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         www.townsendletter.com




                    The Examiner of Alternative Medicine




Blue-Green Algae
An Updated Viewpoint




Prostate Cancer
Treatment                                                        DECEMBER 2010
                                                                ISSUE #329 | 7.50
An East-West Approach
A Successful German Protocol
‘Why Blue-Green Algae Makes Me
       Tired’: Perspective, 15 Years Later
                                            by Christian Drapeau
  	 In 1996, John McPartland wrote an        to serve readers is to look back at these   vein! Intravenous and oral intakes are
  article that was published in Townsend     writings from the perspective of an         two completely different things when
  Letter (“Why Blue-Green Algae              updated viewpoint. But before doing         talking about exposure to a substance.
  Makes Me Tired”), expressing his           so, it remains important to revisit         And it’s not that proper information
  exasperation at being approached by        McPartland’s original contentions,          was      lacking;     studies    already
  distributors from what was then called     as they maintain a deceptive sense          published at the time had reported
  Cell Tech, a multilevel marketing          of validity when published in the           a no observable adverse effect level
  company selling the blue-green             absence of my original response.            (NOAEL) – that is, not a toxic but a
  algae Aphanizomenon flos-aquae             	 McPartland          listed     several    safe level – ranging between 40 and
  (AFA). Although his exasperation was       references reporting the neurotoxicity      280 µg/kg.9,10 Gary Flamm, PhD,
  understandable, given the aggressive       of AFA strains collected in various         former director of toxicology at the
                                                                                         Food and Drug Administration,
  So the concern is not the existence or even                                            published an opinion in which he
  the presence of toxins in food but rather their                                        established, based on a review of the
                                                                                         study by Fawell et al., a NOEAL of
  concentration.
                                                                                         100 µg/kg.9,11 Later studies established
                                                                                         a NOAEL of 333 to 500 µg/kg.12 As
  business practice of some distributors     parts of the world, leading the reader
                                                                                         for the oral LD 50 for microcystins,
  at times, the information in his           to believe that AFA from Klamath
                                                                                         already published at the time of these
  article was extremely misleading:          Lake was producing a series of
                                                                                         writings, it is in fact 8000 to 12,000
  a very negative report about AFA,          neurotoxins such as neosaxitoxin
                                                                                         µg/kg.13,14 It is also important to
  attributing to this blue-green algae a     and anatoxin.1–5 He also claimed that
                                                                                         mention that the potential presence
  slew of problems and suggesting that       AFA was producing microcystin with
                                                                                         of microcystin does not come from
  consumers were taking significant risks    an LD 50 of 50µg/kg.6 He further
                                                                                         AFA, but rather from co-occurring
  by simply consuming this species of        suggested that AFA could be a vector
                                                                                         Microcystis spp. at times present in
  algae as a dietary supplement – which      for Legionella pneumophila, the cause
                                                                                         Klamath Lake.15
  was completely untrue. I then wrote        of Legionnaires’ disease, and Vibrio
                                                                                         	 Based on all this information, a
  a response correcting the various          cholerae, which causes cholera, even
                                                                                         safe level has been established by
  assertions made by McPartland, which       though the quoted literature pertained
                                                                                         Oregon Department of Agriculture
  was also published in Townsend             to other species of blue-green algae
                                                                                         as 1 µg/g.16 This value can be put in
  Letter in 1997.                            growing in entirely other parts of the
                                                                                         perspective when considering that
  	 There would really be no point           world.7,8
                                                                                         Flamm recommended a safe limit of
  in raising this issue, nearly 15 years     	 Aside from its overall tone, the
                                                                                         5 µg/g, and that the actual safe limit,
  later, were it not for the fact that       intent of this original letter can be
                                                                                         prior to the application of safety
  McPartland’s article continues to          easily appreciated when information
                                                                                         factors, is nearly 20,000 µg/day.12
  resurface prominently on the Web,          of this nature is thus presented.
                                                                                         Many foods contain a wide variety of
  unaccompanied by my response.              While microcystins are indeed potent
                                                                                         very potent toxins such as aflatoxins,
  Having both articles linked together       toxins when consumed in significant
                                                                                         a mycotoxin present in corn, peanuts,
  would allow the readers to peruse          levels, the LD 50 reported is that of
                                                                                         and other crops that is such a potent
  both arguments and decide for              intravenous injection of the toxins,
                                                                                         liver carcinogen that it is regulated
  themselves, but this is not the case;      which cannot in any way be compared
                                                                                         at 20 µg/kg, 50 times lower than the
  only McPartland’s is made available.       to oral intake. Just think; the LD 50
                                                                                         limit established for microcystins.17
  Yet given that so much has been done       for intravenous table salt is less than
                                                                                         Cabbage and related vegetables
  in terms of research on AFA since the      a tablespoon. Or imagine injecting a
                                                                                         contain glucosinolates, which have
  writing of these articles, the best way    tablespoon of peanut butter in your

56	                                                                                          TOWNSEND LETTER – DECEMBER 2010
goitrogenic activity. 18 Sweet potatoes   several studies and by more than 30         Anabaena species can be unclear,
 or legumes may produce hepatotoxins       years of consumption.                       and proper                   of the algal
 as well as compounds able to produce          Regarding the neurotoxicity of AFA,     species can at times be problematic.
 neuropathy and mental confusion. 19       the concern was certainly legitimate        Anabaena spp . is known to produce
 Solanine may be found in potatoes,        at the time due to observation of           various     kinds    of    neurotoxins.
 especially when improperly stored,        strains of AFA elsewhere in the world       Subsequent developments in genetics
 which may result in headaches,            that had proven able to produce             have provided the tools to determine
 incoherence,      hallucination,  and     neurotoxins. For that reason, a             whether the toxic and nontoxic strains
 dizziness. 20,21 Many sources of wild-    stringent quality-control program had       of AFA belonged to the same species.
