishment &#102;&#111;&#114; ways &#116;&#111; help his son. &#8220;Lawrence &#119;&#097;&#115; somebody who had had several trials &#111;&#102; other medicines &#116;&#104;&#097;&#116; have &#098;&#101;&#101;&#110; &#119;&#101;&#108;&#108; studied &#097;&#110;&#100; &#114;&#101;&#097;&#108;&#108;&#121; hadn&#8217;t gotten a therapeutic response,&#8221; says his doctor, Eric Hollander, &#116;&#104;&#101;&#110; the head &#111;&#102; Mount Sinai Medical Center&#8217;s Seaver Autism Center in New York City. </p>
<p>But Stewart, a portfolio manager in Manhattan, eschewed unproven &#097;&#110;&#100; potentially &#100;&#097;&#110;&#103;&#101;&#114;&#111;&#117;&#115; alternative autism treatments, &#115;&#117;&#099;&#104; as chelation therapy &#111;&#114; intravenous hydrogen peroxide, &#116;&#111; &#119;&#104;&#105;&#099;&#104; &#115;&#111;&#109;&#101; parents fall prey. Instead he employed a scientific approach, combing Web sites &#108;&#105;&#107;&#101; PubMed &#097;&#110;&#100; MedLine &#102;&#111;&#114; published literature &#111;&#110; promising treatments. &#8220;A large &#112;&#097;&#114;&#116; &#111;&#102; my free time &#097;&#110;&#100; a lot &#111;&#102; time I should have &#098;&#101;&#101;&#110; sleeping &#119;&#097;&#115; given &#111;&#118;&#101;&#114; &#116;&#111; researching &#119;&#104;&#097;&#116;, &#105;&#102; &#097;&#110;&#121;, ways &#116;&#104;&#101;&#114;&#101; are &#116;&#111; &#116;&#114;&#121; &#097;&#110;&#100; get a handle &#111;&#110; &#115;&#111;&#109;&#101; &#111;&#102; &#116;&#104;&#101;&#115;&#101; symptoms,&#8221; Stewart notes. &#8220;I wasn&#8217;t &#108;&#111;&#111;&#107;&#105;&#110;&#103; &#116;&#111; cure autism. I &#119;&#097;&#115; &#108;&#111;&#111;&#107;&#105;&#110;&#103; &#102;&#111;&#114; a way &#116;&#111; &#109;&#097;&#107;&#101; &#111;&#117;&#114; lives bearable.&#8221; </p>
<p>His search &#119;&#111;&#117;&#108;&#100; lead &#104;&#105;&#109; &#116;&#111; &#097;&#110; &#105;&#100;&#101;&#097; &#116;&#104;&#097;&#116;, &#111;&#110; its face, might seem &#106;&#117;&#115;&#116; as farfetched as &#115;&#111;&#109;&#101; &#111;&#102; the alternative autism treatments Stewart calls &#8220;junk science.&#8221; He discovered the work &#111;&#102; a trio &#111;&#102; physician/researchers &#097;&#116; the University &#111;&#102; Iowa who had successfully treated patients &#119;&#105;&#116;&#104; Crohn&#8217;s disease &#097;&#110;&#100; ulcerative colitis &#117;&#115;&#105;&#110;&#103; a nematode parasite found in the intestines &#111;&#102; pigs&#8212;Trichuris suis, the pig whipworm. &#098;&#111;&#116;&#104; are autoimmune disorders in &#119;&#104;&#105;&#099;&#104; the immune &#115;&#121;&#115;&#116;&#101;&#109; essentially attacks the intestinal walls. Stewart &#097;&#108;&#115;&#111; found data &#116;&#104;&#097;&#116; pointed &#116;&#111; a link &#098;&#101;&#116;&#119;&#101;&#101;&#110; &#115;&#111;&#109;&#101; autism symptoms &#097;&#110;&#100; inflated levels &#111;&#102; proinflamma&#8203;tory cytokines, &#097;&#110; apparent result &#111;&#102; the immune &#115;&#121;&#115;&#116;&#101;&#109; attacking glial cells in patients&#8217; brains.1 Putting &#116;&#104;&#101;&#115;&#101; bits &#111;&#102; information together, Stewart wrote a short review paper &#097;&#110;&#100; presented it &#116;&#111; Hollander. His central hypothesis &#119;&#097;&#115; &#116;&#104;&#097;&#116; parasitic worm infection &#119;&#111;&#117;&#108;&#100; modulate Lawrence&#8217;s immune &#115;&#121;&#115;&#116;&#101;&#109; &#097;&#110;&#100; &#099;&#097;&#108;&#109; inflammation &#116;&#104;&#097;&#116; &#119;&#097;&#115; causing his disruptive behaviors. </p>
<p>&#8220;I had &#110;&#101;&#118;&#101;&#114; heard &#111;&#102; it &#098;&#101;&#102;&#111;&#114;&#101;,&#8221; Hollander, now &#097;&#116; the Montefiore Medical Center University Hospital &#111;&#102; the Albert Einstein College &#111;&#102; Medicine, admits. &#8220;It &#119;&#097;&#115; a new &#116;&#104;&#111;&#117;&#103;&#104;&#116;. I looked into the literature &#097;&#110;&#100; &#116;&#104;&#101;&#114;&#101; &#100;&#105;&#100; seem &#116;&#111; &#098;&#101; data supporting the basic hypothesis &#097;&#110;&#100; &#115;&#111;&#109;&#101; data in other conditions in terms &#111;&#102; efficacy.&#8221; Hollander &#119;&#097;&#115; impressed &#119;&#105;&#116;&#104; Stewart&#8217;s research &#097;&#110;&#100; agreed &#116;&#111; help &#104;&#105;&#109; obtain sterile, treatment-grade T. suis eggs &#116;&#104;&#097;&#116; were &#098;&#101;&#105;&#110;&#103; grown &#097;&#110;&#100; tested in Europe &#098;&#121; the German company OvaMed. </p>
<p>Stewart &#097;&#110;&#100; Hollander were reassured &#098;&#121; the behavior &#111;&#102; T. suis in the human gut. Because &#116;&#104;&#101;&#121; have evolved &#116;&#111; infect the guts &#111;&#102; pigs, the worms only colonize humans in a &#118;&#101;&#114;&#121; limited fashion, are unable &#116;&#111; reproduce, &#097;&#110;&#100; are flushed out &#111;&#102; the &#115;&#121;&#115;&#116;&#101;&#109; after a couple &#111;&#102; weeks. &#108;&#105;&#107;&#101; &#109;&#111;&#115;&#116; internal parasites, T. suis cannot complete its entire life cycle in only one host, &#097;&#110;&#100; in the environment the ova require a 3- &#116;&#111; 6-week incubation in moist soil &#116;&#111; mature, &#109;&#097;&#107;&#105;&#110;&#103; inadvertent spread &#111;&#102; the parasites &#116;&#111; Stewart, his wife, &#111;&#114; daughter unlikely. </p>
<p>Please download the latest version &#111;&#102; Flash player &#116;&#111; view the slideshow.</p>
<p>After obtaining permission &#116;&#111; administer the treatment from the US Food &#097;&#110;&#100; Drug Administration (FDA) under &#8220;compassionate use&#8221; rules, Stewart &#097;&#110;&#100; Hollander navigated customs protocols &#116;&#111; import OvaMed&#8217;s formulation &#111;&#102; T. suis ova, called TSO. &#116;&#104;&#101;&#121; had Lawrence drink a solution containing 1,000 &#111;&#102; the roundworm eggs every two weeks &#102;&#111;&#114; 5 months beginning in early 2006. </p>
<p>The results were beyond disappointing. Lawrence&#8217;s aggressive &#097;&#110;&#100; agitated behaviors abated &#102;&#111;&#114; &#106;&#117;&#115;&#116; &#102;&#111;&#117;&#114; days during the entire 20-week treatment period. &#8220;&#116;&#104;&#101;&#114;&#101; were only &#116;&#104;&#111;&#115;&#101; &#102;&#111;&#117;&#114; days,&#8221; Stewart recalls. &#8220;&#101;&#097;&#099;&#104; day subsequent, he went right &#098;&#097;&#099;&#107; &#116;&#111; his old &#115;&#101;&#108;&#102;.&#8221; </p>
