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'

I catch plenty of news, sound bites. the problem in my opinion is

that you have 1 trillion bacteria that produce toxins that are

embedded into your fat cells..And this is not important? or the

missing link? in the genetics of things.

>

>

> This is some enormous new disease loci study covering seven common

> diseases... 2-3,000 individuals in each group. I don't know if that

> makes it the biggest study of it's kind for some of these diseases -

> but I'm guessing so, since 50 labs worked on this cooperative.

>

> I'm posting it for Tony...

>

> " [...] Case-control comparisons identified 24 independent

association

> signals at P < 5e-7: 1 in bipolar disorder, 1 in coronary artery

> disease, 9 in Crohn's disease, 3 in rheumatoid arthritis, 7 in type

1

> diabetes and 3 in type 2 diabetes. [...] We observed association at

> many previously identified loci, and found compelling evidence that

> some loci confer risk for more than one of the diseases studied.

[...]

> The importance of appropriately large samples was confirmed by the

> modest effect sizes observed at most loci identified. "

>

> http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

>

> Haha, you'll like that last sentence, Tony. Modest effect sizes.

> Sounds like no one gene makes a real big difference in any of these

> diseases.

>

> I don't think that rules out the possibility that some of them could

> be autoimmune diseases (in some stronger or weaker sense), as there

> are sooo many genes that can influence thresholds for loss of

> self-tolerance. But it does tend to make it seem more likely that

> something big is missing in the ideas most people have of these

diseases.

>

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Bob

I hear what your saying BUT. The first thing I noticed when looking

for the simple explanation of why am I told everything's normal in my

tests, when I feel like this. I took my query under my arm and headed

to my cousins whose blood work was being monitored for something he

was taking, but otherwise extremely healthy.THE FIRST THING THAT WAS

OBVIOUS IS THAT PEOPLE WITH THESE DISORDERS 'WHILE SUFFERING' NOT THE

BLOOD TEST TAKEN WHEN YOU WERE OK TO GO AND HAVE IT DRAWN, HAVE LOTS

OF HAEMOLYSIS- DESTRUCTION OF RED CELLS BY IMO 'TOXINS'. These are

the same guys that hurt and damage your internals making it look like

someone's passed a blow torch thru your inards.Also the platelet

clumping (intravascular coagulation) that see's there numbers

drop.Often when so called herxing.. So to sit here and have an

intelligent arguement about an immune system that's gone awry is

silly, when an abvious shift from an external source, a TOXIN, can be

easily observed..I also recall early in the piece describing to a

doctor my fibromyalgia feels like acid running thru your veins.

> > >

> > >

> > > This is some enormous new disease loci study covering seven

common

> > > diseases... 2-3,000 individuals in each group. I don't know

if that

> > > makes it the biggest study of it's kind for some of these

diseases -

> > > but I'm guessing so, since 50 labs worked on this

cooperative.

> > >

> > > I'm posting it for Tony...

> > >

> > > " [...] Case-control comparisons identified 24 independent

> > association

> > > signals at P < 5e-7: 1 in bipolar disorder, 1 in coronary

artery

> > > disease, 9 in Crohn's disease, 3 in rheumatoid arthritis, 7

in type

> > 1

> > > diabetes and 3 in type 2 diabetes. [...] We observed

association at

> > > many previously identified loci, and found compelling

evidence that

> > > some loci confer risk for more than one of the diseases

studied.

> > [...]

> > > The importance of appropriately large samples was confirmed

by the

> > > modest effect sizes observed at most loci identified. "

> > >

> > >

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > >

> > > Haha, you'll like that last sentence, Tony. Modest effect

sizes.

> > > Sounds like no one gene makes a real big difference in any

of these

> > > diseases.

> > >

> > > I don't think that rules out the possibility that some of

them could

> > > be autoimmune diseases (in some stronger or weaker sense),

as there

> > > are sooo many genes that can influence thresholds for loss

of

> > > self-tolerance. But it does tend to make it seem more

likely that

> > > something big is missing in the ideas most people have of

these

> > diseases.

> > >

> >

> >

> >

>

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Bob

That is rediculous.. When you attempt therapy you have to know what

your going after, been there, done that, failed, is alway's the case

for people with a simple urinry tract infection. Some have been thru

these episodes on upto 18 occasions(thru there medical history) and

still haven't cleared them.

You've also got to have a look at what is going on in your own case-

YOUR DESCRIBING YOUR WIFE AS SOMEONE THAT'S BEING CONSTANTLY THRASHED

TO WITHIN AN INCH OF HER LIFE AND YOUR SITTING HERE COMFORTABLE THAT

IT MAY BE MULTIFACTORAL- AND POSSABLY HER IMMUNE SYSTEM ATTACKING HER?

DO YOU REALISE THAT MOST PEOPLE HAVE ONE THING OCCUR THAT TIPS THEM

OVER-MONO-SURGERY -INJURY-WHIPLASH-COURSE OF ANTIBIOTICS-TICK BITE

(ONE FOR PAULA) and you feel comfortable that her epsiodes of what

should be best described as TOXEMIA aren't real... it's all due to an

immune system that's gone whacky.

Why don't you ask your wife while she's suffering if she would accept

TOXEMIA as the best explanation for her ilness- we don't need you to

tell us ask her...She may be the one that opens your eyes or maybe

you should look at what comes out after a historectomy-it's pretty

obvious that something needs better explaining when things come out

that have been giving long term pain and look like someone's attacked

part of the anatomy with a blowtorch.

tony

> >> >

> >> >

> >> > This is some enormous new disease loci study covering

seven

> >> common

> >> > diseases... 2-3,000 individuals in each group. I don't

know

> >> if that

> >> > makes it the biggest study of it's kind for some of

these

> >> diseases -

> >> > but I'm guessing so, since 50 labs worked on this

cooperative.

> >> >

> >> > I'm posting it for Tony...

> >> >

> >> > " [...] Case-control comparisons identified 24

independent

> >> association

> >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

coronary

> >> artery

> >> > disease, 9 in Crohn's disease, 3 in rheumatoid

arthritis, 7

> >> in type

> >> 1

> >> > diabetes and 3 in type 2 diabetes. [...] We observed

> >> association at

> >> > many previously identified loci, and found compelling

> >> evidence that

> >> > some loci confer risk for more than one of the diseases

> >> studied.

> >> [...]

> >> > The importance of appropriately large samples was

confirmed

> >> by the

> >> > modest effect sizes observed at most loci identified. "

> >> >

> >> >

> >>

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >>

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> >> >

> >> > Haha, you'll like that last sentence, Tony. Modest

effect

> >> sizes.

