Guest guest Posted May 2, 2005 Report Share Posted May 2, 2005 Autism: Microbial Correlation 1 Term Paper for Child Development – Psychology 323 Submitted by R. Haney Sacramento, California February 28, 2005 Working Title Microbial Influence Theory of Autism: " A Pandora's Box " Introduction Neuropsychology investigates the process of how the nervous system relates to human thought, memory, and behavior, and literally dates back to Greek mythology. (McCourt, M. E., September 2001) According to McCourt's article on the " Historical Origins of Neuropsychology " , " Most modern neuropsychologists originate from all branches of neuroscience. " Modern neuroscience is not a traditional discipline, but involves a sophisticated approach to the research and challenges of exploring the approximately one hundred billion neurons that comprise the human brain and its nervous system. A vitally important federally funded program termed the " Decade of the Brain " (Congressional Report, 1986) has clearly demonstrated that nearly all of the major fields of science in unison with advanced technology, are racing into the 21st century with new incredible discoveries announced almost daily. Autism: Microbial Correlation 2 One of the most intriguing and elusive problems for neuroscience over the next decade is to find the correlation between Autism Spectrum Mental Disorders (ASD), collectively known as " developmental disabilities " and their biophysical origin. (APA DSM-IV, 1994) Science offered as of late implicates environmental factors as correlating with the onset of autism. The hypothesis posed herein, suggests that the development of autism is influenced by microbial cytotoxicity (cellular poisoning) imposed upon fetal gestation during the various stages of pregnancy. New Hope For Autism Never before in the history of man has information and scientific collaboration been so accessible, and at such speed. From the Decade of the Brain, several new science disciplines such as Molecular Neurobiology, Neuroanatomy, Neurophysiology, Neurochemistry, Neurogenetics, Neuroimmunology, Neuropsychology, Neuroimaging, and Computational sciences have emerged, and virtually unnoticed. (Scientific American, 1992) Collectively these advanced scientific disciplines offer real hope for people afflicted with debilitating mental conditions and disorders. Today, they are just beginning to pay huge dividends for the medical and psychology fields. The " alpha " (beginning) of " biopsychology " owes its origin to Hippocrates (400 B.C.), a Greek physician who is traditionally regarded as the father of medicine. To Hippocrates, the brain was the " organ of intellect, that it controlled the senses of movement and intellect. " (McCourt, et al., 2001) Hippocrates is the first person known to history to have equated brain physiology with human behavioral activity. Autism: Microbial Correlation 3 For most of the 20th century, classical conditioning and operant conditioning have been of paramount importance in equating behavior with the use of natural and manmade instruments and stimuli. This psychological behavioral phenomena, has completely held favor with biologists. According to author G. 's " In the Palaces of Memory " , (, G., 1991) the author states that: " Steeped in the behaviorism of Skinner, they rarely speculated about what might be happening inside the animal's brain. The whole point of behaviorism was to throw out concepts like mental representations and engrams. Since these mind objects could not be observed, Skinner believed, it was as silly to talk about them, as it was to talk about the soul. Classical conditioning, on the other hand, was a behavior that could be observed and quantified. " " To the extremists like Skinner, all human behavior and even culture itself could be analyzed as stimuli and responses, input and output, a web of acquired behaviors that came to be known as S-R links. Although such pure forms of behaviorism have fallen out of vogue, classical conditioning remains one of the most fundamental concepts in neuroscience. It is widely considered the most basic form of learning, the simplest case in which an organism learns to recognize a coincidence in its environment, to make a causal connection… " " This sounds like an extremely reductionist stance, but [] Kandel [a Neurophysics scientist at Columbia University] would go it one better. The roots of causality might run deeper than psychology and even biology, he believed, all the way Autism: Microbial Correlation 4 down to the level of chemistry [specifically relating to genetic coding and intracellular chemical activity]. " Kandel, one of the men that prize winning science writer J. lin refers to as the " brave new frontiersmen of Molecular Psychology, " in his book on molecular science, " Molecules of the Mind: The Brave New Science of Molecular Psychology " (lin, J., 1987). lin suggests that the challenges of Neuropsychology in leading our way into 21st century, which could ultimately lead civilization to the Omega (the end) of animal and human psychological afflictions as they are currently observed. An extension of Neuropsychology is its newest discipline, " Environmental Health Psychology " scheduled for formal introduction at the American Psychological Society's National Conference in Los Angeles in May 2005. (Haney, D.R., 2004) Environmental Health Psychology poses that the approximately 60-75 trillion human cells that comprise up to 