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''It was a major challenge to shift from the education & training of allopathic medicine, with its emphasis on prescription drug use, to accept micronutrients as having a capacity to improve health." - Dr. Reginald McDaniel and others. Dr. Reg's short biography is at the bottom of this page.
Health professionals in many disciplines can receive Continuing Medical Education credits for taking courses on glycobiology at http://www.Proevity.com/
or at the Endowment for Medical Research, Dr. Reg's website. http://www.EndowmentMed.org/
Background
In 1986, Phase 1 Food & Drug Administration {FDA} toxicity studies were conducted in dogs using a bioactive molecule extracted from the leaf gel of aloe vera. {1} A white powder comprised of chains of mannose sugars connected by B1-4 linkages had been isolated, stabilized, & named aloe polymannose {APM} or Manapol when formulated for human use and Acemannan for animal applications. {2}
No Toxicity - No Drug
An FDA new drug application was requested & Phase 1 toxicity studies were begun. Virtually no adverse effects were found in animal studies confirming to FDA new drug evaluation standards. Efforts to make the extract from the aloe leaf gel a prescription drug under FDA guidelines were thwarted by prior drug regularatory law before passage of the DSHEA.
There were two major problems:
No significant toxicity could be elicited by the substance though given in massive amounts of animals & humans. This is in conflict with the accepted drug paradigm that drugs are poisons.
The second fact was that too many desirable responses were observed when the substance was added to the diet of humans suffering with virtually every category of disease.
This was drug paradigm heresy & challenged any reasonable persons' intelligence, particularly that of healthcare professionals.
Both problems were scientifically illuminated by a key review paper published in 1985.{13} It was shown in the cited review article that nine molecules of mannose are utilized in the endoplasmic reticulum to establish a domain organized on 3 chains extending from a peptide formed by the ribosome.
This domain is the site for further modification by glycosylation in the Golgi that codes for cell-to-cell communications by cytokines that control & initiate innate defense, repair, healing, & homeostatis at the cellular & intracellular levels.
A monosaccharide, mannose, that is difficult to differentiate structurally from glucose, was predicted to have vitually no toxicity.
Tissue culture & animal studies indicated that innate, gene-controlled production of antiviral {3}, anticancer {4}, vaccine adjuvant {5}, & healing {6} activities were promoted & supported by supplying this glyconutrient.
Furthermost, in vitro studies with human leukocytes indicated celluar synthesis of defensive & healing cytokines were increased over a concentration gradient. {7} This phenomenon was demonstrated when increasing increments of APM were added to cell cultures. Enzyme-Linked Immunosorbent Assay {ELISA} tests were performed to quantify interleukins, interferons, tumor necrosis factor, & colony growth factors. {7}
Similar Cells Found
While conducting the toxicity studies in dogs, an observation was made in the acute intake studies that rare, large cells with abundant cytoplasm & vesicular, ovoid nuclei of known origin & cell type were noted on peripheral blood smears. The cellular diameter was over 10 times that of typical leukocytes.
A diligent search of peripheral blood smears taken from patients participating in an FDA pilot study in HIV-1 positive, symptomatic subjects that had received oral APM was made & similar cells were also identified.
Various isolation & concentration methods were used to try to collect a pool of the large cells. Observer embryologists, cytologists, histologists, & pathologists followed cells of the size & tintorial properties of our unknown cells to a wide range of final resting sites within animals & human organs & tissues. This was regarded to be why so many names were at one time or another chosen for the cells in question.{10}
It should be stated that our search suggests than in mammals the following sequence of published papers chronologically report on observations of the cell in question and indicate an active role in host defense:
1842 - Gulliver noted the cells in sections of phlebitis from horses. 1845 - Remak reported such cells in sections of calf spleens. 1874 - Eichhorst found 3 - 7 erythrocytes in the cytoplasm of the cells. 1892 - Metchnikoff observed & defined phagocytosis by the cells. 1907 - Rowley reported the large cells in normal human blood. 1919 - Shilling diagnosed bacterial endocarditis by finding bacteria in the cytoplasm of large cells on blood smears made from an ear stick. 1931 - Damashek, the leading hematologist of North America, declared that the large cells were not present in normal patient's blood, were extremely rare in ill patients, and of no clinical value.
Coded Instructional Molecules
Articles on the large cells ceased to be accepted for publication in the US & Canada. The name to be used for the authoritatively dimissed large cells reported by multiple investigators to circulate in the blood & migrate into tissues became moot.