> >> > Sounds like no one gene makes a real big difference in

any

> >> of these

> >> > diseases.

> >> >

> >> > I don't think that rules out the possibility that some

of

> >> them could

> >> > be autoimmune diseases (in some stronger or weaker

sense),

> >> as there

> >> > are sooo many genes that can influence thresholds for

loss of

> >> > self-tolerance. But it does tend to make it seem more

> >> likely that

> >> > something big is missing in the ideas most people have

of

> >> these

> >> diseases.

> >> >

> >>

> >>

> >

> >

>

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Bob

Again, you describe thinking you've nearly lost your wife on several

occasions... THIS IS TOXEMIA that is thrashing her to death, not

autoimmune bullshit..

tony

> >> >

> >> >

> >> > This is some enormous new disease loci study covering

seven

> >> common

> >> > diseases... 2-3,000 individuals in each group. I don't

know

> >> if that

> >> > makes it the biggest study of it's kind for some of

these

> >> diseases -

> >> > but I'm guessing so, since 50 labs worked on this

cooperative.

> >> >

> >> > I'm posting it for Tony...

> >> >

> >> > " [...] Case-control comparisons identified 24

independent

> >> association

> >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

coronary

> >> artery

> >> > disease, 9 in Crohn's disease, 3 in rheumatoid

arthritis, 7

> >> in type

> >> 1

> >> > diabetes and 3 in type 2 diabetes. [...] We observed

> >> association at

> >> > many previously identified loci, and found compelling

> >> evidence that

> >> > some loci confer risk for more than one of the diseases

> >> studied.

> >> [...]

> >> > The importance of appropriately large samples was

confirmed

> >> by the

> >> > modest effect sizes observed at most loci identified. "

> >> >

> >> >

> >>

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >>

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> >> >

> >> > Haha, you'll like that last sentence, Tony. Modest

effect

> >> sizes.

> >> > Sounds like no one gene makes a real big difference in

any

> >> of these

> >> > diseases.

> >> >

> >> > I don't think that rules out the possibility that some

of

> >> them could

> >> > be autoimmune diseases (in some stronger or weaker

sense),

> >> as there

> >> > are sooo many genes that can influence thresholds for

loss of

> >> > self-tolerance. But it does tend to make it seem more

> >> likely that

> >> > something big is missing in the ideas most people have

of

> >> these

> >> diseases.

> >> >

> >>

> >>

> >

> >

>

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Bob

I threw my last post at you because it just bounced around my head

that all I knew was your wife was being thrashed to within an inch of

her life.I call this TOXEMIA, you somewhat agree..And now for some

fuked up reason you still think there's more to the puzzle. Try

dehydration from long term inflammation due to toxemia. Try low blood

volume from the same set of circumstances..What do you think long

term inflmammtion/low blood volume/dehydration/followed by mineral

inbalances provides? Perfectly functioning organs?A nice glowing head

of hair?It provides a managery that if you try an interpret will take

a life timewith no answers..

BOB GO BACK AND DISCOVER WHAT IS CAUSING THE TOXEMIA IN YOUR WIFES

CASE......and stop feeding us it's a lot of things causing this ONE

problem..

tony

> > > >> >

> > > >> >

> > > >> > This is some enormous new disease loci study covering

> > seven

> > > >> common

> > > >> > diseases... 2-3,000 individuals in each group. I don't

> > know

> > > >> if that

> > > >> > makes it the biggest study of it's kind for some of

> > these

> > > >> diseases -

> > > >> > but I'm guessing so, since 50 labs worked on this

> > cooperative.

> > > >> >

> > > >> > I'm posting it for Tony...

> > > >> >

> > > >> > " [...] Case-control comparisons identified 24

> > independent

> > > >> association

> > > >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

> > coronary

> > > >> artery

> > > >> > disease, 9 in Crohn's disease, 3 in rheumatoid

> > arthritis, 7

> > > >> in type

> > > >> 1

> > > >> > diabetes and 3 in type 2 diabetes. [...] We observed

> > > >> association at

> > > >> > many previously identified loci, and found compelling

> > > >> evidence that

> > > >> > some loci confer risk for more than one of the diseases

> > > >> studied.

> > > >> [...]

> > > >> > The importance of appropriately large samples was

> > confirmed

> > > >> by the

> > > >> > modest effect sizes observed at most loci identified. "

> > > >> >

> > > >> >

> > > >>

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >>

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > >> >

> > > >> > Haha, you'll like that last sentence, Tony. Modest

> > effect

> > > >> sizes.

> > > >> > Sounds like no one gene makes a real big difference in

> > any

> > > >> of these

> > > >> > diseases.

> > > >> >

> > > >> > I don't think that rules out the possibility that some

> > of

> > > >> them could

> > > >> > be autoimmune diseases (in some stronger or weaker

> > sense),

> > > >> as there

> > > >> > are sooo many genes that can influence thresholds for

> > loss of

> > > >> > self-tolerance. But it does tend to make it seem more

> > > >> likely that

> > > >> > something big is missing in the ideas most people have

> > of

> > > >> these

> > > >> diseases.

> > > >> >

> > > >>

> > > >>

> > > >

> > > >

> > >

> >

> >

>

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Bob

The other thing that I can try and teach you to learn about which we

have been touching on is how this toxemia cycle starts. The quorum

sensing bacterial communication stuff that occurs to give you the

whole quagmire of your wife in distress and thrashed to within an

inch of her life by the oncoming toxemia.We as a community have

discovered that what we eat, the climate, and light around us can

also determine how this toxemia will impact us.. you seem to avoid

this-your basically listening to people like HARRY HIGH PANTS(rich)

whom have strategies for managing these diseases,which deep down we

already follow to some degree from our own trial and error stuff..

tony

> > > >> >

> > > >> >

> > > >> > This is some enormous new disease loci study covering

> > seven

> > > >> common

> > > >> > diseases... 2-3,000 individuals in each group. I don't

> > know

> > > >> if that

> > > >> > makes it the biggest study of it's kind for some of

> > these

> > > >> diseases -

> > > >> > but I'm guessing so, since 50 labs worked on this

> > cooperative.

> > > >> >

> > > >> > I'm posting it for Tony...

> > > >> >

> > > >> > " [...] Case-control comparisons identified 24

> > independent

> > > >> association

> > > >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

> > coronary

> > > >> artery

> > > >> > disease, 9 in Crohn's disease, 3 in rheumatoid

> > arthritis, 7

> > > >> in type

> > > >> 1

> > > >> > diabetes and 3 in type 2 diabetes. [...] We observed

> > > >> association at

> > > >> > many previously identified loci, and found compelling

> > > >> evidence that

> > > >> > some loci confer risk for more than one of the diseases

> > > >> studied.

