dementia caused by borrelia infection of the central nervous...
TRANSCRIPT
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Dementia caused by Borrelia infection of the Central Nervous System
Alan B. MacDonald, M.D.Staff Pathologist
St Catherine of Siena Medical CenterSmithtown, New York
Columbia University LDA National Scientific Meeting October 20,2006 , Philadelphia Pennsylvania
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Walking on Thin Ice
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Hypotheses ^ About Dementia
• Noguchi [ …hypothesis testing]--1913
• MacDonald[..hypothesis….]--------1985
• Miklossy[hypothesis …]-------------1992
Spirochetal
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Brain “Fog” as a Metaphor
Clouded MentationApraxia of Thought
Senility“Old Timer”
Apraxia…
Loss of ability to carry out purposeful movements, in the absence of paralysis, .. Especially inability to make proper use of an object…
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Perseveration• “Broken Record” Type –
Perseveration in DementiasPerseveration in Dementias
•• Scientific Perseverations as a MotifScientific Perseverations as a MotifRigid and unweilding
“Herr Professor Types”
Repetitions without Cognizance
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Problem of the Perfect spirochetes
Perfect spirochetes as a Perseveration “motif”
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Anecdotes in Medicine
Un - Scientific
Un - Informative
Un - trustworthy
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Where is it Written ??
Did you “Get it Past an Editor”?
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Overview
Trans-synaptic transmissionof Infection
Neural Circuit Infections –Progressions in Nerve Disease
Inside of the NerveInside of the NerveInfections by Borrelia
Cystic BorreliaCystic Borrelia( Rationale for Chronic Disease)
Evidence for Neural Neural InvasionInvasion
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Time Capsules*****
1.1. Dementia Dementia –– What makes it Alzheimer’sWhat makes it Alzheimer’s
2.2. Plaques Plaques -- of Alzheimer’sof Alzheimer’s
3.3. Tangles Tangles -- of Alzheimer’sof Alzheimer’s
4.4. GVB GVB -- of Alzheimer’sof Alzheimer’s
5.5. DNA in the GVB’sDNA in the GVB’s6.6. DNA in PlaquesDNA in Plaques7. SSPE model – Tangles from Viral Infection8. Borrelia to Tangles – Pathway inside the Neuron9. Trans-Synaptic transmission of Infections10. Trans-Synaptic Neuroborreliosis11. Braak Stages- of Alzheimer’s Disease12. Redefined Braak Stages -13. Dr Miklossy – Landmark observations in Alzheimer’s14. Dr Noguchi – Landmark observations in General Paresis
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Time Capsules - Continued
*****
15. Negative Reviews – Borrelia and Alzheimer’s
16. Rebuttals - from Miklossy and MacDonald
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Antibodies – Are they Necessary???…..Evidence for New Discoveries?
{IDSA version of Truth ??}
Knowledge Acquired before the Etiologic Agent
was in the Textbook
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Borrelia and Dementia – Previous Lecture
Topics from Miklossy 2004 LDA Lecture
And MacDonald 2005 Ilads Lecture
Cultures Alzheimer Brain tissue --------POSITIVE
Alzheimer Brain tissue – ----------------Positive for Borrelia
Spinal Fluid –-------------- Positive for Borrelia Antibodies
DNA Hybridization – Positive signals in Specific Brain regions
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New Topics in 2006 - Bridges to Pathogenesis of
Alzheimer’s Neuroborreliosis
Tangles of Alzheimer’s Disease – Infection Connections
Plaques of Alzheimer’s disease –DNA Probes Borrelia Specific
Mutations in Alzheimer’s Disease- Transfection Mechanisms
Spinal Fluid Testing in Alzheimer’s Disease –
Borrelia DNA detection methods
Braak Stages of Alzheimer’s Disease-TransSynaptic spread of Infection in Neural Networks
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Dementia – What makes it Alzheimer’s
Under the microscope: The Big ThreeMany Plaques --- (Silver +, Amyloid , Tau protein +)
Many Tangles --- (Silver +, _______, Tau protein +)
GVB Granules ---- (Silver +, _______, _____ )
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An Anecdotal Case Report – Just one !!