 harvested          contain                already been developed whereby              It was            shown that all the
 levels of mercury, and shell sh may       every single lot of AFA was tested for      toxic strains of AFA were genetically
 contain potent toxins responsible for     the possible presence of neurotoxins.       dissimilar to the nontoxic strains such
 several deaths every year. 22 So the      As mentioned by McPartland and later        as the Klamath Lake AFA, and most
 concern is not the existence or even      reported, neurotoxicity was never           likely belonged to the Anabaena
 the presence of toxins in food but        observed in Klamath Lake. 15,23             genera.25
 rather their concentration. When a            One aspect that caught the                  As for the suggestion that AFA
 compound is found below levels that       attention     of    several    scientists   could be a carrier of cholera and
 have been established as safe, then a     regarding the toxic strains of AFA was      Legionnaires’ disease, I believe that the
 food is considered safe. The original     that they were described as atypical        absence of any such case after more
 letter presented the data pertaining to   non-colony-forming AFA. 24 In other         than 30 years of continued presence
 microcystin in a manner that intimated    words, the toxic strains originally         in the marketplace should               to
 that AFA sold in the marketplace                     and            as AFA were       refute this claim; otherwise we would
 was potentially toxic, which was          not typical of AFA, which is a colony-      have to cast the same presumption
 entirely inaccurate. AFA present in       forming                     cyanophyta,     of health risk on Spirulina spp . and
 the marketplace is thoroughly tested      so the original                   could     Nostoc Spp ., two other species of
 and meets all standards of safety. The    have been inaccurate. Indeed, the           blue-green algae widely used and
 safety of AFA has been established in     boundary between AFA and some               well known for their safety.             ➤



    Klamath Lake, Oregon




TOWNSEND LETTER – DECEMBER 2010                                                                                                 57
Blue-Green Algae                            antioxidant, protecting the cell from
                                              certain wavelengths. Phycocyanin
                                                                                                      3.	 Gentile JH. (1971) Blue green and green algal
                                                                                                           toxins, pp. 27–67 in vol. 7 of Microbial Toxins,
                                                                                                           Kadis S, Ciegler A, Ajl SJ, Eds., Academic Press,
  ➤                                           has been shown to have strong                                NY.
                                              antioxidant and anti-inflammatory                       4.	 Carmichael WA, Biggs DA, Peterson MA. (1979)
  	 But the focus of McPartland’s                                                                          Pharmacology of anatoxin-a, produced by the
  1996 letter entirely put the emphasis       properties. In various animal models                         freshwater cyanophyte Anabaena flos-aquae.
  on presumed or potential health risk,       of     inflammation,       phycocyanin                       Toxicon 17:229–236.
                                                                                                      5.	 Phinney HK, Peek CA. Klamath Lake, an
  ignoring the significant health benefits,   was shown to reduce or prevent                               instance of natural enrichment. In: Transcript
  which were in fact derided. At the          inflammation.35,36 Phycocyanin has                           of 1960 Seminar on Algae and Metropolitan
  time, little research had been done to      been shown to prevent certain forms                          Wastes. Robert A. Taft Sanitary Engineering
                                                                                                           Center, Cincinnati, OH; 1961.
  document AFA’s health benefits, so          of colitis.37 The mechanism of action                   6.	 Hunter PR. Cyanobacteria and human health. J
  little could be said from a scientific      was identified as the ability to block                       Med Microb. 1992;36:301–302.
                                              the production of the inflammatory                      7.	 Tison DL, Pope DH, Cherry WB, Fliermans CB.
  standpoint. However, since 1996, a                                                                       Growth of Legionella pneumophila in association
  significant research effort has focused     eicosanoids LTB4 and PGE2.38,39                              with blue-green algae (cyanobacteria). Appl
  on AFA and produced compelling              Phycocyanin has also been shown to                           Environ Microbiol. 1980;39:456–459.
                                              be one of the strongest natural COX-2                   8.	 Islam MS, Miah MA, Hasan MK, Sack RB, Albert
  data pertaining to its health-promoting                                                                  MJ. Detection of non-culturable Vibrio cholerae
  effects. First, AFA was shown in            (cyclooxygenase) inhibitors.40                               O1 associated with a cyanobacterium from an
  a double-blind crossover study to           	 More recently, AFA was shown                               aquatic environment in Bangladesh. Trans R
                                                                                                           Soc Trop Med Hyg. 1994;88:298–299.
  trigger the migration of natural killer     to contain an L-selectin blocker that                   9.	 Fawell JK. Toxins from blue-green algae:
  (NK) cells from the blood to tissues,       acts as a mild stem cell mobilizer.                          toxicological assessment of microcystin-LR and
  within one hour of consumption.26           Consumption of a proprietary extract                         a method for its determination in water. WRC
                                                                                                           Foundation for Water Research; 1994.
  AFA was also shown to stimulate             of AFA that concentrates the L-selectin                 10.	 Falconer IR, Burch MD, Steffensen DA, Choice
  NK cell activity.27 NK cells are a          blocker was shown to lead to an                              M, Coverdale OR. Toxicity of blue-green alga
                                              average increase of 25% to 30% in                            (cyanobacterium) Microcystis aeruginosa in
  type of cytotoxic lymphocyte that                                                                        drinking water to growing pigs, as an animal
  constitutes a major component of            the number of circulating stem cells                         model for human injury and risk assessment.
  the innate immune system. They              within one hour of consumption.41                            Environ Toxicol Water Qual. 1994;9:131–139.
                                                                                                      11.	 Oregon Department of Agriculture, December
  play an important role in eliminating       The ability of bone marrow stem                              1997.
  cancerous cells as well as cells infected   cells to differentiate into a wide                      12.	 Schaeffer DJ, Malpas PB, Barton LL. Risk
  by viruses. AFA was also shown              variety of specialized somatic cells                         assessment     of    microcystin     in   dietary
                                                                                                           Aphanizomenon flos-aquae. Ecotoxicol Environ
  to contain polysaccharides having           such as cardiomyocytes, hepatocytes,                         Saf. 1999;44(1):73–80.
  immune-enhancing properties.28,29           pancreatic ß-cells, skin cells and skin                 13.	 Falconer IR, Smith, JV, Jackson ARB, Jones A,
                                              appendages, and even neurons has                             Runnegar, MTC. Oral toxicity of a bloom of
  	 Over the years, one of the most                                                                        the cyanobacterium Microcystis aeruginosa
  commonly reported benefits of               been well documented.42–47 In essence,                       administered to mice over periods up to 1 year.
  consuming AFA has been mood                 bone marrow stem cells constitute the                        J Toxicol Environ Health. 1988;24:291–305.
