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| Immune System Imbalance (TH2 Dominance) |
Last updated: Nov 19, 2009 |
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Immune System Imbalance (TH2 Dominance) |
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Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | It can lead to... | Recommendations
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The quality of an individual's immune system can be evaluated through the balance of cytokines it is producing. This increasingly popular classification method is referred to as the Th1/Th2 balance. Interleukins and interferons are called “cytokines” which can be grouped into those secreted by Th1 type cells and those secreted by Th2 type cells. Th1 cells promote cell-mediated immunity while Th2 cells induce humoral immunity.
These two different methods exist by which the body fights infections. While cellular immunity (Th1) directs Natural Killer T-cells and macrophages to attack abnormal cells and microorganisms at sites of infection inside the cells, humoral immunity (Th2) results in the production of antibodies used to neutralize foreign invaders and substances outside of the cells.
In many cases, an infection is fought with both arms of the immune system. At other times predominantly one is needed to control an infection. A healthy immune system is both balanced and dynamic: it should be balanced between Th1 and Th2 activity, switching back and forth between the two as needed. This allows for a quick eradication of a threat and then a return to balance before responding to the next threat. The inability to respond adequately with a Th1 response can result in chronic infection and cancer; an overactive Th2 response can contribute to allergies, various syndromes and play a role in autoimmune disease. In end stage illnesses, both arms of the immune system fail.
Two mechanisms are at work contributing to the development of chronic diseases. - Pathogen defense mechanisms. When an immature immune cell is exposed to a virus, cancer, yeast, or intracellular bacteria (for example mycoplasma or chlamydia pneumonia), a Th1 response should be initiated. Viruses, especially herpes viruses such as EBV, CMV or HHV6, make proteins that mimic a particular cytokine. By this means the virus deceives the immune system into thinking that the threat is not coming from a virus. The immune system counters with too little of a Th1 response, the virus remains concealed and the infection becomes active or chronic. It is now thought that many, if not most, pathogens have this defensive ability.
- Immune system imbalance. In the above example, the virus has increased its chances of survival by diverting an immune system which is out of balance. It would have been able to respond more accurately if it were healthier. Immune system health is influenced by how we eat and think, our exposure to chemicals and our genetic heritage. In effect we are being judged as individuals for the poor lifestyle decisions we and our parents have made and as a society for not living in greater harmony with nature.
A failure of the Th1 arm of the immune system and an overactive Th2 arm is implicated in a wide variety of chronic illnesses. These include AIDS, CFS, candidiasis, multiple allergies, multiple chemical sensitivities (MCS), viral hepatitis, gulf war illness, cancer and other illnesses. If these two arms of the immune system could be balanced by stimulating Th1 and decreasing Th2, then many of the symptoms associated with these chronic illnesses would diminish or disappear and we would have found the answer to immune restoration and balance or the equivalent of a cure.
A possible line of therapy being investigated by the medical community is to reintroduce some of these cytokines to people who have severe immune deficiencies. This approach can be tricky because large amounts of any particular cytokine can have serious side-effects. Furthermore, their half-life in the body is usually relatively short and they are expensive.
One point to remember for general application with naturally occurring or synthetic immuno-modulators is that when they are taken continuously, at the same dose, they may become less effective. The dose must vary so that the immune system does not reset itself to the old balance point. Adjust the dose up and down as well as stopping use from time to time.
There are many natural agents available to help restore balance in an underactive Th1 arm. These include: Omega-3 fatty acids, monounsaturated fats found in olive and hazelnut oils, vitamin A cod liver oil, l-Glutamine, Silica, digestive enzymes, friendly intestinal flora or soil based organisms (SBOs), ginseng (Red Korean or concentrated Siberian Ginseng extract), chlorella (spirulina and some other sea vegetables may have similar benefits), thyroid hormones, garlic (raw or aged extract), l-Glutathione (or products that raise levels), DHEA or AED (androstendiol), UV-A light, vitamin E, transfer factor (antigen specific) - protein immunomodulators extracted from colostrum, colostrum, low dose naltrexone, IP6, lentinian and certain other mushrooms, Thymus extracts, licorice root, dong quai, beta 1,3-glucan, noni, neem, gingko biloba, exercise, water (to aid detoxification), a positive attitude and prayer, the ability to forgive and be compassionate, and having long-term goals.
