Rudin D O
Biol Psychiatry. 1981 Sep;16(9):837-50.
Pellagra was once a major cause of three behaviorally different mental disorders-schizophreniform, manic-depressive-like, and phobic neurotic - plus drying dermatoses, autonomic neuropathies, tinnitus, and fatigue. In this preliminary study all three of the corresponding present-day mental diseases are found to exhibit, statistically, the same pellagraform physical disorders but to ameliorate not so much with vitamins as with supplements of a newly discovered trace omega-3 essential fatty acid (w3-EFA), which provides the substrate upon which niacin and other B vitamin holoenzymes act uniquely to form the prostaglandin 3 series tissue hormones regulating neurocircuits en block. Since present-day refining and food selection patterns, as well as pure corn diets, deplete both the B vitamins and W3-EFA, the existence of therapeutically cross-reacting homologous catalyst and substrate deficiency forms of pellagra are postulated, the first contributing to the B vitamin deficiency epidemics of 50-100 years ago, the second to the more recent endemic "Diseases of Western Civilization" which express in certain genetic subgroups as the major mental illnesses of today.
糙皮病曾经是三种行为表现不同的精神障碍(精神分裂症样、躁狂抑郁样和恐怖性神经症)以及干性皮肤病、自主神经病变、耳鸣和疲劳的主要病因。在这项初步研究中,发现所有三种相应的现代精神疾病在统计学上都表现出相同的糙皮病样身体障碍,但与其说是通过维生素,不如说是通过补充一种新发现的微量ω-3必需脂肪酸(w3-EFA)得到改善,这种脂肪酸提供了一种底物,烟酸和其他B族维生素全酶在其上独特地作用,以形成前列腺素3系列组织激素,从而整体调节神经回路。由于现代的精炼和食物选择模式以及单纯的玉米饮食会消耗B族维生素和W3-EFA,因此推测存在治疗上交叉反应的同源催化剂和底物缺乏形式的糙皮病,前者导致了50至100年前的B族维生素缺乏流行,后者导致了最近流行的“西方文明病”,在某些基因亚组中表现为当今的主要精神疾病。