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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
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    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
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      • ***Physical Health Issues, the Immune System & Mental Health Index
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  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
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      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
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  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



Translational Medicine Friday

Sensory processing,  ADHD, Autism, Mood Disorders & Immunity

8/31/2024

 
Val's Take/Conjecture
  • I think when there is some kind of serious emotional dysregulation, behind that is often a processing disorder.
    • Serious emotional dysregulation is not rare in this society and maybe a lot of societies.
  • Certainly in Education, there is more and more recognition of processing differences and the need for "Brain Breaks."
These processing disorders do represent another kind of Catch-22 or vicious cycle.
  • Often times this "processing disorder" involves taking in:
    • "More" (not all) information, and
    • It is hitting all at once
  • The person can become overwhelmed --- both mentally and physically.
  • It is taking a lot of Energy, a lot of ATP to try to regulate this.
  • At some point, your body is trying to get Energy from wherever it can, and anger can help to supply that.
    • Many neuro-diverse people are already irritable and most of us try to MASK that.
Further, if you are around people who are irritable and/or "emotionally dysregulated" --- it is taking you a lot of Energy and ATP to both deal with that situation and your own reactions to it.

Severe Irritability and/or Emotional Dysregulation can look a lot of ways, it can look fairly basic or primitive or quite sophisticated.
HERE'S THE CATCH-22
  • You didn't take in ALL information, and to address this situation --- You need to take in more information.
  • That requires more Energy and more ATP.
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Wikipedia:  Positive Feedback Loop
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Transdiagnostic Patterns of Sensory Processing in Autism and ADHD (2024)

Sensory processing abilities are highly variable within and across people diagnosed with autism and attention-deficit/hyperactivity disorder (ADHD).

This study examined the transdiagnostic nature of sensory processing
…
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Autism and mood disorders (2021)

[I]ndividuals with autism, who may present with 'atypical' features (e.g. severe irritability).

Risk factors for mood problems in autism appear to be largely overlapping with those identified in the general population, including shared genetic, environmental, cognitive, physiological/neurobiological mechanisms.
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The intense world theory - a unifying theory of the neurobiology of autism (2010)

The proposed neuropathology is hyper-functioning of local neural microcircuits, best characterized by hyper-reactivity and hyper-plasticity. 
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Sensory neurons: An integrated component of innate immunity (2024)
  • The sensory nervous system possesses the ability to integrate exogenous threats and endogenous signals to mediate downstream effector functions.
  • Sensory neurons have been shown to activate or suppress host defense and immunity against pathogens, depending on the tissue and disease state.
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Inflammation-induced mitochondrial and metabolic disturbances in sensory neurons control the switch from acute to chronic pain (2023)

ADHD, Autism, Sensory neurons, Pain & an intense world

8/31/2024

 
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Transdiagnostic Patterns of Sensory Processing in Autism and ADHD (2024)

Sensory processing abilities are highly variable within and across people diagnosed with autism and attention-deficit/hyperactivity disorder (ADHD).

This study examined the transdiagnostic nature of sensory processing
…
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Inflammation-induced mitochondrial and metabolic disturbances in sensory neurons control the switch from acute to chronic pain (2023)
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The intense world theory - a unifying theory of the neurobiology of autism (2010)

The proposed neuropathology is hyper-functioning of local neural microcircuits, best characterized by hyper-reactivity and hyper-plasticity. 
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Sensory neurons: An integrated component of innate immunity (2024)
  • The sensory nervous system possesses the ability to integrate exogenous threats and endogenous signals to mediate downstream effector functions.
  • Sensory neurons have been shown to activate or suppress host defense and immunity against pathogens, depending on the tissue and disease state.

Autoimmunity and: Neuro-Developmental Disorders, Cancer, Psychiatric Disorders & Dementia

8/30/2024

 
Val's Note:  The focus here is on "Auto-Immunity" and there seem to be numerous associations in areas we might not expect; although more and more we might expect them.

Beyond "Auto-Immunity" there often seem to be "Immune Mechanisms" that are important, this may be true in "Depression" where the evidence for classic "Auto-Immunity" is conflicting but nonetheless seems clear that "Immune Mechanisms" are relevant.