10 percent of the human organism, are dwarfed in comparison, by parasites and other micro flora that occupy nearly 90 percent of the body's cellular composition. (Heritage, J., 2001) External Earth environments and internal human environments profoundly affect biochemical changes that simultaneously correlate with microbial behavior. This is observed in the emotional and perceptual changes that are exhibited during human disease activity (e.g., a cold, fever, pneumonia, and other forms of illnesses). Because of neuropsychology and similar collaborative Autism: Microbial Correlation 5 fields of neuroscience people afflicted with autism now have hope that soon, within the range of their lifetime, a cure will emerge. Autism: The Epidemic In " Autism: A Medical Primer " D.C. Prater relates that, " …autism may have its origin in Itard's 1801 desscription of the " wild boy of Aveyron, " a violent child with no language skills who related to other people as if they were objects. " In 1943, it was Kanner who identified a complex set of characteristics (e.g., aberrations in social development, verbal and nonverbal communication, symbolic thinking) for a term he labeled " autism. " (Prater, C.D., 2002) Autism is described as a developmental syndrome that consists of an abnormal development of social skills (withdrawal, lack of interest in others or peers), limitations in the use of interactive language (speech as well as nonverbal communication), and sensorimotor deficits (inconsistent responses to environmental stimuli). (DSM-IV, 1994) Impairments in children with Autism vary with the following characteristics: Echolalia, the involuntary repetition of a word or a sentence just spoken by another person, deficiencies in symbolic thinking, stereotypic behaviors (e.g., repetitive nonproductive movements of hand sand fingers, rocking, meaningless vocalizations), self stimulations, self-injury behaviors, and seizures. Mental retardation is not a diagnostic criterion, but is frequently present in the moderate to severe range. (Prater, et al., 2002) In reviewing several medical documents on Autism the following physical and psychological characteristics are listed most often: · Speech and/or language delay or difficulties in communication Autism: Microbial Correlation 6 · Lack of interest in peer or adult interactions, except security of parent(s) · Signs of deafness and/or visual impairment · Hyperactivity (rapid excitability) or hypoactivity (unusually slow or very limited excitability) · Evasive or nearly non-existent eye contact with others · Severe feeding and sleeping difficulties · Fascination with moving parts of toys (esp., spinning wheels, spinning tops, etc.) · Severe temper tantrums · Repetitive behavior · Common abnormal motor activities include hand flapping, rocking, finger flicking, etc. · Attachment to unusual objects According to an article in the Los Angeles Times (Roan, S., 2005) autism affects about one out of every 500 American children annually, and in California one in every 322 children, is usually observed and diagnosed by the age of two years. Researchers presently are attempting to identify autism as early as 18 months. In the Los Angeles Times article, Roan indicates that, " The long range goal is to be able to detect autism at birth or in very early infancy. According to a report published in 2002, through the California State Department of Development Services, cases of autism increased 273 percent from 1987 to 1998, and between 600-800 children are added to the department's rolls every three months. (Roan, et al., 2005) Autism is truly occurring in epidemic proportions and there is not enough known as to its cause at this juncture. Autism: Microbial Correlation 7 The Merck Manual (1999) often considered the " Medical Doctor's Bible " states that, " Autism (Kanner's Syndrome) is two to four times more common in boys than in girls. " Though several correlations between genetics and autism development are indicated in various disciplines research, presently autism is medically identified as an " idiopathic " (unknown caused) disorder. An article, " The Genetics of Autism " published by the American Academy of Pediatrics (Muhle, R., 2004) states that, " Epidemiologic studies indicate that environmental factors such as toxic exposures, teratogens, perinatal insults, and prenatal infections such as rubella and cytomegalovirus account for few cases [of autism]. The article continues by indicating that, " Twin studies reported 60% concordance for classic autism in monozygotic (MZ) twins verses 0 in dizygotic (DZ) twins, the higher MZ concordance attesting to genetic inheritance as the predominant causative agent. Reevaluation for a broader autistic phenotype that included communication and social disorders increased concordance remarkably from 60% to 92% in MZ twins and from 0% to 10% in DZ pairs. This suggests that interactions between multiple genes cause " idiopathic " autism but that epigenetic factors and exposure to environmental modifiers may contribute to variable expression of autism-related traits. " What this observes in plain English is that genetic science is beginning to understand the correlation between autism and human genetic mutations through monozygotic (twins derived from a " mono " single " zygote " egg), and dizygotic (derived from two " di " eggs " zygotes " ). Monozygotic twins form when a single fertilized egg splits into two embryos. Because the