Frey Ch2 on the Nature of Electromagnetic Field Interactions With Biological 2010

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    On the nature of electromagnetic field interactions with biological

    systems.

    Allan H Frey

    Chapter 2

    ELECTROMAGNETIC FIELD INTERACTIONS WITH

    BIOLOGICAL SYSTEMS: AN INTEGRATION OF THE DATA

    ON MECHANISMS WITH PARTICULAR REFERENCE TO

    CANCER

    Allan H. Frey

    Biology has been in a revolution this last decade, a fact that is

    hardly news to most of the readers of this book. It's an exciting time; a

    new world of knowledge and techniques. And as part of this revolution,in recent years a body of data on the interactions of exogenous and

    endogenous electromagnetic fields with biological systems has

    accumulated which is profoundly changing our understanding of

    biological function. It goes to the heart of biology. Living organisms are complex electrochemical systems thatevolved over millions of years in a world with a relatively weak

    magnetic field and with few electromagnetic (em) energy emitters. As is

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    characteristic of living organisms, they interacted with and adapted to

    this environment of electric and magnetic fields. One example of thisadaptation

    is the visual system which is exquisitely sensitive to

    emissions in the very narrow portion of the em spectrum that we call

    light. Organisms, including humans, also adapted by using em energy toregulate various critical cellular systems; we see this in the complex of

    circadian rhythms. Fish, birds, and even the duckbill platypus developedsystems to use electromagnetic fields to sense prey and to navigate.Electromagnetic fields are involved in neural membrane function; even

    protein conformation involves the interactions of electrical fields.

    But as has often been the case in the history of science, thoughthese were interesting observations, they were disconnected bits and

    pieces that made no real impact; they didn't fit the frame of reference of

    the time. Further, the technology and techniques needed to do muchwith the information did not exist. Thus, the very broad importance ofthe interactions of electromagnetic fields with biological systems was

    not really recognized. But that was yesterday. Now, as James Burke1might put it, is (figuratively) the day the Universe changed. This chapter is intended to give the reader a sense of how muchof the data fits together and to indicate some of the implications for

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    biology. To do this, I will not talk about the trees so much; instead, Iwill describe part of the forest. I will integrate a number of lines ofresearch on the interaction of exogenous electromagnetic fields with

    biological systems at the cell level, system level and whole organism

    level. I will show how the data are different facets of a common theme.And to indicate some of the implications of importance to biology, I will

    develop the picture within the context of cancer.

    First, I will detail some of the epidemiological and laboratoryevidence indicating that em fields can promote cancer. Second, I willdetail the effects electromagnetic fields have on neural and

    neuroendocrine systems. Then I will summarize the relevantinformation on how the neural and immune systems interact. With theforegoing as a foundation, I will then integrate it all and spell out one

    means by which exogenous electromagnetic fields may promote cancer.

    Some of the data that suggests electromagnetic field exposure

    promotes cancer

    Both epidemiological and laboratory studies suggest thatelectromagnetic fields promote cancer. The evidence to date indicate aninfluence on a number of different cancers, among these are thelymphomas and leukemias as well as nervous system and breast cancers.

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    Savitz et al 2noted, for example, that surveys suggest anincreased risk of leukemia among men with occupational exposure to

    electromagnetic fields.They assembled eleven relevant data sets in

    order to assess the consistency of this pattern and to identify occupations

    deserving closer examination. They then did a detailed analysis. Theirresults for total leukemia show an excess risk for men in exposed

    occupations with a more elevated risk for acute leukemia and

    particularly acute myelogenous leukemia.

    As with childhood cancer, Wertheimer et al 3found adult cancerassociated with high-current electrical wiring configurations (HCCs)

    near the patient's residence. They note that such wiring can exposeoccupants of the residence to alternating magnetic fields at a level which

    may produce physiological effects. Several patterns in the data they feltsuggested that HCCs and cancer may be causally linked; a dose-response relationship was found. The association did not appear to bean artifact of age, urbanicity, neighborhood, or socioeconomic level.The association was clearest where cancer caused by urban/industrial

    factors was least apt to obscure the effect and a distinct pattern of

    latency between first exposure to the HCCs and cancer diagnosis was

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    seen. This, they concluded, is consistent with a hypothesis of cancerpromotion produced by magnetic field exposure.

    In an occupational mortality analysis of adult male death records

    filed in Washington State in the years 1950-1982, Milham 4found thatleukemia and the non-Hodgkin's lymphomas show increased

    proportionate mortality ratios (PMRs) in workers employed in

    occupations with apparent exposure to electromagnetic fields.Specifically, nine occupations were considered to have electric or

    magnetic field exposures. Eight of the nine occupations had PMRincreases for leukemia and seven of the nine occupations had PMRincreases for the lymphoma category. He concludes that his findingssupport the hypothesis that electric and magnetic fields may becarcinogenic.

    In another study, Milham5conducted a population-based study ofmortality in US amateur radio operators.Washington State andCalifornia amateur radio operators were found through the 1984 US

    Federal Communications Commission Amateur Radio Station and/or

    Operator License file. A statistically significant increased mortality wasseen for cancers of the lymphatic tissues, a category that includes

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    multiple myeloma and non-Hodgkin's lymphomas. Mortality due toacute myeloid leukemia was significantly elevated.

    Wertheimer et al 6

    determined that certain subtypes of cancer

    (notably nervous system cancer) showed an association with two indices

    of exposure to 60 Hz alternating magnetic fields. Similarities were seenin people putatively exposed to such fields by their occupations and in

    those putatively exposed to high current power lines near their homes.They concluded that incidence-age patterns observed in exposed andnonexposed groups suggest that prolonged field exposure may act as a

    cancer promoter.

    Savitz 7designed a case-control study to assess the relationbetween residential exposure to magnetic fields and the development of

    childhood cancer. Exposure was assessed by in-home electric andmagnetic field measurements under low and high power use conditions

    and wire configuration codes, a surrogate measure of long-term

    magnetic field levels. Measured magnetic fields under low power useconditions had a modest association with cancer incidence; a cutoff

    score of 2.0 milligauss resulted in an odds ratio of 1.4 for total cancersand somewhat larger odds ratios for leukemias, lymphomas and softtissue sarcomas.