                                                                                                      14.	 Yoshida T, Makita Y, Nagata S, et al. Acute oral
  elevation, as well as a feeling of mental   natural repair system of the body.48                         toxicity of microcystin-LR, a cyanobacterial
  energy and clarity, both suggestive of      It is not surprising, therefore, that a                      hepatotoxin, in mice. Nat Toxins. 1997;5(3):91–
  the presence of a neuroactive amino         higher number of circulating stem                            95.
                                                                                                      15.	 Carmichael WW, Drapeau C, Anderson
  acid or a biogenic amine. In spite          cells has been linked to greater health                      DM. Harvesting and quality control of
  of extensive testing demonstrating          outcomes.48–58 When tested in an                             Aphanizomenon flos-aquae from Klamath
                                              animal model, this proprietary extract                       Lake for human dietary use. J Appl Phycol.
  the contrary, McPartland had stated                                                                      2000;12:585–595.
  that this effect was likely due to the      of AFA was shown to enhance tissue                      16.	 Oregon Department of Agriculture. Statutory
  presence of anatoxin in AFA, which          repair after cardiotoxin-induced injury                      Reference 603-25-190.
                                              to the tibialis muscle.59                               17.	 Stoloff L, Van Egmond HP, Park DL. Rationales
  he claimed acted like cocaine.15 But                                                                     for the establishment of limits and regulations
  further investigation later revealed        	 Although some of the concerns                              for mycotoxins. Food Addit Contam.
  that AFA is a significant source of the     raised nearly 15 years ago were                              1991;8(2):213–221.
                                                                                                      18.	 Fahey JW, Zalcmann AT, Talalay P. The chemical
  biogenic amine phenylethylamine             legitimate, in spite of a lack of                            diversity and distribution of glucosinolates and
  (PEA).30 PEA has been coined the            evidence of negative effects, the                            isothiocyanates among plants. Phytochemistry.
  “molecule of love” and is well known        past decade has clearly established                          2001;56(1):5–51.
                                                                                                      19.	 Wilson BJ, Yang DT, Boyd MR. Toxicity of
  to alleviate depression and elevate         the safety of AFA and has put into                           mould-damaged sweet potatoes (Ipomoea
  mood, and it plays an important role        evidence significant health-promoting                        batatas). Nature 1970;227(5257):521–522.
                                              properties.                                             20.	 Barceloux DG. Potatoes, tomatoes, and solanine
  in affective behavior as well as the                                                                     toxicity (Solanum tuberosum L., Solanum
  pathogenesis of learning disabilities                                                                    lycopersicum L.). Dis Mon. 2009;55(6):391–
  and attention deficit/hyperactivity         Notes                                                        402.
                                              1.	 Gorham PR. Toxic algae. In: Jackson DF, ed. Algae   21.	 Beier RC. Natural pesticides and bioactive
  disorder. 31–34                                 and Man. NY: Plenum Press; 1964:307–336.                 components in foods. Rev Environ Contam
  	 Phycocyanin is the blue pigment           2.	 Alam M, Euler KL. Chemical studies on toxins             Toxicol. 1990;113:47–137.
                                                  from the blue-green alga Aphanizomenon              22.	 Kumar KP, Kumar SP, Nair GA. Risk assessment
  present in all cyanophyta. In the               flos-aquae. In: WW Carichael, ed. The Water              of the amnesic shellfish poison, domoic
  living algal cell, phycocyanin serves           Environment: Algal Toxins and Health. New                acid, on animals and humans. J Environ Biol.
  as a protein storage unit and an                York: Plenum Press; 1981:405–414.                        2009;30(3):319–325.

58	                                                                                                         TOWNSEND LETTER – DECEMBER 2010
23.	 Stemtech.     Frequently     Asked    Questions
      [website]. http://www.stemtechbiz.com/FAQ_
                                                              biliprotein from Spirulina platensis. Biochem
                                                              Biophys Res Commun. 2000;277(3):599–603.                  Blue Green Algae
      sub.aspx#review_neurotoxicity.                     41.	 Jensen GS, Hart AN, Zaske LA, et al. Mobilization
 24.	 Sawyer PJ, Gentile JH, Sasner JJ. Demonstration         of human CD34+ CD133+ and CD34+
      of a toxin from Aphanizomenon flos-aquae (L.)           CD133(-) stem cells in vivo by consumption                  with hyperhomocysteinemia. Arch Med Res.
      Ralfs. Can J Microbiol. 1968;14(11):1199–1204           of an extract from Aphanizomenon flos-aquae-                2006;37(4):484–489.
 25.	 Li, R, Carmichael, WW, Liu, Y, and                      -related to modulation of CXCR4 expression by          56. 	Westerweel PE, Luijten RK, Hoefer IE, Koomans
      Watanabe, MM. Taxonomic re-evaluation of                an L-selectin ligand? Cardiovasc Revasc Med.                HA, Derksen RH, Verhaar MC. Hematopoietic
      Aphanizomenon flos-aquae NH-5 based on                  2007;8(3):189–202.                                          and endothelial progenitor cells are deficient in
      morphological and 16 rRNA gene sequences.          42.	 Deb A, Wang S, Skelding KA, et al. Bone                     quiescent systemic lupus erythematosus. Ann
      Hydrobiologica. 2000;438:99–105.                        marrow-derived cardiomyocytes are present                   Rheum Dis. 2007;66(7):865–870.
 26.	 Jensen GS, Ginsberg DI, Huerta P, Citton M,             in adult human heart: A study of gender-               57. 	Moonen JR, de Leeuw K, van Seijen XJ, et al.
      Drapeau C. Consumption of Aphanizomenon                 mismatched bone marrow transplantation                      Reduced number and impaired function of
      fl os-aquae has rapid effects on the circulation        patients. Circulation. 2003;107(9):1247–1249.               circulating progenitor cells in patients with
      and function of immune cells in humans. JANA.      43.	 Körbling M, Katz RL, Khanna A, et al.                       systemic lupus erythematosus. Arthritis Res
      2000;2(3):50–58.                                        Hepatocytes and epithelial cells of donor origin            Ther. 2007;9(4):R84.