> > > >> [...]

> > > >> > The importance of appropriately large samples was

> > confirmed

> > > >> by the

> > > >> > modest effect sizes observed at most loci identified. "

> > > >> >

> > > >> >

> > > >>

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >>

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > >> >

> > > >> > Haha, you'll like that last sentence, Tony. Modest

> > effect

> > > >> sizes.

> > > >> > Sounds like no one gene makes a real big difference in

> > any

> > > >> of these

> > > >> > diseases.

> > > >> >

> > > >> > I don't think that rules out the possibility that some

> > of

> > > >> them could

> > > >> > be autoimmune diseases (in some stronger or weaker

> > sense),

> > > >> as there

> > > >> > are sooo many genes that can influence thresholds for

> > loss of

> > > >> > self-tolerance. But it does tend to make it seem more

> > > >> likely that

> > > >> > something big is missing in the ideas most people have

> > of

> > > >> these

> > > >> diseases.

> > > >> >

> > > >>

> > > >>

> > > >

> > > >

> > >

> >

> >

>

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Guest guest

Bob you don't understand nor are trying to understand infections.My

best friends father has been dealing with a UTI for 20 years he

originally had his bladder removed years earlier for cancerous

reasons.Your here trying to teach us that it's not the infection

part, that's been taken care of, its the other bits?just take a step

back and get your head around biaxin is only managing a few symptoms

of the infection- it's just denting the surface of the real

underlying infectious problem ..Bob you need 100 times the amount of

penicillin or other drug offered up to take care of an infectious

arthritis.....tony

> > > > > >> >

> > > > > >> >

> > > > > >> > This is some enormous new disease loci study covering

> > > > seven

> > > > > >> common

> > > > > >> > diseases... 2-3,000 individuals in each group. I don't

> > > > know

> > > > > >> if that

> > > > > >> > makes it the biggest study of it's kind for some of

> > > > these

> > > > > >> diseases -

> > > > > >> > but I'm guessing so, since 50 labs worked on this

> > > > cooperative.

> > > > > >> >

> > > > > >> > I'm posting it for Tony...

> > > > > >> >

> > > > > >> > " [...] Case-control comparisons identified 24

> > > > independent

> > > > > >> association

> > > > > >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

> > > > coronary

> > > > > >> artery

> > > > > >> > disease, 9 in Crohn's disease, 3 in rheumatoid

> > > > arthritis, 7

> > > > > >> in type

> > > > > >> 1

> > > > > >> > diabetes and 3 in type 2 diabetes. [...] We observed

> > > > > >> association at

> > > > > >> > many previously identified loci, and found compelling

> > > > > >> evidence that

> > > > > >> > some loci confer risk for more than one of the diseases

> > > > > >> studied.

> > > > > >> [...]

> > > > > >> > The importance of appropriately large samples was

> > > > confirmed

> > > > > >> by the

> > > > > >> > modest effect sizes observed at most loci identified. "

> > > > > >> >

> > > > > >> >

> > > > > >>

> > > >

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > > > >>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > >

> > > > > >> >

> > > > > >> > Haha, you'll like that last sentence, Tony. Modest

> > > > effect

> > > > > >> sizes.

> > > > > >> > Sounds like no one gene makes a real big difference in

> > > > any

> > > > > >> of these

> > > > > >> > diseases.

> > > > > >> >

> > > > > >> > I don't think that rules out the possibility that some

> > > > of

> > > > > >> them could

> > > > > >> > be autoimmune diseases (in some stronger or weaker

> > > > sense),

> > > > > >> as there

> > > > > >> > are sooo many genes that can influence thresholds for

> > > > loss of

> > > > > >> > self-tolerance. But it does tend to make it seem more

> > > > > >> likely that

> > > > > >> > something big is missing in the ideas most people have

> > > > of

> > > > > >> these

> > > > > >> diseases.

> > > > > >> >

> > > > > >>

> > > > > >>

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

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Share on other sites

Guest guest

Bob

I come into the forum have a quick read and ramble off a few things.

You said this provides no purpose. I think our communication proved

beyond doubt that when your being thrashed to within an inch of your

life, it needs an explanation, and the fact that the word 'TOXEMIA'

is possably the best description of these catasrtrophic events as

opposed to some wishy, washy, Yasko style Rich explanation, we've

achieved heaps.

What you fail to understand, regardless of how it's described, is

that YOUR WIFE NEEDS TO IDENTIFY WHAT IS CAUSING HER TOXEMIA.This is

generally non invasive and inexpensive, in the scheme of things.But

again we'll get the multifactoral crap, crap, and more crap approach-

to keep things extremely complicated because these conditions need to

be extremely complicated.Mate in 100 plus years of disease the

healthy immune system isn't going to help anything. So pursuing this

angle which seems popular, goes against the trend of everything that

is scientific commonsense..We basically need vaccinating against 20

or 30 viruses, bacteria and more importantly there toxins..this is

what science has offered up for the past 100 years- the boost the

immune system stuff is the big buck hype that doesn't cure disease

I'm afraid.

So Bob being content sitting at every doctors appointment time and

time again, and possably making no progress, but offering up

confusing crap, is detremental to your wifes health I'm afraid..

> > > > > > > >> >

> > > > > > > >> >

> > > > > > > >> > This is some enormous new disease loci study

covering

> > > > > > seven

> > > > > > > >> common

> > > > > > > >> > diseases... 2-3,000 individuals in each group. I

don't

> > > > > > know

> > > > > > > >> if that

> > > > > > > >> > makes it the biggest study of it's kind for some of

> > > > > > these

> > > > > > > >> diseases -

> > > > > > > >> > but I'm guessing so, since 50 labs worked on this

> > > > > > cooperative.

> > > > > > > >> >

> > > > > > > >> > I'm posting it for Tony...

> > > > > > > >> >

> > > > > > > >> > " [...] Case-control comparisons identified 24

> > > > > > independent

> > > > > > > >> association

> > > > > > > >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

> > > > > > coronary

> > > > > > > >> artery

> > > > > > > >> > disease, 9 in Crohn's disease, 3 in rheumatoid

> > > > > > arthritis, 7

> > > > > > > >> in type

> > > > > > > >> 1

> > > > > > > >> > diabetes and 3 in type 2 diabetes. [...] We

observed

> > > > > > > >> association at

> > > > > > > >> > many previously identified loci, and found

compelling

> > > > > > > >> evidence that

> > > > > > > >> > some loci confer risk for more than one of the

diseases

> > > > > > > >> studied.

