OM & Ernährung 2013 | No. 143 Autoimmune Diseases – New Therapy Approaches So they reach each part of the body, they bind to Introduction target structures of the autoimmune reaction and overreaction of the immune system against the mark those cells as having to be eliminated by body’s system phagocytes and CD 8 T-cells, which then leads to erroneously recognizes endogenous tissue as “non- the destruction of the respective organ (like in self” and attacks it, causing severe inflammatory multiple sclerosis). reactions, which may lead to damages in various Also specific pathogens, like bacteria (streptococci) organs. are able to do this (like in rheumatoid fever). This diseases own tissues. are caused The by immune the can be seen in serological auto antibody titers (as recognition and the defense of microorganisms, e. g. ANA, ANCA, anti phospholipid antibody) and viruses, foreign substances (like chemicals and also metals), here specifically “trained” T-cells are complexes. The Dr. med. Ursula Jacob their specific antigens, these antigens dock with the an Autoimmune immune system is responsible for in the amount of circulating immune playing an important role. In autoimmune diseases the T-cells react Standard Therapies abnormally by recognizing body-own structures as There is no possibility for a causal therapy, as the “non-self”, i. e. they attack endogenous tissues, exact triggers cannot be defined. whereas the repair mechanisms of the body try to The disease can only be treated symptomatically regenerate (immune suppression, anti-inflammatory) in the form damaged organ parts wherever of cortisone or, most recently, with antibodies. possible. Without treatment this process will continue throughout the lifecycle or until the complete Alternative Therapies destruction of the organ. As already mentioned, there is discussion of various There are various hypotheses about the cause of triggers this disease: autoimmune disease, like genetic disposition in combination with external too little exposition to environmental bacteria encourage the development of an viral Environmental be able intoxification to cause through an heavy dental fillings, like mecury, arsenic, aluminium, etc. Chronic inflammatory problems like bacterial/ autoimmune disease chronic might metals, which still are main components of impacts (like stress, infections, etc.) could which infections and unfavorable viral burdens and allergies. Stress related problems which may lead to a environmental influences metabolic dysfunctions and an immune Through the autoimmune reaction auto-antigens, cell suppression due to depressed adrenal gland membrane particles (micelles), DNA fragments or function. endogenous proteins are circulating in the body’s Therapy Options with Natural Substances blood stream. L-lymphocytes and other immune cells erroneously recognize inflammation them as promoting “non-self” and substances (so express called cytokines) and disturb the cell communication (like IL-6, IL 8, TNF α etc.). More and more immune cells are attracted and the false information is carried on. B-cells differentiate to plasma cells and begin to produce autoantibodies which are released into the blood stream. For some time now, there have been therapeutic approaches to treat autoimmune diseases with natural substances. Well known is the therapy in Hashimoto’s (autoimmune disease of the thyroid gland) with selenium [Journal of clinical endocrinology and metabolism 87(4):1687– 1691, 2002]. Also incense preparations (boswellia carterii) are given, for example in rheumatoid arthritis. These prevent chronic inflammatory reactions in the body, but show no effect in acute inflammations. Disease Affected Organ Tissue Alopecia areate Hair Autoimmune enteropathy Small and larage intestine enterocytes Autoimune hepatitis Liver APECED Pancreas, adrenal cortex, thymus Bullous pemphigoid Chronic gastritits Hemidesmosomes of basal keratinocyte cells of skin, also often mouth mucosa Stomach Churg-Strauss syndrome Vessels CIDP Colitis ulcerosa Myelin layer of nerves of the peripheral nerve system Large intestines or rectum systems, disturb the metabolism, hormones and the Darmatomyositis Cutaneous muscles function of the adrenal glands, a therapy success can Diabetes mellitus type II Beta cells of the pancreas unfortunately not be achieved by one substance Dermatitis herpetiformis Duhring Epidermolysis bullosa acquisita Skin, small intestines Glomerulonephritis Kidneys Goodpastuere syndrome Basal membranes of kidneys and lung