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    Demers et al. 8examined occupational exposure in a case-controlstudy of breast cancer in men. Each subject in the study reported thetwo longest-held occupations during his life. These occupations were

    grouped into five categories, each with at least some putative em field

    exposure. Those men with no expected exposure formed the unexposedreferent category. After assigning each subject to an exposure categorybased upon occupation, the number of cases in each category was

    compared to the number of controls. There was an estimated 1.8-foldincreased risk of breast cancer in the combined five exposed categories

    compared to the unexposed category. One of the expected frequent fieldexposure categories had a six-fold increased risk of breast cancer. Tynes and Andersen 9of the Cancer Registry of Norway reportedon an occupational study that encompassed the entire nation.Standardized Incidence Ratios for breast cancer based on all working

    men in the 1960 census were calculated over the years 1961 to 1985.Among men who held occupations that the authors considered to have

    potential exposure, there were twice as many cases observed as were

    expected.Laboratory studies have also found cancers. Kunz et al 10carried

    out a long term low intensity radio frequency energy exposure study on

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    rats. They found that when all age categories (1-6 mos, 7-12, 13-18,19-24, 25-30) for primary malignant lesions were considered, the M-H

    estimate of the odds ratio was 4.27 and the Chi-square statistic was 7.66

    (p = .006). When the first three age categories were combined and theanalysis repeated, the M-H statistic was 4.38 and the Chi-square statistic

    was 7.9 (p = .005) When the first four age categories were combined(leaving two categories--1-24 and 25-30 months), the M-H statistic was

    4.47 and the Chi-square was 6.97 (p = .008). When age at death wasignored completely, the M-H estimate of the relative risk was 4.46 and

    the Chi-square was 8.00 (p = .005). Thus they found that the estimate ofthe odds ratio and the Chi-square statistic were both insensitive to the

    way the data were grouped with respect to age at death. A survival-typeanalysis also was done using time of death as the endpoint if a primary

    malignant lesion were present. The log-rank statistic was 7.63 (p = .006). This latter analysis suggested that the primary tumors occurredearlier in the exposed group than in the sham exposed. They concluded"To summarize the above results, primary malignancies are somewhat

    more likely to be present in exposed animals than in the sham exposed.This (the cancers) should not be considered as some artifact of the data,

    since different analyses led to similar results."

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    Beniashvile et al 11found that low-frequency electromagneticfields enhance the induction of mammary gland tumors in rats using

    nitrosomethyl urea.The tumor incidence depended on the duration of

    exposure to static (dc) and variable (ac) magnetic fields. Variablemagnetic fields induced mammary gland cancer much more frequently

    than static ones. They also found that electromagnetic fields reduced themean latent period of tumor development.

    Loscher 12 determined if an alternating low flux densitymagnetic field has tumor promoting or co-promoting effects in female

    rats. Mammary tumors were induced by the chemical carcinogen 7,12-dimethylbenz(a)anthracene DMBA. In controls, DMBA inducedtumors in about 40% of the animals within thirteen weeks of the first

    application. Eight weeks after DMBA application the exposed ratsexhibited significantly more tumors than sham-exposed animals. Thisdifference in the rate of tumor development was observed throughout the

    period of exposure. At the end of a three-month period of magnetic fieldexposure the tumor incidence in exposed rats was 50% higher than in

    sham exposed rats, a statistically significant difference. Further the sizeof the tumors was significantly larger in the exposed compared to sham

    exposed rats.

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    There are additional studies, both epidemiological andexperimental, that indicate exposure to electromagnetic fields promote

    cancer.Thus, the question arises as to what could be the mechanisms by

    which cancer would be promoted by such exposures. I will address thisquestion in the remainder of the chapter. In the process, I will integratea wide diversity of data and will show how the wide range of effects of

    electromagnetic fields can be understood within one framework.Electromagnetic fields affect neural and neuroendocrine systems

    There is a substantial data base indicating that the dopamine,opiate and pineal systems are influenced by electromagnetic fields.There are also data indicating that calcium channels in the cell

    membranes are involved.

    Dopamine and opiate systems. In 1976, I hypothesized that thedopamine systems of the brain, in part, mediate the effects of exposure

    to electromagnetic fields 13. A series of experiments carried out to testthe hypothesis indicated that the dopamine systems of the brain are

    involved. Specifically, Frey and Wesler found that exposure of ananimal to electromagnetic energy modified stereotypic behaviors; these

    involve the nigrostriatal dopamine system 14,15. In another test, Freyand Gendlemen found that exposure of animals to em energy degraded

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    motor coordination and balance which also involves the dopamine

    system16. Wesler and Frey reported that em energy exposure interactsdifferentially with high and low doses of apomorphine17,18.

    This latter

    suggests a differential influence of em energy on D1 and D2 receptors.Related to the above findings, is the finding of Stith and Erwin that

    exposure of rats to low intensity em energy significantly decreased

    tyrosine hydroxylase activity in the hypothalamus and brain stem 19.They report a significantly greater effect with pulsed energy than with

    continuous wave energy of the same power level. Dopamine issynthesized from tyrosine and tyrosine hydroxylase acts on tyrosine in a

    rate limiting step. They also report a reversible decrease in dopamine inthe hypothalamus and brain stem.

    Then Frey and Wesler extended the dopamine hypothesis toinclude the opiate systems of the brain 14. Freydeveloped the dopamine-opiate hypothesis further and provided a comprehensive integration of

    the evidence indicating an effect of electromagnetic fields on the brain's

    dopamine-opiate systems 20. I also reported at that time on experimentsusing psychoactive drugs to test the hypothesis. In additionalexperiments, Frey and Wesler used the conditioned emotional response

    (CER) to further test the dopamine-opiate hypothesis 21,22. They found

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    that once CER testing began, significant differences in suppression ratios

    appeared between em energy exposed and sham exposed groups. Theexposed animals exhibited enhanced suppression of response during the

    warning signal. This is classically interpreted as heightenedemotionality.Frey and Wesler later reported finding that exposure to lowintensity em energy potentiates the effects of low doses of morphine;

    this effect is comparable to that found with dopamine inhibitors 23. Inanother test of the dopamine-opiate system hypothesis, Frey and Spector

    predicted that aggression induced by light tail pressure would be

    modified by exposure to em energy 24. In a series of three experiments,it was found that there was a substantial decrease in aggressive behavior.The incident power densities were as low as 50 microwatts/cm2.

    Another prediction I made from the dopamine-opiate hypothesis

    is that there would be interactions of low intensity em energy exposure

    with naloxone treatment as well as with chlordiazepoxide and

    haloperidol treatment 21. The benzodiazepines act selectively onpolysynaptic neuronal pathways throughout the CNS. They are thoughtto modify the action of gamma-aminobutyric acid (GABA). Haloperidolappears to act by post-synaptic blockade ofCNS dopamine receptors.The interaction of em energy exposure and chlordiazepoxide (librium)

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    treatment was explored using stereotypic behavior as a test. 25 A two-way Analysis of Variance showed a significant difference (p

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    apomorphine, d-amphetamine, and morphine in animals exposed to em

    energy 26. They found exposure enhanced apomorphine effects andattenuated amphetamine effects.