twins share the same DNA set, they tend to have similar features). Dizygotic twins form when two separate eggs are fertilized by separate sperm and tend to Autism: Microbial Correlation 8 have very separate hereditary features. President Bush's twin daughters, Jenna and Barbara are an example of dizygotic twins, and identical twins are examples of the monozygotic variety. What is important about genetic studies is that in order for gene structure to change to the point of mutation there has to be either a hereditary abnormality that took place in one's ancestry which caused transferred genes to become predisposed to certain environmental weaknesses (mutations determine genetic coding change transform), by genetic mutation in reproductivity influenced by both sets of genes integrated into embryonic formation by each contributing parent, or through environmental micro organic and chemical influences that disturb the biochemical (and consequently the genetic activity) of the developing fetus. The American Academy of Pediatrics article (Muhle, et al., 2004) identifies three main approaches in identifying genetic loci (specific location of a gene on a chromosome) that identify relevant genes associated with a particular human affliction: " 1. Whole genome screens, searching for linkage of autism to shared genetic markers in populations of multiplex families (families with > 1 affected family member) 2. Cytogenetic studies that may guide molecular studies by pointing to relevant inherited or de novo chromosomal abnormalities in affected individuals and their families 3. Evaluation of candidate genes known to affect brain development in these significantly linked regions or alternatively, linkage of candidate genes selected a priori because of their presumptive contribution to the pathogenesis of autism. " Autism: Microbial Correlation 9 It is very evident that genetic studies are closing the gap in our understanding of the biochemical mechanism of human afflictions such as autism, however there are influences relating to environment that provide the direct correlation of autism to neurological activities and deformities associated with the human brain. Molecular and Neurological Implications Whenever one equates the study of the human brain to any affliction, disease, or abnormality, one must also include the study of molecular science because nerves are biochemically constructed by the molecular formation of nerve cells. In the human brain more than an estimated 100 billion nerve cells are crowded into an area measuring between 1350 or 1400 cc (cubic centimeters) and weighing about three and a half pounds. It is extremely difficult to cover in one writing the enormous amount of research and discovery that is taking place in molecular science, and perhaps no where this more true, than in the neurological sciences. The study of autism in neurological science is dwarfed by other studies focusing on intelligence, memory, and diseases such as Alzheimer's, Parkinson's, Multiple Sclerosis and others. Autism is equally important of course, but with the extremely high level of competition for funding sources this affliction has not been at the forefront of science until recently. (Congressional Report, 1986) Research at s Hopkins Medical Institutions (Vargas, D., November 17, 2004) reports that, " …the brains of some people with autism show clear signs of inflammation, suggesting that the disease may be associated with the activation of the brain's immune system. " However the report also states that " These findings reinforce the theory that Autism: Microbial Correlation 10 immune response in the brain is involved in autism, although it is not yet clear whether the inflammation is a consequence of disease or a cause of it. " In measuring proteins called cytokines and chemokines in cerebrospinal fluid, researchers discovered ongoing inflammatory process taking place in several regions the brains of people afflicted with autism. The most important aspect of this research is that it indicates that the inflammation discovered as produced by neuronal cells known as microglia and astroglia, cells is that the inflammation is produced within, and localized within specific regions, of the brain and is not externally caused from other immunity within the human body. This is very notable, because though it seems to conflict with our hypothesis, it brings science much closer to the environmental logistics that directly influence its pattern, namely inflammation and microorganic manipulation of genetic DNA/RNA activity. According to Levitan and Kaczmarek, in their text, " The Neuron: Cell and Molecular Biology " , " The rationale for investigating the genetics of behavior is simple and straightforward: if one can generate mutants that exhibit aberrant patterns of behavior, an examination for the mutated gene might provide clues to the molecular mechanisms underlying the behavior… this approach is valid, even if the engram has not been located. " (Levitan, I.B., Kaczmarek, L.K., 1991) To strengthen the hypothesis of the environmental microbial influence theory in autism, Autism Today (Autism Management Limited, September 7, 2000) reports that, " Amongst the suggested causes there has been food allergy, (Egger 1985) Candida infection (Shaw 1996) suggesting an incompetent immune system. Immune cell loss, with inadequate numbers of lympocytes and poor immunoglobulin production supports Autism: Microbial