Factors that induce Th2 cytokines and suppress cell-mediated immunity. Processed, heated vegetable oils high in trans-fatty acids and linoleic acid (safflower, soy, canola, corn and sunflower), glucose (white sugar), asbestos, lead, mercury and other heavy metals, pesticides, air and water pollutants, progesterone, prednisone, morphine, tobacco, cortisol (in high doses), HIV, candida albicans, HCV, E coli and many other pathogens, continuous stress, thalidomide, UV-B light, pregnancy, melatonin (conflicting research suggests that high levels induce Th2 cytokines while very small amounts induce Th1 cytokines), alcohol (animals studies show that ethanol definitely suppresses Th1 cytokines and induces Th2; beer was not tested and there are some indications it may help), streptococcus thermophilis (sometimes found in yoghurt), candidiasis, circulating immune complexes (CICs - caused by a combination of leaky gut syndrome and poor digestion of proteins due to a lack or HCl and digestive enzymes), sedentary lifestyle, negative attitudes, low body temperature, acid saliva pH, chronic insomnia, inability to dream, weight lifting, and steroids (for muscle gain).
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Signs, symptoms & indicators of Immune System Imbalance (TH2 Dominance): | |  | | | | Symptoms - Allergy | Allergies to particular chemicals | Symptoms - Environment |
(High) chemical sensitivity | Symptoms - Gas-Int - General |
Meal-related bloating | Symptoms - General |
Minor/major fatigue for over 3 months or major fatigue for over 12 months |
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Conditions that suggest Immune System Imbalance (TH2 Dominance):
Risk factors for Immune System Imbalance (TH2 Dominance): | |  | | | | Lab Values - Cells | Low T4 helper cell level
Having low CD8 count | Treatment of T cells from young and elderly adults with recombinant human IL-12, a pivotal cytokine that stimulates Th1 cytokines, resulted in enhancement of CD8+ CTL activity and IFN-? production in a dose dependent manner (P<0.01). IL-12-dependent enhancement of CTL activity was not always abrogated by anti-IFN-? antibody treatment. These results suggest that deficient influenza virus-specific CTL activity among the elderly is attributable to a Th1 to Th2 cytokine production switch. Immunotherapy with IL-12 could represent a useful approach to correct the CD8+ CTL deficiency and cytokine imbalance among elderly humans. The Analyst note: Increasing the TH1/TH2 ratio by other means may have the same beneficial effect. |
| Nutrients |
EFA (Essential Fatty Acid) Type 3 Requirement | Symptoms - Allergy |
History of adult allergies | Symptoms - Food - Beverages |
Sugared soft drink consumption | Symptoms - Food - Intake |
(High) refined sugar consumption
(High) hydrogenated fat consumption | Symptoms - Immune System |
Past general fungal/yeast infections |
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Immune System Imbalance (TH2 Dominance) can lead to:
Recommendations for Immune System Imbalance (TH2 Dominance): | |  | | | | Amino Acid / Protein | Glutathione | Glutathione levels in antigen-presenting cells determine whether Th1 or Th2 response patterns predominate [Proc Natl Acad Sci USA 1998 Mar 17;95(6): pp.3071-6]. Increasing glutathione levels helps reduce a Th2 dominance. |
Glutamine | Animal-based |
Thymic Factors | Thymic factors highly refined or crudely extracted help balance a TH2 dominant immune system by increasing IL-2 and T cell counts. |
Colostrum / Transfer Factor | Transfer factor augments cell-mediated immunity or pushes a TH2 to a TH1 state. This is useful in TH2-dominated conditions. Transfer factor may help to rebalance a TH2 dominant Immune system. |
Probiotics / Fermented Foods | The specific bacteria that that help balance a TH2 dominant immune system are:- Lactobacillus Plantarum and L casei - potent inducers of IL-12 and IFN-gamma. They support mucosal immunity.
- Bifidobacterium longum - increases IgA (supports mucosal immunity) - reduces candida albicans - improves lactose tolerance.
- Acidophilus - promotes resistance to colonization of candida albicans.
Soil Based Organisms (SBOs) (bacillus subtilis and lichenformis) produce surfactin that inactivates lipid envelope viruses (HIV, CMV, herpes etc), kills mycoplasmas, many bacteria and candida albicans. By reducing candida albicans, SBOs reduce TH2 cytokines. |
| Botanical |
MGN3 | MGN3, though a commercially prepared product, is a unique blend of mushroom extracts and rice bran. It stimulates NK function and thus helps balance a TH2 dominant immune system. |
Gingko Biloba | Gingko Biloba may reduce excess cortisol production. Elevated cortisol levels have a suppressing effect on TH1 cytokines. |
Garlic | Garlic, raw or aged extract, promotes TH1 cytokines to help balance the immune system. Raw garlic can kill many kinds of fungus and bacteria.
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Chlorella / Algae Products | Chlorella increases TH1 cytokines to help balance the immune system. Other algae products may have similar benefits.
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Noni | Noni promotes NK function and immunity against cancer. |
Neem | Neem can help balance a TH2 dominant immune system. It is also an antiviral, antifungal and antibacterial herb.