    They reported that morphine effects

    were also enhanced. Miller et al, using 60 Hz magnetic fields, foundthat exposure to an em field attenuated the behavioral response of mice

    to morphine 27.

    Kavaliers and Ossenkopp in a series of studies examined theeffects of exposure to a 0.5 Hz rotating magnetic field on morphine-

    induced analgesia. Mice were chronically exposed for 5-10 days andthis eliminated the day-night rhythm in analgesia by reducing the night

    levels to those found during the day. This effect dissipated several daysafter exposure ended but could be re-established by re-exposure 28.When mice were exposed for only sixty minute periods, both day-time

    and night-time levels of morphine-induced analgesia were found to be

    significantly reduced 29,30. The nocturnal reduction was greater than theday-time effect and the effects dissipated within 24 hours. When mice,of a strain which displays hyperactivity after morphine treatment, were

    exposed and then treated with morphine, their activity levels were

    significantly reduced compared to non exposed controls 30.

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    In another study 31mice were pre-exposed to a rotating magneticfield for 60 minutes and then treated with mu, kappa, delta and sigma

    opiate agonists.

    Magnetic field pre exposure was found to inhibit the

    day-time analgesic effects of the mu agonist (morphine), the kappa

    agonist (U-50, 488 H) and the delta agonist (D-ala2-D-leu5-enkephalin)

    but not the sigma agonist (SKF-10,047). The authors conclude that exposure to a0.5 Hz RMF has significant and differential influences on the various opioid systems.

    In an additional study 32, mice were given daily injections of

    morphine. They developed tolerance to the effects of the morphine;after 5 to 7 days the morphine treated mice did not differ from control

    animals. Thirty minute exposures to the field prior to the daily injectionsresulted in significantly reduced levels of tolerance. The role of centralcalcium ion levels in magnetic field modifications of morphine-induced

    analgesia and hyperactivity in mice were also explored. Animals weregiven an intracerebroventricular injection of a calcium ionophore and achelator. The calcium ionophore potentiated the inhibitory action of thefield on the analgesic and locomotor effects of morphine. The calcium

    chelator blocked these effects. The authors later concluded that theseresults, together with the finding that calcium ions antagonize morphine-

    induced analgesia indicate that exposure to magnetic fields alters

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    morphine-induced analgesia via changes in calcium mechanisms. Theyalso note that disturbances in the geomagnetic field ("magnetic storms")

    have been shown to influence nocturnal morphine-induced analgesia in

    mice 33in a manner consistent with the laboratory findings. Approaching from a different standpoint, there is evidence thatGABA inhibits dopamine neurons originating in the substantia nigra and

    may act synergistically with dopamine in the striatum by depressing

    acetylcholine interneurons 34. This ties into evidence from in vitro andin vivo studies that there is a reciprocal dopamine-acetylcholine balance

    in the caudate. Kalin and Sheltonhave shown in a series of experimentsthat the opiate and benzodiazepine systems regulate certain primate

    defensive behaviors 35. They conclude that these systems work togetherto mediate responses important to survival. Gruen et al report thatperinatal exposure to benzodiazepines leads to behavioral changes that

    are present in adults 36. The authors state that their data indicate thesechanges may be associated with modification of mesolimbic dopamine

    function. Antelman et al have shown that a single injection of abenzodiazepine significantly sensitizes rats to the later administration of

    haloperidol 37. This indicates a time dependent sensitization bybenzodiazepines and, by implication, GABA neurons. They suggest that

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    such acute stimulation of GABA neurons triggers the progressive

    development of a long term antidopaminergic effect. Giorgi et al reportthat several beta-carboline derivatives modify dopamine metabolism in

    the prefrontal cortex via benzodiazepine recognition sites 38.

    Ashani et al explored the combined effects of low intensity emfield exposure and anticholinesterase drugs 39. They found complexinteractions and suggested that use of such drugs could provide

    significant information on the effects of em energy exposure. Theirfindings tie into the evidence noted above that GABA inhibits dopamine

    neurons originating in the substantia nigra and may act synergistically

    with dopamine in the striatum by depressing acetylcholine interneurons.This also relates to evidence from in vitro and in vivo studies that thereis a reciprocal dopamine-acetylcholine balance in the caudate.

    Nakas et al and Jamakosmanovic considered the effect ofrepeated daily exposure to em energy on levels of acetylcholinesterase in

    the brain 40,41. They found that chronic exposure to the energy inducedsignificant depression of acetylcholinesterase activity in the brain. Theyalso found other effects which led them to suggest that the central

    nervous system is very sensitive to exposure to low intensity em energy.

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    In another study, it was reported that em energy exposureattenuated the effect of ethanol and also amphetamine 42. The authorsalso reported that pulsed but not continuous em energy exposure

    decreased hippocampal choline uptake, a measure of cholinergic nerve

    activity. This effect was blocked by the opiate antagonist naloxone aswould be expected in the context of the dopamine-opiate hypothesis.

    Schrot et al used chlordiazepoxide, chlorpromazine, and

    diazepam and found that the latter two decreased response rate in

    animals on an operant conditioning schedule, while chlordiazepoxide

    increased response rate 43. They found complex interactions betweendrugs and em field exposure and suggested that the field parameters are

    an important variable in the nature of the effect obtained. Thomas alsofound an increase in response rate with chlordiazepoxide and em energy

    exposure44.

    There is now a substantial body of data that indicates brainsystems, in particular the opiate-dopamine systems, are influenced by

    exposure to brief, very low intensity electromagnetic fields. Thedopamine-opiate system hypothesis suggests that one way these effects

    could occur is through an alteration of dopamine receptor sites by

    changing protein conformation at the neuronal membrane; binding of

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    dopamine would be inhibited and calcium metabolism would be altered.This will be discussed in a later section.

    Dopamine-opiate systems interact with the pineal system.