Guillain-Barré syndrome Myelin layer of nerves of the peripheral nerve system Thyroid gland They inhibit in a reversible manner 5-lipoxygenase and thus stop part of the inflammation cascade. They also suppress NF-kb activation, which is responsible for chronic inflammatory reactions. Through this they have a positive effect on the involved pain symptoms. Vitamin E, primrose oils, omega 3/6 as well as other antioxidant combinations can influence detoxification and regeneration ability of the damaged organs. New Therapy Approaches As autoimmune diseases affect complete organ alone, but only by an appropriate combination of different substances. In order to determine these substances, we must get an overview of the immune status, the metabolic condition and the hormonal function. For this we determine individual profiles in specialized laboratories, like Skin, small intestines Hashimoto's thyroiditis Idiopthic thrombozytopenic purpura Lichen sclerosus Thrombozytes Lichen Mucosae Mucosa ANCA and parameters related to the affected Linear IgA dermatosis Skin, small intestines organs. Lupus erythematodes Inner organs and skin Microscopic polyangiitis Skin, kidneys, lung Adamantiades-Behҫet syndrome Skin, iris Grave's disease TSH receptors of the thyroid Crohn's disease Intestinal tract Inflammatory cytokines panel (interleukins, like 6, 8, 12, 10, etc.) as well as TH17-inflammtion, detailed immune status. Also circulating immune complexes, ANA, Amino acids, fatty acids, essential vitamins, antioxidants and minerals. Possible triggers like heavy metals, intolerances, viruses, etc.. Skin, small intestines Depending on the results, an individual micronutrient Case study combination is prepared for the patient to achieve a Patient AL.K.H. male *16.4.52 metabolic balance. This is combined with different Patient has chronic viral load, prediabetes detox therapies and targeted antiviral therapies. Therapy until now: fermented soybean products, To support these micronutrients we use regenerative therapies employing different peptides (according to As a specific therapy option to influence pathological (chronic Results: to date – decrease in ANA, no new infections organ specificity). cytokines Q10, minerals inflammation), autoimmune Lab parameters 9/12 1/13 4/13 IL-8 pg/ml < 35 20,7 53,1 21 IL-6 pg/ml < 2 3,5 1,6 1 has a targeted influence on interleukin-6, -8, NK-cells TNF-α pg/ml < 1 0,1 1,6 0,1 and TNF-alpha, as you can see in the following table. NK absolute complexes and the immune system, an extract from fermented soybeans was examined and given, which 61 66 122 k.M 0,04 per ml >100600 sen CRP mg/dl < 0,3 0,7 OM Et Ernährung 2013 | No. 143 Abb. 1 Nutrition 2013 Feb;28(2):154-9. Doi: 10.1016/j.nut2011.05.008. Epub o1^ antenurc K 2011Aug26170Durc Effects170 of soybean on immune 162 function, brain function, and neurochemistry in healthy volunteers.[Yimit D, Hoxur P, Amat N, 150 40 Uchikawa K, Yamaquchi N. Research Institute, Xinjiang Medical MesswMsw f University, Urumqi, People’s Republic of China] 140 160160 130 ereUnsereBeobachtungsergebnisse:Beobachtungsergebnisse: DurchschniMliche* CRP sens. RedukNon lich D 0 ,5 5 0 ,u6 1 62 1 40 1 40 Messwert Ende 1 30 1 20 F36 0 Behandlungsdauer 6-­­8 Monate 70 Durchschnittlicher* 162 Anstieg NK Zellen 162 B g/mpg Be The e 20 hat s15d Messwert Anfang Messwert Ende Behandlungsdauer 6-­­8 Monate DurchschniMliche*männl.16.4.52 IL6RedukNon 15,3 Ve ti 4150 Messwert Messwert l6 g/m p 5160 De 140 3140 AnfangEnde Messwert Ende dat 10 te5 3,48 ab 2130 kinVknuee6i u I nr lu t e r l ke 6170 0 ,2 5 0,2 1^ Uapenten 120 1^ Patienten 0,4 It n NK--‐ ZelenNK-­Zelen absolut absper100perml10 1^ BUapenten e eob a Messwert Anfang I per 100 ml 1 60 NK-­­ Zellen 1 5 0a bsolut PCRP senssensmg/dl mg/d l DurchschniMlicher* AnsNeg NK Zellen 1 70 Behandlungsdauer 6--‐ 8 Monate rlu kn ter IL8 pg/ 1^ Uapenten le La 0 Behandlungsdauer 6-­­8 Monate 1 Messwert Anfang Messwert Ende OM & Ernährung 2013 | No. 143 Conclusion The fermented soybean extract proved to have a positive influence on various autoimmune diseases by down regulating the chronic inflammation and by stimulating the immune system without any side effects, also over an extended period of time. In addition we could note decreasing autoimmune parameters (like ANA, CIC, ANCA) and thus see a marked improvement of the patient’s life quality. Dr. med. Ursula Jacob Geibelstrasse 15 81679 Munich | Germany phone+49 (0)89.46229502 fax +49 (0)89.46223399 mobile +49 (0)160.7277580 info@doc-jacob.com www.doc-jacob.com F37