 27.	 Hart AN, Zaske LA, Patterson KM, Drapeau                in recipients of peripheral-blood stem cells. N        58.	 Choi JH, Kim KL, Huh W, et al. Decreased
      C, Jensen GS. Natural killer cell activation            Engl. J Med. 2002;346(10):738–746.                          number and impaired angiogenic function of
      and modulation of chemokine receptor profile       44.	 Ianus A, Holz GG, Theise ND, Hussain MA.                    endothelial progenitor cells in patients with
      in vitro by an extract from the cyanophyta              In vivo derivation of glucose-competent                     chronic renal failure. Arterioscler Thromb Vasc
      Aphanizomenon flos-aquae. J Med Food.                   pancreatic endocrine cells from bone marrow                 Biol. 2004;24(7):1246–1252.
      2007;10(3):435–441.                                     without evidence of cell fusion. J Clin Invest.        59.	 Drapeau C, Antarr D, Ma H, et al. Mobilization
 28.	 Pugh N, Ross SA, ElSohly HN, ElSohly MA,                2003;111:843–850.                                           of bone marrow stem cells with StemEnhance®
      Pasco DS. Isolation of three high molecular        45.	 Hasegawa Y, Ogihara T, Yamada T, et al. Bone                improves muscle regeneration in cardiotoxin-
      weight polysaccharide preparations with                 marrow (BM) transplantation promotes beta-cell              induced     muscle      injury.    Cell   Cycle.
      potent immunostimulatory activity from                  regeneration after acute injury through BM cell             2010;May;9(9):1819–1823.
      Spirulina platensis, aphanizomenon flos-                mobilization. Endocrinology 2007;148(5):2006–
      aquae and Chlorella pyrenoidosa. Planta Med.            2015.                                                  Christian Drapeau
      2001;67(8):737–742.                                46.	 Cantürk NZ, Vural B, Esen N, et al. Effects of
 29.	 Pugh N, Pasco DS. Characterization of human             granulocyte-macrophage          colony-stimulating     1011 Calle Amanecer
      monocyte activation by a water soluble                  factor on incisional wound healing in an               San Clemente, California 92673
      preparation of Aphanizomenon flos-aquae.                experimental diabetic rat model. Endocr Res.
      Phytomedicine. 2001;8(6):445–453.                       1999;25(1):105–116.
                                                                                                                     cdrapeau@stemtechmail.com
 30.	 Drapeau C. Antidepressant properties of the        47.	 Mezey E, Key S, Vogelsang G, Szalayova I,
      blue-green alga Aphanizomenon flos-aquae.               Lange GD, Crain B. Transplanted bone marrow
      Annual meeting of the American Holistic                 generates new neurons in human brains. Proc
      Medicine Association. Toronto; May 2002.                Natl Acad Sci USA. 2003;100, 1364–1369.
 31.	 Sabelli H, Fink P, Fawcett J, Tom C. Sustained     48.	 Drapeau C. Cracking the Stem Cell Code.
      antidepressant effect of PEA replacement. J             Sutton Hart Press; 2010:254.
                                                                                                                     Christian
      Neuropsychiatry Clin Neurosci. 1996;8(2):168–      48.	 Werner N, Kosiol S, Schiegl T, et al. Circulating
      171.                                                    endothelial progenitor cells and cardiovascular        Drapeau is an
 32.	 Sabelli HC, Fawcett J, Gusovsky F, Javaid J,            outcomes. N Engl J Med. 2005;353(10):999–              author, research
      Edwards J, Jeffriess H. Urinary phenyl acetate:         1007.                                                  scientist
      a diagnostic test for depression? Science.         49.	 Vasa M, Fichtlscherer S, Aicher A, et al. Number       and neuro­
      1983;220(4602):1187–1188.                               and migratory activity of circulating endothelial      physiologist
 33.	 Sabelli HC, Mosnaim AD. Phenylethylamine                progenitor cells inversely correlate with risk         with over 13
      hypothesis of affective behavior. Am J Psychiat.        factors for coronary artery disease. Circ Res.         years of research
      1974;131:695–699.                                       2001;89(1):E1–7.                                       experience in
 34.	 Baker GB, Bornstein RA, Rouget AC, Ashton SE,      50.	 Marchesi C, Belicchi M, Meregalli M, et al.            the fields of
      van Muyden JC, Coutts RT. Phenylethylaminergic          Correlation of circulating CD133+ progenitor           natural foods
      mechanisms in attention-deficit disorder. Biol          subclasses with a mild phenotype in Duchenne
                                                                                                                     and nutrition. While pursuing scientific research
      Psychiatry. 1991;29(1):15–22.                           muscular dystrophy patients. PLoS ONE.
                                                                                                                     in collaboration with various universities and
 35.	 Romay C, Armesto J, Remirez D, González                 2008;3(5):e2218.
      R, Ledon N, García I. Antioxidant and anti-        51.	 Diller GP, van Eijl S, Okonko DO, et al.               research centers on the health benefits of
      inflammatory properties of C-phycocyanin from           Circulating endothelial progenitor cells in            certain botanical raw materials, he has lectured
      blue-green algae. Inflamm Res. 1998;47(1):36–           patients with Eisenmenger syndrome and                 on nutrition to thousands of people since 1994,
      41.                                                     idiopathic pulmonary arterial hypertension.            presenting profound health information and
 36.	 Romay C, Ledón N, González R. Further studies           Circulation. 2008;117(23):3020–3030.                   insights with clarity and humor.