    In

    one study 45, the administration of melatonin, either peripherally or

    intraocularly, to light-exposed chicks dose-dependently increased

    serotonin N-acetyltransferase (NAT) activity in the retina. The authorsstate that the results indicate that melatonin, in vivo, inhibits dopamine

    synthesis selectively in the retina. They also suggest that the increase inretinalNAT activity evoked by melatonin is an indirect effect, resulting

    from the disinhibition of the NAT induction process by a dopaminergic

    (inhibitory) signal. The authors conclude that their results provide invivo support for their in vitro findings that a mutually antagonistic

    interaction between melatonin and dopamine occurs.Gomar et al 46found that melatonin modulates brain

    benzodiazepine binding sites and their circadian rhythm. They foundthat melatonin beta-endorphin and melatonia + beta-endorphin all

    increased [3H]FNZ binding to a similar extent and in a dose-related

    manner. The effects of melatonin on [3H]FNZ binding were preventedby simultaneous injection with the opioid antagonist naloxone.Naloxone also blocked the effects of beta-endorphin and melatonia +

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    beta-endorphin injections. Further, naloxone blocked ahypophysectomy-dependent increase in [3H]FNZ binding. These resultsindicate that modulation of melatonin dependent changes on brain

    benzodiazepine receptors involve opioid peptides.

    In another study 47, a single population of opioid receptors wasidentified in the pineal gland using [3H] diprenorphine and otherligands. Specifically, the effects of both opioid receptor agonists andantagonists on the basal activity of N-acetyltransferase were examined in

    bovine pineal explants in culture. Morphine, an opioid receptor agonist,significantly increased the activity of N-acetyltransferase in a dose-

    dependent fashion. In addition, the stimulatory effect of morphine wasinhibited by naloxone, an opioid receptor antagonist. The resultsindicate the existence of pineal opioid receptors, which the authors

    believe play a pivotal role in the synthesis of melatonin and its action in

    synchronizing pineal events.

    The pineal neurohormone melatonin was shown by Maestroniand Conti 48to stimulate the release of opioid peptides from activatedCD4+T lymphocytes. These immuno-derived opioids orlymphomorphins cross reacted with anti-beta-endorphin and anti-met-

    enkephalin antisera and bound to opioid receptors in the thymus. The

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    investigators consider lymphomorphins to be the mediators of the

    immuno-enhancing and anti-stress action of endogenous and/or

    exogenous melatonin. Maestroni et al cite their previous work 49which showed thatmelatonin induced activated T lymphocytes to release opioid peptides

    with immuno-enhancing and anti-stress properties. Then they presentevidence that these peptides cross react with anti-beta-endorphin and

    anti-met-enkephalin antisera, and bind specifically to thymic opioid

    receptors. Furthermore, the same antisera injected in prednisolonetreated mice prevented the normal recovery of thymus cellularity and the

    capacity to mount a primary antibody response against T-dependent

    antigens. Surgical pinealectomy, i.e. inhibition of endogenous melatoninand absence of antigen activation, negated the effect of such antisera

    which demonstrates the physiological relevance of this melatonin-

    immuno-opioids network.Aloyo et al 50found that pineal membranes possess a single class

    of high-affinity binding sites for the opioid peptide beta-E. Theysuggest that beta-E binds to delta opioid sites and exclude the possibility

    of significant binding to mu, kappa and epsilon sites. They conclude that

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    methionine-enkephalin. The author concludes his results suggest thatpineal ppEnk gene products may contribute to pineal functioning.

    As indicated by the foregoing, the dopamine, opiate and pineal

    systems are interrelated. As with the dopamine and opiate systems, thepineal is involved in the effects of electromagnetic fields on biosystems.Some of the evidence is summarized in the next section.

    Electromagnetic fields affect pineal gland function andmelatonin.Rudolph et al 53noted that electrophysiologicalinvestigations show magnetic fields (MFs) influence spontaneous

    activity of pineal cells in the pigeon, guinea pig and rat. They point outthat it also has been shown that static magnetic fields interfere with the

    melatonin synthesizing system. They note that the magnetic field effectsare only found during the dark phase when pineal melatonin and cyclic

    adenosine monophosphate (cAMP) levels are high, but not during the

    light phase, when pineal melatonin and cAMP levels are low. Melatoninas well as enzymes involved in its synthesis such as hydroxyindole-O-

    methyltransferase (HIOMT) and serotonin-N-acetyltransferase (NAT)

    are depressed by MFs. They investigated in some detail themagnetosensitivity of the rat's pineal cAMP system. Rats were exposedfor one hour during the dark phase to a static magnetic field inverting

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    the horizontal component of the natural MF; these animals showed a

    38% decrease in pineal cAMP content compared to a non-exposed

    control group. A zero magnetic field did not seem to influence pineal

    function. They concluded that MFs act upon the pineal melatoninsynthesizing system via interaction with the cell membrane.

    Stehle et al 54 exposed male and female naturally pigmented andalbino Mongolian gerbils, as well as Sprague-Dawley (SD) rats, to a 60o

    rotation of the horizontal component of the ambient MF. Alteration ofnocturnal pineal melatonin content and NAT activity were the dependent

    variables.. In pigmented gerbils, MF exposure resulted in no significantchange in pineal melatonin synthesis. In contrast, albino gerbils and SDrats showed significant decreases in pineal NAT activity and melatonin

    content following MF exposure. The pigmentation of the retina, theyconclude, plays a crucial role.

    Another author 55concludes that chronic exposure to electric ormagnetic fields can disrupt normal circadian rhythms in rat pineal

    serotonin-N-acetyltransferase activity as well as serotonin andmelatonin concentrations. At least in the rat, he states, these fields mayinterfere with tonic aspects of neuronal input to the pineal gland, giving

    rise to what may be termed "functional pinealectomy." He notes that

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    such disruptions in circadian rhythmicity of pineal melatonin secretion

    have been associated with depressive disorders in humans.There has also been a determination 56

    that a 6 week exposure to

    a 50 Hz magnetic field influences melatonin synthesis in 11-18 week old

    male rats. The animals were exposed continuously to a rotatingmagnetic field of 1, 5, 50, or 250 T. The levels of plasma and pinealgland melatonin were determined by radioimmunoassay. A significantdecrease in melatonin was observed between the control group and

    groups exposed to a magnetic field at a flux density in excess of 1 T

    during the night.

    The effect of pulsed static magnetic fields on rat pineal melatoninsynthesis has been studied at different times of the day. Exposure tomagnetic fields during mid- or late dark phase significantly suppressed

    pineal N-acetyltransferase activity, as well as the melatonin content inthe pineal gland. These variables were not influenced by magnetic fieldswhen the exposure occurred early in the dark phase or during the light

    period. The authors conclude that responsiveness of the pineal gland tomagnetic field perturbations varies as a function of the time of day.