Additionally, it appears that "Immune Mechanisms" are relevant with regard to Substance Use Issues.
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Autoimmunity and Cancer-Two Sides of the Same Coin (2022)
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Immune system-wide Mendelian randomization and triangulation analyses support autoimmunity as a modifiable component in dementia-causing diseases (2022)

Affiliations
  • 1 Broad Institute of the Massachusetts Institute of Technology and Harvard University, The Klarman Cell Observatory, Cambridge, MA, USA.
  • 2 Department of Epidemiology and Public Health, University College London, London, UK.
  • 3 Clinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.
  • 4 Broad Institute of the Massachusetts Institute of Technology and Harvard University, The Klarman Cell Observatory, Cambridge, MA, USA.
  • 5 Institute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Helsinki, Finland.
  • 6 Clinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.
  • 7 Department of Epidemiology and Public Health, University College London, London, UK.
  • 8 Université de Paris, Inserm U1153, Epidemiology of Ageing and Neurodegenerative diseases, Paris, France.
  • 9 Research & Development, Biogen Inc., Cambridge, MA, USA.
  • 10 Division of Psychiatry, University College London, London, UK.
  • 11 Camden and Islington NHS Foundation Trust, London, UK.
  • 12 Glenn Biggs Institute of Alzheimer's and Neurodegenerative Diseases, University of Texas Health Science Center, San Antonio, TX, USA.
  • 13 Boston University School of Public Health, Boston, MA, USA.
  • 14 New York University Grossman School of Medicine, New York, NY, USA.
  • 15 Boston University School of Medicine, Boston, MA, USA.
  • 16 Center for Computational and Integrative Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • 17 Department of Molecular Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • 18 Institute of Cardiovascular Science, University College London, London, UK.
  • 19 University College London, British Heart Foundation Research Accelerator, London, UK.
  • 20 Health Data Research UK, London, UK.
National Institute of Health
Harnessing the Immune System to Protect Against Opioid Addiction and Overdose (2023)
Medical Dialogues
Hidden Mental Health Symptoms in People Living with Long Term Autoimmune Disease
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Role of autoimmunity in Neuronal damage in children with Autism spectrum disorder (2023)
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Autoimmune psychosis: an international consensus on an approach to the diagnosis and management of psychosis of suspected autoimmune origin (2020)
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Association of Maternal Autoimmune Disease With Attention-Deficit/Hyperactivity Disorder in Children (2021)
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Schizophrenia as autoimmune disease: Involvement of Anti-NCAM antibodies (2023)
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The prevalence of bipolar disorder in autoimmune disease: a systematic review and meta-analysis (2021)
Conclusions:

The prevalence of bipolar disorder is markedly higher in patients with autoimmune disease.

Yet, more basic research is needed to verify the special significance of immune mechanisms in bipolar disorder. 
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Subclinical thyroid dysfunction and major depressive disorder (2021)
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Microglia in depression: an overview of microglia in the pathogenesis and treatment of depression (2022)
Microglia are the predominant resident immune cells in the brain and exhibit a critical role in depression.
Val's Take:   Autoimmunity and various Immune Mechanisms are extremely important for understanding human cognition and behavior, the neuro-developmental/psychiatric continuum and relationships to other chronic diseases.
***Physical Health Issues, the Immune System & Mental Health

VIRUSES:  Auto-immunity, Neuro-developmental Disorders, PsychiatrIC Disorders & Cancer

8/30/2024

 
Val's Take/Conjecture
  • The Epstein-Barr Virus is  extremely common, some  estimates are that 95% of people will be infected.
  • However, the responses to Epstein Barr Viruses (and other viruses) can be extremely idiosyncratic.
  • What  factors are driving more serious responses?
Epstein–Barr Viruses: Their Immune Evasion Strategies and Implications for Autoimmune Diseases (2024)

Epstein–Barr virus as a leading cause of multiple sclerosis: mechanisms and implications (2023)

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NIH Director's Blog:

Study Reveals How Epstein-Barr Virus May Lead to Cancer (2023)

Association of Epstein-Barr virus (EBV) with lung cancer: meta-analysis (2023)

Hypothesis: bipolar disorder is an Epstein–Barr virus‐driven chronic autoimmune disease – implications for immunotherapy (2020)

Schizophrenia is Associated With an Aberrant Immune Response to Epstein–Barr Virus (2019)

Atypical Immune Response to Epstein-Barr Virus in Major Depressive Disorder (2020)

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Modulation of human endogenous retroviruses and cytokines expression in peripheral blood mononuclear cells from autistic children and their parents (2022)
Conclusion

Herein we show that autistic children and their mothers share an intrinsic responsiveness to in vitro microenvironmental changes in expressing HERVs [Human Endogenous Retroviruses] and pro-inflammatory cytokines.

