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Page 1: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Christopher W Shade PhD

Autism Recovery Telesummit

Introduction ndash Framing the Issue

1 Toxicity is Not Toxin Load Toxicity is Response to given Toxic Load

2 Inflammation is major mediator of toxic response to load

1 Antithetical to detoxification

2 Thus infectious load inversely proportional to detoxification effectiveness

3 Yet Toxic load also inversely proportional to immune effectiveness

3 Successful Detoxification needs multiple pathways aligned

1 Phases 1-3 of biochemical detoxification specific Phase 1 and 2 reactions vary for different toxins

2 Cellular excretion to bloodlymph coupled to drainage to urine feces sweat

4 Understanding this mechanistic framework allows design of effective detox programs that can then be tuned according to clinical experience

Autism Recovery Telesummit

1) Genetic Polymorphisms

2) Functional Expression (inflammation and Oxid

Stress)

Autism Recovery Telesummit

The Naturopathic View

Detoxification has 2 Basic Parts

1 Cellular Detoxification - Conjugation and Excretion from the Cell to the blood and Lymph

2 Drainage ndash filtration from the blood and lymph

a) Kidney

b) Liver

c) GI

d) Skin

Autism Recovery Telesummit

Drainage

Also called Lavage in Europe

Turning the wheels of the Filters ndash Kidney Liver Lymph the Triune

Great to start with this before cellular toxin mobilization

Herbal ndash single herb but mostly herbal formulas (ldquoBittersrdquo)

Homeopathic ndash Heel Professional Choice MHP Unda

Spagyric ndash low potency or pure herbal extracts with mineral components (often derived from calcination of the same plant)

Soluna Labs

Pekana

Energetix

Autism Recovery Telesummit

Drainage

Kidney - diuretics

Liver ndash mostly bitter herbs cholegogues

LymphBlood ndash blood cleaners like echinacea and burdock

GI ndash laxatives and fibers (Acacia gum pectin alginates)

Skin ndash saunas for sweating far IR best

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 2: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Introduction ndash Framing the Issue

1 Toxicity is Not Toxin Load Toxicity is Response to given Toxic Load

2 Inflammation is major mediator of toxic response to load

1 Antithetical to detoxification

2 Thus infectious load inversely proportional to detoxification effectiveness

3 Yet Toxic load also inversely proportional to immune effectiveness

3 Successful Detoxification needs multiple pathways aligned

1 Phases 1-3 of biochemical detoxification specific Phase 1 and 2 reactions vary for different toxins

2 Cellular excretion to bloodlymph coupled to drainage to urine feces sweat

4 Understanding this mechanistic framework allows design of effective detox programs that can then be tuned according to clinical experience

Autism Recovery Telesummit

1) Genetic Polymorphisms

2) Functional Expression (inflammation and Oxid

Stress)

Autism Recovery Telesummit

The Naturopathic View

Detoxification has 2 Basic Parts

1 Cellular Detoxification - Conjugation and Excretion from the Cell to the blood and Lymph

2 Drainage ndash filtration from the blood and lymph

a) Kidney

b) Liver

c) GI

d) Skin

Autism Recovery Telesummit

Drainage

Also called Lavage in Europe

Turning the wheels of the Filters ndash Kidney Liver Lymph the Triune

Great to start with this before cellular toxin mobilization

Herbal ndash single herb but mostly herbal formulas (ldquoBittersrdquo)

Homeopathic ndash Heel Professional Choice MHP Unda

Spagyric ndash low potency or pure herbal extracts with mineral components (often derived from calcination of the same plant)

Soluna Labs

Pekana

Energetix

Autism Recovery Telesummit

Drainage

Kidney - diuretics

Liver ndash mostly bitter herbs cholegogues

LymphBlood ndash blood cleaners like echinacea and burdock

GI ndash laxatives and fibers (Acacia gum pectin alginates)