    There was significant inhibition of serotonin-N-acetyltransferaseactivity and melatonin content in rat pineal glands stimulated with the

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    beta-adrenergic receptor agonist isoproterenol which induces melatonin

    synthesis, when they were exposed, in vitro, for 1 hour to a pulsed 0.4 G

    static magnetic field 58.

    A 2 hour

    exposure to a pulsed magnetic field

    also resulted in a significant reduction in isoproterenol induced

    serotonin-N-acetyltransferase activity.

    Another author 59reports that the circadian rhythm of melatoninproduction (high melatonin levels at night and low during the day) in the

    mammalian pineal gland is modified not only by visible portions of the

    electromagnetic spectrum, i.e., light, but also by exposure to extremelylow frequency electromagnetic fields as well as static magnetic fields.He notes that both light and electromagnetic field exposure at night

    depress the conversion of serotonin to melatonin. He points out thatsinusoidal magnetic field exposure has been shown to interfere with the

    nocturnal melatonin forming ability of the pineal gland. Static magneticfields, he notes have been repeatedly shown to perturb circadianmelatonin rhythm. The field strengths in these studies that he cites werealmost always in the geomagnetic range, 0.2 to 0.7 Gauss. He concludesthat these experiments show that several parameters in the indole

    cascade in the pineal gland are modified by field exposure, i.e. pineal cAMP levels, N-acetyltransferase activity (the rate limiting enzyme in

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    pineal melatonin production), hydroxyindole-O-methyltransferase

    (HIOMT) activity (the melatonin forming enzyme), and that pineal and

    blood melatonin levels are depressed.

    Increases in pineal levels of

    serotonin and 5-hydroxyindole acetic acid (5HIAA) have also been

    found in the pineal; he notes that these increases are consistent withdepressed melatonin synthesis. He believes that the same kinds of

    disturbances in pineal melatonin production can be induced by either

    light exposure or by electromagnetic field exposure at night.In sum, there is a clear body of evidence that establishes that

    electromagnetic fields influence pineal gland function and melatonin.Thus we have the interrelated systems, the dopamine, opiate and pineal

    all showing an electromagnetic field influence. The question then iswhat is the proximate cause. One of these is discussed in the followingsection. It should be noted that other neural systems are also involved,as has been hinted at in some of the evidence discussed in these last

    three sections.Ion complexes and the signal cascade. Rusovan et al found

    that regeneration of the rat sciatic nerve is stimulated if rats are exposed

    to a 50 Hz sinusoidal magnetic field 60. Subsequently, they investigatedthe effect of the Ca2+antagonist, methoxyverapamil, on this response.

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    Methoxyverapamil was administered to the regenerating segment of

    nerve via implanted osmotic minipumps. Magnetic field exposureincreased regeneration distances in the control group's vehicle perfused

    nerves. This increase was blocked by perfusion with methoxyverapamilat a concentration which alone failed to affect the outgrowth of nerve

    fibers. They concluded that this indicated that Ca2+fluxes are involvedin mediating the biological actions of magnetic fields.

    Blank and Soo 61note that Na,K-ATPase, the "ion pump"enzyme in cell membranes, is activated by the binding of Na and K ions

    on opposite faces of the enzyme; ion pumping occurs when ATP is split

    on the inside surface. Operation of the enzyme involves coordinationbetween the ionic processes at inner and outer surfaces. They state thatthey found these processes are affected by both electric and magnetic

    fields, but in different ways. The opposite effects on Na,K-ATPaseactivity they found likely are related to different charge motions in the

    enzyme. Electric fields, they believe, to lead to increases in ion bindingat the enzyme surface. Magnetic fields, they say, could be affectingcharge movements within the protein (e.g., electron shifts due to ATP-

    splitting) that coordinate the two surfaces of the enzyme. They feel that

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    such charge movements within the enzyme are likely related to electron

    transport processes in mitochondria or gating currents in ion channels.

    Blackman et al 62

    point out that numerous studies have

    demonstrated that extremely low frequency electromagnetic fields, or

    radio frequency fields amplitude modulated at low frequency, can alterthe efflux of calcium ions from CNS derived samples such as chick

    brain. They point out that three research groups have shown that arange of frequencies between 6 and 20 Hz are effective. They extendedthis line of experimentation with further data collection. Then theyanalysed their data using calculated P-values, a function that combines at

    each frequency the differences between the means of the exposed and

    sham groups with the variance of each group. The analyses indicatedthe existence of three frequency-dependent patterns in the data.

    Blackman et al note in another paper 63that they previouslyreported that in vitro exposure of chick forebrain tissue to a 50 MHz

    radio frequency electromagnetic field, amplitude modulated at 16 Hz,

    enhanced the efflux of calcium ions within only two power density

    ranges. They confirmed and extended those results in this study bytesting at another set of power densities which included the range of the

    previous study. An enhanced efflux of calcium ions was found at 1.75,

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    3.85, 5.57, 6.82, 7.65, 7.77, and 8.82 mW/cm2; no change was observed

    at 0.75, 2.30, 4.50, 5.85, 7.08, 8.19, 8.66, 10.6, and 14.7 mW/cm2. Theforegoing studies and others clearly indicate that there are frequency and

    intensity windows in the effects.

    In a study of calcium influx 64, it was found that such increasedduring mitogen-activated signal transduction in thymic lymphocytes

    exposed to a 22 mT 60 Hz magnetic field. The plateau phase rather thanthe early phase of calcium signaling was influenced. This wasdetermined by separating in time the early release of calcium from

    intracellular stores from the influx of extracellular calcium. Alterationof the plateau phase of calcium signaling indicates, according to the

    author, that the calcium channel is the site of field interaction. Inaddition, he concludes that the interaction site is the cell surface which is

    relevant to the discussion on micron wavelength emission later in this

    section.Well worked out theoretical views on calcium ion involvement,

    with vibro-rotational transitions, have been developed by Liboff65,

    Blackman 66and Lednev 67. Space constraints do not allow a discussionof the data in this chapter; but they can be read in other chapters of this

    book with additional theoretical views by Liboff. The subsequent signal

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    cascade within the cell, following from the calcium ion effects is also

    discussed in other chapters 68,69.

