It
is proposed that the traditional strains of TSE emerging in the elderly
mammal result from low intensity exposure to naturally occurring sources
of the specified environmental causal factors. Whilst the new strain
TSEs such as BSE, which represent a more aggressive, pronounced
form of TSE emerging in younger mammals, result from a more intensive
synthetic induction of the same mineral imbalance along with more
intensive exposures to man made shock bursts of high energy infrasound.
Environmental
factors that initiate the three stage pathogenesis of BSE
1.
A systemic organo phosphate (OP) insecticide induced Cu depletion at the
octapeptide repeats on PrP?
Following
the pioneer soil/vegetation analysis of sporadic/familial TSE cluster
regions around the world, the prerequisite of Cu/Zn deficiency
was first identified and proposed as a primary aetiological
prerequisite for TSEs (4).
It
has also been suggested that the geographical distribution of regions of
high BSE incidence in the UK correlates with Cu deficient regions (5),
whilst a survey on UK farms suffering endemic BSE observed
problems with Cu deficiency on all farms studied (54).
The
key pathogenic mechanism of TSE pivots upon the loss of Cu (and Zn)
from the octapeptide repeat domains of the normal PrPc, thereby
rendering these domains vacant for substitution by specific foreign
cations that can affiliate with these ligands. Loss of Cu/Zn from
PrP’s domains can be achieved in several ways and need not
necessarily result from a straightforward external environmental Cu/Zn
deficiency; although this appears to be the case in the clusters of
traditional TSEs analysed (4).
For
instance, significant exposure to chemical sensitising agents such as
citrus, bergamot, pine, asphodel plants, hops, synthetic dyes,
petroleum, dithiophosphate insecticides was observed in the diets or
local atmospheres of the ecosystems supporting all the sporadic/familial
/nv TSE clusters studied by the author (5). These agents actually exert
their photo/audio/tactile sensitising affects by interfering with the
histidine ligands (55) where they can form long term bonds (56);
effectively capping histidine residues on metal transporter/metallo
proteins, such as PrPc, so that available Cu/Zn can no longer access
their specific binding ligands – regardless of the levels of excess or
deficiency of the free metal within the CNS.
Interestingly,
several photosensitising molecules, such as the porphyrins, congo red
and anti-malarials, have been shown to bond to PrP in vitro where they
have demonstrated therapeutic benefits in preventing the accumulation of
PrPsc in TSE affected cells (57)(1).
In
respect of BSE, it has been extensively proposed that the exclusive high
dose (20 mg/kg bodyweight) , high concentration (20 %) usage of the
systemic pour-on organo dithiophosphate warble fly insecticides
containing phosmet played a key primary role in the aetiology of the BSE
epidemic in the UK cattle herd (6)(3). It has been suggested that
these systemic acting dithiophosphate compounds readily crossed the
blood-brain/blood–CSF barriers and interfered with Cu availability
at PrP’s octapeptide repeat by chelating Cu with their two free
sulphurs or nitrogen to form a mercaptide ring (4). Experiments in the
1970s demonstrated that OP exposure has a significant influence upon
copper metabolism in some way (58).
The
oil based, lipophilic insecticide is poured along the base of the head
and spinal backline of the cow, just millimetres from the central
nerve tissues where PrP is intensively localised. The active ingredient,
phosmet, was designed to penetrate the internal environment of the cow
at a dose that was toxic to the warble fly larva. The fact that warble
larvae were sometimes exterminated within the fatty regions of the
spinal cord (59) – producing the well recognised post treatment
anaphylactic shock syndrome in the cow (60)– demonstrates the
successful ‘in vivo’ penetration of toxic concentrations of phosmet
into the spinal cord following routine field treatment .
The
acute neurotoxic side effects of OP warblecides in cattle have
been widely reported, where the OP induced conformational change to
various nerve proteins, such as acetylcholinesterase, offers a
comprehensive biochemical explanation for these abnormal reactions
(60)(61). On the other hand, the likely long term delayed
neuropsychiatric effects of warblecide treatment on ‘susceptible’
individual cows has not been reported to date; this more subtle
syndrome has only been reported in the actual livestock farmers applying
the warblecide (62) .
However,
a few cases of chronic OP poisoning have been reported in cattle that
have been exposed to other types of OP application; where the clinical
profile duplicates many aspects of the clinical profile of BSE (63)(64).
Furthermore, some cases of OP intoxication have invoked a
neuropathological profile that specifically exhibits a spongiform
encephalopathy (65)(66).
In
the UK it first became compulsory in 1982 to treat cattle twice annually
with these systemic insecticides for warble control (67). Although used
voluntarily during the 1970s, the concentration of the active phosmet
ingredient on the market was licensed as 5 % formulation (68). This
concentration increased to 20% by the end of the 1970s (68); effectively
exposing the UK bovine to uniquely high dose rates of warblecide that
had never been employed by any other country using systemic OPs for
warble control.
Whilst
phosmet and other types of OP have been used in a few other countries
across the Northern hemisphere where warbles are prevalent, use of these
OP warblecides outside the UK has been restricted to a once annual, lower
dose applications of ‘non systemic’ powder or water based ‘pour
on’ formulations which are applied to warble infested cattle only
(6)(69). These applications are used as ‘contact’ insecticides,
whereupon an overall reduced dose of chemical is delivered directly onto
the warble during its ectoparasitic stage of the lifecycle when larvae
are emerging through the hide of the cow. However, some oil based
systemic ‘pour on’ or ‘spot on’ formulations of OP warblecide
have been used in a few other countries outside of the UK (70), albeit
at a maximum dose rate of 10 mg/kg per bodyweight – half the rate
used for warble control in the UK (6).