Skin ndash saunas for sweating far IR best

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 3: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1) Genetic Polymorphisms

2) Functional Expression (inflammation and Oxid

Stress)

Autism Recovery Telesummit

The Naturopathic View

Detoxification has 2 Basic Parts

1 Cellular Detoxification - Conjugation and Excretion from the Cell to the blood and Lymph

2 Drainage ndash filtration from the blood and lymph

a) Kidney

b) Liver

c) GI

d) Skin

Autism Recovery Telesummit

Drainage

Also called Lavage in Europe

Turning the wheels of the Filters ndash Kidney Liver Lymph the Triune

Great to start with this before cellular toxin mobilization

Herbal ndash single herb but mostly herbal formulas (ldquoBittersrdquo)

Homeopathic ndash Heel Professional Choice MHP Unda

Spagyric ndash low potency or pure herbal extracts with mineral components (often derived from calcination of the same plant)

Soluna Labs

Pekana

Energetix

Autism Recovery Telesummit

Drainage

Kidney - diuretics

Liver ndash mostly bitter herbs cholegogues

LymphBlood ndash blood cleaners like echinacea and burdock

GI ndash laxatives and fibers (Acacia gum pectin alginates)

Skin ndash saunas for sweating far IR best

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 4: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

The Naturopathic View

Detoxification has 2 Basic Parts

1 Cellular Detoxification - Conjugation and Excretion from the Cell to the blood and Lymph

2 Drainage ndash filtration from the blood and lymph

a) Kidney

b) Liver

c) GI

d) Skin

Autism Recovery Telesummit

Drainage

Also called Lavage in Europe

Turning the wheels of the Filters ndash Kidney Liver Lymph the Triune

Great to start with this before cellular toxin mobilization

Herbal ndash single herb but mostly herbal formulas (ldquoBittersrdquo)

Homeopathic ndash Heel Professional Choice MHP Unda

Spagyric ndash low potency or pure herbal extracts with mineral components (often derived from calcination of the same plant)

Soluna Labs

Pekana

Energetix

Autism Recovery Telesummit

Drainage

Kidney - diuretics

Liver ndash mostly bitter herbs cholegogues

LymphBlood ndash blood cleaners like echinacea and burdock

GI ndash laxatives and fibers (Acacia gum pectin alginates)

Skin ndash saunas for sweating far IR best

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 5: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Drainage

Also called Lavage in Europe

Turning the wheels of the Filters ndash Kidney Liver Lymph the Triune

Great to start with this before cellular toxin mobilization

Herbal ndash single herb but mostly herbal formulas (ldquoBittersrdquo)

Homeopathic ndash Heel Professional Choice MHP Unda

Spagyric ndash low potency or pure herbal extracts with mineral components (often derived from calcination of the same plant)

Soluna Labs

Pekana

Energetix

Autism Recovery Telesummit

Drainage

Kidney - diuretics

Liver ndash mostly bitter herbs cholegogues

LymphBlood ndash blood cleaners like echinacea and burdock

GI ndash laxatives and fibers (Acacia gum pectin alginates)

Skin ndash saunas for sweating far IR best

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 6: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Drainage

Kidney - diuretics

Liver ndash mostly bitter herbs cholegogues

LymphBlood ndash blood cleaners like echinacea and burdock

GI ndash laxatives and fibers (Acacia gum pectin alginates)

Skin ndash saunas for sweating far IR best

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 7: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Detoxification Phases I II III

Phase I is an activation

Phase II is conjugation (release from tissue binding)

Phase III is transport (recently delineated control point Drainage)

The View The same processes are repeated at cellularmicroscopic and organmacroscopic levels Phase 3 may work at cellular level but be damaged at organ level

The Biochemical ViewThe Human Detoxification System

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 8: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phase III is the transport out

Several transport proteins (cMOAT OAT MRP1 MRP2 GS-X)