    But note should be taken of some other relevant work 70. The

    suprachiasmatic nuclei (SCN) of the hypothalamus are the primary

    pacemaker for circadian rhythms in mammals. It has been found thatlight stimuli that synchronize this circadian clock induce expression of

    the c-fos gene in the rodent SCN; this suggests a role for fos in circadian

    entrainment. Appropriate light stimuli also induce the expression of jun-B messenger RNA in the SCN of golden hamsters and slightly elevate c-

    jun messenger RNA levels. Light also increases the amount of a proteincomplex in the SCN that specifically binds to sites on DNA known to

    mediate regulation by the AP-1 transcription factor. The investigatorsfound that light regulation of both jun-B messenger RNA expression and

    AP-1 binding activity depends on circadian phase for it is only light that

    shifts behavioral rhythms that induce jun-B and AP-1 expression. Theyconclude that light and the circadian pacemaker interact to regulate a

    specific set of immediate-early genes in the SCN that may participate in

    entrainment of the circadian clock.

    But light is not the only em field that has such effects. Phillips etal 71note that they found that exposure of the human T-lymphoblastoid

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    increased phosphorylation (or decreased dephosphorylation) of the ser/

    thr residues abutting the DNA-binding domain of c-jun protein. They

    conclude that their experiments link related events which are influenced

    by magnetic field exposure; and which occur at the plasma membrane, in

    the cytoplasm and in the nucleus.Looking at the phenomena from a completely different

    viewpoint, there are other data and theory that are of relevance and that

    will be briefly touched on here.I found that micron wavelength emission was associated with

    stimulation of live unmylinated blue crab nerves (p = .008) 72. Theemission detected was considerably greater than that which could be

    expected from a black-body nerve model; it was more than two ordersof magnitude greater, i.e. 6w/cm2. Heating artifact from stimulationwas shown to not account for the emission detected. It was found thatthe emission came from a location near the nerve surface and must have

    been in certain bands of wavelength, i.e. 10.5 to 6.5 , 5.5 to 3.5 , and a

    very narrow band at 2.5 .

    Following up on this, Sherebrin, et al 73examined differencespectra between resting and excited nerves in the micron wavelength

    region. Difference peaks appeared when the nerve was active with a

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    propagated action potential. They concluded from the evidence that itappears likely that the difference peaks were due to phospholipids in the

    nerve membrane and that they may be related to conformational

    changes.Margineanu 74, after a series of studies, concluded that the nerve

    membrane must be able to release and also to absorb electromagnetic

    energy corresponding to 4-15 kcal/mol. The quanta of such energy havewavelengths in the domain 2-7 . He notes that this lies exactly in theregion where the electromagnetic emission as well as shifts in the

    absorption spectrum of active nerves were reported by the foregoing

    authors. He states that the significance of this is particularly high sincethe above mentioned spectral domain corresponds to vibro-rotational

    transitions of proteins. The implications of these findings forunderstanding the response of ion complexes to electromagnetic fields

    are of some significance. There are also other implications forinformation transfer in the nervous system, but that is another story.

    Neural and immune systems interact

    Stefano 75considers the evidence for bidirectionalinterrelationships among the neuroendocrine, nervous and immune

    systems to be quite overwhelming. He states that the evidence comes

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    from neurochemistry, molecular neurobiology, neurophysiology,

    neuroanatomy, immunology and the behavioral sciences. His point iswell taken.

    The National Library of Medicine even has a category

    "neuroimmunomodulation" in its MeSH data base. Neuropeptides,particularly opioids, whose multiple roles in the nervous system are well

    established, are known to influence immunologically competent cells.Specific immune cells are not only capable of responding to

    neuropeptides, but also of synthesizing them. The author points out thatthere is clear evidence that these substances, in addition to their

    interaction with the neuroendocrine apparatus, play a role in immune

    processes. In particular, he notes that the effects of endogenous opioidpeptides on polymorphonuclear leukocytes, monocytes, and

    lymphocytes have been demonstrated. There are also indications of aninfluence on cellular adherence. This latter will be touched on in the lastsection since it is critical for cancer metastases.

    Farrar 76states that the regulation of immune system functioninvolves a variety of polypeptidic substances called interleukins. Hepoints out that these are growth and differentiation factors that regulate

    the mature immune response and hematopoiesis. He then goes on topresent data from molecular and biochemical that demonstrate

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    reciprocity in the production of neuroendocrine hormones and

    interleukins, and their receptors in brain and immune cells. Heconcludes that he has shown by molecular and biochemical analyses that

    lymphocytes produce and bind neuroendocrine hormones.Lysle et al 77note that recent research has shown that

    presentations of an unconditioned aversive stimulus, such as electric

    shock, can induce alterations in immune function in rats. They also notethat it has been demonstrated that an innocuous stimulus paired with anunconditioned aversive stimulus can acquire immunomodulatory

    properties. They point out that the data indicate that endogenous opioidactivity is responsible for the alterations in immune function by

    unconditioned aversive stimulation. They conclude that endogenousopioid activity is involved in CS-induced alterations of immune

    function. Moreover, they believe that their finding of a lack ofeffectiveness of N-methylnaltrexone in attenuating the CS-induced

    immunomodulatory effect suggests that the opioid receptors involved in

    the effect are located in the central nervous system.

    Jankovic et al 78state that there are a large number ofinteractions at molecular and cellular levels between the nervous system

    and the immune system. They points out that it has been demonstrated

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    that the opioid neuropentapeptide methionine-enkephalin (Met-Enk) is

    involved in humoral and cell-mediated immune reactions. Further, Met-Enk injected peripherally produces a dual and dose-dependent

    immunomodulatory effect: high doses suppress, low doses potentiate

    immune reactivity.

    Tsung-Ping et al 79note that specific s binding sites have beenidentified in the mammalian brain and lymphoid tissue. They found thatcertain gonadal and adrenal steroids, particularly progesterone, were

    found to inhibit sreceptor binding in homogenates of brain and spleen.Their findings suggest to them that steroids are naturally occurring

    ligands for s receptors and state that this raises the possibility that these

    sites mediate some aspects of steroid-induced mental disturbances as

    well as alterations in immune function.

    In another report 80they point out that the s receptor exists inthe central nervous, endocrine and immune systems and also in certainperipheral tissues. Further, the s receptor is a neuronal substrate thatbinds several psychoactive compounds; these include cocaine, some

    steroids and benzomorphan. They note that many newer atypicalantipsychotic drugs also bind to the s receptor and progesterone and

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    that certain steroids have been shown to be endogenous ligands for the s

    receptor.

    Ovadia et al 81

    state that receptors that are shared by the CNS

    and the immune system may be part of an assembly of mechanisms

    whereby these systems can modulate each other's activity. They notethat IL-1 and IL-2 receptors are present not only on lymphocytes but in

    brain tissue as well. Further, they state, many past studies demonstratethat neuropeptides and neurotransmitters can modulate the activity of

    immune cells. They point out that several neurotransmitter receptors inlymphocytes have been described, including dopaminergic, cholinergic,B-adrenergic, peptidergic and others for opiates. They, in their ownwork, characterized dopamine and opiate receptors on isolatedmembranes of rat lymphoctyes.

