Guest guest Posted October 15, 1999 Report Share Posted October 15, 1999 Note: I've sort of made this name up myself ..... What I call Suhadolnik's Factor is the DEFECTIVE RnaseL protein that we PWC's produce. In his preliminary studies, he had samples from Cheney and (and I think some from Bell too). Over 95 percent of those samples tested positive for the abnormal RnaseL. He was really puzzled by it (when I asked a local biochemist about it -- I live in the land of duPont; you can't walk across a soccer field without tripping over a biochemist ...) -- so he took some samples he ALREADY had in his lab of patients with AIDS and some other diseases -- NONE of those samples showed the defect. He tested his lab assistants (which I find hilarious). None of them had it either. I know enough about statistics to know that when you have a sample of 100 patients, which he did, and over 95 percent of them test positive for something that over 95 percent of normals (even if they are graduate students) DON'T have -- that's statistically significant. that's MORE statistically significant than Straus's study involving cortisone supplements (which he said failed). Straus only used 65 patients, and he weeded them out from a preliminary group of 200 references!!! NOT sound statistical methodology. But the CDC/NIH et al don't TALK about statistical methodology -- at least not to the public. If it is an " outside-the-campus " study, then it is suspect. If one of THEM does it, why then, it's significant. Even if it's cooked. What is " Suhadolnik's Factor " ? Read his own description, from a talk given on Capitol Hill, here: http://pweb.netcom.com/~schweit2/temple.html Unfortunately, I don't have a copy of the slides he showed -- that's what was so impressive. Picture a price code bar. You know what they look like. Remember the O.J. Simpson trial? remember the DNA strips that looked like price code bars? Well, RNA strips can look like that too. What Suhadolnik had was a picture of an RNA strip -- specifically, the RnaseL protein in a normal person, and in a person with CFS. The picture of the RnaseL strip was BLANK for HALF it's length! That is, when you put it side by side with the NORMAL version, HALF WAS MISSING!!! Thus, the DEFECTIVE version of the protein only weighs 37kDa (whatever the heck a kDa is!), which is less than half what a NORMAL version weighs -- 80 kDa. Imagining it weighing half was not nearly as persuasive as SEEING that slide of a PWC's RnaseL -- which was literally blank for half of its length. THAT was mindboggling. (If anybody does have a picture of this, I'd love to upload it onto a website.) This is a significant abnormality. The CDC said -- eh, so what? It doesn't PROVE anything. If everybody diagnosed with CFS doesn't have it, then it can't be a marker for CFS. (But that's part of the problem -- how are we diagnosing people for " CFS " ? What IS " CFS " anyway?) Suhadolnik's co-author and younger colleague, Dr. , has made a great deal of progress showing what it MEANS to have the defective RnaseL marker. Conversely, clinical research by De Meirleir and others (and evidence from the Ampligen studies) continues to confirm the relationship between the presence of the marker, and a person's symptoms. What's exciting to me is that the 37kDa offers an EXPLANATION, an ETIOLOGY, beyond " somehow the immune system gets out of whack " or " there's a virus that we haven't discovered yet " or " these people aren't really sick; it's learned behavior " (gack). The theory -- really the first NEW theory we've had for this disease -- suggests that for some subset of people diagnosed with CFS/M.E. (and De Meirleir believes MOST people formally diagnosed with M.E. or PVDS -- Post-Viral Disease Syndrome), the major piece of the puzzle has to do with the way we fight viruses. When the body tries to kill a virus, it manufactures an RNA specific to that virus. The defective RNaseL interferes with that process (and this is the part that I don't understand well enough to explain to other people) -- such that this critical final stage, creation of an RNA that binds with the virus and takes it out of your system (after the virus has been weakened with antibodies) -- NEVER HAPPENS. So the disease IS viral -- but it's viruses that we should have gotten rid of a long time ago. We don't show antibodies to anything anybody else hasn't had -- but in our cases, these viruses have reactivated because they were never properly " done in. " (This is my best stab at explaining it.) So the CDC's obsession with antibodies as the sole measure of whether an active disease is present DOESN'T WORK FOR US. We DO have a viral disease -- several viral diseases. And we DO pick up opportunistic diseases very easily because our battered immune system is trying to beat down those viruses, but our disease-killing RNA never moves in to do its job. Whew. Best I can do to explain it. Having too much RnaseL is a sign that this is going on -- but there are other diseases that will lead to too much RnaseL, and there are CFS patients who don't have abnormal amounts of RNaseL. WHEN DIAGNOSED by or Cheney -- relying more on a viral definition of the disease -- at least 20 percent of patients DIDn'T have the abnormal amount of RnaseL. BUT -- using the same samples -- Suhadolnik found that they all had the abnormal marker. The thing is, diagnosis of CFS is subjective, even when the CDC criteria is used. So samples from OTHER doctors vary widely in the presence of the RnaseL factor. But that says more about how the disease is diagnosed -- and whether the diagnosis is picking up more than one condition -- than it does about the " insignificance " of the RnaseL factor. The proper way to really go about finding this all out would be to take a sample of the normal population and test for the RnaseL factor. But there's not enough RESEARCH MONEY. I talked to Lenny about testing the subjects of his most recent demographic study at De -- perhaps just limiting the testing to the ones with chronic fatigue, ideopathic chronic fatigue, and chronic fatigue syndrome. He'd LOVE to do it. But it costs MONEY. So in the meantime, do you discard the information you have? guess what? STATISTICAL THEORY says that you USE all the information that you've gained so far -- it is more " scientifically " accurate to pay attention to Suhadolnik's Factor than to NOT pay attention to it, just because you haven't had a larger study yet. (Another reason Straus's cortisol study was flawed: he posited a univariate model when this disease is clearly multivariate -- you should have seen the look on his face when I said that, too -- <g> -- it means all his tests of statistical significance are worthless ... another way of saying that, is that if Teitlebaum and Goldstein have found that a little cortisol IN COMBINATION WITH OTHER MEDICATIONS, specifically sleep meds, HELPS PATIENTS and does not seem to trigger the adverse effects -- then STRAUS's study, which used ONLY cortisone and nothing else, is too flawed to be able to draw the conclusion he did: cortisone supplemenation is too dangerous and not effective.) Uh oh, babbling again. But I find this research so EXCITING. What Suhadolnik found is just the tip of the iceberg, and is going to lead to a whole new way of looking at many conditions and diseases. It's on the cutting edge. It is DAMN good research! But it's complicated. So the public knows about Wessely and Sharpe and about cognitive behavior therapy. But they don't know about the 37kDa RnaseL. (I have an essay ruminating about all of this here: http://www.cfids-me.org/marys/redd.html and a page of links to R.E.D.D. information here: http://www.cfids-me.org/redd/ R.E.D.D. means RnaseL Enzyme Dysfunction Disease, and TECHNICALLY, since I tested positive for it, I can discard the name CFS altogether and tell people, accurately, " I have R.E.D.D., a hereditary immunological defect. " I wonder how many others of us out there could say that. Schweitzer mailto:schweit2@... Quote Link to comment Share on other sites More sharing options...
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