Correlation 11 this (Gupta). A form of poisoning has been suggested when children with lead poisoning were seen to have significant behavioral changes (Marlow 1983). Other heavy metals such as mercury will produce changes in behavior and mental retardation. (Rea 1996) Brain mapping by Egger has shown that fronto parietal circulation is impaired, consistent with poor speech development and perceptive disorders leading to poor communication. Motor development and co-ordination function is also impaired with evidence of poor hand eye co-ordination and a likely sensory ataxia. " The Merck Manual (Merck, et al., 1999) indicates that, " Computer tomography (CT) scans have isolated a subgroup of autistic children with enlarged ventricles and magnetic resonance imaging (MRI) has recently identified a subgroup of autistic adults with hypoplasia [underdevelopment of an organ because of a decrease in the number of cells] of the cerebellar vermis [the region of the cerebellum lying between and connecting the two hemispheres]. Individual causes of autism have been associated with the congential rebella syndrome, cytomegalic inclusion disease [characterized by greatly enlarged cells], phenylketonuria [an inherited recessive disorder which is a disease tested for by newborn screening and often treatable by diet], and the fragile X-syndrome [a genetic disorder that is the most common form of inherited mental retardation]. " The text continues by indicating that, " Autism usually is manifest in the first year of life; its onset is not later than age 3 years. In other studies involving neuronal research into autism, a French team of scientists (, J., 2003) report that two mutated genes involved in nerve cell protein Autism: Microbial Correlation 12 development of communications channels in autism neurological disorders has been observed. The genes in question called neuroligins, are located in the synapse junction between neuronal cells. These genes located on the X chromosome encode proteins that assist in the interaction of chemistry during the biochemical communication process by one cell to another. During pregnancy according to the study the mother's X chromosome, is implicated in genetic mutation. Mothers have two copies of the X chromosome and the second X chromosome has a backup copy of the normal neuroligin gene that is thought to protect her from developing autism. Her son however, inherits her X chromosome with the mutated gene during embryonic development. The father, who provides the Y chromosome complement to the embryo, though carrying a neuroligin gene does not compensate for the mother's defective gene and consequently the son inherits the autism affliction. Theses are just a few of the molecular research activities beginning to flood the science world in an effort to find answers to autism. But, only now is the major focus moving toward the integrated influence to genetic mutation that both the human immune system in conjunction with environmental microbial factors, bring into the scientific spectrum. In order to find answers, it is imperative that all of the factors from genetic, neuronal, immunity, and environmental research disciplines need to be considered. Environmental and Immunological Influences in Autism The following statement was released in a report titled, " Researchers Observe Abnormalities in Brains of Autism Patients " offered by the American Academy of Neurology (February 12, 2002). " Evolution of the brain has kept minicolumn size Autism: Microbial Correlation 13 essentially constant while increasing total cortical surface area, which in larger brains has resulted in more columns per brain and thus more processing units and increased complexity. " The report goes on to state, " This would be consistent with the existing theory that autistic individuals suffer a chronic state of over arousal, and portray abnormal behaviors to diminish the arousal. The lack of lateral inhibitors, contained in the cortex, would affect an individual's ability to discriminate between competing sensory information. " And in summation of this statement it is stated, " Researchers do not yet know whether the difference in the number and size of the minicolumns is attributable to a gene mutation or some other factor. " The statement above is a good starting point for discussion leading to our hypothesis. Science is currently dedicating focused research into neurological activities experienced by people exposed to indoor environment microbial exposures. For instance, the University of Michigan (November 3, 1998) in a report titled, " Autism May be Caused by an Immune System Response to a Virus " issues the following statement: " No single cause of autism has been found, and researchers believe that genes and environmental factors (such as viruses and chemicals) both may contribute. The kind of brain abnormalities found in people with autism suggests that the disorder arises when something disrupts normal brain development. " The next statement offered in the report is even more intriguing as we shall explain later in this thesis. " One possibility is that early exposure to a virus prods the body into mounting an immune response that somehow goes awry. In addition to producing antibodies against the virus, the body makes antibodies against itself, resulting in damage to tissues and organs. This Autism: Microbial Correlation 14 " autoimmune " response is what happens in autoimmune diseases