    Weber 82et al state that the periaqueductal gray matter of themesencephalon (PAG) subserves a variety of diverse autonomic

    functions and also appears to be a site for opiate action in the induction

    of immunosuppression. They found that microinjections of morphineinto the PAG, but not into the other opiate receptor-containing

    neuroanatomical sites, resulted in a rapid suppression of natural killer

    (NK) cell activity. The NK cell suppression could be blocked by prior

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    peripheral administration of the opiate antagonist naltrexone. They

    conclude that their findings show that certain central actions of opiates

    that produce changes in NK cell function are mediated through opiate

    receptors in the PAG and identify a brain region involved in opiate

    regulation of immune function. It is interesting that this region wasinvolved in blood-brain-barrier permeability change in response to

    exposure to electromagnetic fields.*

    The possibility of subcortical immunomodulation wasinvestigated by Neveu et al 83. The substantia nigra, which is criticallyinvolved with dopamine, was lesioned with the neurotoxin 6-hydroxydopamine. Four and six weeks after left or right lesions of thesubstantia nigra, spleen lymphocyte mitogenesis was found to be

    depressed or enhanced, respectively, as compared to sham operated

    controls. Their results indicate that asymmetrical brain modulation mayoccur at the subcortical level. They conclude that central dopamine isinvolved in neuroimmunomodulation.

    Devoino et al 84found that activation of GABA-receptors withmuscimol or activation of BD receptors with diazepam or tazepam had

    stimulatory effects upon immunogenesis. A decrease in GABA BD-

    receptor-ionophore complex activity led to suppression of immune

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    response. They state that the immunomodulatory action of the GABA-ergic system is of central origin and can occur only when the

    hypothalamo-pituitary system is intact.They conclude that their results

    indicate that the influence of the GABA-ergic system onimmunogenesis requires the participation of both the dopaminergic and

    serotoninergic systems.

    The authors of another study85state that there is substantialevidence that magnetic fields can reduce opiate-induced analgesia, with

    alterations in calcium channel function and/or calcium ion flux being

    implicated in the mediation of these inhibitory effects. They carried outexperiments designed to explore the effects of protein kinase C (PKC),a calcium/diacylgycerol/phospholipid-dependent protein kinase, on

    opiate-induced analgesia and its involvement in mediating the inhibitory

    effects of exposure to magnetic fields. Their results suggest that PKC

    has antagonistic effects on opiate-mediated analgesia in the snail, and

    the inhibitory effects of magnetic fields on opiate-induced analgesia

    involve alterations in PKC.

    In sum, there is clear evidence that the neural and immunesystems interact. Further, many of the interactions involve the samesubsystems that are involved in electromagnetic field effects.

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    A means by which electromagnetic fields may influence cancer

    As we have seen above, one of the bioeffects of electromagneticfields is on the nervous system through an influence at the cell

    membrane. This perturbs neurochemistry, with changes in thedopamine, opiate and melatonin systems. Because of the interactionsthese latter have with the immune system, it would be expected that em

    fields would have an influence on cancer promotion and possibly

    genesis. And there is evidence that this means is effective. Some of theevidence is summarized below.

    Zagon & McLaughlin 86found that naltrexone had bothstimulatory and inhibitory effects, depending on the dosage, on the

    growth of S20Y neuroblastoma in A/Jax mice. Inoculation ofneuroblastoma cells in control mice resulted in 100 percent tumor

    incidence within 29 days. Daily injections of 0.1 milligram ofnaltrexone per kilogram of body weight in neuroblastoma inoculated

    experimental mice, which blocked morphine-induced analgesia for 4 to

    6 hours per day, resulted in a 33 percent tumor incidence, a 98 percent

    delay in the time before tumor appearance, and a 36 percent increase in

    survival time. Neuroblastoma inoculated mice receiving 10 milligramsof naltrexone per kilogram, which blocked morphine-induced analgesia

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    for 24 hours per day, had a 100 percent tumor incidence, a 27 percent

    reduction in the time before tumor appearance, and a 19 percent

    decrease in survival time.They conclude that naltrexone modulates

    tumor response and suggest that the endorphin-opiate receptor system is

    involved in neuro-oncogenic events.

    Abou-Issa and Tejwani 87note that previous studies showed thatnaltrexone inhibited the induction of rat mammary tumors by 7,12-

    dimethylbenz(a)anthracene (DMBA). They extended the studies toevaluate the effectiveness of naltrexone as an antitumor agent. Theytested the effect of it, given daily in the diet, on the growth of

    established DMBA-induced mammary tumors. Tumors continued togrow actively in the control group. In contrast, the naltrexone-supplemented diet significantly decreased the size of the established

    mammary tumors. This growth suppression was rapidly reversed upontransfer of the rats from naltrexone treatment to the control diet. Theyobserved that the inhibitory effect of naltrexone is restricted to the

    hormonally responsive mammary tumors.

    Mayford et al 88found in aplysia that long-term sensitization ofthe gill- and siphon-withdrawal reflex results in the formation of new

    synaptic connections between the presynaptic siphon sensory neurons

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    and their target cells. These structural changes can be mimicked, whenthe cells are maintained in culture, by application of serotonin, an

    endogenous facilitating neurotransmitter in Aplysia.A group of cell

    surface proteins, designated Aplysia cell adhesion molecules was down-

    regulated in the sensory neurons in response to serotonin. The loss ofcell adhesion control has been implicated in metastases.

    Arch et al 89found that a CD44 variant, critical in cell adhesion,is transiently expressed in certain macrophages and T- and B- cells in

    response to antigen stimulation. These findings indicate that the variantmight be involved in the early steps leading to an immune response.Further experiments confirmed that the CD44 variant is essential in the

    activation of immature lymphocytes into mature immune cells in the

    lymph nodes.

    Cossarizza et al 90found that exposure of human peripheralblood mononuclear cells to extremely low frequency pulsed

    electromagnetic fields (PEMFs) increased both the spontaneous and the

    PHA- and TPA-induced production of interleukin-1 (IL-1) and IL-6.Their results indicate that cells of the monocytic lineage, which are good

    producers of both IL-1 and IL-6, can be important cellular targets for

    PEMFs. They state that considering these cytokines are among the most

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    pleiotropic ones, these data can help us understand the previously

    reported effects of PEMFs on the proliferation of human lymphocytes

    and the effects exerted by such fields on cartilage and bone cells, whose

    physiological activity is highly dependent on IL-1 and IL-6.