> > > > > > > >> [...]

> > > > > > > >> > The importance of appropriately large samples was

> > > > > > confirmed

> > > > > > > >> by the

> > > > > > > >> > modest effect sizes observed at most loci

identified. "

> > > > > > > >> >

> > > > > > > >> >

> > > > > > > >>

> > > > > >

> > > >

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > > > >

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > >

> > > > > > > >>

> > > > > >

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > > > >

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > >

> > > > >

> > > > > > > >> >

> > > > > > > >> > Haha, you'll like that last sentence, Tony. Modest

> > > > > > effect

> > > > > > > >> sizes.

> > > > > > > >> > Sounds like no one gene makes a real big

difference in

> > > > > > any

> > > > > > > >> of these

> > > > > > > >> > diseases.

> > > > > > > >> >

> > > > > > > >> > I don't think that rules out the possibility that

some

> > > > > > of

> > > > > > > >> them could

> > > > > > > >> > be autoimmune diseases (in some stronger or weaker

> > > > > > sense),

> > > > > > > >> as there

> > > > > > > >> > are sooo many genes that can influence thresholds

for

> > > > > > loss of

> > > > > > > >> > self-tolerance. But it does tend to make it seem

more

> > > > > > > >> likely that

> > > > > > > >> > something big is missing in the ideas most people

have

> > > > > > of

> > > > > > > >> these

> > > > > > > >> diseases.

> > > > > > > >> >

> > > > > > > >>

> > > > > > > >>

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

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Bob,

I don't know the answers but have a couple of thoughts. One is that a

lot of us seem to respond to Zithromax and not Biaxin. I don't know

why. It is just true.

The other is an odd experience I had a couple of weeks ago. You know

I have the strange 1 year headache which is probably caused by MRSA

which has gotten into my sinuses and head. Well, I used Bactroban

swabs and Xylotol spray 2 weeks ago. In two days I had swollen

glands, sore throat and a low grade fever. Oops.

My wonderful doctor who tries to help me sort things out suggested I

just use the Xylotol and see what happens. So I am starting back on

that today.

All of that to say I hear you when you say your wife can't tolerate

massive combos and doses of various antibiotics.

We've all got to hang together and keep searching for solutions. I

still believe they are out there.

a Carnes - back from Zion

>

> HI TONY. I HEAR YOU. I think you misunderstand though. We

believe

> toxemia is her main problem, actually. I don't believe her immune

> system is attacking her and never said I did. I was just having a

> conversation about auto immune disease. My wife would however

agree

> that her immune system is malfunctioning. It is severely up-

regulated

> much of the time and over-reacts to most everything. It doesn't

know

> when / how to shut off. Seasonally, in the fall, it tends to

> down-regulate so that she catches every sniffle in the air. That

is

> clearly abnormal. It's merely an observation about how one of her

body

> systems (doesn't) work, though; it's not a judgment about her, or

the

> reality of her symptoms or suffering.

>

> I would take personal offense to the suggestion that I think her

> symptoms " aren't real " , except that I have no idea how you could

> rationally draw such a conclusion from anything I've ever written

about

> her. Her symptoms are all too real. I think your problem is that

you

> don't see anything as real unless it's bacterially caused, and you

> therefore assume that I don't think her symptoms are real because I

> don't believe they are 100% the result of infection. For what it's

> worth, though, we are working primarily on the infectious angle and

I

> would credit pathogens for 90% of her symptoms even if I think the

> organisms are opportunistic because of some completely different

cause

> -- probably in my opinion environmental poisoning combined with

genetic

> vulnerability. The latter is water over the dam, of course, and

the

> pathogens are something we can actually do something about. My

greatest

> fear is that we will not be able to permanently banish them if we

can

> never find and fix the underlying cause, however.

>

> The main problem with aggressive antibiotic therapy is that her

burden

> of pathogens is so high that any significant progress in killing

them

> creates a toxic storm. Or what you would call toxemia. We have

> actually worked out a protocol with Biaxin that sort of works for

her

> and are currently pursuing it, but it's a white-knuckle balancing

act.

> Doing it wrong without consideration of all the factors involved,

only

> makes her more miserable and could well kill her. Doing it right

brings

> relief and something vaguely resembling quality of life. We are

slowly

> figuring out what's right for her.

>

> --Bob

>

> dumbaussie2000 wrote:

> >

> >

> > Bob

> > That is rediculous.. When you attempt therapy you have to know

what

> > your going after, been there, done that, failed, is alway's the

case

> > for people with a simple urinry tract infection. Some have been

thru

> > these episodes on upto 18 occasions(thru there medical history)

and

> > still haven't cleared them.

> > You've also got to have a look at what is going on in your own

case-

> > YOUR DESCRIBING YOUR WIFE AS SOMEONE THAT'S BEING CONSTANTLY

THRASHED

> > TO WITHIN AN INCH OF HER LIFE AND YOUR SITTING HERE COMFORTABLE

THAT

> > IT MAY BE MULTIFACTORAL- AND POSSABLY HER IMMUNE SYSTEM ATTACKING

HER?

> > DO YOU REALISE THAT MOST PEOPLE HAVE ONE THING OCCUR THAT TIPS

THEM

> > OVER-MONO-SURGERY -INJURY-WHIPLASH-COURSE OF ANTIBIOTICS-TICK BITE

> > (ONE FOR PAULA) and you feel comfortable that her epsiodes of what

> > should be best described as TOXEMIA aren't real... it's all due

to an

> > immune system that's gone whacky.

> > Why don't you ask your wife while she's suffering if she would

accept

> > TOXEMIA as the best explanation for her ilness- we don't need you

to

> > tell us ask her...She may be the one that opens your eyes or maybe

> > you should look at what comes out after a historectomy-it's pretty

> > obvious that something needs better explaining when things come

out

> > that have been giving long term pain and look like someone's

attacked

> > part of the anatomy with a blowtorch.

> > tony

> >

> >

> > > >> >

> > > >> >

> > > >> > This is some enormous new disease loci study covering

> > seven

> > > >> common

> > > >> > diseases... 2-3,000 individuals in each group. I don't

> > know

> > > >> if that

> > > >> > makes it the biggest study of it's kind for some of

> > these

> > > >> diseases -

> > > >> > but I'm guessing so, since 50 labs worked on this

> > cooperative.

> > > >> >

> > > >> > I'm posting it for Tony...