However there is an impressive periodic review of the bioactive substances synthesized & secreted by the more recently termed monocyte/macrophage cells. {12} Over 200 bioactive molecules are reported to be synthesized by monocyte/macrophages.
These cell-synthesized products provide coded, instructional mnolecules such as cytokines, chemokines, interferson, TNF, prostaglandins, intracellular antioxidants, & colony growth factors that are transferred between leukocytes, liver cells, fibroblasts, & basal epithelial cells.
They function to orchestrate both general & specific host defense against all infectious agents, repair tissue, promote healing, & work along regulatory molecules that function to keep the intracellular & extra-cellular environment in balance or homeostatis. {12}
References
1} Carpenter RH. A Pilot Dose-RElated STudy of a PossibleBiological Marker for Oral Administered Acemannan in Dog. Carrington Research report NO. 6008. 1988. 2} McAnalley BH., Processes and Preparation of Aloe Products. Products Produced Thereby andCompositions Thereof. US Patent Reg. No. 4,735.935. April 1988. 3} Eberendu A. McAnalley BH, Carpenter RH. and McDaniel HR., Isolation and Characterization of a New Antiviral Polysacchardie Extracted from Aloe barbadensis Miller, Proc. Tex. Soc. Path., Ann. Meeting, abstract and scientific poster. January 1988. 4} Peng SY, Busbee D, and McDaniel HR., Decreased Mortality of Norman Murine Sarcoma in Mice Treated with the Immunomodulator Acemannan. Mol. Biotherm. June 1991;3:79-87. 5} Carpenter RH, McAnalley BH, McDaniel Hr., Acemannan Demonstrated as N Immune Adjuvant for Viral Vaccines in Animals, Proc. Tex. Soc. Path, Ann. Meeting, abstract and scientific poster, January 1988. 6} Parnell LS., Accelerated Wound Healing Induced by Complex Carbohydrate. Wound Healing Society Annual Meeting, oral and abstract. 1992. 7} Marshall GD., Human Cytokines Induces by Accmannan, Amer. Aca. Aller. Immuno. Annual Meetings, oral and abstract. 1993. 10} Simpson ME., The Experiemental Production of Macrophages in the Circulation Blood, J. Med. Res. XXLIII, 1992;2:77-149. 11} Holtermann AO., Immunobiology of the Macrophage. Academic Press. 1976, D.S. Nelson. Ed., Chapter 22. p. 584-587. 12} Nathan CF., Secretory Products of Macrophages, Amer. Soc. Clin. Invest. 1987;79:319-326.
OTHERS: 13} Kornfeld R, and Kornfeld S., Assdembly of Aspargine-Linked Oligosacchardies. Ann. Rev. Biochem., 1985;431-664. 14} Nisinzweig S., Phytochemicals and Glyconutrients in Autistic Children.Proc.Fish.Inst.Med.Rest., 1999;1{3}:12-14. 16} Blood Cells to Neuron, Journal of the American Medical Association, Feb. 19, 2003, summarizing E. Meazey, B. Crain, Proc. Nat. Acad. Sci., Jan. 21, 2003
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Dr. McDaniel is a graduate of the University of Texas Southwestern Medical School & has spent 30 years practicing anatomical & clinical pathology, including positions as the Director of Pathology & Laboratories and Director of Medical Education at Dallas-Ft Worth Medical Center. In 1981 he began research at Fisher Institute for Medical Research using a bean extract to stimulate the immune system.
In 1985, he took the work of scientists that had isolated the active principle of the Aloe Vera Plant, and conducted the first government-monitored studies in humans using this Glyconutrient, aloe polymannose (manapol®), and the results were without precedent. He devoted his attention to the potential of Glyconutrients and other plant micronutrients to restore health for numerous conditions through the nutritional support of normal biochemistry under gene control.
In 1996, the American Naturopathic Medical Association recognized this work with their annual "Discovery of the Year Award". Dr. McDaniel was a consultant to Carrington Laboratories for 9 years, and Medical Director for Mannatech, Inc. for their first 8 years. Mannatech, Inc. is taking the micronutrient research and technology to the mass market.
He has published numerous educational papers on the effects of glyconutritionals in relation to various disease conditions. He has a paper on the "common causes of all neurodegenerative diseases" at http://www.EndowmentMed.org
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