Remarkably, the antiretroviral drug Efavirenz restores the expression of specific HERV families to values similar to those of the controls, also reducing the expression of proinflammatory cytokines but keeping the regulatory ones high.

Our findings open new perspectives to study the role of HERVs in the biological mechanisms underlying Autism.
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Endogenous Retroviruses Activity as a Molecular Signature of Neurodevelopmental Disorders (2019)
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Interplay between activation of endogenous retroviruses and inflammation as common pathogenic mechanism in neurological and psychiatric disorders (2023)

Conjecture:  Antibiotics, AlleRgies, Vaccines, Mitochondria & Catch-22s

8/30/2024

 
Val's Take/Conjecture
  • There were more people after the Black Death  that were subject to Auto-Immunity than before the Black Death (1346-1353).

Mother's autoimmune disease is associated with neuro-developmental & psychiatric disorders.
  • Some autoimmune diseases more than others, Maternal Thyroid Disorders are particularly associated with neuro-developmental and psychiatric disorders.
Downs Syndrome is a neuro-developmental disorder and it is associated with pregnant women over 35, according to the Centers for Disease Control.
  • Based on research from the University of Colorado, Down Syndrome is  more and more conceptualized as an Immune Disorder.
    • See also:  Immune Dysregulation in Down Syndrome [proposal that Down Syndrome is a "Cytokinopathy"]
Father's age is important as well:

  • A 2019 study determined that a father's age has a significant impact on a child's health and development.
  • The study found that babies born to older fathers had an increased risk of cleft lip or palate, heart defects, autism, schizophrenia and bipolar disorder.
www.nbcnews.com › health › parenting
Al Pacino expecting a baby at 83: Health risks for children ...
Antibiotic exposures and the development of pediatric autoimmune diseases: a register-based case–control study (2023)

Antimicrobial resistance (World Health Organization 2023)

Celiac Disease and Autoimmune Thyroid Disease: The Two Peas in a Pod (2023)
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Insights into new-onset autoimmune diseases after COVID-19 vaccination (China) (2023)
[V]accination implementation is critically significant.

However, growing evidence suggests that COVID-19 vaccination may cause new-onset autoimmune diseases, including autoimmune glomerulonephritis, autoimmune rheumatic diseases, and autoimmune hepatitis.
Nevertheless, the causal relationship between COVID-19 vaccines and these autoimmune diseases remains to be demonstrated.

In this review, we provide evidence that vaccination induces autoimmunity and summarize possible mechanisms of action, such as molecular mimicry, activation by bystanders, and adjuvants.
Our objective is not to refute the importance of vaccines, but to raise awareness about the potential risks of COVID-19 vaccination. In fact, we believe that the benefits of vaccination far outweigh the possible risks and encourage people to get vaccinated.
Our objective is not to refute the importance of vaccines, but to raise awareness about the potential risks of COVID-19 vaccination. In fact, we believe that the benefits of vaccination far outweigh the possible risks and encourage people to get vaccinated.
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Potential health risks of mRNA-based vaccine therapy: A hypothesis (2023)
Susceptible individuals would then expectedly have an increased risk of DNA damage, chronic autoinflammation, autoimmunity and cancer.

In light of the current mass administration of nms-mRNA vaccines, it is essential and urgent to fully understand the intracellular cascades initiated by cellular uptake of synthetic mRNA and the consequences of these molecular events.
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How the Black Death shaped human evolution
  • Another protective variant has been associated with an increased risk of two autoimmune diseases. Thus, the Black Death and other past pandemics may have shaped humans’ immune systems in ways both good and bad.

While we acquired better protection against infections, we became more susceptible to autoimmune diseases.
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Long-term risk of autoimmune diseases after mRNA-based SARS-CoV2 vaccination in a Korean, nationwide, population-based cohort study  (Korea) (2024)
We report that the risk of developing most AI-CTDs  [autoimmune connective tissue diseases] did not increase following mRNA vaccination, except for systemic lupus erythematosus with a 1.16-fold risk in vaccinated individuals relative to controls.

