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Latest Th2/Th1 "right to left" immune shifters?

Messages
98
My new doctor sent me a link to this article (http://www.anapsid.org/cnd/diagnosis/cheneyis.html) written in 2000 by a patient of Dr. Cheney's. The article lists the treatments for rebalancing the overactive Th2 side of the immune system in people with CFS. I think my doctor wants me to try the pine cone extract, and possibly the other treatments. But I am concerned about the fact that this article is 12 years old and I'm wondering if there are any more recent treatments for this issue.

I have a follow-up appointment with my doctor this Tuesday, May 8th, so I would greatly appreciate any help with this before then, if possible.

Thanks
 
Messages
98
I just read a few pages from Dr. Kharrazian's book (it's on thyroid issues, but has a section on Th1/Th2 imbalances). He says that compounds that dampen Th2 will stimulate Th1, then gives examples of those: astragalus, echinacea, beta-glucan, maitake mushroom. In addition to having CFS, I also have an autoimmune condition, which was caused by having mercury fillings removed improperly many years ago. As a result, I can't take immune boosters like those listed above, as they cause an autoimmune flare-up.

So now I'm really confused as to how I'm supposed to dampen down the Th2 without causing a Th1 autoimmune flare-up. This is probably beyond the ability of most people on the PR forum to answer, but if anyone does have experience with this problem or know how to deal with it I would greatly appreciate the help.

Thanks again
 

SOC

Senior Member
Messages
7,849
My new doctor sent me a link to this article (http://www.anapsid.org/cnd/diagnosis/cheneyis.html) written in 2000 by a patient of Dr. Cheney's. The article lists the treatments for rebalancing the overactive Th2 side of the immune system in people with CFS. I think my doctor wants me to try the pine cone extract, and possibly the other treatments. But I am concerned about the fact that this article is 12 years old and I'm wondering if there are any more recent treatments for this issue.

I have a follow-up appointment with my doctor this Tuesday, May 8th, so I would greatly appreciate any help with this before then, if possible.

Thanks

Don't know if this helps any, but the additional distinct Th17 subset was discovered in 2007, so it may not be a strictly Th2/Th1 issue anymore. My immune report says "Th17 (IL-17 & IL-23) cytokines affect anti-microbial immunity at epithelial/mucosal barriers & produce IL-22 which stimulates epithelial cells to produce anti-microbial proteins to clear out certain types of microbes. (Lowered) Th17 levels may leave the host susceptible to opportunistic infections."

My Th1 related cytokines are normal as are my Th2 related cytokines (IL-4 and IL-5), but my Th17 related cytokines (IL-17 and IL-23) are very low. Also, my IL-10 is high. The immune report says, " IL-10 and IL-13 down-regulate the expression of Th1 cytokines, MHC class II antigens, and costimulatory molecules on macrophages, and enhance B-cell survival, proliferation, and antibody production."

The point is, it may not be so simple as a Th2/Th1 shift. It may really be the Th17 issue that's the problem -- the susceptibility to opportunistic infections.

If you have MCS or severe allergy problems along with inability to deal with intracellular pathogens (viruses, chlamydiae, rickettsiae, etc See: Intracellular Parasites http://en.wikipedia.org/wiki/Intracellular_parasite), then a Th2/Th1 imbalance seems likely. However, if you don't have the MCS/allergy problems, you might want to consider Th17 issues.

My (non-medical professional) thinking is that if the Th1 cytokines are NOT high, then down-regulating it might not be a good idea. Also, upregulating Th2 cytokines if they are already normal could push one into an autoimmune condition (I think). So it's worth being cautious about immune modulators.

What to do about low Th17 cytokines? The best I've been able to get so far is "knock down the opportunistic infections and see what happens to the immune profile". :rolleyes:
 

nanonug

Senior Member
Messages
1,709
Location
Virginia, USA
Don't know if this helps any, but the additional distinct Th17 subset was discovered in 2007, so it may not be a strictly Th2/Th1 issue anymore. My immune report says "Th17 (IL-17 & IL-23) cytokines affect anti-microbial immunity at epithelial/mucosal barriers & produce IL-22 which stimulates epithelial cells to produce anti-microbial proteins to clear out certain types of microbes. (Lowered) Th17 levels may leave the host susceptible to opportunistic infections."

I am very much interested in this! Gut issues are at the core of my problems.

What test did you to get info about Th17? Thanks!