<p>Stewart started &#108;&#111;&#111;&#107;&#105;&#110;&#103; &#097;&#116; residential schools where Lawrence could live under the constant supervision &#111;&#102; healthcare professionals. &#8220;We couldn&#8217;t live &#108;&#105;&#107;&#101; &#116;&#104;&#097;&#116; anymore. We were &#097;&#116; &#111;&#117;&#114; wit&#8217;s end,&#8221; he says. </p>
<p>But when Stewart contacted OvaMed&#8217;s president Detlev Goj &#116;&#111; inform &#104;&#105;&#109; &#111;&#102; the dispiriting results, his hope &#119;&#097;&#115; renewed. Goj &#116;&#111;&#108;&#100; &#104;&#105;&#109; &#116;&#104;&#097;&#116; Lawrence&#8217;s response &#116;&#111; the low dose &#111;&#102; worm eggs&#8212;1,000 ova every two weeks as opposed &#116;&#111; 2,500 in the promising Crohn&#8217;s &#097;&#110;&#100; ulcerative colitis trials&#8212;&#097;&#099;&#116;&#117;&#097;&#108;&#108;&#121; fit the profile &#111;&#102; a potential responder. He recommended &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#121; &#103;&#105;&#118;&#101; Lawrence 2,500 eggs every two weeks &#102;&#111;&#114; a period &#097;&#110;&#100; see &#119;&#104;&#097;&#116; happened. Stewart relayed the information &#116;&#111; Hollander, &#097;&#110;&#100; &#116;&#104;&#101;&#121; prepared &#116;&#111; conduct &#097;&#110;&#111;&#116;&#104;&#101;&#114; trial, &#116;&#104;&#105;&#115; time &#097;&#116; the full dose. </p>
<p> The Iowa studies
<p>The research &#116;&#104;&#097;&#116; initially stoked Stewart&#8217;s hopes &#102;&#111;&#114; treating his son &#117;&#115;&#105;&#110;&#103; parasitic worms &#119;&#097;&#115; conducted a few years earlier in the University &#111;&#102; Iowa lab &#111;&#102; Joel Weinstock, who is now head &#111;&#102; gastroenterology &#097;&#116; Tufts University in Boston. Weinstock, &#097;&#108;&#111;&#110;&#103; &#119;&#105;&#116;&#104; his colleagues Robert Summers &#097;&#110;&#100; David Elliot, hit &#117;&#112;&#111;&#110; the &#105;&#100;&#101;&#097; &#111;&#102; treating inflammatory bowel diseases &#098;&#121; infecting patients &#119;&#105;&#116;&#104; roundworms after finding epidemiological evidence linking worms &#097;&#110;&#100; autoimmune diseases. </p>
<p>The Iowa researchers knew &#116;&#104;&#097;&#116; when people &#109;&#111;&#118;&#101;&#100; from &#108;&#101;&#115;&#115; developed &#116;&#111; more developed countries, the rates &#111;&#102; autoimmune diseases rose in the immigrant population. &#102;&#111;&#114; &#101;&#120;&#097;&#109;&#112;&#108;&#101;, in populations moving in the 1970s &#097;&#110;&#100; 1980s from India, a country &#119;&#105;&#116;&#104; high incidences &#111;&#102; worm infection, &#116;&#111; the United Kingdom, where &#115;&#117;&#099;&#104; infections are rarer, the incidence &#111;&#102; Crohn&#8217;s disease increased rapidly.2 &#097;&#110;&#100; in the 1930s &#097;&#110;&#100; 1940s epidemiologists had found virtually no occurrence &#111;&#102; bowel disorders in children living in the rural southern states &#111;&#102; the United States. Because pig farming &#119;&#097;&#115; &#100;&#111;&#110;&#101; &#111;&#110; a regional basis &#097;&#110;&#100; &#109;&#097;&#110;&#121; rural dwellers lived in close proximity &#116;&#111; &#116;&#104;&#101;&#105;&#114; livestock, worm infections were much more common &#111;&#117;&#116;&#115;&#105;&#100;&#101; urban areas. As nationwide programs were launched &#116;&#111; tamp &#100;&#111;&#119;&#110; worm infections &#097;&#109;&#111;&#110;&#103; rural populations &#097;&#110;&#100; migration &#116;&#111; urban areas increased, autoimmune diseases &#098;&#101;&#099;&#097;&#109;&#101; more prevalent. </p>
<p>Weinstock &#097;&#110;&#100; his colleagues hypothesized &#116;&#104;&#097;&#116; &#114;&#097;&#116;&#104;&#101;&#114; than the presence &#111;&#102; &#115;&#111;&#109;&#101; environmental factor leading &#116;&#111; the uptick in certain autoimmune disease, perhaps the absence &#111;&#102; &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; &#119;&#097;&#115; &#116;&#111; blame. &#109;&#097;&#121;&#098;&#101; steering clear &#111;&#102; worm infections &#119;&#097;&#115; &#097;&#108;&#115;&#111; robbing individuals living in industrialized nations &#111;&#114; developed urban centers &#111;&#102; crucial immune-system modulation &#116;&#104;&#097;&#116; had arisen through millennia &#111;&#102; coevolution &#119;&#105;&#116;&#104; &#116;&#104;&#101;&#115;&#101; parasites, &#116;&#104;&#101;&#121; reasoned. &#8220;&#116;&#104;&#105;&#115; could &#098;&#101; a reason why, &#105;&#102; people are infected naturally in a developing country, &#116;&#104;&#101;&#121; might &#110;&#111;&#116; develop inflammatory bowel disease &#111;&#114; other immune diseases,&#8221; says Robert Summers. </p>
<p>They settled &#111;&#110; the porcine whipworm &#116;&#111; test &#116;&#104;&#101;&#105;&#114; hypothesis, &#097;&#110;&#100; administered the helminths &#116;&#111; a group &#111;&#102; Crohn&#8217;s disease &#097;&#110;&#100; ulcerative colitis patients. </p>
<p>In &#097;&#110; open-label pilot study, &#102;&#111;&#117;&#114; patients &#119;&#105;&#116;&#104; Crohn&#8217;s disease &#097;&#110;&#100; &#116;&#104;&#114;&#101;&#101; &#119;&#105;&#116;&#104; ulcerative colitis ingested T. suis ova. Symptoms improved in all seven patients.3 In a larger trial in 2005, &#110;&#101;&#097;&#114;&#108;&#121; 80 percent &#111;&#102; 29 patients suffering from Crohn&#8217;s disease reported significant alleviation &#111;&#102; &#116;&#104;&#101;&#105;&#114; symptoms after 24 weeks &#111;&#102; treatment.4 The team reported more modest but &#115;&#116;&#105;&#108;&#108; promising results in a study testing the treatment &#111;&#110; patients &#119;&#105;&#116;&#104; ulcerative colitis.5 </p>
<p>The Iowa team suspected &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#105;&#114; research &#119;&#111;&#117;&#108;&#100; &#098;&#101; ridiculed, discounted, &#111;&#114; followed up &#111;&#110; &#098;&#121; &#116;&#104;&#101;&#105;&#114; colleagues. &#8220;We knew &#116;&#104;&#097;&#116; it could &#098;&#101; totally &#105;&#103;&#110;&#111;&#114;&#101;&#100;, &#111;&#114; it &#109;&#097;&#121; get &#115;&#111;&#109;&#101; real conversation, because anything new &#109;&#097;&#107;&#101;&#115; people talk,&#8221; remembers Weinstock. </p>
<p>Though scientists were &#105;&#110;&#100;&#101;&#101;&#100; intrigued &#098;&#121; the Iowa research, it &#116;&#111;&#111;&#107; Stewart Johnson&#8217;s happening &#117;&#112;&#111;&#110; the findings &#097;&#110;&#100; applying &#116;&#104;&#101;&#109; &#116;&#111; the treatment &#111;&#102; his autistic son &#102;&#111;&#114; helminthic therapy &#116;&#111; &#114;&#101;&#097;&#108;&#108;&#121; sprout wings. </p>
<p> Second time&#8217;s a charm?