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Dementia –What makes it Alzheimer’s
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tia –What makes it Alzheim
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Dementia –What makes it Alzheimer’s
Synapses Are Lost
Nerve Structure Lost
Chemistry Corrupted
Sparkle - Dimmed
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PlaquesFirst
Requirement for
Alzheimer’s
Unstained Plaques are
Overlooked
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Plaques
“Amyloid Free”
Plaques of the
Cotton Wool type
Density
Of
Plaques
And
Loss of
Brain Weight
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Plaques
“Caused By Amyloid” ???
Or
Signatures of a Microbial
Pathogen??
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A Tale of Two Plaques
Alzheimer’s Disease -Plaques
Plaques in Tertiary Neurosyphilis
General Paresis Brain at Autopsy 1929
Dr Judith Miklossy
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TanglesSecond
RequirementUnstained Plaque at
3 o’clock position
Silver Stained Plaques
And Silver stained
Tangles
Silver Stained
Tangle at
9 o’clock position
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Tangles
Dr Kidd
Discovers that
Tangles are Not “corpses” of
Previous Microtubules
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Third Requirement
for Alzheimer’s
GVB are
“Dots” inside of
“Bubbles”
Which are
Inside of
Diseased Nerve cells
Hypothesis: GVB in Alzheimer’s
Are the “signature” of
Granular Spirochetes inside
Nerve cells
GVB
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GVB
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DNA in GVB
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DNAin GVB
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DNA in Plaques
Only Borrelia DNA
Glows Green in the Picture
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DNAin PlaquesOnly Borrelia DNA
Glows Green
In the picture
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DNAin Plaquesin Plaques
DNA Hybridization
Monoclonal Antibody for
The Flagellin protein of Borrelia
Developed by Dr Alan Barbour
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SSPEModel
Perfect Model for Tangles
Based on Inside of the Nerve Infection
In Children
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SSPE ModelTangles from
Infection
Infectious Agent Crosses
The Synapse
Synapse
Golden particles are
Viruses
Inside Nerve
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Borrelia to Tangles
Borrelia spirochetes inside
Hippocampal neurons in
Alzheimer’s disease
Inside of the cell Infection
Infectious Agent Inside of the Nerve cell
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Borrelia to Borrelia to TanglesTangles
Infection
Crosses
The
Synapse
Infected Neuron
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Micro tubule Formation inside the Nerve
Tau protein ( Healthy Type)
Stabilizes the Microtubule Cylindrical shape
Tau
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Tau supportand the Model of the Barrel
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Tau and Rings of the Barrel
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Healthy Nerve
Needs
Healthy
Tau Protein to
Stabilize the
MicrotubulesMany Healthy Tau structural supporting proteins—
A Ring of supports around
The tubule
.
.
.
.