> > > >> >

> > > >> > " [...] Case-control comparisons identified 24

> > independent

> > > >> association

> > > >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

> > coronary

> > > >> artery

> > > >> > disease, 9 in Crohn's disease, 3 in rheumatoid

> > arthritis, 7

> > > >> in type

> > > >> 1

> > > >> > diabetes and 3 in type 2 diabetes. [...] We observed

> > > >> association at

> > > >> > many previously identified loci, and found compelling

> > > >> evidence that

> > > >> > some loci confer risk for more than one of the diseases

> > > >> studied.

> > > >> [...]

> > > >> > The importance of appropriately large samples was

> > confirmed

> > > >> by the

> > > >> > modest effect sizes observed at most loci identified. "

> > > >> >

> > > >> >

> > > >>

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >>

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > >> >

> > > >> > Haha, you'll like that last sentence, Tony. Modest

> > effect

> > > >> sizes.

> > > >> > Sounds like no one gene makes a real big difference in

> > any

> > > >> of these

> > > >> > diseases.

> > > >> >

> > > >> > I don't think that rules out the possibility that some

> > of

> > > >> them could

> > > >> > be autoimmune diseases (in some stronger or weaker

> > sense),

> > > >> as there

> > > >> > are sooo many genes that can influence thresholds for

> > loss of

> > > >> > self-tolerance. But it does tend to make it seem more

> > > >> likely that

> > > >> > something big is missing in the ideas most people have

> > of

> > > >> these

> > > >> diseases.

> > > >> >

> > > >>

> > > >>

> > > >

> > > >

> > >

> >

> >

>

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Guest guest

Bob, you are a good man. I think you told me this before about the

Zithromax. I wish you both the BEST.

a

>

> She can't tolerate Zithro at all. Strangely, aside from a massive

> cytokine storm, the symptoms are what we associate with

mobilization of

> mercury: dark depression and emotional lability, which in her case

are

> particularly striking because that is so contrary to her

fundamental nature.

>

> Tried mino once, tore her stomach up right away and took months to

> recover. These kinds of atypical responses make abx really

challenging.

>

> Biaxin brings about promising clinical results but is hard on the

> stomach; even so she managed a three week course which for her is a

huge

> accomplishment. And then the doctor tried adding Ceftin.

>

> Ceftin has been tolerated fine in the past by itself, though it

didn't

> produce clinical results one way or the other. But combined with

> Biaxin, Ceftin produced an immediate heavy die off of something.

The

> toxins overwhelmed her liver, liver enzymes went through the roof,

and

> coincidentally or not, she threw a gall stone (completely new

problem --

> whoopee).

>

> At this point one of her doctors is convinced the gall bladder

needs to

> go, that it's a locus of infection and in any case should be

removed

> while it's elective, not wait until it's a crisis. He wants to

> stabilize her for a couple of months and then do the laproscopic

> procedure to take it out. The other doctor is more conservative

and

> doesn't recommend attempting surgery unless she has another

attack. He

> puts the odds of such an attack at 20%.

>

> Unless she has another attack, we are going to move heaven and

earth to

> avoid the knife because with the severe MCS, the combination of a

> hospital stay and anesthesia could well run her into the ground, if

not

> do her in altogether. For now, she is just starting the Biaxin

again by

> itself.

>

> --Bob

>

> pjeanneus wrote:

> >

> > Bob,

> > I don't know the answers but have a couple of thoughts. One is

that a

> > lot of us seem to respond to Zithromax and not Biaxin. I don't

know

> > why. It is just true.

> >

> > The other is an odd experience I had a couple of weeks ago. You

know

> > I have the strange 1 year headache which is probably caused by

MRSA

> > which has gotten into my sinuses and head. Well, I used Bactroban

> > swabs and Xylotol spray 2 weeks ago. In two days I had swollen

> > glands, sore throat and a low grade fever. Oops.

> >

> > My wonderful doctor who tries to help me sort things out

suggested I

> > just use the Xylotol and see what happens. So I am starting back

on

> > that today.

> >

> > All of that to say I hear you when you say your wife can't

tolerate

> > massive combos and doses of various antibiotics.

> >

> > We've all got to hang together and keep searching for solutions. I

> > still believe they are out there.

> >

> > a Carnes - back from Zion

> >

> > >

> > > HI TONY. I HEAR YOU. I think you misunderstand though. We

> > believe

> > > toxemia is her main problem, actually. I don't believe her

immune

> > > system is attacking her and never said I did. I was just having

a

> > > conversation about auto immune disease. My wife would however

> > agree

> > > that her immune system is malfunctioning. It is severely up-

> > regulated

> > > much of the time and over-reacts to most everything. It doesn't

> > know

> > > when / how to shut off. Seasonally, in the fall, it tends to

> > > down-regulate so that she catches every sniffle in the air. That

> > is

> > > clearly abnormal. It's merely an observation about how one of

her

> > body

> > > systems (doesn't) work, though; it's not a judgment about her,

or

> > the

> > > reality of her symptoms or suffering.

> > >

> > > I would take personal offense to the suggestion that I think her

> > > symptoms " aren't real " , except that I have no idea how you could

> > > rationally draw such a conclusion from anything I've ever

written

> > about

> > > her. Her symptoms are all too real. I think your problem is that

> > you

> > > don't see anything as real unless it's bacterially caused, and

you

> > > therefore assume that I don't think her symptoms are real

because I

> > > don't believe they are 100% the result of infection. For what

it's

> > > worth, though, we are working primarily on the infectious angle

and

> > I

> > > would credit pathogens for 90% of her symptoms even if I think

the

> > > organisms are opportunistic because of some completely different

> > cause

> > > -- probably in my opinion environmental poisoning combined with

> > genetic

> > > vulnerability. The latter is water over the dam, of course, and

> > the

> > > pathogens are something we can actually do something about. My

> > greatest

> > > fear is that we will not be able to permanently banish them if

we

> > can

> > > never find and fix the underlying cause, however.

> > >

> > > The main problem with aggressive antibiotic therapy is that her

> > burden

> > > of pathogens is so high that any significant progress in killing

> > them

> > > creates a toxic storm. Or what you would call toxemia. We have

> > > actually worked out a protocol with Biaxin that sort of works

for

> > her

> > > and are currently pursuing it, but it's a white-knuckle

balancing

> > act.

> > > Doing it wrong without consideration of all the factors

involved,

> > only

> > > makes her more miserable and could well kill her. Doing it right

> > brings

> > > relief and something vaguely resembling quality of life. We are

> > slowly

> > > figuring out what's right for her.