<p>The Johnson family anxiously awaited the effects &#111;&#102; the full dose &#111;&#102; TSO &#111;&#110; Lawrence&#8217;s violent behavior. &#119;&#105;&#116;&#104;&#105;&#110; 10 weeks &#111;&#102; the higher-dose treatment, the autistic boy &#115;&#116;&#111;&#112;&#112;&#101;&#100; smashing his head against walls. He &#115;&#116;&#111;&#112;&#112;&#101;&#100; gouging &#097;&#116; his eyes. The paralysis &#097;&#110;&#100; frustration &#116;&#104;&#097;&#116; held &#104;&#105;&#109; &#097;&#110;&#100; his family prisoners in &#116;&#104;&#101;&#105;&#114; own home lifted. The freak outs ceased. &#8220;It wasn&#8217;t gradations,&#8221; remembers Stewart, who had &#097;&#108;&#119;&#097;&#121;&#115; &#107;&#101;&#112;&#116; meticulous notes &#111;&#110; Lawrence&#8217;s disorder &#097;&#110;&#100; the interventions &#116;&#104;&#101;&#121; had attempted. &#8220;It &#106;&#117;&#115;&#116; went away. All &#116;&#104;&#101;&#115;&#101; behaviors &#106;&#117;&#115;&#116; disappeared.&#8221; Elated, Stewart called Lawrence&#8217;s doctor, Eric Hollander. &#8220;He &#119;&#097;&#115; stunned, because all &#111;&#102; &#116;&#104;&#097;&#116; behavior set &#119;&#097;&#115; &#103;&#111;&#110;&#101;,&#8221; Stewart says. &#8220;He &#119;&#097;&#115; speechless, as I &#119;&#097;&#115;.&#8221; </p>
<p>Hollander &#097;&#110;&#100; Stewart recognized the potential importance &#111;&#102; Lawrence&#8217;s reaction &#116;&#111; TSO, &#097;&#110;&#100; after a year &#111;&#114; &#115;&#111; &#111;&#102; closely monitoring the boy&#8217;s progress, the researcher &#097;&#115;&#107;&#101;&#100; Stewart &#116;&#111; present &#116;&#104;&#101;&#105;&#114; findings &#116;&#111; his colleagues &#097;&#116; the Seaver Autism Center during its annual conference in 2007. Stewart &#100;&#105;&#100; &#115;&#111;, &#097;&#110;&#100; the team &#097;&#116; the research facility, one &#111;&#102; the &#109;&#111;&#115;&#116; prominent in the nation, &#119;&#097;&#115; intrigued. &#8220;&#116;&#104;&#101;&#121; were &#118;&#101;&#114;&#121; impressed,&#8221; Stewart recalls. &#8220;It &#119;&#097;&#115; &#118;&#101;&#114;&#121; &#119;&#101;&#108;&#108; received.&#8221; </p>
<p>The Seaver Center researchers were &#115;&#111; impressed, in fact, &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#121; agreed &#116;&#111; use the case &#111;&#102; Lawrence Johnson as the basis &#116;&#111; apply &#102;&#111;&#114; a more formal clinical trial testing TSO in other autistic patients &#119;&#105;&#116;&#104; severely disruptive &#097;&#110;&#100; aggressive behaviors. &#119;&#105;&#116;&#104; Stewart&#8217;s help, the team submitted &#097;&#110; Investigational New Drug (IND) application &#116;&#111; the FDA &#116;&#111; import &#097;&#110;&#100; administer TSO &#102;&#111;&#114; 16 weeks &#116;&#111; 10 adult autistic patients &#119;&#105;&#116;&#104; symptoms similar &#116;&#111; Lawrence&#8217;s. </p>
<p>According &#116;&#111; Alex Kolevzon, clinical director &#111;&#102; the Seaver Center &#097;&#110;&#100; the lead researcher &#111;&#102; the TSO study, it &#116;&#111;&#111;&#107; &#115;&#111;&#109;&#101; convincing &#098;&#111;&#116;&#104; &#097;&#116; the FDA &#097;&#110;&#100; &#119;&#105;&#116;&#104;&#105;&#110; the Seaver Center&#8217;s own review board &#116;&#111; launch the trial. &#8220;&#119;&#104;&#097;&#116; I had &#116;&#111; convince &#116;&#104;&#101;&#109; &#111;&#102; &#119;&#097;&#115; &#116;&#104;&#097;&#116; we were &#103;&#111;&#105;&#110;&#103; &#116;&#111; &#098;&#101; &#118;&#101;&#114;&#121; safe &#119;&#105;&#116;&#104; &#117;&#115;&#105;&#110;&#103; &#116;&#104;&#105;&#115; medicine,&#8221; he says. &#8220;Everybody who encountered &#116;&#104;&#105;&#115; held it up &#116;&#111; a lot &#111;&#102; scrutiny.&#8221; </p>
<p>Recently, the FDA &#097;&#110;&#100; Mount Sinai&#8217;s internal review board were persuaded &#116;&#111; &#097;&#108;&#108;&#111;&#119; the trial &#111;&#110; adults &#116;&#111; &#103;&#111; &#102;&#111;&#114;&#119;&#097;&#114;&#100;, &#097;&#110;&#100; Kolevzon &#097;&#110;&#100; his colleagues are now recruiting 10 patients &#119;&#105;&#116;&#104; the right behavioral profile &#102;&#111;&#114; the study. Hopes are high &#102;&#111;&#114; TSO&#8217;s potential &#097;&#110;&#100; &#102;&#111;&#114; the study&#8217;s ability &#116;&#111; shed light &#111;&#110; the role &#111;&#102; immune &#115;&#121;&#115;&#116;&#101;&#109; functioning in autism. &#119;&#104;&#105;&#108;&#101; it &#109;&#097;&#121; &#098;&#101; &#116;&#104;&#097;&#116; TSO &#119;&#105;&#108;&#108; &#098;&#101; a benefit, Kolevzon says, &#8220;the broader hope is &#116;&#104;&#097;&#116; we&#8217;re &#103;&#111;&#105;&#110;&#103; &#116;&#111; learn &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; about &#104;&#111;&#119; the immune &#115;&#121;&#115;&#116;&#101;&#109; responds &#116;&#111; TSO &#116;&#104;&#097;&#116; &#109;&#097;&#121; lead &#116;&#111; other, more targeted treatments.&#8221; </p>
<p> &#117;&#115;&#105;&#110;&#103; worms &#116;&#111; battle other illnesses
<p>Kolevzon&#8217;s group &#097;&#116; the Seaver Center isn&#8217;t the only team &#111;&#102; researchers pursuing the treatment approach &#116;&#104;&#097;&#116; Weinstock &#097;&#110;&#100; his Iowa colleagues launched&#8212;&#097;&#110;&#100; autism isn&#8217;t the only disease &#116;&#104;&#097;&#116; scientists are now targeting &#119;&#105;&#116;&#104; the use &#111;&#102; parasitic worms. John Fleming, a University &#111;&#102; Wisconsin neurologist, is investigating TSO&#8217;s safety in multiple sclerosis (MS) patients, testing the treatment as &#097;&#110; IND under FDA&#8217;s supervision. Fleming &#119;&#097;&#115;, in fact, the first researcher &#116;&#111; start the IND application process, &#097;&#110;&#100; Kolevzon credits &#104;&#105;&#109; &#102;&#111;&#114; laying the groundwork &#119;&#105;&#116;&#104; the FDA &#116;&#104;&#097;&#116; &#109;&#097;&#100;&#101; it &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#116;&#111; get the autism trial started. But Fleming, &#108;&#105;&#107;&#101; Kolevzon, says &#116;&#104;&#097;&#116; &#103;&#101;&#116;&#116;&#105;&#110;&#103; the FDA &#116;&#111; &#097;&#108;&#108;&#111;&#119; &#104;&#105;&#109; &#116;&#111; proceed &#119;&#105;&#116;&#104; the studies &#119;&#097;&#115; no small task. Fleming&#8217;s study, &#119;&#104;&#105;&#099;&#104; &#119;&#105;&#108;&#108; treat 18 MS patients &#119;&#105;&#116;&#104; the helminth ova, &#119;&#097;&#115; approved in a grant from the MS Society in 2004. It wasn&#8217;t until &#108;&#097;&#115;&#116; year &#116;&#104;&#097;&#116; the FDA finally allowed &#104;&#105;&#109; &#116;&#111; proceed &#119;&#105;&#116;&#104; the trial under IND rules. &#8220;We spent long years in a regulatory wilderness until we &#103;&#111;&#116; FDA approval,&#8221; Fleming says. </p>
<p>Fleming himself needed &#115;&#111;&#109;&#101; convincing when he initially &#099;&#097;&#109;&#101; across the &#105;&#100;&#101;&#097;. &#8220;When I first heard &#111;&#102; &#116;&#104;&#105;&#115; I &#116;&#104;&#111;&#117;&#103;&#104;&#116; it implausible,&#8221; he admits. &#8220;The evidence from the people in Iowa &#097;&#110;&#100; thinking about the science &#098;&#101;&#104;&#105;&#110;&#100; &#119;&#104;&#097;&#116; &#116;&#104;&#101;&#121; &#100;&#105;&#100; gradually had &#097;&#110; impact &#111;&#110; me, &#097;&#110;&#100; I &#115;&#097;&#105;&#100;, &#8216;&#116;&#104;&#105;&#115; is plausible &#097;&#110;&#100; it &#111;&#117;&#103;&#104;&#116; &#116;&#111; &#098;&#101; tested.&#8217;&#8221; </p>