Comparable results were reported in the stratified analyses for age, sex, mRNA vaccine type, and prior history of non-mRNA vaccination.
However, a booster vaccination was associated with an increased risk of some AI-CTDs [autoimmune connective tissue diseases] including alopecia areata, psoriasis, and rheumatoid arthritis.

Overall, we conclude that mRNA-based vaccinations are not associated with an increased risk of most AI-CTDs, although further research is needed regarding its potential association with certain conditions.
Val's Take:      The discussion on vaccines is becoming more sophisticated.

I'm not for banning antibiotics or vaccines, but I do think there are issues, especially over time.

"Mitochondria are flinging their DNA into our brain celLs"

8/29/2024

 
"Mitochondrial DNA behaves like a virus"
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Somatic nuclear mitochondrial DNA insertions are prevalent in the human brain and accumulate over time in fibroblasts (2023)
Combined, our data document spontaneous numtogenesis in human cells and demonstrate an association between brain cortical somatic Numts and human lifespan.

These findings open the possibility that mito-nuclear horizontal gene transfer among human post-mitotic tissues produce functionally-relevant human Numts over timescales shorter than previously assumed.
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University of Michigan School of Medicine
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Colombia University Irving Medical Center
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The insertions are called nuclear-mitochondrial segments—NUMTs ("pronounced new-mites")—and have been accumulating in our chromosomes for millions of years.

"As a result, all of us are walking around with hundreds of vestigial, mostly benign mitochondrial DNA segments in our chromosomes that we inherited from our ancestors," Mills says.
"Mitochondrial DNA insertions are common in the human brain"

"Stress accelerates NUMTogenesis"
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A systematic review on the role of mitochondrial dysfunction/disorders

in neurodevelopmental disorders and psychiatric/behavioral disorders (2024)

How many mental Health Professionals are addressing a lack of immune Homeostasis?

8/25/2024

 
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Maternal immune activation and neuroinflammation in human neurodevelopmental disorders (2021)
Key points

    Human studies are uncovering a role for maternal immune activation (MIA) in the pathogenesis of common neurodevelopmental disorders, such as autism spectrum disorder, attention-deficit/hyperactivity disorder and Tourette syndrome, in the offspring.

    Prenatal, in utero and postnatal embedding of environmental factors in the epigenetic architecture of both the brain and the peripheral immune system can modulate individual susceptibility to neurodevelopmental disorders.

    The effects of MIA, mediated by acute and chronic inflammation in pregnancy, are transduced to the fetus through inflammatory cell signalling pathways and epigenetic mechanisms.

    Pathogen-associated molecular patterns, damage-associated molecular patterns and Toll-like receptors represent a convergent cellular pathway between heterogeneous environmental factors and innate immune activation.

    In conjunction with individual genetic risk, sex-related factors and second ‘immune’ hits during life, MIA-induced aberrant immune programming results in a loss of immune homeostasis, which is associated with behavioural abnormalities in animal models.
Val's Take/Conjecture
  • Researchers began to investigate whether the Immune System had something to do with Mental Illness at least by the beginning of the 20th Century.
  • BUT the biology on this is hugely complicated involving more than one generation, genetics yes but also a highly dysregulated epigenetics, and multiple systems of the body that are impacting each other in multi-directional ways.
  • Even though a significant connection between the Immune System and Mental Illness has been pondered by researchers for over 100 years, they didn't have the evidence, and they certainly didn't have a comprehensive understanding of the mechanisms involved or the ability to get such understanding.
  • Researchers are getting the evidence and are putting together a  profoundly complicated puzzle.
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Neuroscience News

Extra Credit

Ancient DNA Markers Predict Aging with
New Epigenetic Clock


August 19, 2024

Autism Spectrum Disorder, Neuro-developmental Disorders, Psychiatric Disorders and changing views

8/22/2024

 
SciShow Video

0:10:  Autism Spectrum Disorder is a Diverse Group.

0:41:  Historically, Autism was diagnosed in people who were:
  • especially sensitive to stimuli,
  • were drawn to routines,
  • repeated certain words and movements,
  • get totally consumed with an object,
  • didn't use language or
  • didn't use language to communicate with other people.