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| Diet |
Increased Water Consumption
Monounsaturated Oils | Oils such as olive, hazelnut, coconut can enhance TH1 cytokines which help balance the immune system. The adult therapeutic dose may be in the range of 4 tablespoons daily. Monounsaturated fats found in olive and hazelnut oils reduce TNF and increase IgA levels. |
| Drug |
LDN - Low Dose Naltrexone | Low doses of Naltrexone can help reduce TH2 cytokines to assist in balancing the immune system.
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| Extract |
Nutritional Yeast | EpiCor is a revolutionary dietary ingredient that is creating an entirely new category of immune health products. It is an all-natural, high-metabolite immunogen that nourishes the body’s immune system. EpiCor is an all natural yeast-based product derived from Baker's yeast (Saccharomyces cerevisiae) through a multi-stage fermentation and drying process.
The ingredient is manufactured by Embria Health Sciences, a unit of Iowa-based animal feed supplier Diamond V Mills. It can be ordered by anyone from Internet suppliers.
Researchers recruited 25 healthy participants (average age 27.6, average BMI 26.2 kg per sq. m, 13 women) and randomly assigned them to receive daily EpiCor supplements (500 mg) or placebo (brown rice flour mixed with 1 per cent molasses and 1 per cent tamari) for five weeks.
The red blood cell portion of the blood (hematocrit) increased amongst people in the EpiCor group, said the researchers. The number of red blood cells did not increase, but the volume of red blood cells (RBC) increased by about seven per cent. No significant change in the hematocrit was observed in the placebo group. “We conclude that the consumption of EpiCor resulted in production of healthier RBC, since their numbers did not change, but their volume (as measured by the hematocrit) and content of haemoglobin increased compared to baseline,” stated the researchers. The subjects consuming the yeast fermentate also experienced a mild increase in saliva levels of sIgA, an antibody that plays an important role in immunity of the mucosa.
“Saliva IgA is the immunoglobulin which protects mucosal surfaces from microbial invaders,” wrote the researchers. “While the data did not reach statistical significance, it suggested that EpiCor consumption supports immune protection across mucosal surfaces.” This result led to a subsequent 8-week open-label study with the 22 people, where statistical significance was reached, said the researchers. Furthermore, an increase in levels of the anti-inflammatory cytokine interleukin-10 (IL-10) was observed in people receiving the yeast fermentate supplement. This result indicated an anti-inflammatory role for the supplement. An impact on seasonal allergies was also noted by the researchers. Participants in the placebo group experienced an increase in seasonal allergies, but this was not matched by people in the EpiCor group, said the researchers. “The timing of the study was such that seasonal allergies started shortly after the study commenced, and we believe that this is an important factor for understanding these data,” said the researchers. “This data should be seen in the context of the subjective comments, where several participants in the EpiCor group reported an absence of their usual seasonal allergies, and some reported that allergies appeared after consumption of EpiCor was stopped. “It is therefore possible that EpiCor was protective against allergies, at least in some participants,” they added. [The Open Nutrition Journal Volume 2, pp.68-75 (2008)] |
Plant Sterols / Sterolins (Phytosterols) | Moducare (a plant sterol product) restores weakened or reduced T cell activity in a balanced proportion of TH1 and TH2 cells. This enables the immune system to effectively counteract viral diseases (common cold, hepatitis, HIV, etc.) and various microbial diseases (tuberculosis, etc.). |
Beta 1,3 Glucan | Beta 1, 3-glucan is commercially extracted and found in the common yeast. It is also found in oats and oat or rye sprouts. It stimulates macrophage and neutrophil function. |
| Hormone |
Thyroid Medications | Thyroxine (T4) found in Synthroid and desiccated thyroid is a thyroid hormone that increases TH1 cytokines to help balance the immune system.
(Sources: Am J Physiol 1997 Oct;273(4 Pt 1): pp.125-32 and J Immunol 1998 Jul 15;161(2): pp.843-9)
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DHEA | DHEA increases TH1 cytokines which help balance the immune system.
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| Lab Tests/Rule-Outs |
Digestive Enzymes / (Trial) | Digestive enzymes improve digestion and assimilation of proteins and other nutrients, reduce circulating immune complexes that cause antibody and autoantibody formation. Protein digestive enzymes are found naturally in fresh ginger root, raw pineapple and kiwi fruit. Quality proteins support mucus membrane integrity. |
| Mineral |
Silicon / Silica | Nutrient |
IP6 - Inositol Hexaphosphate | IP6 - found in brown rice and corn and extracted as a commercial product - promotes NK function and thus helps balance a TH2 dominant immune system. |
| Vitamins |
Vitamin E | Vitamin E increases TH1 cytokines, which help balance a TH2 dominant immune system.
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Vitamin A |
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KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | May do some good |  |  | Likely to help |
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