Multiple pathogens have been detected in Alzheimer’s disease (AD) brains. A bioinformatics approach was used to assess relationships between pathogens and AD genes (GWAS), the AD hippocampal transcriptome and plaque or tangle proteins. Host/pathogen interactomes (C.albicans, C.Neoformans, Bornavirus, B.Burgdorferri, cytomegalovirus, Ebola virus, HSV-1, HERV-W, HIV-1, Epstein-Barr, hepatitis C, influenza, C.Pneumoniae, P.Gingivalis, H.Pylori, T.Gondii, T.Cruzi) significantly overlap with misregulated AD hippocampal genes, with plaque and tangle proteins and, except Bornavirus, Ebola and HERV-W, with AD genes. Upregulated AD hippocampal genes match those upregulated by multiple bacteria, viruses, fungi or protozoa in immunocompetent blood cells. AD genes are enriched in bone marrow and immune locations and in GWAS datasets reflecting pathogen diversity, suggesting selection for pathogen resistance. The age of AD patients implies resistance to infections afflicting the younger. APOE4 protects against malaria and hepatitis C, and immune/inflammatory gain of function applies to APOE4, CR1, TREM2 and presenilin variants. 30/78 AD genes are expressed in the blood brain barrier (BBB), which is disrupted by AD risk factors (ageing, alcohol, aluminium, concussion, cerebral hypoperfusion, diabetes, homocysteine, hypercholesterolaemia, hypertension, obesity, pesticides, pollution, physical inactivity, sleep disruption and smoking). The BBB and AD benefit from statins, NSAIDs, oestrogen, melatonin and the Mediterranean diet. Polymicrobial involvement is supported by the upregulation of pathogen sensors/defenders (bacterial, fungal, viral) in the AD brain, blood or CSF. Cerebral pathogen invasion permitted by BBB inadequacy, activating a hyper-efficient immune/inflammatory system, betaamyloid and other antimicrobial defence may be responsible for AD which may respond to antibiotic, antifungal or antiviral therapy.
The increasing incidence of autism suggests a major environmental influence. Epidemiology has implicated many candidates and genetics many susceptibility genes. Gene/environment interactions in autism were analysed using 206 autism genes (ASG's) to interrogate ~1 million chemical/gene interactions in the comparative toxicogenomics database. Bias towards ASG's was statistically determined for each chemical. Many suspect compounds identified in epidemiology, including tetrachlorodibenzodioxin, pesticides, particulate matter, benzo(a)pyrene , heavy metals, valproate, acetaminophen, SSRI's, cocaine, bisphenol A, phthalates, polyhalogenated biphenyls, flame retardants, diesel constituents , terbutaline and oxytocin, inter alia showed a significant degree of bias towards ASG's, as did relevant endogenous agents (retinoids, sex steroids, thyroxine, melatonin, folate, dopamine, serotonin). Numerous other endocrine disruptors selectively targeted ASG's including paraquat, atrazine and other pesticides not yet studied in autism and many compounds used in 2 food, cosmetics or household products, including tretinoin, soy phytoestrogens , aspartame, titanium dioxide and sodium fluoride. Autism polymorphisms are known to influence sensitivity to some of these chemicals and these same genes play an important role in barrier function and control of respiratory cilia sweeping particulate matter from the airways. The close gene/environment relationships, for multiple suspect pollutants, suggest that the rising incidence of autism might be chemically driven by numerous environmental contaminants in a gene dependent manner. The protective dappled camouflage of the peppered moth was rendered invalid by industrial soot covering the trees, a situation reversed by clean air acts.The rising tide of neurodevelopmental and other childhood disorders linked to multiple pollutants may need a similar solution. IntroductionAccording to the Center for disease control (CDC) http://www.cdc.gov/ncbddd/autism/data.html the USA incidence of autism spectrum disorders rose 2.2 fold from 2000 to 2010 [1]. In the UK, a five-fold increase in autism in the 1990's , reached a plateau in the 2000's up to 2010 [2]. This increased prevalence is likely partly due to environmental influences, of which there are many candidates. Many chemical classes or specific chemicals related to autism have been reviewed by Rossignol and co-authors [3]. These include pesticides (chlorpyrifos, dicofol dialkylphosphate ,endosulfan, the Dichlorodiphenyltrichloroethane (DDT) metabolite o,p′dichlorodiphenyltrichloroethane, polychlorinated dibenzo-p-dioxin, polychlorinated and Polybrominated diphenyls, dichlorodiphenyldichloroethylene, heavy metals (aluminium, arsenic, cadmium, mercury, lead , nickel and manganese) , air pollutants (carbon monoxide, diesel components, methylene chloride, nitrogen dioxide, ozone, particulate matter, A number of compounds detailed above have been shown to produce autism-relevant behavioural effects in laboratory models when administered prenatally. F...
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