> > >

> > > --Bob

> > >

> > > dumbaussie2000 wrote:

> > > >

> > > >

> > > > Bob

> > > > That is rediculous.. When you attempt therapy you have to know

> > what

> > > > your going after, been there, done that, failed, is alway's

the

> > case

> > > > for people with a simple urinry tract infection. Some have

been

> > thru

> > > > these episodes on upto 18 occasions(thru there medical

history)

> > and

> > > > still haven't cleared them.

> > > > You've also got to have a look at what is going on in your own

> > case-

> > > > YOUR DESCRIBING YOUR WIFE AS SOMEONE THAT'S BEING CONSTANTLY

> > THRASHED

> > > > TO WITHIN AN INCH OF HER LIFE AND YOUR SITTING HERE

COMFORTABLE

> > THAT

> > > > IT MAY BE MULTIFACTORAL- AND POSSABLY HER IMMUNE SYSTEM

ATTACKING

> > HER?

> > > > DO YOU REALISE THAT MOST PEOPLE HAVE ONE THING OCCUR THAT TIPS

> > THEM

> > > > OVER-MONO-SURGERY -INJURY-WHIPLASH-COURSE OF ANTIBIOTICS-TICK

BITE

> > > > (ONE FOR PAULA) and you feel comfortable that her epsiodes of

what

> > > > should be best described as TOXEMIA aren't real... it's all

due

> > to an

> > > > immune system that's gone whacky.

> > > > Why don't you ask your wife while she's suffering if she would

> > accept

> > > > TOXEMIA as the best explanation for her ilness- we don't need

you

> > to

> > > > tell us ask her...She may be the one that opens your eyes or

maybe

> > > > you should look at what comes out after a historectomy-it's

pretty

> > > > obvious that something needs better explaining when things

come

> > out

> > > > that have been giving long term pain and look like someone's

> > attacked

> > > > part of the anatomy with a blowtorch.

> > > > tony

> > > >

> > > >

> > > > > >> >

> > > > > >> >

> > > > > >> > This is some enormous new disease loci study covering

> > > > seven

> > > > > >> common

> > > > > >> > diseases... 2-3,000 individuals in each group. I don't

> > > > know

> > > > > >> if that

> > > > > >> > makes it the biggest study of it's kind for some of

> > > > these

> > > > > >> diseases -

> > > > > >> > but I'm guessing so, since 50 labs worked on this

> > > > cooperative.

> > > > > >> >

> > > > > >> > I'm posting it for Tony...

> > > > > >> >

> > > > > >> > " [...] Case-control comparisons identified 24

> > > > independent

> > > > > >> association

> > > > > >> > signals at P < 5e-7: 1 in bipolar disorder, 1 in

> > > > coronary

> > > > > >> artery

> > > > > >> > disease, 9 in Crohn's disease, 3 in rheumatoid

> > > > arthritis, 7

> > > > > >> in type

> > > > > >> 1

> > > > > >> > diabetes and 3 in type 2 diabetes. [...] We observed

> > > > > >> association at

> > > > > >> > many previously identified loci, and found compelling

> > > > > >> evidence that

> > > > > >> > some loci confer risk for more than one of the diseases

> > > > > >> studied.

> > > > > >> [...]

> > > > > >> > The importance of appropriately large samples was

> > > > confirmed

> > > > > >> by the

> > > > > >> > modest effect sizes observed at most loci identified. "

> > > > > >> >

> > > > > >> >

> > > > > >>

> > > >

> >

http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > > > > >>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

> > > >

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html

> >

<http://www.nature.com/nature/journal/v447/n7145/abs/nature05911.html>

>

> > >

> > > > > >> >

> > > > > >> > Haha, you'll like that last sentence, Tony. Modest

> > > > effect

> > > > > >> sizes.

> > > > > >> > Sounds like no one gene makes a real big difference in

> > > > any

> > > > > >> of these

> > > > > >> > diseases.

> > > > > >> >

> > > > > >> > I don't think that rules out the possibility that some

> > > > of

> > > > > >> them could

> > > > > >> > be autoimmune diseases (in some stronger or weaker

> > > > sense),

> > > > > >> as there

> > > > > >> > are sooo many genes that can influence thresholds for

> > > > loss of

> > > > > >> > self-tolerance. But it does tend to make it seem more

> > > > > >> likely that

> > > > > >> > something big is missing in the ideas most people have

> > > > of

> > > > > >> these

> > > > > >> diseases.

> > > > > >> >

> > > > > >>

> > > > > >>

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

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Guest guest

Well, despite my investigation of odds ratios and relative risks, I

still find ORs hard to digest. Fortunately, it seems that whenever the

outcome (in this case, the disease state) has a low probability, the

OR and RR are very similar.

All these diseases have a prevalence lower than 1-2%, except maybe

type 2 diabetes, so the OR ~= the RR. I calculated the ORs and RRs for

an allele whose presence adjusts a risk from 1% to 2%:

OR: 2.02

RR: 2.00

and one that adjusts a risk from 2% to 8%:

OR: 4.26

RR: 4.00

....basically the same deal. So there's plenty of room here to just

read the OR as an RR.

Table 2, where they give already-strongly-supported associations which

their cohorts confirm, gives no measure of strength of association

that I am familiar with. Pretty short table anyways, outside the

diabeteses.

Table 3 gives novel associations, with both heterozygote and

homozygote ORs.

On to what's dealt with in the texts. In coronary artery disease there

was some stuff related to methylation that Rich might be interested

in... they mention homocysteine in this connection.

CROHNS: interesting stuff here. They confirmed the old news of the

CARD15/NOD2 null mutation conferring risk. Also the more recent IL-23r

finding. Then there's 4 strong new ones which they say have been

replicated with the studies reported elsewhere. One related to

autophagy, though I think I heard about this previously. One involved

in the development of the gut. One in a T cell signaling molecule also

involved in RA and diabetes1. And finally one marker within a brain

gene which they suggest is linked to a nearby gene affecting activity

of resident peritoneal macrophages.

Then there's some weaker stuff, pretty much all immune-related. Maybe

I'll read more of this paper later... I need some food... but I'll say

this:

These new Crohn's associations all have homozygote odds ratios of 2.3

or less. The authors don't discuss the comparative functionality of

the alleles in question. That's too bad, because the strength of

association for a given allele should be proportional to the product

of the centrality of its gene to the disease process, *multiplied by*

the disease allele's functional differences from the other alleles of

that gene. These alleles, looking at their ORs, obviously don't make a

huge difference in whether you get Crohn's. But, if the functionality

of the alleles being compared is very similar, then even a small

disease association for one allele could mean that that allele's *gene

product* is very important in the disease process - even though the

allele is of low import in disease predisposition.