Organic Anion Transporters

Same transporters for many pathways (glucuronide sulfate

glycinate GSH)

In cells liver intestines kidneys ndash biggest in liver then

intestines

The Human Detoxification System

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 9: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Kidney

MRP2

OATP

Cellular

Detox

Drainage

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 10: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

What is Metals Resistance

1

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase IampII

Phase IampII

Phase III

Phase III

Phase III

Phase III

Phase III

MRP proteins as potential mediators of

heavy metal resistance in zebrafish cells

Long Y Li Q Wang Y Cui Z

AbstractAcquired resistance of mammalian cells to heavy metals is closely relevant to

enhanced expression of several multidrug resistance-associated proteins (MRP)

but it remains unclear whether MRP proteins confer resistance to heavy metals in

zebrafish In this study we obtained zebrafish (Danio rerio) fibroblast-like ZF4

cells with resistance to toxic heavy metals after chronic cadmium exposure and

selection for 6months These cadmium-resistant cells (ZF4-

Cd) were maintained in 5μM cadmium and displayed

cross-resistance to cadmium mercury arsenite and

arsenate ZF4-Cd cells remained the resistance to heavy metals after

protracted culture in cadmium-free medium In comparison with ZF4-WT cells

ZF4-Cd cells exhibited accelerated rate of cadmium excretion enhanced

activity of MRP-like transport elevated expression of

abcc2 abcc4 and mt2 genes and increased content

of cellular GSH Inhibition of MRP-like transport

activity GSH biosynthesis and GST activity

significantly attenuated the resistance of ZF4-Cd cells

to heavy metals The results indicate that some of MRP transporters are

involved in the efflux of heavy metals conjugated with cellular GSH and thus play

crucial roles in heavy metal detoxification of zebrafish cells

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 11: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

AntiOxidant

Detoxification

Protein

Repair

amp Regulatory

GPx TPx APx

GST UGT

SULT1amp2GRx Trx

GSH

Trx

R-LA

Vit CampE

CoQ10

GR TrR

LADH DHARMRP1 MRP2

OATP

RS-SG

Signaling

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 12: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Biochemical Hg Removal

Requirements

1 Intracellular Glutathione Sufficiency

2 Effective GST Activity(Phase II-Mobilization)

3 Effective Phase III Clearance including

intestinal binding and Elimination

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 13: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Breakdown of the defense system

Glutathione deficiency

Genetic

Environmental Glutathione S-Transferase (Phase II) problems

Genetic

Environmental

Phase III can get blocked and then downregulates Phase II enzymes Can stop multiple detoxification pathways and control

the expression of the Glutathione system

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 14: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Biggest Reason for Phase III Dysfunction

Inflammation

Especially in Gut

-Hallmark of Autism cases

-Easily caused by heavy metal induced oxidative

damage

-also Leaky Gut contributes to LPS load

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 15: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Kidney

MRP2

OATP

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 16: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 17: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 18: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

Inflamed Small Intestine

Cellular MRP1

Oxidative Activation

Inflammation

causes

Downregulatio

n of MRP2

Negative

Feedback ndash

Inhibition of

Phase II

MRP2

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 19: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulatio

n of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Cellular MRP1

Free-radicals

Create

Membrane

Stress

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 20: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 21: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 22: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

Activation Oxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 23: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 24: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Glutathione Balance Crucial To Proper Inflammatory Response

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 25: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Symptoms of Mercury Toxicity

Toxicity-Infection-Inflammation

Toxicity

Immune

Dysregulation

Lowered Th1Chronic Infection

Depressed

Detoxification

Raised Th2 Food Allergies

Hypersensitivites

Chronic

Inflammation

Vascular

Permeability

NOONOO-Glutamate

Neuro-ExcitotoxicityMCS

AlzheimersParkinsons

CV DiseaseDiabetes

Hashimotos etc

LPS

from CI

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 26: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Therapy Approach