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Borrelia to Tangles
Loss of Tau = Loss of Tubules
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Borrelia inside the Nerve – and pathway to Tangle Formations
1. Infection inside of the Neuron
2. Biochemical Derangements
3. “Toxic” Products – (Phos) added to Tau
4. Loss of “healthy” Tau Supports
5. Tangles (Unhealthy Tau proteins)_--------------Replace Microtubules -----Death of cell
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InfectionsCrossing SynapsesHerpes Zoster
“Shingles”
Dormant Virus from Childhood Chicken Pox
Stays hidden inside of Nerves for 50-80 years
and Reactivates to “March “ down Nerve pathways
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InfectionsCrossing
Synapses
Other Trans-synaptic Infections
RabiesLethal March of Virus inside Nerve Networks
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InfectionsCrossing
Synapses
Pseudo Rabies Virus
Non lethal Virus
Used to “Map” Neural Networks
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Trans-Synaptic Neuroborreliosis
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Alzheimer’s Disease – A Neuron with a Round “Green thing”
Describe what you see, Please
Hint: Round Thing
Containing DNA
Nucleus of Neuron –Yellow and round
Single Strand DNA stains Green
Double Strand DNA stains Yellow
Diseased Nerve cell
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Single Strand DNA in Cytoplasm is Never seen in Healthy Neuron
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Braak Stages of Alzheimer’sNormal Brain
Size
On Left
Alzheimer’sDisease
Brain size
On Right
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Braak Stages of Alzheimer’s
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Braak Stages of Alzheimer’s
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Braak Stages of Alzheimer’s Redefined as Infection in Neural Networks
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Escalator Model forAscending Braak Stages
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Escalator Schemafor Infection
movements through neuralCircuits
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Dr Noguchi
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Dr Noguchi
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Negative Reviews Borrelia/Alzheimer’s
Marques et al – PCR Study using 16S targetResult***All Alzheimer’s brains Negative for PCR product
Miklossy Rebuttal – PCR Alzheimer 16 S PCR –Positive Results in Alzheimer brains – Plus DNA Sequence Positive Evidence
Bergstrom Rebuttal – 16 S Nucleotides of Borrelia Differ among Strains of Borrelia Spirochetes – Wrong Strain Primers Yield Negative PCR when Borrelia are still present
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Negative Reviews-Borrelia/Alzheimer’sPappolla and Burgdorfer –
Pathology study of Alzheimer’s Brain tissues for-Corkscrew Borrelia spirochetes.
Result ***No Borrelia corkscrew forms identified in Alzheimer Brain tissues – Fragmentary Forms in Tissue Declared Artefacts
MacDonald Rebuttal –
1. No Positive Controls—No tissues known to show Borrelia Spirochetes in Brain tissue were utilized by Pappolla.
2. No “truncated” forms” – in plane of Section
Allowed by Pappolla and Burgdorfer.
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Negative Reviews-Borrelia/Alzheimer’sDr Dennis Dickson’s Letter of Protest
1987 Human Pathology
***** Dickson’s Allegations of “False Hope” for Alzheimer’s Patient’s.. based on a Single Case Study published by MacDonald and Miranda
“Concurrent Neocortical Borreliosis and Alzheimer’s Disease”
MacDonald Rebuttal – The Case of
Mr Paul Christensen
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Mr Paul ChristensenLyme disease in Spinal
Fluid 8 years before Deathfrom Alzheimer’s disease
All Spinal Fluid testing Positive for Lyme disease – SUNY School of Medicine Stony Brook
8 years prior to Death from Dementia
Autopsy Confirmed Alzheimer’s Disease –
SUNY School of Medicine, Stony Brook, New York
by Faculty Pathologist with Subspecialty Board Certification in Neuropathology-
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Mr Paul Christensen Alzheimer’s At Autopsy 8 years after Spinal Fluid + for Borrelia
burgdorferi at Stony Brook
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Mr Paul Christensen Alzheimer's at Autopsy8 years after Spinal Fluid positivefor Borrelia burgdorferi Antibodies at SUNY Stony Brook School of Medicine
Key points: Infection in Spinal Fluid – Lyme Positive
Atypical Facial pain at presentation – later onset of Normal Pressure Hydrocephalus –
Shunt Placement – Shunt Infection – Antibiotics –Clinical improvement – Antibiotics discontinued –Dementia again develops – Deterioration to Death –Alzheimer’s Disease at Autopsy
CERAD criteria satisfied at Medical School SUNY-
DNA Probes for Flagellin DNA – Positive hybridization signals in Alzheimer Plaques
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Opportunities forImprovement
in Alzheimer’sPatient Care
****Contributions from
the Molecular versionof the Autopsy
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Website
http://www.molecularalzheimer.org
Special Thanks to : Turn the Corner Foundation
New York City, New York
St Catherine of Siena Medical Center,
Smithtown, New York
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Walking on Thin Ice
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Ponder the Possibilities
Thank you
For
Your Kind Attention
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