such as lupus, and some researchers think a similar response may account for the brain abnormalities found in people with autism. " Another intriguing aspect to autoimmune involvement in autism is that medical science is also aware through a process of " Molecular Mimicry " that micro fungi, bacteria, and viruses are readily able and capable of initiating this process, as described through research conducted on the subject. In a Special Issue of Scientific American Magazine, " Life, Death, And The Immune System, " (September 1993), an article written by L. Steinman, " Autoimmune Disease " , explains the phenomenon of molecular mimicry quite well: " What turns the T cells against the Self? Infection often precedes the onset of autoimmune disease, and so scientists have closely scrutinized the tactics that pathogens commonly employ to elude T cells. The answer appears to lie in molecular mimicry, an evolutionary adaptation whereby viruses and bacteria [as well as microfungi as decomposers] attempt to fool the body into granting them free access. Such mimicry works by showing the immune system stretches of amino acids that look like self… An autoimmune response can begin even if the molecular mimicry is not quite exact. Research at the Scripps Research Institute demonstrated that hepatitis B virus polymerase [molecules chained together] shared a stretch of just six amino acids with a part of the myelin basic protein molecule that causes EAE in rabbits. When they immunized rabbits with this part of the virus, the animals developed inflammation in their brains. This Autism: Microbial Correlation 15 research suggests that molecular mimicry between [micro fungi], bacteria, or viruses may be critical in initiating autoimmune responses. " This is not anything near science fiction, though initially that is what it might seem to the scientifically uninformed reader but the molecular sciences offer an extension of science that brings this hypothesis into reality, " Environmental Health Psychology. " This discipline poses that the approximately 60 trillion to 75 trillion human cells that comprise up to 10 percent of the incredible human organism are dwarfed in comparison by parasites and other micro flora that occupy up to 90 percent of the body's cellular composition. (Heritage, J., 2001) The external environment and internal human environments profoundly effect biochemical changes in humans that simultaneously effect changes in microbial behavior. This is observed for example in human diseases. It is not until bacteria, molds, yeasts, viruses or other microbial pathogens enter the skin or human body that the human immune system, neural pathways, metabolic processes, pH levels, temperature, adrenaline function, and other biochemical responses start to culminate into human disease activity. Microbes are deeply involved in the biochemical distribution of stimuli that ultimately integrates with human cellular DNA/RNA biochemical activity to formulate behavior dependent upon aging, programmed cell death, and other forms of genetic mutations and immune cell degeneration. However, early during pregnancy this imbalance and toxicity can grossly affect genetic, immune, neurological and physical traits of the unborn developing fetus. Environmental stimuli are forcefully evident in the processes by which we individually adjust to certain lifestyle behaviors based upon accumulated bio-stimulation Autism: Microbial Correlation 16 (the " burning in " as it were) of neural pathway wiring (i.e., cellular activity), from birth and throughout life. Unhealthy cellular performance combined with toxicity over time equates into cellular performance deficiency, genetic mutations, or biochemical instability, and a decline in neuro-physicological response activity. To offer an idea of how dangerous the chemicals distributed by microbes is, especially the mycotoxins produced by micro fungi medical schools are providing strict instructions to future health professionals. Medical and laboratory students are told as they begin their studies in their class, Introduction to Diagnostic Microbiology, taught by Associate Professor and Director of Medial Laboratory Programs, Dannessa Delost, M.S., M.T. (ASCP) of the Department of Allied Health, College of Health and Human Services, Youngstown State University. Professor Delost offers the following health and safety policies and procedures: " Conidia and spores may remain dormant in the air or environment or may be transported through the air to other locations. The spores of pathogenic molds can be inhaled and enter the respiratory tract. This is a common rout of infection, and because of this, it is imperative to practice good laboratory safety when working in mycology. All work, including the preparation of slides, plating and transferring cultures, and nay biochemical work, must be performed in a biological safety cabinet. Because airborne conidia and spores are readily released from a fungal culture, one should never smell a fungal culture. Screw-cap test tubes should be used in place of test tubes with a cotton, metal, or plastic lid. In addition, Petri plates must be sealed tightly with either an oxygen Autism: Microbial Correlation 17 impermeable tape or Parafilm. As always, gloves should be worn and any breaks or cuts in the skin covered to prevent the transmission of fungal infection. " If major colleges and universities are training laboratory students to understand