On the other hand, if the allele in question is totally nonfunctional

like the truncated CARD15/NOD2 allele related to Crohn's, then it had

better have a serious odd ratio (it sure does) - otherwise that gene

probably isn't very highly related to the disease process, but instead

is only remotely related.

It's kind of like this made-up example. Say you are exploring the

causes of car crashes and say they probably almost all have a common

final process, but you don't know what it is. All cars in the

population, regardless of make and model, have steering wheel ABC or

steering wheel XYZ installed more or less randomly. You find that

steering wheel ABC is 2% more slippery than XYZ and confers a 1.10x

greater risk of car crash compared to XYZ, with p < 0.02. Then you

would conclude that while XYZ is slightly preferable, steering wheel

slippage seems to be really important and central in car crashes.

Whereas, if ABC was 100 times more slippery than XYZ (ie, ABC is a

virtually nonfunctional allele), yet it still conferred only a 1.10x

greater risk of crashing, you would still mildly prefer XYZ (that

doesn't change at all), but you would conclude that really steering

wheel slippage is not very important in car crashes.

I don't think(?) near-nonfunctional alleles are that common in the

mammalian genome, but I know of several examples of alleles with ~2x

differences in function.

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I've only skimmed the paper and the editorial, but the editorial

says that the autophagy gene is the *second* one identified for

Crohn's:

" For Crohn's disease, one of the newly identified6 susceptibility

genes is of particular interest because it is proposed to control

the spread of intracellular pathogens by autophagy — the process of

cellular self-digestion. This is the second gene to be implicated in

Crohn's disease through involvement in autophagy; the first was

identified earlier this year,.... "

http://www.lhl.uab.edu:15087/nature/journal/v447/n7145/full/447645a.h

tml

IL-23 signaling promotes Th17 development, and the current rap on

Th17s is that they probably kill extracellular bacteria and

extracellular fungi.

So it's sort of odd that Crohn's is associated with two genes that

may target intracellular pathogens and one that may target

extracellular bacteria/fungi. I wonder if the autophagy alleles and

the IL23r allele enhance Crohn's risk even more when combined, or if

this suggests instead that there exist unrelated subsets of Crohn's

wherein each subset is dealing with different microbes.

In a vague sense, I'm inclined to think that some Crohn's involves

intracellular microbes and that in these cases Th1 cells and

macrophages partner up to promote granulomas and the

hypervitaminosis D that Abreu et al reported, whereas other patients

are responding to extracellular bacteria and don't develop

granulomas. I've read a statement or two about Crohn's being

associated with granuloma formation, but I haven't seen anything

consistent on this--as if granulomas are optional for the diagnosis.

>

> CROHNS: interesting stuff here. They confirmed the old news of the

> CARD15/NOD2 null mutation conferring risk. Also the more recent IL-

23r

> finding. Then there's 4 strong new ones which they say have been

> replicated with the studies reported elsewhere. One related to

> autophagy, though I think I heard about this previously.

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Guest guest

> This is the second gene to be implicated in

> Crohn's disease through involvement in autophagy; the first was

> identified earlier this year,.... "

Oops I need to eat my wheaties. Thanks for pointing that out; it's

extremely interesting news.

> So it's sort of odd that Crohn's is associated with two genes that

> may target intracellular pathogens and one that may target

> extracellular bacteria/fungi.

That is weird. As you know I usually emphasize the thought that some

factors involved in a disease's genesis may not be involved in its

perpetuation, so that would be one way of ending up with an

odd-looking melange of genes. On that note one might think about, say,

a bacterium becoming established in the lumen for some weeks before

ultimately invading enteric cell plasm. (It has to be at least 2

weeks, I guess, so that lumenal Th immunity can kick in, since we are

trying to get involvement of extracellular Th immunity genes accounted

for.)

> I've read a statement or two about Crohn's being

> associated with granuloma formation, but I haven't seen anything

> consistent on this--as if granulomas are optional for the diagnosis.

I had the sense, but a soft and vague sense, that it was " usually "

granulomatous. However, I do recall pretty clearly reading that

something like 10-15% of IBD patients were ambiguous between Crohn's

and UC.

Considering the quite poor concordance in dx of schizophrenia,

eventual reassignment of many former MS diagnosees (something like

10+% IIRC), existence of mixed connective tissue disorders (not sure

how common these are), etc, it seems a lot of the dxs we are

interested in are not all that sharp. I bet there are more examples

too that I'm not aware of.

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It's worth noting that confirmation in a separate group of subjects -

apparantly already completed for most of the new polymorphisms

identified in this project - is the gold standard. So that's good.

Apparently it's the only really good way to do the confirmation,

because of the Bonferoni (multiple comparison) issues of making an

immense number of comparisons while wanting to keep the chances of

type 1 error (false rejection of the null hypothesis) under 0.05. I

have no real desire to understand why, but some statisticians think

the full Bonferoni correction is too conservative, and they seem to

agree that in any event it reduces the precision of confidence.

Whereas independent cohort confirmation yields a true p value with no

complication.

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The paper was sent to me by a friend- and I've read it twice.

Basically what it's saying is not new- that Sarc (and some other

diseases or syndromes) are the result of un sucessfull clearance of

an infectious agent (either viral or bacterial)with the result being

a hyopersensitivity, dysregulation and a suppression of the immune

system (all at the same time), presenting as a certain set of

symptoms depending on the genetic make-up of the host.

That's the overview.

But when you look at the details in the paper, you see: " observed to

correlate with the presence of M. Tuberculosis DNA fragments "

and " Biopsy material from 30 Swedish patients with Sarc confirmed

immunohistochemical evidence of Rickettsia-like organisms " . Note the

word CONFIRMED.

We know looking at antibody's for proof of an infectious agent

doesn't yield truthfull results as to whether the bug's there (or

it's DNA fragments) are there or not.

Chronic Sarc probably isn't any different from chronic Lyme - and

foreign DNA products ( of latent living ) bacteria could very well be

the cause.

It's how to get 'em I wanna know.

Barb

PS

SO I wonder if Trevor Marshall was consulted? I skimmed the 89

references in this paper and didn't see a single reference to him.