1) Block Removal ndash Restore Integrity of the

MembraneMatrix System and Support Detox

Phases

Phosphatidyl Choline (PC) ndash Membranetransporter rebuilding

Drainage Remedies ndash filtering blood and lymph

Vitamin C ndash Matrix re-ording (fibroblasts) free radical control and gentle detox

Use high quality Liposomal Vitamin C for both PC and C

DIM - epigenetic repair of Nrf2

CoQ10 ndash Restore mitochondrial integrity

Liposomal Glutathione

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 27: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1) Drainage of the

ExtraCellular Matrix

(Drainage Bitters)

Phase III2) Rebuilding of

the Membranes

(PC) Phase III

3) Support

Intracellular

Detoxification (B-

Complex Bitters GSH)

Phase II and GSH

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 28: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

wwwbioscienceorg

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 29: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Cholestasisphysrevphysiologyorg

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 30: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Cellular

Phase I

Phase III

Cellular

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative

ActivationOxidative

Stress From

Phase I Phase

II Mismatch Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

o

d

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Oxidative

Activation

Negative

Feedback

ndash Inhibition

of Phase II

Inflammation

causes

Downregulatio

n of MRP2

Free-

radicals

Create

Membrane

Stress

Healthy Detoxification Impaired Detoxification

Cell

Membrane

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 31: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

wwwsolvobiotechcom

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 32: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Source Weindrich_SciAm_1996

Need PC and well-delivered CoQ10 to repair

-Free radical control from Ascorbate and restoration of Nrf2

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 33: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Need PC to repair

-Free radical control from Ascorbate and restoration of Nrf2

wwwtutorvistacom

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 34: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Golgi Apparatus ndash Constructs the Matrix

Golgi is a big Membrane

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 35: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phospholipid Encapsulation

bullPhospholipids are the basic building blocks of cell

membranes and are have both oil-soluble (hydrophobic)

and water-soluble (hydrophilic) ends They can be used to

either create solutions that greatly enhance absorption of

nutrient compounds

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 36: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Biochemical Hg Removal Requirements

1 Effective Phase III Clearance including

intestinal binding and Elimination

2 Effective GST Activity(Phase II-Mobilization)

3 Intracellular Glutathione Sufficiency

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 37: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 38: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins ndash QS IMD most specific heavy metal binder

- Chlorella ndash multi mode some thiol cation exchange anion

exchange metals biotoxins

- Activated Charcoal ndash multi-specific with hydrophobic sorption

large POPrsquos VOCrsquos pesticides herbicides LPS mold toxins

- clayszeolite ndash not heavy metal specific cation exchange

sorption aflatoxin (mold) some pesticides and herbicides

bacteriostatic clay healing to GI lining

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 39: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III (cont)

- Cholestyramine ndash strong anion exchange for bile salt binding and biotoxin binding potentially all toxin conjugates

- Chitosan ndash weak anion exchange functionality (like Cholystyramine but less electrostatic charge more like Welchol) biotoxins potentially all toxin conjugates

- PectinsAlginates ndash some lead binding no Hg binding immunomodulatory action lowers inflammation possibly other binding

ProductSystem for Intestinal Detoxification

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 40: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Phase I

Phase III

Phase IIGlutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Normal Small Intestine

Cellular MRP1

Oxidative Activation

Phase I

Phase III

Phase II

Oxidative Activation

Glutathione

ConjugationSulfation Glucuronidation

OATP

Blo

od

LIVER

MRP2

Inflamed Small Intestine

Cellular MRP1

Negative

Feedback ndash

Inhibition of

Phase IIInflammation

causes

Downregulation

of MRP2

Oxidative Stress From

Phase IPhase II mismatch

Build-up of both

cellular and

blood-borne

toxins

Oxidative Activation

Correct Phase III Elimination

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 41: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Synergistic Toxicities - LPS