      on anti-inflammatory activity of phycocyanin in    52.	 Junhui Z, Xingxiang W, Guosheng F, Yunpeng
                                                                                                                     Mr. Drapeau has been the director of research
      some animal models of inflammation. Inflamm             S, Furong Z, Junzhu C. Reduced number and
      Res. 1998;47(8):334–338.                                activity of circulating endothelial progenitor cells   and development at Cell Tech International
 37.	 González R, Rodríguez S, Romay C, et al. Anti-          in patients with idiopathic pulmonary arterial         and then Desert Lake Technologies, before
      inflammatory activity of phycocyanin extract in         hypertension. Respir Med. 2008;102(7):1073–            cofounding Stemtech HealthSciences and
      acetic acid-induced colitis in rats. Pharmacol          1079.                                                  becoming its chief science officer. Based on his
      Res. 1999;39(1):55–59.                             53.	 Herbrig K, Haensel S, Oelschlaegel U, Pistrosch        own research as well as the review of research
 38.	 Romay C, Ledón N, González R. Phycocyanin               F, Foerster S, Passauer J. Endothelial dysfunction     done by numerous other scientific teams, Mr.
      extract reduces leukotriene B4 levels                   in patients with rheumatoid arthritis is associated    Drapeau and his collaborators proposed in
      in    arachidonic     acid-induced    mouse-ear         with a reduced number and impaired function            2001 a breakthrough theory on adult stem
      inflammation test. J Pharm Pharmacol.                   of endothelial progenitor cells. Ann Rheum Dis.        cell physiology. He is the coinventor of the
      1999;51(5):641–642.                                     2006;65(2):157–163.                                    revolutionary product StemEnhance.
 39.	 Romay C, Ledón N, González R. Effects              54.	 Grisar J, Aletaha D, Steiner CW, et al. Depletion
      of phycocyanin extract on prostaglandin                 of endothelial progenitor cells in the peripheral      Mr. Drapeau received a bachelor’s degree
      E2 levels in mouse ear inflammation test.               blood of patients with rheumatoid arthritis.           in neurophysiology from McGill University,
      Arzneimittelforschung.        2000;50(12):1106–         Circulation. 2005;111(2):204–211.                      Montreal, in 1987 and a master’s degree from
      1109.                                              55.	 Zhu J, Wang X, Chen J, Sun J, Zhang F.                 the Department of Neurology and Neurosurgery
 40.	 Reddy CM, Bhat VB, Kiranmai G, Reddy MN,                Reduced number and activity of circulating             from the Montreal Neurological Institute,
      Reddanna P, Madyastha KM. Selective inhibition          endothelial progenitor cells from patients             McGill University, Montreal, in 1991.
      of cyclooxygenase-2 by C-phycocyanin, a
                                                                                                                                                                  u

TOWNSEND LETTER – DECEMBER 2010	                                                                                                                                          59

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Townsend letters==

  • 1. Diet Saboteurs? How to Slow Aging Interstitial Cystitis Medications and Weight Loss A Specialist’s Strategies Effective Natural Treatments www.townsendletter.com The Examiner of Alternative Medicine Blue-Green Algae An Updated Viewpoint Prostate Cancer Treatment DECEMBER 2010 ISSUE #329 | 7.50 An East-West Approach A Successful German Protocol
  • 2. ‘Why Blue-Green Algae Makes Me Tired’: Perspective, 15 Years Later by Christian Drapeau In 1996, John McPartland wrote an to serve readers is to look back at these vein! Intravenous and oral intakes are article that was published in Townsend writings from the perspective of an two completely different things when Letter (“Why Blue-Green Algae updated viewpoint. But before doing talking about exposure to a substance. Makes Me Tired”), expressing his so, it remains important to revisit And it’s not that proper information exasperation at being approached by McPartland’s original contentions, was lacking; studies already distributors from what was then called as they maintain a deceptive sense published at the time had reported Cell Tech, a multilevel marketing of validity when published in the a no observable adverse effect level company selling the blue-green absence of my original response. (NOAEL) – that is, not a toxic but a algae Aphanizomenon flos-aquae McPartland listed several safe level – ranging between 40 and (AFA). Although his exasperation was references reporting the neurotoxicity 280 µg/kg.9,10 Gary Flamm, PhD, understandable, given the aggressive of AFA strains collected in various former director of toxicology at the Food and Drug Administration, So the concern is not the existence or even published an opinion in which he the presence of toxins in food but rather their established, based on a review of the study by Fawell et al., a NOEAL of concentration. 100 µg/kg.9,11 Later studies established a NOAEL of 333 to 500 µg/kg.12 As business practice of some distributors parts of the world, leading the reader for the oral LD 50 for microcystins, at times, the information in his to believe that AFA from Klamath already published at the time of these article was extremely misleading: Lake was producing a series of writings, it is in fact 8000 to 12,000 a very negative report about AFA, neurotoxins such as neosaxitoxin µg/kg.13,14 It is also important to attributing to this blue-green algae a and anatoxin.1–5 He also claimed that mention that the potential presence slew of problems and suggesting that AFA was producing microcystin with of microcystin does not come from consumers were taking significant risks an LD 50 of 50µg/kg.6 He further AFA, but rather from co-occurring by simply consuming this species of suggested that AFA could be a vector Microcystis spp. at times present in algae as a dietary supplement – which for Legionella pneumophila, the cause Klamath Lake.15 was completely untrue. I then wrote of Legionnaires’ disease, and Vibrio Based on all this information, a a