0:55:  1994 DSM and History of Asperger's Disorder

2:40:  Pervasive Developmental Disorders --- had overlapping symptoms with people diagnosed with Autism Disorder
0:10:  Autism Spectrum Disorder is a Diverse Group

0:41:  Historically, Autism was diagnosed in people who were:
  • especially sensitive to stimuli,
  • were drawn to routines,
  • repeated certain words and movements,
  • get totally consumed with an object,
  • didn't use language or
  • didn't use language to communicate with other people.

0:55:  1994 DSM and History of Asperger's Disorder

2:40:  Pervasive Developmental Disorders --- had overlapping symptoms with people diagnosed with Autism Disorder

2:55:  2013 DSM 5 put Autism Disorder and Pervasive Developmental Disorders under Autism Spectum Disorder
4:10:   Genetic underpinnings of Autism Spectrum Disorders also appear associated with Schizophrenia and ADHD [See also World Psychiatry:  New insights from the last decade of research in psychiatric genetics: discoveries, challenges and clinical implications (2023)].
  • "Long recognized to be heritable, recent evidence shows that psychiatric disorders are influenced by thousands of genetic variants acting together. Most of these variants are commonly occurring, meaning that every individual has a genetic risk to each psychiatric disorder, from low to high."
[I'm slipping in "Maternal Immune Activation" because I think it is an important part of the story.   See Nature Reviews Neurology:  Maternal immune activation and neuroinflammation in human neurodevelopmental disorders (2021)

5:10:  Epigenetic Changes

5:20:  DNA Methylation

6:27:  SciShow:  "Despite the vast spectrum of autism, these researchers found that different manifestations of the disorder had the same DNA methylation patterns."

7:03:  Age of the father  -- over 40 [Source of epigenetic changes due to mutations in sperm.  Val's Take:  I think this includes both chronological age and biological age.]
SciShow
Autism Sprectrum Disorder
Kings College London
Thinking Twice About ADHD and Autism Spectrum Disorder
The King's College London video raises more questions about how distinct some of our categories are.  Here, significant overlap is found between ADHD and Autism Spectrum Disorder.
Cont.  SciShow Video notes

7:30:
  Immune System:  Mother's Autoimmune Disease [Another source of epigenetic changes]:   
  • Several reports from Europe and North America say that  people who developed in the womb of a mother with an auto-immune disease are more likely to be diagnosed with autism, with some specific diseases increasing up to 80%.
  • Thyroid disease is particularly relevant. 
  • Pregnant women with autoimmune diseases are thought to make more antibodies than pregnant women without autoimmune diseases
  • Further, pregnant women with autoimmune diseases made different antibodies than pregnant women made without such autoimmune diseases.
  • The antibodies target proteins in the baby's brain which could make the baby's brain inflamed and change the way it develops.

9:00:  Autism is not just a white, male issue.

10:30:  One study found that autistic people could communicate information as effectively as non-autistic people, but there is mutual misunderstanding when autistic and non-autistic people try to communicate with people outside their group.  [Val's Take:  Autism Spectrum Disorder is a BIG Group so I think it might not always breakdown that neatly -- but I do think there are Double Empathy issues].

14:15:  Mirror Neurons and adaptability

The energy of anger & Aggression when mitochondria are damaged

8/18/2024

 
Val's Take/Conjecture
Some of the questions that we are starting to ask:
  • How much energy does it take to run a human brain?
  • What are the big energy cost centers?   Synapses are arising as an answer.
  • If you don't have the energy to run all your synapses --- does the body start taking care of that for you?  Reducing the number of synapses through auto-immunity or other mechanisms?
  • Are Thyroid Disorders somehow related to these energy concerns?
  • Does the body try to help you out with anger and aggression -- that might give you some much needed energy.
So this is painting a complicated picture of people who are struggling with both too little and too much energy.

That is explicitly recognized with regard to Bipolar Disorder and it may be present in other "disorders" as well, especially considering that they are often blurred.

Interestingly, a lot of the research regarding Mitochondrial Dysfunction speaks in terms of Mitochondrial Dysregulation.