Interestingly,
BSE has also emerged in these countries – albeit at lower incidence
rates – where the spatio-temporal distribution of their epidemics have
followed an identical delayed lag response to the ‘district by
district’ spatio-temporal distribution of compulsory warble
eradication measures employed. Such a correlation was initially
identified in the UK (71)(72)(6) and then later in France (73). But
fully blown BSE will only erupt in those warble controlling countries
whose cattle are simultaneously exposed to the other environmental
prerequisites putatively responsible for initiating BSE; Mn supplements
and intensive ‘supersonic aeroplane’ sources of artificial
infrasound.
For
example, use of systemic phosmet at a 10 mg/kg dose is voluntarily
practised for lice control in warble-free Australia and New Zealand
(6). But BSE has probably never erupted in Australasia because, unlike
Europe, these countries do not incorporate Mn into their cattle
feeds nor do they overfly livestock populated zones with supersonic
turbojet military/passenger aircraft.
Likewise
in Japan, Mn supplementation of feeds is practised all over, yet the
five cases of BSE that have erupted to date have exclusively originated
from herds raised along the coastal belt of Northern Hokaiddo; a farming
district which has traditionally imported breeding stock from the
warble infested territories of North America. In order to maintain
Japan’s warble free status in an area that is climatically well suited
for the establishment of warble flies, these herds are prophylactically
treated with a 10 mg/kg dose of systemic trichlorphon warblecide.
Furthermore, patrolling of the coastal waters of North Hokaiddo is
routinely practised by low flying Japanese military jets; due to its
close bordering with Russian held territory (author’s observations).
The
10 mg/kg low dose systemic pour-on trichlorphon warblecide compound
has been used for warble control in all countries afflicted with a low
incidence rate of endemic BSE (70)(74). Trichlorphon was also used early
on in the voluntary stages of the Uk and Eire’s warble eradication
campaigns, but was used later on in the more recent campaigns run by
Holland, Portugal, Switzerland, Japan, Italy, Germany, Spain, France
(74)(70) – low incidence BSE endemic countries (6).
Trichlorphon
does not chelate Cu like its ‘dithiophosphate’ counterpart
warblecide, ‘phosmet’, but it could disrupt copper bonding to the
octapeptide repeat domains on PrP by interfering with its histidine
residues – a delayed toxic mechanism that has been specifically
associated with trichlorphon induced protein aging (75).
Other
Cu chelators such as Mn dioxide feed additives (76), silver compounds
(77) or tributyltin contaminants (78) should also be considered
as possible candidates for diminishing the availability of Cu within the
CNS. Increased levels of molybdenum (Mo) in the foodchain of cattle
could also bring about copper depletion by conjugating with Cu (35).
This could result from the increased incorporation of Mo-rich sorghum
(79) into concentrated cattle feeds or from grazing cattle on soil
that has become progressively acidified due to the modern day effects of
acid rain (80), excessive irrigation or overuse of certain artificial
nitrogen fertilisers which render Mo more freely ‘available’ for
uptake into the plant horizon. (81).
In
summing up the putative role of systemic OP treatments in the aetiology
of BSE, it is concluded that bovine exposure to systemic OP treatments
helped induce the high Mn/low Cu mineral imbalance in the CNS; not only
through their chelating action of copper, but by invoking an increased
permeability of the blood brain/ blood CSF barriers (82) that disrupted
Mn homeostasis in the CNS by enabling an increased uptake of Mn through
these regulatory gateways (52). Exposure to oestrogenic substances has
also been shown to influence permeability of the B/B Barrier (83), and
likewise raise levels of Mn in the CNS to seventy times normal levels
(84). Exposures to agricultural oestrogen products should also be
considered in this respect.
The
oxidative stress generated in the CNS following exposure to these
systemic insecticides (85)(86) combined with exposure of the bovine
to a cocktail of other CNS penetrating eco-oxidants that are increasing
in the modern environment (UV, ozone, microwaves, etc) - could
have assisted in the in situ conversion of Mn 2+ prions into Mn 3+
prions in the ‘prion factory’ areas like the retina, astrocytes,
tonsils, etc See diagram 4.
Diagram
4
The
lack of BSE incidence in beef suckler herds (1) and total lack of BSE in
home reared cattle on organic farms (87) can be attributed to the
preferential use of the ‘non OP’ ivermectin types of warblecide on
these farms. Whereas on conventional dairy farms where BSE incidence
rates were high (1), licensing restrictions on the use of ivermectin on
‘in milk’ cows necessitated the exclusive use of OP types of
warblecide on dairy farms for economic reasons.
The
decline in incidence rate of BSE in the UK during the mid and later half
of the 1990s (7)(8) is explained by the virtual eradication of the
warble fly during this period (6), with the corresponding decline in use
of the systemic OPs at their 20 mg/kg ‘warble’ dose rates to the
present day levels of usage; where 10 mg/kg doses for lice/mange
control are still used (6). Elimination of the BSE susceptible family
lines of cattle – whether through BSE itself or the cohort cull (7)(8)
– can also account for the significant reduction in the incidence rate
of BSE at the present day.
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