response correcting the various cholerae, which causes cholera, even safe level has been established by assertions made by McPartland, which though the quoted literature pertained Oregon Department of Agriculture was also published in Townsend to other species of blue-green algae as 1 µg/g.16 This value can be put in Letter in 1997. growing in entirely other parts of the perspective when considering that There would really be no point world.7,8 Flamm recommended a safe limit of in raising this issue, nearly 15 years Aside from its overall tone, the 5 µg/g, and that the actual safe limit, later, were it not for the fact that intent of this original letter can be prior to the application of safety McPartland’s article continues to easily appreciated when information factors, is nearly 20,000 µg/day.12 resurface prominently on the Web, of this nature is thus presented. Many foods contain a wide variety of unaccompanied by my response. While microcystins are indeed potent very potent toxins such as aflatoxins, Having both articles linked together toxins when consumed in significant a mycotoxin present in corn, peanuts, would allow the readers to peruse levels, the LD 50 reported is that of and other crops that is such a potent both arguments and decide for intravenous injection of the toxins, liver carcinogen that it is regulated themselves, but this is not the case; which cannot in any way be compared at 20 µg/kg, 50 times lower than the only McPartland’s is made available. to oral intake. Just think; the LD 50 limit established for microcystins.17 Yet given that so much has been done for intravenous table salt is less than Cabbage and related vegetables in terms of research on AFA since the a tablespoon. Or imagine injecting a contain glucosinolates, which have writing of these articles, the best way tablespoon of peanut butter in your 56 TOWNSEND LETTER – DECEMBER 2010
  • 3. goitrogenic activity. 18 Sweet potatoes several studies and by more than 30 Anabaena species can be unclear, or legumes may produce hepatotoxins years of consumption. and proper of the algal as well as compounds able to produce Regarding the neurotoxicity of AFA, species can at times be problematic. neuropathy and mental confusion. 19 the concern was certainly legitimate Anabaena spp . is known to produce Solanine may be found in potatoes, at the time due to observation of various kinds of neurotoxins. especially when improperly stored, strains of AFA elsewhere in the world Subsequent developments in genetics which may result in headaches, that had proven able to produce have provided the tools to determine incoherence, hallucination, and neurotoxins. For that reason, a whether the toxic and nontoxic strains dizziness. 20,21 Many sources of wild- stringent quality-control program had of AFA belonged to the same species. harvested contain already been developed whereby It was shown that all the levels of mercury, and shell sh may every single lot of AFA was tested for toxic strains of AFA were genetically contain potent toxins responsible for the possible presence of neurotoxins. dissimilar to the nontoxic strains such several deaths every year. 22 So the As mentioned by McPartland and later as the Klamath Lake AFA, and most concern is not the existence or even reported, neurotoxicity was never likely belonged to the Anabaena the presence of toxins in food but observed in Klamath Lake. 15,23 genera.25 rather their concentration. When a One aspect that caught the As for the suggestion that AFA compound is found below levels that attention of several scientists could be a carrier of cholera and have been established as safe, then a regarding the toxic strains of AFA was Legionnaires’ disease, I believe that the food is considered safe. The original that they were described as atypical absence of any such case after more letter presented the data pertaining to non-colony-forming AFA. 24 In other than 30 years of continued presence microcystin in a manner that intimated words, the toxic strains originally in the marketplace should to that AFA sold in the marketplace and as AFA were refute this claim; otherwise we would was potentially toxic, which was not typical of AFA, which is a colony- have to cast the same presumption entirely inaccurate. AFA present in forming cyanophyta, of health risk on Spirulina spp . and the marketplace is thoroughly tested so the original could Nostoc Spp ., two other species of and meets all standards of safety. The have been inaccurate. Indeed, the blue-green algae widely used and safety of AFA has been established in boundary between AFA and some well known for their safety. ➤ Klamath Lake, Oregon TOWNSEND LETTER – DECEMBER 2010 57
  • 4. Blue-Green Algae antioxidant, protecting the cell from certain wavelengths. Phycocyanin 3. Gentile JH. (1971) Blue green and green algal toxins, pp. 27–67 in vol. 7 of Microbial Toxins, Kadis S, Ciegler A, Ajl SJ, Eds., Academic Press, ➤ has been shown to have strong NY. antioxidant and anti-inflammatory 4. Carmichael WA, Biggs DA, Peterson MA. (1979) But the focus of McPartland’s Pharmacology of anatoxin-a, produced by the 1996 letter entirely put the emphasis properties. In various animal models freshwater cyanophyte Anabaena flos-aquae. on presumed or potential health risk, of inflammation, phycocyanin Toxicon 17:229–236. 5. Phinney HK, Peek CA. Klamath Lake, an ignoring the significant health benefits, was shown to reduce or prevent instance of natural enrichment. In: Transcript which were in fact derided. At the inflammation.35,36 Phycocyanin has of 1960 Seminar on Algae and Metropolitan time, little research had been done to been shown to prevent certain forms Wastes. Robert A. Taft Sanitary Engineering Center, Cincinnati, OH; 1961. document AFA’s health benefits, so of colitis.37 The mechanism of action 6. Hunter PR. Cyanobacteria and human health. J little could be said from a scientific was identified as the ability to block Med Microb. 1992;36:301–302. the production of the inflammatory 7. Tison DL, Pope DH, Cherry WB, Fliermans CB. standpoint. However, since 1996, a Growth of Legionella pneumophila in association significant research effort has focused eicosanoids LTB4 and PGE2.38,39 with blue-green algae (cyanobacteria). Appl on AFA and produced compelling Phycocyanin has also been shown to Environ Microbiol. 