Monday, May 24, 2010

1 comment:

CNu said...

Gut Instinct - The Miracle of the Parasitic Hookworm

Jasper Lawrence's journey to this curious belief began in this house – which belongs to his aunt – nearly six years ago. He was living at the time in Santa Cruz, California, his marriage was on the rocks, and he had come here on holiday with two of his five children. It had been a while since he had seen his Aunt Mary – who had informally adopted him as a teenager – and when she opened the door to him, she could not hide her shock.

Lawrence, a wiry man, had gained nearly four stone. The weight gain was a symptom of his reliance on the oral steroid Prednisone, which, at the time, he says, was his only defence against the asthma that left him constantly breathless. His inhalers did not work, he had to rest halfway up a flight of stairs, he could no longer play with his kids. By chance, his aunt had recently heard a BBC radio documentary about the possibilities of parasitic hookworm as a treatment for allergies, and she mentioned the programme to Lawrence. He subsequently spent all night trawling the internet, reading research, following links, and by the morning was convinced that there was only one way he could cure himself: he needed parasites.

The research that so excited Lawrence was a development of the so-called "hygiene hypothesis". This theory, first developed by David P Strachan in the British Medical Journal in 1989, suggests that many of the "modern" illnesses that have grown exponentially in industrialised western countries – allergies, asthma, type 1 diabetes, Crohn's disease, irritable bowel syndrome, multiple sclerosis and possibly rheumatoid arthritis and autism, and others – are the result of inappropriate autoimmune responses. The development of chlorinated drinking water, vaccines, antibiotics, and the sterile environment of early childhood have, the argument goes, as well as preventing infection also upset the balance of the body's internal ecology. Inflammatory responses that evolved through millions of years in the certain presence of "old friends" – parasites and bacteria – have been thrown wildly out of kilter in their absence, causing autoimmune illnesses, in which the body's immune system turns on itself, and oversensitivity to harmless antigens such as pollen, or dust, or cats, or particular food groups.

The story that most interested Lawrence was the ongoing research of Professor David Pritchard, an immunologist at Nottingham University. While in the field in Papua New Guinea in the late 1980s, Pritchard noted that patients infected with the Necator americanus hookworm were rarely subject to the whole range of autoimmune-related illnesses, including hay fever and asthma. In the years since, Pritchard had developed a thesis to support this observation through painstaking clinical trials (which began after he infected himself with 50 hookworm). The thesis proved that hookworm, in small numbers, seemed able to regulate inflammatory immune responses in their hosts. (Dr Rick Maizels, at Edinburgh University, has subsequently identified the process – involving the white T-cells in the blood that regulate immunity – that allowed this to happen.)

"When I read that stuff," Lawrence recalls, "everything immediately made sense to me. In our obsession with cleansing and sterility, with the eradication of parasites, we had thrown the baby out with the bath water. The central idea is that our bodies have an internal ecosystem. One of the ironies of this, to me, is that everyone is concerned about biodiversity in the outside world, and saving the rainforest, but we've also screwed up the biodiversity inside us."


serial endosymbiosis...,

accept no substitutes.