>

> I've only skimmed the paper and the editorial, but the editorial

> says that the autophagy gene is the *second* one identified for

> Crohn's:

>

> " For Crohn's disease, one of the newly identified6 susceptibility

> genes is of particular interest because it is proposed to control

> the spread of intracellular pathogens by autophagy — the process of

> cellular self-digestion. This is the second gene to be implicated

in

> Crohn's disease through involvement in autophagy; the first was

> identified earlier this year,.... "

>

>

http://www.lhl.uab.edu:15087/nature/journal/v447/n7145/full/447645a.h

> tml

>

>

> IL-23 signaling promotes Th17 development, and the current rap on

> Th17s is that they probably kill extracellular bacteria and

> extracellular fungi.

>

> So it's sort of odd that Crohn's is associated with two genes that

> may target intracellular pathogens and one that may target

> extracellular bacteria/fungi. I wonder if the autophagy alleles

and

> the IL23r allele enhance Crohn's risk even more when combined, or

if

> this suggests instead that there exist unrelated subsets of Crohn's

> wherein each subset is dealing with different microbes.

>

> In a vague sense, I'm inclined to think that some Crohn's involves

> intracellular microbes and that in these cases Th1 cells and

> macrophages partner up to promote granulomas and the

> hypervitaminosis D that Abreu et al reported, whereas other

patients

> are responding to extracellular bacteria and don't develop

> granulomas. I've read a statement or two about Crohn's being

> associated with granuloma formation, but I haven't seen anything

> consistent on this--as if granulomas are optional for the diagnosis.

>

>

> >

> > CROHNS: interesting stuff here. They confirmed the old news of the

> > CARD15/NOD2 null mutation conferring risk. Also the more recent

IL-

> 23r

> > finding. Then there's 4 strong new ones which they say have been

> > replicated with the studies reported elsewhere. One related to

> > autophagy, though I think I heard about this previously.

>

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Barb

The paper I was referring to appears to have 143 references and it

doesn't look like it mentions sarcoidosis. The link I gave to the

commentary may not actually work for other people. Here's the

PubMed citation to the paper started this topic with:

http://tinyurl.com/2qyckl

Here is the editorial I meant to cite:

http://tinyurl.com/2vvyrm

Can you give a PubMed citation to the sarcoidosis paper you're

talking about?

Matt

> >

> > I've only skimmed the paper and the editorial, but the editorial

> > says that the autophagy gene is the *second* one identified for

> > Crohn's:

> >

> > " For Crohn's disease, one of the newly identified6

susceptibility

> > genes is of particular interest because it is proposed to

control

> > the spread of intracellular pathogens by autophagy — the process

of

> > cellular self-digestion. This is the second gene to be

implicated

> in

> > Crohn's disease through involvement in autophagy; the first was

> > identified earlier this year,.... "

> >

> >

>

http://www.lhl.uab.edu:15087/nature/journal/v447/n7145/full/447645a.h

> > tml

> >

> >

> > IL-23 signaling promotes Th17 development, and the current rap

on

> > Th17s is that they probably kill extracellular bacteria and

> > extracellular fungi.

> >

> > So it's sort of odd that Crohn's is associated with two genes

that

> > may target intracellular pathogens and one that may target

> > extracellular bacteria/fungi. I wonder if the autophagy alleles

> and

> > the IL23r allele enhance Crohn's risk even more when combined,

or

> if

> > this suggests instead that there exist unrelated subsets of

Crohn's

> > wherein each subset is dealing with different microbes.

> >

> > In a vague sense, I'm inclined to think that some Crohn's

involves

> > intracellular microbes and that in these cases Th1 cells and

> > macrophages partner up to promote granulomas and the

> > hypervitaminosis D that Abreu et al reported, whereas other

> patients

> > are responding to extracellular bacteria and don't develop

> > granulomas. I've read a statement or two about Crohn's being

> > associated with granuloma formation, but I haven't seen anything

> > consistent on this--as if granulomas are optional for the

diagnosis.

> >

> >

> > >

> > > CROHNS: interesting stuff here. They confirmed the old news of

the

> > > CARD15/NOD2 null mutation conferring risk. Also the more

recent

> IL-

> > 23r

> > > finding. Then there's 4 strong new ones which they say have

been

> > > replicated with the studies reported elsewhere. One related to

> > > autophagy, though I think I heard about this previously.

> >

>

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Oh- sorry- read this one then - (sent to your account) it was

the one I was referring to:

" Considering an infectious etiology of Sarcoidosis " Clinics in

Dermatology 2007 259-266

M>E> Ezzie, ELLiot Crouser MDs

> > >

> > > I've only skimmed the paper and the editorial, but the

editorial

> > > says that the autophagy gene is the *second* one identified for

> > > Crohn's:

> > >

> > > " For Crohn's disease, one of the newly identified6

> susceptibility

> > > genes is of particular interest because it is proposed to

> control

> > > the spread of intracellular pathogens by autophagy — the

process

> of

> > > cellular self-digestion. This is the second gene to be

> implicated

> > in

> > > Crohn's disease through involvement in autophagy; the first was

> > > identified earlier this year,.... "

> > >

> > >

> >

>

http://www.lhl.uab.edu:15087/nature/journal/v447/n7145/full/447645a.h

> > > tml

> > >

> > >

> > > IL-23 signaling promotes Th17 development, and the current rap

> on

> > > Th17s is that they probably kill extracellular bacteria and

> > > extracellular fungi.

> > >

> > > So it's sort of odd that Crohn's is associated with two genes

> that

> > > may target intracellular pathogens and one that may target

> > > extracellular bacteria/fungi. I wonder if the autophagy

alleles

> > and

> > > the IL23r allele enhance Crohn's risk even more when combined,

> or

> > if

> > > this suggests instead that there exist unrelated subsets of

> Crohn's

> > > wherein each subset is dealing with different microbes.

> > >

> > > In a vague sense, I'm inclined to think that some Crohn's

> involves

> > > intracellular microbes and that in these cases Th1 cells and

> > > macrophages partner up to promote granulomas and the

> > > hypervitaminosis D that Abreu et al reported, whereas other

> > patients

> > > are responding to extracellular bacteria and don't develop

> > > granulomas. I've read a statement or two about Crohn's being

> > > associated with granuloma formation, but I haven't seen

anything

> > > consistent on this--as if granulomas are optional for the

> diagnosis.

> > >

> > >

> > > >

> > > > CROHNS: interesting stuff here. They confirmed the old news

of

> the

> > > > CARD15/NOD2 null mutation conferring risk. Also the more

> recent

> > IL-

> > > 23r

> > > > finding. Then there's 4 strong new ones which they say have

> been

> > > > replicated with the studies reported elsewhere. One related to

> > > > autophagy, though I think I heard about this previously.

> > >

> >

>

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