<p>While he &#119;&#097;&#115; awaiting the FDA&#8217;s approval &#116;&#111; proceed &#119;&#105;&#116;&#104; the helminth studies, Fleming learned &#111;&#102; a study in Argentina in &#119;&#104;&#105;&#099;&#104; 12 MS patients &#119;&#105;&#116;&#104; naturally occurring helminth infections who were followed &#102;&#111;&#114; &#102;&#111;&#117;&#114; &#097;&#110;&#100; a &#104;&#097;&#108;&#102; years &#115;&#104;&#111;&#119;&#101;&#100; significantly &#108;&#101;&#115;&#115; neurological damage when compared &#116;&#111; 12 MS patients &#119;&#105;&#116;&#104;&#111;&#117;&#116; infections.6 &#116;&#104;&#097;&#116; study &#8220;&#099;&#101;&#114;&#116;&#097;&#105;&#110;&#108;&#121; gave &#097;&#116; least &#115;&#111;&#109;&#101; hope &#116;&#104;&#097;&#116; the helminth treatment in inflammatory bowel diseases could &#098;&#101; applied in multiple sclerosis as &#119;&#101;&#108;&#108;,&#8221; according &#116;&#111; Fleming. He adds &#116;&#104;&#097;&#116; he is &#115;&#116;&#105;&#108;&#108; recruiting patients &#102;&#111;&#114; the phase I trial. </p>
<p>Another researcher, Harvard pathologist Marie-H&#233;l&#232;ne Jouvin, has &#097;&#108;&#115;&#111; convinced the FDA &#116;&#111; &#097;&#108;&#108;&#111;&#119; &#104;&#101;&#114; &#116;&#111; proceed &#119;&#105;&#116;&#104; trials &#111;&#102; TSO, in &#104;&#101;&#114; case testing its safety in five patients who suffer from severe food allergies, &#119;&#104;&#105;&#099;&#104; are caused &#098;&#121; overzealous inflammatory responses &#116;&#111; particular environmental triggers. &#108;&#105;&#107;&#101; &#104;&#101;&#114; colleagues working &#119;&#105;&#116;&#104; autism &#097;&#110;&#100; MS, Jouvin holds hope &#116;&#104;&#097;&#116; helminth infection &#119;&#105;&#108;&#108; eventually open new treatment options &#102;&#111;&#114; people &#119;&#105;&#116;&#104; food allergies as &#119;&#101;&#108;&#108; as a host &#111;&#102; other diseases. &#8220;From &#119;&#104;&#097;&#116; we &#107;&#110;&#111;&#119; from epidemiological studies &#119;&#105;&#116;&#104; helminth infections &#097;&#110;&#100; from animal studies &#097;&#110;&#100; from the clinical studies &#100;&#111;&#110;&#101; &#098;&#121; Joel Weinstock,&#8221; &#115;&#104;&#101; says, &#8220;it is clear &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#114;&#101; is a good chance &#116;&#104;&#097;&#116; TSO could fine tune &#111;&#114; modulate inflammation/immunity in &#109;&#097;&#110;&#121; diseases where it is now clear &#116;&#104;&#097;&#116; inflammation/immunity plays a critical role.&#8221; &#097;&#108;&#115;&#111; &#108;&#105;&#107;&#101; &#104;&#101;&#114; colleagues, Jouvin is &#115;&#116;&#105;&#108;&#108; in the process &#111;&#102; recruiting patients. As &#111;&#102; &#108;&#097;&#115;&#116; November, &#115;&#104;&#101; had recruited only one. </p>
<p> &#104;&#111;&#119; &#100;&#111; worms work?
<p>The &#116;&#104;&#114;&#101;&#101; phase I clinical trials underway in the United States &#117;&#115;&#105;&#110;&#103; helminth eggs are, &#098;&#121; regulation, designed as safety studies, simply testing the suitability &#111;&#102; introducing the parasites into the guts &#111;&#102; patients. But given the anecdotal evidence &#116;&#104;&#097;&#116; T. suis infestations in humans have virtually no negative side effects, the underlying scientific push is &#116;&#111; understand &#101;&#120;&#097;&#099;&#116;&#108;&#121; &#104;&#111;&#119; the worms are acting &#116;&#111; modulate immune responses &#116;&#104;&#097;&#116; lie &#097;&#116; the root &#111;&#102; certain autism symptoms, inflammatory bowel diseases, &#097;&#110;&#100; food allergies, &#097;&#109;&#111;&#110;&#103; other autoimmune diseases. </p>
<p>Science is uncovering more &#111;&#102; the intricacies &#111;&#102; the human immune &#115;&#121;&#115;&#116;&#101;&#109; every day. Ten years &#097;&#103;&#111;, prevailing &#116;&#104;&#111;&#117;&#103;&#104;&#116; &#111;&#110; adaptive &#111;&#114; &#097;&#099;&#113;&#117;&#105;&#114;&#101;&#100; immunity held &#116;&#104;&#097;&#116; two types &#111;&#102; T helper cells&#8212;Th1 &#097;&#110;&#100; Th2&#8212;maintained &#097;&#110; equilibrium in the body: Th1 cells spur the bactericidal tendencies &#111;&#102; macrophages &#097;&#110;&#100; ramp up cellular immunity against bacteria &#097;&#110;&#100; viruses, &#119;&#104;&#105;&#108;&#101; Th2 cells induce immune &#115;&#121;&#115;&#116;&#101;&#109; changes &#116;&#104;&#097;&#116; target parasites, toxins, &#097;&#110;&#100; allergens. From &#116;&#104;&#105;&#115; model scientists predicted &#116;&#104;&#097;&#116; &#105;&#102; parasites &#108;&#105;&#107;&#101; intestinal worms could activate a Th2-type response, the Th1 response, &#119;&#104;&#105;&#099;&#104; is &#117;&#115;&#117;&#097;&#108;&#108;&#121; implicated in autoimmune diseases, &#119;&#111;&#117;&#108;&#100; &#098;&#101; suppressed. In &#114;&#101;&#099;&#101;&#110;&#116; years, &#104;&#111;&#119;&#101;&#118;&#101;&#114;, &#116;&#104;&#105;&#115; simplistic model has fallen out &#111;&#102; favor. </p>
<p> <img src="images.the-scientist.com/content/images/articles/57941/42-2.jpg" border="0" width="300" height="250" alt="">Treatment-grade Trichuris suis ova Ovamed
<p>As more is learned about the complexity &#111;&#102; immune responses &#097;&#110;&#100; more lymphocyte subpopulations come &#116;&#111; light, &#114;&#101;&#099;&#101;&#110;&#116; theories point &#116;&#111; a modulation &#111;&#102; T regulatory cells&#8212;&#119;&#104;&#105;&#099;&#104; function &#116;&#111; suppress activation &#111;&#102; the immune &#115;&#121;&#115;&#116;&#101;&#109; &#097;&#110;&#100; prevent it from attacking the body&#8217;s own tissues&#8212;&#098;&#121; worm infection. &#8220;The &#116;&#104;&#111;&#117;&#103;&#104;&#116; is &#116;&#104;&#097;&#116; the helminth can induce T regulatory cells initially in the gut,&#8221; says John Fleming, speaking about the worm&#8217;s potential effect in MS patients, &#8220;but &#115;&#111;&#109;&#101;&#104;&#111;&#119; &#116;&#104;&#105;&#115; changes the whole inflammatory milieu &#097;&#110;&#100; &#116;&#104;&#105;&#115; translates &#116;&#111; &#108;&#101;&#115;&#115; inflammation in the brain.&#8221; He cautions, &#104;&#111;&#119;&#101;&#118;&#101;&#114;, &#116;&#104;&#097;&#116; other &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; mechanisms could &#098;&#101; &#097;&#116; play. </p>
<p>Clues &#116;&#111; the mysterious mechanism &#098;&#101;&#104;&#105;&#110;&#100; the ability &#111;&#102; parasitic worms &#116;&#111; seemingly &#099;&#097;&#108;&#109; the immune &#115;&#121;&#115;&#116;&#101;&#109; &#097;&#108;&#115;&#111; come in the form &#111;&#102; case reports from patients &#119;&#105;&#116;&#104; concomitant worm infections &#097;&#110;&#100; autoimmune diseases. &#102;&#111;&#114; &#101;&#120;&#097;&#109;&#112;&#108;&#101;, a team &#111;&#102; researchers from New York &#097;&#110;&#100; San Francisco recently found elevated levels &#111;&#102; T helper (Th2) cells in the intestinal epithelium &#111;&#102; &#097;&#110; ulcerative colitis patient who had infected himself &#119;&#105;&#116;&#104; Trichuris trichiura, the human whipworm. &#097;&#116; spots in his intestine where the colitis &#119;&#097;&#115; clearing up, T helper cells initiated the production &#111;&#102; a protein called interleukin-22, a cytokine involved in mucosal healing, &#119;&#104;&#105;&#108;&#101; genes involved in carbohydrate &#097;&#110;&#100; lipid metabolism were upregulated.7 </p>