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 42: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 43: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

ldquoPhytogenomicsrdquo

Certain Phytochemicals upregulate Phase II enzymes as well as GSH SOD (cellular antioxidants)

The Anti-Inflammatory Cascade

Polyphenolic Antioxidants

Sulfur compounds

Alpha Lipoic Acid (R-Lipoic)

Crucifers

Garlic oil

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 44: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Chemoprevention by Keap1-Nrf2

Signaling pathway by Phase II Inducers

Kwak et al 2004 Mutation Research 555133-148

bull Phytochemicals

(and their

Radicals)

bull R-Lipoate

bull helliphellip

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 45: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

45

Hartaki ndash Terminalia Chebula

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 46: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

46

Decay in GSH levels and Enzyme

Activity with Age

Young Old

Change

MnSOD 337 211 -37

GR 561 352 -37

GST 098 064 -35

G6PDH 325 164 -50

CAT 459 572 25

GPx 644 796 24

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 47: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Decay in GSH levels and

Enzyme Activity with Age

Young Old Change Old Treated

MnSOD 337 211 -37 313

GR 561 352 -37 546

GST 098 064 -35 099

G6PDH 325 164 -50 314

CAT 459 572 25 454

GPx 644 796 24 667

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 48: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

BUT WHAT IF MECHANISMS ARE

NOT WORKIKNG

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 49: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Reversing Epigenetic Blocks

Removes Epigenetic blocks to AND

upregulates Nrf2 plus inflammation

immune and hormone control

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 50: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

1 Intestinal Binders ndash for Phase III

- Thiol resins chlorella clayszeolite pectinsalginates

2 Phytonutrients ndash For Phase II

- polyphenols sulfur-based phytonutrients

3 Glutathione Supplementation

- liposomal acetyl precursors phytonutrients

ProductSystem for Intestinal

Detoxification

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 51: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Nutritional Glutathione Support

1 Vitamin C supports antioxidant system

and Glutathione synthesis

2 Antioxidant Phytonutrients

(Polyphenolics) and Alpha Lipoic Acid

upregulate Glutathione production

3 Glutathione Precursors feed Glutathione

synthesis

1 N-Acetyl Cysteine

2 Whey Protein

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 52: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Direct Glutathione Support

when Precursors might not work

1 IV GSH

2 Nebulized

3 Transdermal

4 Acetyl GSH

5 Liposomal

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 53: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Immune Response

GSHGSSG Ratios in HIV Pts

Plus results of infection with Tb

Needed 1000X More NAC to achieve what Lipo GSH did

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 54: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Symptoms of Mercury ToxicityImmune Dysregulation Th2 Shift

Depletion of glutathione causes immune shift from Th1 to Th2

dominance (decrease Interferon and increase IL-4) causing susceptibility to

chronic infections

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 55: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Step I (2-8 weeks)

PC and drainage remedies (all)

Step II (3-6 months titrating and cycling)

PC and drainage (all)

Intestinal binders (all)

Liposomal Vitamin C (80+)

Polyphenols ndash haritakitriphala (40-60)

Phospholipid encapsulated DIM (50-70)

Phospholipid encapsulated CoQ10 (60-80)

Liposomal Glutathione (50-60)

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 56: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Protocol Overview

Titration of Dosages

Time (3-12 months)

Dosage

IMD 100mg IMD 300mg

2 Ways to Fail

1) Start too high

2) Stay too low

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 57: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Protocol Overview

2 Cycling OnOff- 5-on2-off multiples 104 deeper 208 deepest

- can go 43 if drainage too much

- -go with ParasympatheticSympathetic dominance

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit

Page 58: Christopher W. Shade, Ph.D. - Autism Recovery SummitAutism Recovery Telesummit Breakdown of the defense system * Glutathione deficiency *Genetic *Environmental * Glutathione S-Transferase

Autism Recovery Telesummit

Thank You Luminara Serdar

and

Autsim Recovery Telesummit