1980;39:456–459. be one of the strongest natural COX-2 8. Islam MS, Miah MA, Hasan MK, Sack RB, Albert data pertaining to its health-promoting MJ. Detection of non-culturable Vibrio cholerae effects. First, AFA was shown in (cyclooxygenase) inhibitors.40 O1 associated with a cyanobacterium from an a double-blind crossover study to More recently, AFA was shown aquatic environment in Bangladesh. Trans R Soc Trop Med Hyg. 1994;88:298–299. trigger the migration of natural killer to contain an L-selectin blocker that 9. Fawell JK. Toxins from blue-green algae: (NK) cells from the blood to tissues, acts as a mild stem cell mobilizer. toxicological assessment of microcystin-LR and within one hour of consumption.26 Consumption of a proprietary extract a method for its determination in water. WRC Foundation for Water Research; 1994. AFA was also shown to stimulate of AFA that concentrates the L-selectin 10. Falconer IR, Burch MD, Steffensen DA, Choice NK cell activity.27 NK cells are a blocker was shown to lead to an M, Coverdale OR. Toxicity of blue-green alga average increase of 25% to 30% in (cyanobacterium) Microcystis aeruginosa in type of cytotoxic lymphocyte that drinking water to growing pigs, as an animal constitutes a major component of the number of circulating stem cells model for human injury and risk assessment. the innate immune system. They within one hour of consumption.41 Environ Toxicol Water Qual. 1994;9:131–139. 11. Oregon Department of Agriculture, December play an important role in eliminating The ability of bone marrow stem 1997. cancerous cells as well as cells infected cells to differentiate into a wide 12. Schaeffer DJ, Malpas PB, Barton LL. Risk by viruses. AFA was also shown variety of specialized somatic cells assessment of microcystin in dietary Aphanizomenon flos-aquae. Ecotoxicol Environ to contain polysaccharides having such as cardiomyocytes, hepatocytes, Saf. 1999;44(1):73–80. immune-enhancing properties.28,29 pancreatic ß-cells, skin cells and skin 13. Falconer IR, Smith, JV, Jackson ARB, Jones A, appendages, and even neurons has Runnegar, MTC. Oral toxicity of a bloom of Over the years, one of the most the cyanobacterium Microcystis aeruginosa commonly reported benefits of been well documented.42–47 In essence, administered to mice over periods up to 1 year. consuming AFA has been mood bone marrow stem cells constitute the J Toxicol Environ Health. 1988;24:291–305. 14. Yoshida T, Makita Y, Nagata S, et al. Acute oral elevation, as well as a feeling of mental natural repair system of the body.48 toxicity of microcystin-LR, a cyanobacterial energy and clarity, both suggestive of It is not surprising, therefore, that a hepatotoxin, in mice. Nat Toxins. 1997;5(3):91– the presence of a neuroactive amino higher number of circulating stem 95. 15. Carmichael WW, Drapeau C, Anderson acid or a biogenic amine. In spite cells has been linked to greater health DM. Harvesting and quality control of of extensive testing demonstrating outcomes.48–58 When tested in an Aphanizomenon flos-aquae from Klamath animal model, this proprietary extract Lake for human dietary use. J Appl Phycol. the contrary, McPartland had stated 2000;12:585–595. that this effect was likely due to the of AFA was shown to enhance tissue 16. Oregon Department of Agriculture. Statutory presence of anatoxin in AFA, which repair after cardiotoxin-induced injury Reference 603-25-190. to the tibialis muscle.59 17. Stoloff L, Van Egmond HP, Park DL. Rationales he claimed acted like cocaine.15 But for the establishment of limits and regulations further investigation later revealed Although some of the concerns for mycotoxins. Food Addit Contam. that AFA is a significant source of the raised nearly 15 years ago were 1991;8(2):213–221. 18. Fahey JW, Zalcmann AT, Talalay P. The chemical biogenic amine phenylethylamine legitimate, in spite of a lack of diversity and distribution of glucosinolates and (PEA).30 PEA has been coined the evidence of negative effects, the isothiocyanates among plants. Phytochemistry. “molecule of love” and is well known past decade has clearly established 2001;56(1):5–51. 19. Wilson BJ, Yang DT, Boyd MR. Toxicity of to alleviate depression and elevate the safety of AFA and has put into mould-damaged sweet potatoes (Ipomoea mood, and it plays an important role evidence significant health-promoting batatas). Nature 1970;227(5257):521–522. properties. 20. Barceloux DG. Potatoes, tomatoes, and solanine in affective behavior as well as the toxicity (Solanum tuberosum L., Solanum pathogenesis of learning disabilities lycopersicum L.). Dis Mon. 2009;55(6):391– and attention deficit/hyperactivity Notes 402. 1. Gorham PR. Toxic algae. In: Jackson DF, ed. Algae 21. Beier RC. Natural pesticides and bioactive disorder. 31–34 and Man. NY: Plenum Press; 1964:307–336. components in foods. Rev Environ Contam Phycocyanin is the blue pigment 2. Alam M, Euler KL. Chemical studies on toxins Toxicol. 1990;113:47–137. from the blue-green alga Aphanizomenon 22. Kumar KP, Kumar SP, Nair GA. Risk assessment present in all cyanophyta. In the flos-aquae. In: WW Carichael, ed. The Water of the amnesic shellfish poison, domoic living algal cell, phycocyanin serves Environment: Algal Toxins and Health. New acid, on animals and humans. J Environ Biol. as a protein storage unit and an York: Plenum Press; 1981:405–414. 2009;30(3):319–325. 58 TOWNSEND LETTER – DECEMBER 2010
  • 5. 23. Stemtech. Frequently Asked Questions [website]. http://www.stemtechbiz.com/FAQ_ biliprotein from Spirulina platensis. Biochem Biophys Res Commun. 2000;277(3):599–603. Blue Green Algae sub.aspx#review_neurotoxicity. 41. Jensen GS, Hart AN, Zaske LA, et al. Mobilization 24. Sawyer PJ, Gentile JH, Sasner JJ. Demonstration of human CD34+ CD133+ and CD34+ of a toxin from Aphanizomenon flos-aquae (L.) CD133(-) stem cells in vivo by consumption with hyperhomocysteinemia. Arch Med Res. Ralfs. Can J Microbiol. 1968;14(11):1199–1204 of an extract from Aphanizomenon flos-aquae- 2006;37(4):484–489. 25. Li, R, Carmichael, WW, Liu, Y, and -related to modulation of CXCR4 expression by 56. Westerweel PE, Luijten RK, Hoefer IE, Koomans Watanabe, MM. Taxonomic re-evaluation of an L-selectin ligand? Cardiovasc Revasc Med. HA, Derksen RH, Verhaar MC. Hematopoietic Aphanizomenon flos-aquae NH-5 based on 2007;8(3):189–202. and endothelial progenitor cells are deficient in morphological and 16 rRNA gene sequences. 42. Deb A, Wang S, Skelding KA, et al. Bone quiescent systemic lupus erythematosus. Ann Hydrobiologica. 2000;438:99–105. marrow-derived cardiomyocytes are present Rheum Dis. 2007;66(7):865–870. 