and respect the potentially dangerous and sometimes lethal aspects of micro fungi and the mycotoxins they produce, to an unsuspecting mother with a developing fetus in her womb, entering an environment infested with pathogenic micro fungi could, and does pose a volatile threat to her health and that of her unborn child. The human neurological system begins to formulate almost immediately in fetal development. The brain is highly complex and according to an article by C. Shatz, titled " The Developing Brain " (Shatz, C. J., 1992), by the time a person reaches adulthood the fully developed brain consists of " more than 100 billion neurons. " What Shatz further states is that, " The functional properties of neurons, like their structural architecture, do not attain their specificity until later in life. " Shatz writes, " One of the most remarkable features of the adult nervous system is the precision of this [neural] wiring. No aspect of the complicated structure, it would appear, has been left to chance. The achievement of such complexity is even more astounding when one considers that during the first few weeks after fertilization many of the sense organs are not even connected to the embryonic processing centers of the brain. During fetal development, neurons must be generated in the right quantity and location. The axons that propagate from them must select the correct pathway to their target and finally make the right connections. " With our human body being highly susceptible to metabolic changes dependent on the Autism: Microbial Correlation 18 mother's biological system, it is easy to understand that if pathogenic (disease influencing) microbes should colonize (grow) due to a high level exposure of some type that this could disturb homeostasis (normal systemic balance). In an article titled, " Neural Autoantibodies and Neurophysiologic Abnormalities in Patients Exposed to Molds in Water- Damaged Buildings, " A. W. relates that microbial exposures (specifically, bacteria and molds) can adversely affect the human being (especially very small infants and fetuses) by the byproduct toxins and volatile organic compounds that they produce. Some of these toxins cause major mutations to neurons, and even cellular death. states some of the affected areas: " Molds and mycotoxins affect the respiratory tract, kidneys, liver, and skin, as well as the immune and nervous systems. " (, A. W., 2003). goes on to state, " Recent studies have shown that mold exposure has adverse effects on the nervous system. Some mycotoxins have been shown to be tremorgenic and are suspected as causative agents in woodtrimmer's disease and tremorgenic encephalopathy; mycotoxins present in household environments have been found to affect dogs. " Several types of mycotoxins are also teratogenic (known to cause birth defects during gestation). Summary Autism is a serious disorder normally discovered by the age of three years in infants. Currently scientists are closing in on the factors surrounding its onset through scientific disciplines such as in genealogy, immunology, and neurology. The hypothesis of this report is that microbial behaviors that symbiotically maintain the homeostasis of human metabolic processing is also a major factor that should be considered in scientific Autism: Microbial Correlation 19 research studies. Presently, environmental considerations are implicated in the scientific literature, however very little attention is given to early fetal development and indoor exposures to bacteria, micro fungi, dust mites, and other microbial influences endured by the mother during gestating. If hundreds of thousands of scientific documents are now focusing on the neurological and biophysical aspects of human diseases related to " mold " exposures, and molds and bacteria have been implicated in disease over eons, it makes perfect sense scientifically, that as known " primary " decomposers of the human body after death, that it is very possible they could strongly influence the distribution of genetic and other body chemistry during pregnancy enough to effect changes during fetal development that are similar to those seen in autism. Autism: Microbial Correlation 20 Resources American Academy of Neurology (February 13, 2002). 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Scientific American, Inc., New York, NY (61, 64) Steinman, L. (September 1993). Life, Death and the Immune System. Scientific American: Special Edition. Scientific American, Inc. New York, NY (107-114) Tobias, P.V. (1970). Brain Size, Grey Matter and Race – Fact or Fiction? American Journal Of Physical Anthropology (32:3-31) , J. (2003), Mutated Genes Disrupt Nerve Cell Proteins-Autism Advance-Autism Research. Science Service, Inc. Internet article retrieved February 17, 2005 at http://www.findarticles.com/p/articles/mi_m1200/is_14_163/ai_10011092 0/print University of Michigan (November 3, 1998). Autism may be Caused by an Immune System Response to a Virus. Patient's Science Daily. Internet article retrieved on February 20, 2005 at http://www.sciencedaily.com/print.php? url=/releases/1998/10/981031181106.htm Villamizar, C P., Vargas, D., Zimmerman, A., Nascimbene, C, and Krishnan, C. (November 15, 2004). Brains Immune System Triggered in Autism, ls of Neurology, s Hopkins Medical Institutions, Baltimore, MD Quote Link to comment Share on other sites More sharing options...
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