I would submit that Mitochondrial Dysregulation is related to Emotional Dysregulation.
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To see is to experience: Aggression neurons light up when witnessing a fight. (2023)
"In the current issue of Cell, Yang et al. identified hypothalamic aggression mirror neurons, activated during both physical fighting and witnessing a fight, possibly representing a neural mechanism for understanding social experiences in other minds...."
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Powering the social brain: Mitochondria in social behaviour (2023)
"[W]e discuss recent evidence linking mitochondrial functions and dynamics to social behaviour and deficits, including examples in which social behaviours are modulated by stress in the context of mitochondrial changes, as well as potential therapeutic strategies and outstanding questions in the field."
I would submit that the relationship between "mitochondrial dysfunction" and "stress" is complex, dynamic and multi-directional (also including the Immune System, the Endocrine System, the Microbiome, etc.) and at least sometimes involves Maternal Immune Activation.
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Topic: Aggressive Behaviors or Intense Energy?
Val's Take:  I don't think the question above should be posed as an "either or" question.

I think one could say the Aggressive Behaviors are the result of Intense Energy.

Where is the "Intense Energy" coming from?
ADHD Mood Swings: Symptoms, Causes, and Coping - Verywell Mind (2023)
"People with ADHD often find that their energy levels and ability to concentrate changes throughout the day. Even if they’re on medication, it can be difficult to match their high-energy and high-focus times to the times they need to be most productive. This can be upsetting and frustrating in the moment and cause mood swings."
Mitochondrial heterogeneity and homeostasis through the lens of a neuron (2022)
What are the implications for so-called "Aggression Neurons"?
8 Ways to Channel Your Anger Productively (2022) | Psych Central
Is anger energizing?

"This means anger is energizing. You can sit and seethe or work off your anger in a positive way. Rather than trying to remain calm, you could use your energy for tasks like cleaning, cutting the grass, or anything that requires physical involvement. Anger is an important human emotion."
I posted the  article from Psych Central because I think Anger can be Energizing -- the advice above might not always be sufficient.

Ultimately, anger is  a  complicated and difficult emotion as Aristotle recognized.  I think Aristotle probably was a "Neuro-Diverse" guy.
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Synapses & Energy

8/17/2024

 
So one of the big challenges for Neuro-Diverse people is having sufficient energy to run more synapses than the norm --- that were not "pruned" through neuro-typical processes. 

Further, Neuro-Diverse people have a complicated relationship with their "synapses" in that they may start out with more and end up with less through:
  • psychiatric disorders [The synaptic hypothesis of schizophrenia version III: a master mechanism (2023);  Synaptic Dysfunction in Depression: Potential Therapeutic Targets (2012)];  Glial-Neuronal Interaction in Synapses: A Possible Mechanism of the Pathophysiology of Bipolar Disorder (2023);  Regulatory Molecules of Synaptic Plasticity in Anxiety Disorder (2023)].
  • auto-immune disorders [Neuropsychiatric Manifestations of Thyroid Diseases (2023);  Exploring the Genetic Link Between Thyroid Dysfunction and Common Psychiatric Disorders: A Specific Hormonal or a General Autoimmune Comorbidity (2023);  Synapse Dysfunctions in Multiple Sclerosis (2023)].
  • cancer [Synaptic communication in brain cancer (2023)]
  • dementia [Human astrocytes and microglia show augmented ingestion of synapses in Alzheimer’s disease via MFG-E8 (2023)].
The Public and Private Sectors are struggling to have the ENERGY to address the Idiosyncratic Strengths and Challenges of Neuro-Diverse people.

Is it worth the ENERGY of the Public and Private Sectors --- it is --- and those Neuro-Diverse folks have a lot to offer the society.

Further, as with so many accommodations for people with disabilities, many other people in the society will likely benefit as well.
<<Previous

    Translational Medicine Friday

    We're riffing off NPR's Science Friday to create Translational Medicine Friday.

    We'll be collecting Research Article recommendations for Clinicians with regard to Cognitive Disability.

    ​There is much in the RESEARCH JOURNALS and we'll just be SKIMMING THE SURFACE.

    The POINT is to INCREASE FUNDING for TRANSLATIONAL RESEARCH at the Federal Level for the National Institutes of Health, the Centers for Disease Control, the Nation's Research & Teaching Hospitals and possible collaborations with Medicare and Medicaid providers.

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  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
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    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
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  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
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  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
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  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
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  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
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  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
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