26. Jensen GS, Ginsberg DI, Huerta P, Citton M, in adult human heart: A study of gender- 57. Moonen JR, de Leeuw K, van Seijen XJ, et al. Drapeau C. Consumption of Aphanizomenon mismatched bone marrow transplantation Reduced number and impaired function of fl os-aquae has rapid effects on the circulation patients. Circulation. 2003;107(9):1247–1249. circulating progenitor cells in patients with and function of immune cells in humans. JANA. 43. Körbling M, Katz RL, Khanna A, et al. systemic lupus erythematosus. Arthritis Res 2000;2(3):50–58. Hepatocytes and epithelial cells of donor origin Ther. 2007;9(4):R84. 27. Hart AN, Zaske LA, Patterson KM, Drapeau in recipients of peripheral-blood stem cells. N 58. Choi JH, Kim KL, Huh W, et al. Decreased C, Jensen GS. Natural killer cell activation Engl. J Med. 2002;346(10):738–746. number and impaired angiogenic function of and modulation of chemokine receptor profile 44. Ianus A, Holz GG, Theise ND, Hussain MA. endothelial progenitor cells in patients with in vitro by an extract from the cyanophyta In vivo derivation of glucose-competent chronic renal failure. Arterioscler Thromb Vasc Aphanizomenon flos-aquae. J Med Food. pancreatic endocrine cells from bone marrow Biol. 2004;24(7):1246–1252. 2007;10(3):435–441. without evidence of cell fusion. J Clin Invest. 59. Drapeau C, Antarr D, Ma H, et al. Mobilization 28. Pugh N, Ross SA, ElSohly HN, ElSohly MA, 2003;111:843–850. of bone marrow stem cells with StemEnhance® Pasco DS. Isolation of three high molecular 45. Hasegawa Y, Ogihara T, Yamada T, et al. Bone improves muscle regeneration in cardiotoxin- weight polysaccharide preparations with marrow (BM) transplantation promotes beta-cell induced muscle injury. Cell Cycle. potent immunostimulatory activity from regeneration after acute injury through BM cell 2010;May;9(9):1819–1823. Spirulina platensis, aphanizomenon flos- mobilization. Endocrinology 2007;148(5):2006– aquae and Chlorella pyrenoidosa. Planta Med. 2015. Christian Drapeau 2001;67(8):737–742. 46. Cantürk NZ, Vural B, Esen N, et al. Effects of 29. Pugh N, Pasco DS. Characterization of human granulocyte-macrophage colony-stimulating 1011 Calle Amanecer monocyte activation by a water soluble factor on incisional wound healing in an San Clemente, California 92673 preparation of Aphanizomenon flos-aquae. experimental diabetic rat model. Endocr Res. Phytomedicine. 2001;8(6):445–453. 1999;25(1):105–116. cdrapeau@stemtechmail.com 30. Drapeau C. Antidepressant properties of the 47. 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Number and neuro­ 1983;220(4602):1187–1188. and migratory activity of circulating endothelial physiologist 33. Sabelli HC, Mosnaim AD. Phenylethylamine progenitor cells inversely correlate with risk with over 13 hypothesis of affective behavior. Am J Psychiat. factors for coronary artery disease. Circ Res. years of research 1974;131:695–699. 2001;89(1):E1–7. experience in 34. Baker GB, Bornstein RA, Rouget AC, Ashton SE, 50. Marchesi C, Belicchi M, Meregalli M, et al. the fields of van Muyden JC, Coutts RT. Phenylethylaminergic Correlation of circulating CD133+ progenitor natural foods mechanisms in attention-deficit disorder. Biol subclasses with a mild phenotype in Duchenne and nutrition. While pursuing scientific research Psychiatry. 1991;29(1):15–22. muscular dystrophy patients. PLoS ONE. in collaboration with various universities and 35. Romay C, Armesto J, Remirez D, González 2008;3(5):e2218. R, Ledon N, García I. Antioxidant and anti- 51. Diller GP, van Eijl S, Okonko DO, et al. research centers on the health benefits of inflammatory properties of C-phycocyanin from Circulating endothelial progenitor cells in certain botanical raw materials, he has lectured blue-green algae. Inflamm Res. 1998;47(1):36– patients with Eisenmenger syndrome and on nutrition to thousands of people since 1994, 41. idiopathic pulmonary arterial hypertension. presenting profound health information and 36. Romay C, Ledón N, González R. Further studies Circulation. 2008;117(23):3020–3030. insights with clarity and humor. on anti-inflammatory activity of phycocyanin in 52. Junhui Z, Xingxiang W, Guosheng F, Yunpeng Mr. Drapeau has been the director of research some animal models of inflammation. Inflamm S, Furong Z, Junzhu C. Reduced number and Res. 1998;47(8):334–338. activity of circulating endothelial progenitor cells and development at Cell Tech International 37. González R, Rodríguez S, Romay C, et al. Anti- in patients with idiopathic pulmonary arterial and then Desert Lake Technologies, before inflammatory activity of phycocyanin extract in hypertension. Respir Med. 2008;102(7):1073– cofounding Stemtech HealthSciences and acetic acid-induced colitis in rats. Pharmacol 1079. becoming its chief science officer. Based on his Res. 1999;39(1):55–59. 53. Herbrig K, Haensel S, Oelschlaegel U, Pistrosch own research as well as the review of research 38. Romay C, Ledón N, González R. Phycocyanin F, Foerster S, Passauer J. Endothelial dysfunction done by numerous other scientific teams, Mr. extract reduces leukotriene B4 levels in patients with rheumatoid arthritis is associated Drapeau and his collaborators proposed in in arachidonic acid-induced mouse-ear with a reduced number and impaired function 2001 a breakthrough theory on adult stem inflammation test. J Pharm Pharmacol. of endothelial progenitor cells. Ann Rheum Dis. cell physiology. He is the coinventor of the 1999;51(5):641–642. 2006;65(2):157–163. revolutionary product StemEnhance. 39. Romay C, Ledón N, González R. Effects 54. Grisar J, Aletaha D, Steiner CW, et al. Depletion of phycocyanin extract on prostaglandin of endothelial progenitor cells in the peripheral Mr. Drapeau received a bachelor’s degree E2 levels in mouse ear inflammation test. blood of patients with rheumatoid arthritis. in neurophysiology from McGill University, Arzneimittelforschung. 2000;50(12):1106– Circulation. 2005;111(2):204–211. Montreal, in 1987 and a master’s degree from 1109. 55. Zhu J, Wang X, Chen J, Sun J, Zhang F. the Department of Neurology and Neurosurgery 40. Reddy CM, Bhat VB, Kiranmai G, Reddy MN, Reduced number and activity of circulating from the Montreal Neurological Institute, Reddanna P, Madyastha KM. Selective inhibition endothelial progenitor cells from patients McGill University, Montreal, in 1991. of cyclooxygenase-2 by C-phycocyanin, a u TOWNSEND LETTER – DECEMBER 2010 59