    Terman et al 91compared intermittent and continuous patterns offootshock (yielding opioid and non-opioid analgesia, respectively).They found that only parameters causing opioid analgesia are

    immunosuppressive and tumor enhancing and that these effects are

    blocked by naltrexone. They showed that exposure of rats tointermittent, but not continuous, footshock decreased mitogen-

    stimulated proliferation of T lymphocytes. They found that the cytotoxicactivity of rat splenic natural killer (NK) cells is reduced by only the

    intermittent foot-shock. In both cases, naltrexone given before thestressor prevented the immunosuppression, and high doses of morphine

    mimicked the opioid effect of stress on NK cells. They also concludedthat the experience of "helplessness" is important for the

    immunosuppressive and tumor-enhancing effects; and that opioid

    peptides causing analgesia associated with "helplessness" are also

    involved in mediating these immunologic and oncologic effects.

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    Cotzias & Tang 92found that a high propensity for breast cancerin mice was associated with low dopamine-stimulated adenylate cyclase

    activity in the brain, low spontaneous motorization, and low motor

    responses to injections of the precursor, L-dopa.

    Liburdy et al 93found that a 60 Hz magnetic field can act at thecellular level to influence the growth of human estrogen-dependent

    breast cancer cells. They believe the magnetic fields act at cellularlevels to enhance breast cancer cell proliferation by blocking melatonin's

    natural oncostatic action. They report what appears to be a dosethreshold between 2 and 12 mG. The authors suggest that themechanisms of action may involve modulation of signal transductionevents associated with melatonin's regulation of cell growth.

    One other aspect of this picture is that melatonin is an effectiveendogenous free radical scavenger. Polggeler et al94note that the pinealindolamine reacts with the highly toxic hydroxyl radical and protects

    against oxidative damage to biomolecules within every cellular

    compartment. They state that the rate of aging and the time of onset ofage-related diseases in rodents can be retarded by the administration of

    melatonin or treatments that preserve the endogenous rhythm of

    melatonin formation. Aged animals and humans are melatonin-deficient

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    and more sensitive to oxidative stress. And this is one of the categoriesthat is reported to be particularly sensitive to electromagnetic fields.

    In sum, there is evidence that the means described here may be

    one way by which electromagnetic fields may influence the occurrence

    and course of cancer.

    Discussion

    In this chapter, I've integrated a number of lines of research onthe interaction of exogenous electromagnetic fields with biological

    systems from the cell level, to system, to whole organism level. Ishowed how the data are different facets of a common theme. And I'veindicated some of the implications of importance to biology by

    developing the analyses within the context of cancer. Specifically, I

    detailed some of the epidemiological and laboratory evidence indicating

    that em fields may promote cancer. Second, I spelled out the effects thatelectromagnetic fields have on neural and neuroendocrine systems.Then I summarized the relevant information on how the neural and

    immune systems interact. With that as a foundation, I then discussedone means by which exogenous electromagnetic fields may promote

    cancer.

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    There are other sections of the forest beside those that I'vedescribed, i.e. other interactions of em fields with biological systems and

    other mechanisms that could be discussed.

    Just out of my own research,

    I could discuss interactions with the placental barrier, as well as with the

    microwave hearing phenomenon, electrosensory systems and the heart.I could also talk about Lee et al's 95 finding that electric fields can

    disturb lipid monolayers, a finding that has implications for the structure

    and composition of biological membranes. Structure and composition iscritical to the function of the membrane proteins that I discussed above.I could also discuss the implications of Harkins and Grissom's report

    96of a magnetic field effect on an enzyme reaction involving radical pairrecombination rates. Many enzymes appear to use radical chemistry inthe conversion of substrates to products. There are also relevant findings,

    by others, on the redistribution of cell surface receptors. And as seen inan earlier section, there are clear relationships with melatonin and the

    dopamine-opiate systems. There is much more that I could spell outand discuss, but much that is important is well defined by others in the

    chapters that I've included in this book.

    In sum, this chapter is not intended to be comprehensive. It isintended to provide the reader with an integrative framework or context

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    with which to view the abundance of information from diverse lines of

    research that are detailed in the other chapters in this book. AsBurke1

    might put it, my intent in this chapter is to provide a new

    structure for the reader to view the results of the diverse, seemingly

    disconnected, bits and pieces of research on electromagnetic field

    interactions with biological systems. These results will ultimately helpchange the face of biology.

    The foregoing also provides the reader with a sense of the changein the Universe that is taking place in one portion of the current

    revolution in biology, i.e. in research on the interactions of

    electromagnetic fields with biological systems. And it also indicates how

    pervasive are the interactions and their broad implications for biology.Endogenous and exogenous electromagnetic fields are fundamental

    factors regulating life. Fully understanding their interactions withbiological systems will be a quantum leap in biology.

    Footnote

    * Frey, et al 97determined that low intensity em fields modify theblood-brain-barrier (BBB). Immediately after exposure, rats wereinjected intravenously with sodium fluorescein, a fluorescent dye

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    classically used for such studies that normally does not pass the BBB.Compared to sham-exposed controls, fluorescence was seen at the

    diencephalon level of the brain, as well as at the level of the mes- and

    metencephalon. Oscar and Hawkins 98extended the work by exposingrats to em fields to assess the uptake of several radioactive neutral polar

    substances in the brain. Barrier permeability increases were observed.It was also found that em fields of the same average power but different

    pulse characteristics produced different uptake levels. Albert 99exposedChinese hamsters to em fields and injected them with various electron

    dense tracers. Specimens were then prepared for light and electronmicroscopic examination. The exposed and sham-exposed groupsdiffered in that exposed animals showed tracer penetration of the BBB.Other studies have been done which showed similar changes.

    Ben-Shachar et al 100state that dopaminergic function isdependent on normal iron metabolism; it plays a crucial role in

    neuroleptic-induced dopamine supersensitivity. The dopaminergicantagonist haloperidol and chlorpromazine alter the blood brain barrier

    of the rat and enhance the normally restricted iron transport into the

    brain. Saija et al101studied the effect of haloperidol on the permeabilityof the blood-brain-barrier to [14C]alpha-aminoisobutyric acid in 10-12

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    week and 28-30 week old rats. Following intraperitoneal injection ofhaloperidol an increase in the permeability of the BBB was observed in

    older rats.References

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