<p>Working &#119;&#105;&#116;&#104; mice, Joel Weinstock &#097;&#110;&#100; colleagues &#097;&#116; Tufts have found a tantalizing new piece &#111;&#102; the puzzle. In a &#114;&#101;&#099;&#101;&#110;&#116; study &#117;&#115;&#105;&#110;&#103; a mouse model &#111;&#102; colitis, &#116;&#104;&#101;&#121; found &#116;&#104;&#097;&#116; dendritic cells, &#119;&#104;&#105;&#099;&#104; process &#097;&#110;&#100; present antigens &#116;&#111; other immune cells &#097;&#110;&#100; in &#116;&#104;&#105;&#115; case were functioning in innate immunity, &#109;&#097;&#121; &#098;&#101; &#106;&#117;&#115;&#116; as important as T cells&#8212;the principle agents &#111;&#102; adaptive immunity&#8212;in driving the autoimmune attack &#111;&#110; intestinal tissues &#116;&#104;&#097;&#116; is characteristic &#111;&#102; colitis. The researchers found &#116;&#104;&#097;&#116; infection &#119;&#105;&#116;&#104; the helminth Heligmosomoides polygyrus could reverse colitis &#098;&#121; interacting &#119;&#105;&#116;&#104; dendritic cells &#116;&#111; influence pathogenic T cells.8 </p>
<p>While the complicated mechanisms &#098;&#101;&#104;&#105;&#110;&#100; the effect &#111;&#102; worm infections &#111;&#110; the human immune &#115;&#121;&#115;&#116;&#101;&#109; &#119;&#105;&#108;&#108; come &#116;&#111; light only after &#109;&#097;&#110;&#121; years &#111;&#102; careful study, the fact &#116;&#104;&#097;&#116; the FDA has sanctioned preliminary trials is &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; &#111;&#102; a watershed moment. The &#116;&#104;&#114;&#101;&#101; ongoing clinical trials &#119;&#105;&#116;&#104; TSO represent the first time &#116;&#104;&#097;&#116; the FDA has allowed studies &#111;&#102; a whole-organism therapeutic agent. </p>
<p>Although the FDA cannot legally comment &#111;&#110; unapproved products, &#097;&#110; agency spokesperson &#100;&#105;&#100; write &#116;&#104;&#097;&#116;, &#8220;The FDA does recognize the potential importance &#111;&#102; alternative therapies, including certain intestinal worms,&#8221; in &#097;&#110; e-mail &#116;&#111; The Scientist. </p>
<p> One &#104;&#097;&#112;&#112;&#121; &#101;&#110;&#100;&#105;&#110;&#103;
<p>Meanwhile, Lawrence Johnson, now 20 years old, continues &#116;&#111; respond positively &#116;&#111; treatment &#119;&#105;&#116;&#104; T. suis eggs. Because the parasites are flushed from his &#115;&#121;&#115;&#116;&#101;&#109; regularly, he takes a dose &#111;&#102; TSO as his father sees the &#110;&#101;&#101;&#100;, roughly every two weeks. &#116;&#104;&#111;&#117;&#103;&#104; &#116;&#104;&#105;&#115; costs Stewart &#097;&#110;&#100; his family about 600 Euros a month, he says the treatment has changed &#116;&#104;&#101;&#105;&#114; lives &#097;&#110;&#100; &#116;&#104;&#097;&#116; it&#8217;s &#119;&#101;&#108;&#108; worth the price. &#8220;There&#8217;re no words &#116;&#111; &#100;&#101;&#115;&#099;&#114;&#105;&#098;&#101; it. It&#8217;s &#108;&#105;&#107;&#101; giving me my son &#098;&#097;&#099;&#107;,&#8221; he says. &#8220;&#111;&#114; in &#109;&#097;&#110;&#121; ways, &#108;&#105;&#107;&#101; giving me a son &#116;&#104;&#097;&#116; I didn&#8217;t ever have.&#8221; </p>
<p>Since &#115;&#101;&#101;&#105;&#110;&#103; the positive effects &#111;&#102; TSO &#111;&#110; Lawrence&#8217;s worst behaviors, Stewart has launched a Web site, autismtso.com, &#116;&#111; share his family&#8217;s experience &#097;&#110;&#100; inform other parents &#111;&#102; current research &#097;&#110;&#100; the progress &#111;&#102; the clinical trial &#097;&#116; the Seaver Center. He &#097;&#108;&#115;&#111; wrote a chapter about his experience &#119;&#105;&#116;&#104; TSO treatment in the recently published Textbook &#111;&#102; Autism Spectrum Disorders.9 </p>
<p>Even given the remarkable contributions he&#8217;s &#109;&#097;&#100;&#101; in the field &#111;&#102; helminthic therapy, Stewart remains realistic about his continued contribution. &#8220;&#097;&#109; I the one who&#8217;s &#103;&#111;&#105;&#110;&#103; &#116;&#111; &#102;&#105;&#110;&#100; out the underlying mechanism &#098;&#121; &#119;&#104;&#105;&#099;&#104; helminths interact &#119;&#105;&#116;&#104; the immune &#115;&#121;&#115;&#116;&#101;&#109;?&#8221; he asks. &#8220;No. I &#097;&#109; &#100;&#101;&#102;&#105;&#110;&#105;&#116;&#101;&#108;&#121; &#110;&#111;&#116; &#116;&#104;&#097;&#116; person. But I &#103;&#111;&#116; &#117;&#115; &#116;&#111; &#116;&#104;&#105;&#115; point, &#097;&#110;&#100; now hopefully &#111;&#116;&#104;&#101;&#114;&#115; can figure &#116;&#104;&#097;&#116; out, &#097;&#110;&#100; hopefully &#116;&#104;&#101;&#114;&#101; is a connection &#097;&#110;&#100; &#116;&#104;&#105;&#115; &#119;&#105;&#108;&#108; help other people.&#8221;</p>
<p>Correction (2nd February): When originally posted, &#116;&#104;&#105;&#115; article conflated irritable bowel syndrome &#119;&#105;&#116;&#104; inflammatory bowel diseases. The Scientist regrets the error.</p></p>
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		<title>Can a parasite cause the symptoms of Celiac Disease?</title>
		<link>http://symptomadvice.com/can-a-parasite-cause-the-symptoms-of-celiac-disease/</link>
		<comments>http://symptomadvice.com/can-a-parasite-cause-the-symptoms-of-celiac-disease/#comments</comments>
		<pubDate>Sat, 22 Jan 2011 19:00:14 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[disease symptoms]]></category>
		<category><![CDATA[celiac disease]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[white worms]]></category>

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		<description><![CDATA[Recently I &#115;&#116;&#097;&#114;&#116;&#101;&#100; &#115;&#104;&#111;&#119;&#105;&#110;&#103; symptoms of Celiac Disease (Oils &#105;&#110; stool etc), and I &#104;&#097;&#100; had &#119;&#104;&#097;&#116; appeared to be white worms &#105;&#110; &#109;&#121; stool &#097;&#098;&#111;&#117;&#116; a week before the symptoms &#099;&#097;&#109;&#101;. The white things didn&#039;t move and &#116;&#104;&#101;&#121; &#119;&#101;&#114;&#101; relatively small. &#105;&#115; it &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#116;&#104;&#097;&#116; &#109;&#121; symptoms of Celiac disease are from a parasite?]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1295722815-16.jpg" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>Recently I &#115;&#116;&#097;&#114;&#116;&#101;&#100; &#115;&#104;&#111;&#119;&#105;&#110;&#103; symptoms of Celiac Disease (Oils &#105;&#110; stool etc), and I &#104;&#097;&#100; had &#119;&#104;&#097;&#116; appeared to be white worms &#105;&#110; &#109;&#121; stool &#097;&#098;&#111;&#117;&#116; a week before the symptoms &#099;&#097;&#109;&#101;. The white things didn&#039;t move and &#116;&#104;&#101;&#121; &#119;&#101;&#114;&#101; relatively small. &#105;&#115; it &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#116;&#104;&#097;&#116; &#109;&#121; symptoms of Celiac disease are from a parasite?</p></p>
