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Vaccines, Mitochondrial Disease and Autism

By Lisa Jo Rudy, About.com

Updated: March 21, 2008

About.com Health's Disease and Condition content is reviewed by Steven Gans, MD

In March 2008, the federal Vaccine Court handed down a decision regarding a little girl named Hannah Poling. In the opinion of the court, an extraordinary number of vaccines (9) administered in one day "significantly aggravated" the child's underlying mitochondrial disease. The mitochondrial disease, the decision continues, caused brain damage -- and the brain damage caused "autism-like" symptoms.

Could mitochondrial disease really be aggravated by vaccines? Could vaccines actually cause autism in a child with mitochondrial disease?

According to a statement from Chuck Mohan, executive director and CEO of the United Mitochondrial Disease Foundation:

There are no scientific studies documenting that childhood vaccinations cause or worsen mitochondrial diseases, but there is very little scientific research in this area. Mitochondrial diseases are as prevalent as childhood leukemia, however the National Institutes of Health devotes only $11 million a year to research into mitochondrial disorders, and only about one-third of that is earmarked for primary mitochondrial disease research.

At the same time, however, Geraldine Dawson, chief scientific officer at Autism Speaks (the world's largest autism-related non-profit) says:

Vaccines stimulate the immune system, which may put stress on the cell function of a child who has asymptomatic mitochondrial dysfunction or disorder such that the child now shows increased symptoms. In an extreme case, the symptoms could involve regression and symptoms of autism.
In short, while the Vaccine Court has awarded damages based on the theory that vaccinations cause or aggravate mitochondrial disease, there is no proof that they are right. On the other hand, there is no proof that they are wrong. The decision legitimately raises parents' concerns; at the same time, it also surprises and worries many experts who fear that the public may be misled into avoiding vaccines altogether.

For more information about autism and mitochondrial disease, see Autism and Mitochondrial Disease.

References:

Lerman-Sagie T, Leshinsky-Silver E, Watemberg N, Lev D. Should autistic children be evaluated for mitochondrial disorders? J Child Neurol. 2004 May;19(5):379-81.

Lombard J. Autism: a mitochondrial disorder? Med Hypotheses. 1998 Jun;50(6):497-500.

Oliveira G, Diogo L, Grazina M, Garcia P, Ataíde A, Marques C, Miguel T, Borges L, Vicente AM. Mitochondrial dysfunction in autism spectrum disorders: a population-based study.Dev Med Child Neurol. 2005 Mar;47(3):148.

Poling JS, Frye RE, Shoffner J, Zimmerman AW. Developmental regression and mitochondrial dysfunction in a child with autism. J Child Neurol. 2006 Feb;21(2):170-2.

Pons R, Andreu AL, Checcarelli N, Vilà MR, Engelstad K, Sue CM, Shungu D, Haggerty R, de Vivo DC, DiMauro S. Mitochondrial DNA abnormalities and autistic spectrum disorders. J Pediatr. 2004 Jan;144(1):81-5.

Statement by Dr. Geri Dawson Chief Science Officer, Autism Speaks

Tsao CY, Mendell JR. Autistic disorder in 2 children with mitochondrial disorders. J Child Neurol. 2007 Sep;22(9):1121-3.

United Mitochondrial Disease Foundation Statement On Vaccines, Autism And Mitochondrial Disease

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