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		<title>What are the symptoms of Malaria</title>
		<link>http://symptomadvice.com/what-are-the-symptoms-of-malaria/</link>
		<comments>http://symptomadvice.com/what-are-the-symptoms-of-malaria/#comments</comments>
		<pubDate>Fri, 14 Jan 2011 20:34:13 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[malaria symptoms]]></category>
		<category><![CDATA[immunity]]></category>
		<category><![CDATA[initial symptoms]]></category>
		<category><![CDATA[live 105]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[tropics]]></category>
		<category><![CDATA[vivax]]></category>

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		<description><![CDATA[Malaria &#105;&#115; &#113;&#117;&#105;&#116;&#101; common &#105;&#110; &#116;&#104;&#101; tropics &#097;&#110;&#100; &#105;&#116; &#105;&#115; transmitted &#116;&#104;&#114;&#111;&#117;&#103;&#104; bites &#111;&#102; an infected female mosquito. &#116;&#104;&#101; appearance &#111;&#102; symptoms &#111;&#102; malaria symptoms &#111;&#102; &#116;&#104;&#101; disease tend &#116;&#111; &#115;&#104;&#111;&#119; depend &#111;&#110; &#116;&#104;&#101; type &#111;&#102; parasite. For instance, you &#119;&#105;&#108;&#108; get initial symptoms &#111;&#102; malaria &#105;&#110; 9 &#116;&#111; 14 days if you are infected [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1295037254-48.jpg%3Fw%3D720%26h%3D479" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>Malaria &#105;&#115; &#113;&#117;&#105;&#116;&#101; common &#105;&#110; &#116;&#104;&#101; tropics &#097;&#110;&#100; &#105;&#116; &#105;&#115; transmitted &#116;&#104;&#114;&#111;&#117;&#103;&#104; bites &#111;&#102; an infected female mosquito. &#116;&#104;&#101; appearance &#111;&#102; symptoms &#111;&#102; malaria symptoms &#111;&#102; &#116;&#104;&#101; disease tend &#116;&#111; &#115;&#104;&#111;&#119; depend &#111;&#110; &#116;&#104;&#101; type &#111;&#102; parasite. For instance, you &#119;&#105;&#108;&#108; get initial symptoms &#111;&#102; malaria &#105;&#110; 9 &#116;&#111; 14 days if you are infected with Plasmodium falciparum; 12 &#116;&#111; 18 days for Plasmodium vivax or Plasmodium ovale; &#097;&#110;&#100; 18 &#116;&#111; 40 days for Plasmodium malariae.</p>
<p>Common Symptoms &#111;&#102; Malaria:You &#107;&#110;&#111;&#119; you &#104;&#097;&#118;&#101; malaria if you are suffering from fever, chills, headaches, sweats, fatigue, nausea &#097;&#110;&#100; vomiting. However, &#116;&#104;&#101; severity &#111;&#102; &#116;&#104;&#101; symptoms depends &#111;&#110; your body&#8217;s immunity, your overall health &#097;&#110;&#100; whether you &#104;&#097;&#118;&#101; spleen. People &#119;&#104;&#111; live &#105;&#110; regions &#119;&#104;&#101;&#114;&#101; malaria &#105;&#115; common &#117;&#115;&#117;&#097;&#108;&#108;&#121; &#101;&#110;&#100; up having semi-immunity &#116;&#111; &#116;&#104;&#101; disease &#097;&#110;&#100; that &#105;&#115; why &#116;&#104;&#101;&#121; display &#101;&#105;&#116;&#104;&#101;&#114; &#102;&#101;&#119; or no symptoms &#111;&#102; &#116;&#104;&#101; disease.</p>
<p>Symptoms &#111;&#102; malaria &#099;&#111;&#109;&#101; &#097;&#110;&#100; &#103;&#111; &#105;&#110; &#097; cycle &#097;&#110;&#100; &#116;&#104;&#101;&#121; stay for &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; lengths &#111;&#102; time. This &#105;&#115; &#101;&#115;&#112;&#101;&#099;&#105;&#097;&#108;&#108;&#121; &#116;&#114;&#117;&#101; &#105;&#110; &#116;&#104;&#101; initial stages &#111;&#102; &#116;&#104;&#101; disease. &#116;&#104;&#101; cycle occurs &#100;&#117;&#101; &#116;&#111; that lifecycle &#111;&#102; &#116;&#104;&#101; malaria causing parasite. If &#116;&#104;&#101; symptoms occur &#105;&#110; &#097; cyclic manner, you can &#098;&#101; sure that you are suffering from malaria as many &#111;&#102; these symptoms are &#097;&#108;&#115;&#111; common &#116;&#111; bacterial, viral or parasitic infections.</p>
<p>Other common symptoms &#111;&#102; &#116;&#104;&#101; disease include dry cough, enlarged spleen &#097;&#110;&#100; muscle pain. &#111;&#110; rare occasions, malaria can cause problems with &#116;&#104;&#101; brain &#097;&#110;&#100; spinal cord, lead &#116;&#111; seizures, or cause loss &#111;&#102; consciousness.</p>
<p>Out &#111;&#102; &#097;&#108;&#108; &#116;&#104;&#101; malarial infections, &#116;&#104;&#101; one caused &#098;&#121; Plasmodium falciparum &#105;&#115; &#116;&#104;&#101; most &#100;&#097;&#110;&#103;&#101;&#114;&#111;&#117;&#115; one. If left untreated, &#105;&#116; can &#098;&#101; fatal.</p></p>
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		<title>Malaria: Early Symptoms</title>
		<link>http://symptomadvice.com/malaria-early-symptoms/</link>
		<comments>http://symptomadvice.com/malaria-early-symptoms/#comments</comments>
		<pubDate>Tue, 28 Dec 2010 04:51:08 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[malaria symptoms]]></category>
		<category><![CDATA[actual time]]></category>
		<category><![CDATA[human body]]></category>
		<category><![CDATA[malaria parasites]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[period of time]]></category>
		<category><![CDATA[signs]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/malaria-early-symptoms/</guid>
		<description><![CDATA[For people having malaria, signs &#097;&#110;&#100; symptoms &#117;&#115;&#117;&#097;&#108;&#108;&#121; &#115;&#116;&#097;&#114;&#116; for &#121;&#111;&#117; &#116;&#111; develop ten &#116;&#111; thirty days &#097;&#102;&#116;&#101;&#114; an infection. &#116;&#104;&#101;&#121; &#119;&#105;&#108;&#108; vary from moderate indicators &#116;&#111; &#115;&#101;&#114;&#105;&#111;&#117;&#115; disease, &#097;&#115; well &#097;&#115; dying. &#103;&#111;&#111;&#100; examples &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; early symptoms of malaria include a fever, chills, nausea, &#097;&#110;&#100; also diarrhea. An infection with one &#112;&#097;&#114;&#116;&#105;&#099;&#117;&#108;&#097;&#114; kind of [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1293511868-18.jpeg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>For people having malaria, signs &#097;&#110;&#100; symptoms &#117;&#115;&#117;&#097;&#108;&#108;&#121; &#115;&#116;&#097;&#114;&#116; for &#121;&#111;&#117; &#116;&#111; develop ten &#116;&#111; thirty days &#097;&#102;&#116;&#101;&#114; an infection. &#116;&#104;&#101;&#121; &#119;&#105;&#108;&#108; vary from moderate indicators &#116;&#111; &#115;&#101;&#114;&#105;&#111;&#117;&#115; disease, &#097;&#115; well &#097;&#115; dying. &#103;&#111;&#111;&#100; examples &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; early symptoms of malaria include a fever, chills, nausea, &#097;&#110;&#100; also diarrhea. An infection with one &#112;&#097;&#114;&#116;&#105;&#099;&#117;&#108;&#097;&#114; kind of parasite might trigger acute symptoms whenever kept without treatment, like seizures, kidney failure, coma, &#097;&#110;&#100; fluid &#105;&#110;&#115;&#105;&#100;&#101; the lungs.</p>
<p><strong>An Introduction for Malaria Signs &#097;&#110;&#100; Symptoms</strong>Whenever someone &#098;&#101;&#099;&#111;&#109;&#101;&#115; infected with the &#112;&#097;&#114;&#116;&#105;&#099;&#117;&#108;&#097;&#114; parasite &#119;&#104;&#105;&#099;&#104; leads &#116;&#111; malaria(Plasmodium), it starts &#116;&#111; grow &#105;&#110;&#115;&#105;&#100;&#101; the human body. Characteristically, &#097;&#102;&#116;&#101;&#114; 10 &#8211; 30 days, malaria symptoms may &#115;&#116;&#097;&#114;&#116; &#111;&#102;&#102;. The actual time period in between an infection &#097;&#110;&#100; the actual begin of &#121;&#111;&#117;&#114; symptoms &#105;&#115; &#107;&#110;&#111;&#119;&#110; &#097;&#115; malaria incubation period. &#116;&#104;&#105;&#115; specific period of time may &#101;&#110;&#100; up &#098;&#101;&#105;&#110;&#103; &#097;&#115; short &#097;&#115; 7 days &#111;&#114; &#115;&#111;&#109;&#101;&#116;&#105;&#109;&#101;&#115; &#097;&#115; long &#097;&#115; a couple of years.</p>
<p>Infections with malaria parasites might &#101;&#110;&#100; up in a diverse range of symptoms, varying from rather moderate symptoms &#116;&#111; extreme sickness, &#097;&#115; well &#097;&#115; death. In general, &#116;&#104;&#105;&#115; &#105;&#115; a curable illness &#119;&#104;&#101;&#110; identified &#097;&#110;&#100; taken care of quickly &#097;&#110;&#100; properly.</p>
<p><strong>Early Symptoms of Malaria</strong>In the &#118;&#101;&#114;&#121; &#102;&#105;&#114;&#115;&#116; phases of the disease, the majority of men &#097;&#110;&#100; women &#104;&#097;&#118;&#101; early malaria symptoms &#119;&#104;&#105;&#099;&#104; consist of: Diarrhea, Sweats, Fever, Headaches, Nausea &#097;&#110;&#100; throwing up, Tiredness, Shaking chills &#097;&#110;&#100; Muscles aches</p>
<p>In nations &#119;&#104;&#101;&#114;&#101; malaria occurs &#118;&#101;&#114;&#121; sporadically, these kinds of symptoms might be attributed for &#121;&#111;&#117; &#116;&#111; the flu virus (influenza), the typical &#099;&#111;&#108;&#100;, &#111;&#114; &#112;&#101;&#114;&#104;&#097;&#112;&#115; &#115;&#111;&#109;&#101; &#111;&#116;&#104;&#101;&#114; typical bacterial infections.</p>
<p>Despite the fact that it &#100;&#111;&#101;&#115; &#110;&#111;&#116; happen frequently, symptoms of malaria may stick &#116;&#111; a cyclical pattern. In these situations, symptoms remain for 6 &#116;&#111; 10 hrs &#097;&#110;&#100; then &#103;&#101;&#116; much better. &#101;&#118;&#101;&#114;&#121; 2 &#116;&#111; 3 days, based &#117;&#112;&#111;&#110; the actual kind of malaria parasite, the signs &#097;&#110;&#100; symptoms return.</p></p>
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		<title>Seizing control of South American parasite</title>
		<link>http://symptomadvice.com/seizing-control-of-south-american-parasite/</link>
		<comments>http://symptomadvice.com/seizing-control-of-south-american-parasite/#comments</comments>
		<pubDate>Thu, 09 Dec 2010 02:51:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[malaria symptoms]]></category>
		<category><![CDATA[parasite]]></category>
		<category><![CDATA[regulatory system]]></category>
		<category><![CDATA[specificity]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/seizing-control-of-south-american-parasite/</guid>
		<description><![CDATA[Researchers &#097;&#116; Washington University School &#111;&#102; Medicine in St. Louis report in PLoS: Pathogens that &#116;&#104;&#101; genetic regulatory system &#107;&#110;&#111;&#119;&#110; as RNA interference (RNAi) is present in Leishmania braziliensis, &#116;&#104;&#101; South American strain &#111;&#102; &#116;&#104;&#101; parasite. RNAi likely helps Leishmania braziliensis keep its genetic material in order, use &#116;&#104;&#097;&#116; genetic material properly &#097;&#110;&#100; avoid infection [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1291863070-30.png" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>Researchers &#097;&#116; Washington University School &#111;&#102; Medicine in St. Louis report in <i>PLoS</i>: <i>Pathogens </i>that &#116;&#104;&#101; genetic regulatory system &#107;&#110;&#111;&#119;&#110; as RNA interference (RNAi) is present in <i>Leishmania braziliensis</i>, &#116;&#104;&#101; South American strain &#111;&#102; &#116;&#104;&#101; parasite.</p>
<p>RNAi likely helps <i>Leishmania braziliensis</i> keep its genetic material in order, use &#116;&#104;&#097;&#116; genetic material properly &#097;&#110;&#100; avoid infection by &#115;&#111;&#109;&#101; viruses. But scientists &#099;&#097;&#110; easily seize control &#111;&#102; RNAi &#116;&#111; shut down &#116;&#104;&#101; activity &#111;&#102; specific parasite genes, allowing &#116;&#104;&#101;&#109; &#098;&#111;&#116;&#104; &#116;&#111; learn &#119;&#104;&#105;&#099;&#104; genes are most &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; &#097;&#110;&#100; &#116;&#111; devise new infection-fighting therapies &#116;&#104;&#097;&#116; use RNAi &#116;&#111; disable critical genes.</p>
<p>&#8220;&#116;&#104;&#101; tools &#097;&#110;&#100; techniques &#116;&#104;&#097;&#116; become &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; when a parasite &#104;&#097;&#115; RNAi are phenomenally useful,&#8221; &#115;&#097;&#121;&#115; Stephen Beverley, PhD, Marvin A. Brennecke Professor &#097;&#110;&#100; head &#111;&#102; &#116;&#104;&#101; Department &#111;&#102; Molecular Microbiology. &#8220;They &#097;&#108;&#108;&#111;&#119; us &#116;&#111; stop &#116;&#104;&#101; activity &#111;&#102; any gene with remarkable ease, speed &#097;&#110;&#100; specificity, &#097;&#110;&#100; that&#8217;s &#103;&#111;&#105;&#110;&#103; &#116;&#111; have a big impact &#111;&#110; our field.&#8221;</p>
<p>Leishmania infection, &#107;&#110;&#111;&#119;&#110; as <i>leishmaniasis</i>, affects an estimated 12 million people worldwide. &#105;&#116; is &#109;&#097;&#105;&#110;&#108;&#121; spread by sand &#102;&#108;&#121; bites &#097;&#110;&#100; is a major public health problem in Asia, Africa, &#116;&#104;&#101; Middle East, South America &#097;&#110;&#100; &#111;&#116;&#104;&#101;&#114; &#112;&#097;&#114;&#116;&#115; &#111;&#102; &#116;&#104;&#101; developing world. Symptoms include large skin lesions, fever, swelling &#111;&#102; &#116;&#104;&#101; spleen &#097;&#110;&#100; liver, &#097;&#110;&#100;, in &#109;&#111;&#114;&#101; serious forms &#111;&#102; &#116;&#104;&#101; disease, disfigurement &#097;&#110;&#100; death.</p>
<p>The ability &#116;&#111; selectively disable genes &#104;&#097;&#115; long been key &#116;&#111; &#116;&#104;&#101; study &#111;&#102; pathogens. &#105;&#102; loss &#111;&#102; a gene in &#116;&#104;&#101; lab &#109;&#097;&#107;&#101;&#115; a pathogen less adept &#097;&#116; causing infection, &#116;&#104;&#105;&#115; typically leads &#116;&#111; a search &#102;&#111;&#114; drugs &#116;&#104;&#097;&#116; &#099;&#097;&#110; disable &#116;&#104;&#097;&#116; gene&#8217;s protein &#097;&#110;&#100; potentially cure infections in &#116;&#104;&#101; clinic. However, &#099;&#101;&#114;&#116;&#097;&#105;&#110; aspects &#111;&#102; <i>Leishmania&#8217;s</i> life cycle &#097;&#110;&#100; genetics have &#097;&#108;&#119;&#097;&#121;&#115; &#109;&#097;&#100;&#101; &#105;&#116; difficult &#097;&#110;&#100; time-consuming &#116;&#111; genetically alter &#116;&#104;&#101; parasite &#117;&#115;&#105;&#110;&#103; traditional &#097;&#112;&#112;&#114;&#111;&#097;&#099;&#104;&#101;&#115;, &#097;&#110;&#100; microbiologists have a list &#111;&#102; thousands &#111;&#102; <i>Leishmania</i> genes &#116;&#104;&#097;&#116; they &#119;&#097;&#110;&#116; &#116;&#111; probe. &#116;&#104;&#105;&#115; led Beverley &#097;&#110;&#100; &#104;&#105;&#115; colleagues &#116;&#111; be &#118;&#101;&#114;&#121; interested in &#119;&#104;&#101;&#116;&#104;&#101;&#114; Leishmania &#104;&#097;&#115; RNAi soon after &#116;&#104;&#101; system &#119;&#097;&#115; discovered in plants in &#116;&#104;&#101; 1990s. </p>
<p>RNA is a single-stranded nucleic acid &#116;&#104;&#097;&#116; copies information &#102;&#114;&#111;&#109; genes in &#116;&#104;&#101; double-stranded DNA. When &#116;&#104;&#101; genetic information &#104;&#097;&#115; been transcribed into RNA, &#105;&#116; acts as an order slip &#102;&#111;&#114; creation &#111;&#102; &#116;&#104;&#101; gene&#8217;s protein.</p>
<p>When double-stranded copies &#111;&#102; &#116;&#104;&#101; gene&#8217;s RNA are detected, RNAi shuts down production &#111;&#102; &#116;&#104;&#101; protein. Scientists &#098;&#101;&#108;&#105;&#101;&#118;&#101; it&#8217;s a &#119;&#097;&#121; &#102;&#111;&#114; cells &#116;&#111; block &#116;&#104;&#101; production &#111;&#102; proteins &#102;&#114;&#111;&#109; viral RNA, &#119;&#104;&#105;&#099;&#104; is &#115;&#111;&#109;&#101;&#116;&#105;&#109;&#101;&#115; double-stranded.</p>
<p>Initial searches in &#116;&#104;&#101; early 2000s failed &#116;&#111; &#102;&#105;&#110;&#100; any signs &#111;&#102; RNAi in most <i>Leishmania</i> species, but when &#116;&#104;&#101; complete genome &#111;&#102; <i>Leishmania braziliensis</i> recently became &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101;, Beverley once &#097;&#103;&#097;&#105;&#110; &#098;&#101;&#103;&#097;&#110; sifting through &#116;&#104;&#101; genetic code. &#116;&#104;&#105;&#115; time &#104;&#101; &#102;&#111;&#117;&#110;&#100; a key RNAi gene &#107;&#110;&#111;&#119;&#110; as Argonaute. &#116;&#104;&#105;&#115; gene &#119;&#097;&#115; also &#115;&#101;&#101;&#110; by researchers Christian Tschudi, PhD, &#097;&#110;&#100; Elisabetta Ullu, PhD, &#097;&#116; Yale School &#111;&#102; Medicine, &#097;&#110;&#100; Beverley&#8217;s group struck &#117;&#112; a collaboration with &#116;&#104;&#101;&#109;.</p>
<p>&#8220;It&#8217;s &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#102;&#111;&#114; &#116;&#104;&#105;&#115; gene &#116;&#111; be present without &#116;&#104;&#101; system &#098;&#101;&#105;&#110;&#103; active, so two researchers in &#109;&#121; laboratory, Lon-Fye Lye, PhD, &#097;&#110;&#100; Katherine Owens, conducted a series &#111;&#102; tests,&#8221; Beverley &#115;&#097;&#121;&#115;. &#8220;&#116;&#104;&#101;&#115;&#101; showed &#116;&#104;&#097;&#116; <i>Leishmania braziliensis</i> &#104;&#097;&#115; an active RNAi system &#116;&#104;&#097;&#116; functions &#109;&#111;&#114;&#101; or less in &#116;&#104;&#101; &#119;&#097;&#121; &#119;&#101; &#119;&#111;&#117;&#108;&#100; expect &#105;&#116; &#116;&#111; &#8212; when double-stranded copies &#111;&#102; a gene&#8217;s RNA are present, &#116;&#104;&#101; system shuts down production &#111;&#102; &#116;&#104;&#097;&#116; gene&#8217;s protein.&#8221;</p>
<p>RNAi therapies are &#117;&#110;&#100;&#101;&#114; development &#102;&#111;&#114; cancer, diabetes &#097;&#110;&#100; &#111;&#116;&#104;&#101;&#114; conditions. &#115;&#111;&#109;&#101; &#111;&#102; &#116;&#104;&#101;&#115;&#101; initiatives have developed ways &#116;&#111; activate RNAi by delivering double-stranded RNA &#116;&#111; immune cells &#107;&#110;&#111;&#119;&#110; as macrophages, &#119;&#104;&#105;&#099;&#104; are &#116;&#104;&#101; cells Leishmania typically infects. According &#116;&#111; Beverley, &#105;&#116; &#109;&#097;&#121; be &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#116;&#111; adapt &#115;&#117;&#099;&#104; &#097;&#112;&#112;&#114;&#111;&#097;&#099;&#104;&#101;&#115; &#102;&#111;&#114; treatment &#111;&#102; <i>Leishmania braziliensis</i>, &#117;&#115;&#105;&#110;&#103; RNAi &#116;&#111; shut down key parasite genes or host genes &#116;&#104;&#101; parasite exploits.</p>
<p>The discovery presents an &#105;&#110;&#116;&#101;&#114;&#101;&#115;&#116;&#105;&#110;&#103; evolutionary puzzle, according &#116;&#111; Beverley: why &#100;&#111;&#101;&#115; Leishmania braziliensis &#115;&#116;&#105;&#108;&#108; have RNAi &#119;&#104;&#105;&#108;&#101; &#111;&#116;&#104;&#101;&#114; Leishmania species &#100;&#111; not? Evolutionary biologists think RNAi originated with earliest ancestors &#111;&#102; eukaryotes, a domain &#111;&#102; life &#116;&#104;&#097;&#116; excludes only bacteria, viruses &#097;&#110;&#100; a few &#111;&#116;&#104;&#101;&#114; odd life forms.</p>
<p>&#8220;&#105;&#102; &#119;&#101; &#099;&#097;&#110; understand why &#116;&#104;&#105;&#115; happened, &#119;&#101; &#109;&#097;&#121; be &#097;&#098;&#108;&#101; &#116;&#111; better understand &#116;&#104;&#101; biology &#111;&#102; &#116;&#104;&#101; disease <i>Leishmania braziliensis</i> causes, &#119;&#104;&#105;&#099;&#104; differs greatly &#102;&#114;&#111;&#109; &#111;&#116;&#104;&#101;&#114; <i>Leishmania</i> species lacking RNAi,&#8221; &#104;&#101; &#115;&#097;&#121;&#115;. &#8220;In most species RNAi protects against viruses, but it&#8217;s &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; &#116;&#104;&#097;&#116; &#097;&#116; &#115;&#111;&#109;&#101; point in <i>Leishmania&#8217;s</i> evolutionary history &#105;&#116; became advantageous &#116;&#111; have a viral infection.&#8221;</p>
<p>Another possibility, according &#116;&#111; Beverley, is &#116;&#104;&#097;&#116; losing RNAi allows &#116;&#104;&#101; parasite&#8217;s genome &#116;&#111; change &#109;&#111;&#114;&#101; rapidly. Viral infections &#099;&#097;&#110; cause &#116;&#104;&#101;&#115;&#101; alterations, as &#099;&#097;&#110; parasitic segments &#111;&#102; genetic material in <i>Leishmania&#8217;s</i> DNA &#107;&#110;&#111;&#119;&#110; as transposons. With RNAi &#103;&#111;&#110;&#101;, it&#8217;s much easier &#102;&#111;&#114; &#115;&#117;&#099;&#104; factors &#116;&#111; alter Leishmania&#8217;s DNA in ways &#116;&#104;&#097;&#116; &#109;&#105;&#103;&#104;&#116; &#115;&#111;&#109;&#101;&#116;&#105;&#109;&#101;&#115; &#104;&#101;&#108;&#112; &#116;&#104;&#101; parasite adapt &#116;&#111; environmental challenges.</p>
<p>Beverley &#115;&#097;&#121;&#115; tests &#117;&#110;&#100;&#101;&#114; &#119;&#097;&#121; &#110;&#111;&#119; provide preliminary support &#102;&#111;&#114; &#098;&#111;&#116;&#104; &#111;&#102; &#116;&#104;&#101;&#115;&#101; ideas.</p>
<p>He &#119;&#111;&#117;&#108;&#100; like &#116;&#111; &#116;&#114;&#121; transplanting RNAi into &#111;&#116;&#104;&#101;&#114; <i>Leishmania</i> strains, &#119;&#104;&#105;&#099;&#104; have significant genetic variations. But a thorough assessment &#111;&#102; &#116;&#104;&#101; genes involved in RNAi in &#116;&#104;&#101; South American strain &#119;&#105;&#108;&#108; be &#110;&#101;&#099;&#101;&#115;&#115;&#097;&#114;&#121; &#102;&#105;&#114;&#115;&#116;.</p>
<p>&#8220;In &#116;&#104;&#101; meantime, we&#8217;ve &#103;&#111;&#116; thousands &#111;&#102; genes in <i>Leishmania braziliensis</i> &#116;&#104;&#097;&#116; we&#8217;d like &#116;&#111; study with RNAi: genes &#116;&#104;&#097;&#116; are unique &#116;&#111; &#116;&#104;&#101; parasite, or &#116;&#111; different forms &#111;&#102; &#116;&#104;&#101; disease, or are active in &#118;&#097;&#114;&#105;&#111;&#117;&#115; stages &#111;&#102; infection, so &#116;&#104;&#101; main &#113;&#117;&#101;&#115;&#116;&#105;&#111;&#110; &#110;&#111;&#119; is where &#100;&#111; &#119;&#101; start?&#8221; &#104;&#101; &#115;&#097;&#121;&#115;.</p></p>
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