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As I have shared with readers and audiences over the years, when someone ages poorly, it results from decades of inflammatory imbalances.

Inflammation is necessary for the body to defend itself from pathogens and mutating cells, and for the body to heal itself after trauma or disease.

However, when the immune system produces excessive levels of inflammation, and does not correctly limit the amount of inflammation after its task has been completed, then inflammation becomes associated with unhealthy aging, and chronic disease.

For example, it is apparent that neurological diseases are affected, if not triggered by, inflammatory responses of the immune system.

 Immune cells of the brain and nervous system release inflammatory factors, cytokines and complex mixtures of other small immune molecules.

 These factors result in nervous cell and immune system inflammation and eventually, death of nerve cells.

 Last month, the journal of Immunity and Aging reported the results of genetic and immunological studies of Sicilian centenarians, individuals that are 100 years or older.

The researchers concluded that these individuals, all active and “in relatively good health”, survived longer than their cohorts, because their immune system was at “optimal performance” and that they were able to control inappropriate levels of inflammation.

 More evidence for the contribution of inflammation to aging poorly, for example cognitive abilities, is seen in a seemingly irrelevant study in which the use of fish oils was shown to counteract the negative effects of sugar drinks.

In this study, rats learned how to run a maze.  After their lesions, one group of rats was fed a sugary solution for over 6 weeks. After six months, the rats ran the maze again from memory.

Rats that were on the sugar, could not remember how to run the maze, but those on sugar along with  omega-3 fatty acids, were able to run it. The omega-3 fatty acids counteracted the negative effects of the sugary diet.

We know that high sugar consumption results in increasing size of fat cells, adipose tissue, and that fat cells release inflammatory molecules that are associated with the cardiovascular, joint, and insulin-related issues seen in obese individuals.

In addition, it has been shown that there are compounds in omega-3 fatty acids that counteract inflammatory responses.

Therefore, the results of the maze study may be attributable to the fact that the omega-3 helped down-regulate pro-inflammatory cytokines, messengers that initiate the inflammatory process.

During the past decades, I have watched the health outcomes of older individuals that have followed a regimen that maintains inflammatory balance.

In their 70s, 80s, and early 90s, they work full days, sometimes in physically-demanding positions, are on little or no medication, and find that they are more active, than individuals 20 years their junior.

Balanced immune inflammation, immune homeostasis, is the key to an active life.

One must generate enough inflammation to defend oneself from infectious disease, and help the body heal, but a healthy person has to be able to limit and control  inflammatory responses at appropriate levels for the tasks at hand.

www.immunityageing.com/content/9/1/8/abstract
www.ncbi.nlm.nih.gov/pubmed/22404117
www.ncbi.nlm.nih.gov/pubmed/16613757
www.ncbi.nlm.nih.gov/pubmed/22535513
archpsyc.jamanetwork.com/article.aspx?volume=66&issue=11&page=1263
www.ncbi.nlm.nih.gov/pubmed/22566778

The concept of epigenetics was first introduced in the 1940s, and its implications on how we modulate inflammation through its processes are intriguing and exciting.

For most of my scientific career, we were taught that biological processes of the body were pre-determined by genes. It was said that DNA’s message was set-in-stone, and except through mutations which might result in cancer, or mutations and recombinations of genetic material that were handed down from one generation to another, the message encoded by DNA was unchanging.

Accumulating evidence suggests that altering our diet, life style, and environment, significantly influences gene expression; the way that the body translates the DNA message. We can change the affect our genes have on our physiological and emotional well-being.

It never ceases to amaze me that the medical profession writes off conditions such as arthritis, heart disease, cancer, strokes, Alzheimer’s etc. as being the result of “aging”; basically, saying to their patient, “you have to live with it because you are getting old”.

Instead, health practitioners might better focus on the fact that imbalances of inflammatory and anti-inflammatory responses contribute to health issues. Directing the emphasis on life style changes would enable individuals to take steps towards breaking the inflammation cycle, literally affecting the DNA message, and the resulting quality of their lives.

There are simple approaches that help maintain immune balance, immune homeostasis. Two such changes are: limiting the size of fat cells, and exercise. Fat cells, especially around our abdominal area, produce large amounts of pro-inflammatory cytokines, that trigger inappropriate levels of inflammation.

Exercise is a way to neutralize these molecules since contracting our muscles releases potent anti-inflammatory cytokines.

Additionally, the daily consumption of two or more servings of hyperimmune egg can go a long way toward supporting the body’s natural immune-rebalancing attempts.

In the controversy of genes vs. nurture, we now know that it is a combination of both that makes the difference. We can help regulate what our genes “say” by how we choose to live our lives.

www.sciencemag.org/site/feature/plus/sfg/resources/res_epigenetics.xhtml

www.ncbi.nlm.nih.gov/pubmed/22004920.1

target=”_blank”>articles.mercola.com/sites/articles/archive/2012/04/11/epigenetic-vs-determinism.aspx

www.ncbi.nlm.nih.gov/pubmed/22428854

www.ncbi.nlm.nih.gov/pubmed/20388091

 

(Please see prior posting)

ACHIEVING INFLAMMATORY HOMEOSTASIS, IMMUNE BALANCE, NATURALLY

CONTROL INFLAMMATION

Restoring immune inflammatory balance, homeostasis, may reduce diabetic symptoms, help guard against infections, and contribute to overall health by letting the body heal itself. Lifestyle changes, rather than medication, are the best ways to regain immune balance, inflammatory homeostasis.

BECOME PHYSICALLY ACTIVE.

Muscles release anti-inflammatory molecules every time they contract. To help balance the levels of inflammation in the body, try to be physically active at least 150 minutes a week. Walk to the bus at a brisk pace. Stand, instead of sitting. Work faster when in the garden. Exercise while watching TV. Just get moving!

This week’s pre-publication article from the journal, Diabetes Care, reports that diabetics that participated in aerobic and resistance training twice a week were more fit than controls, even when they personally did not have any weight loss. Moreover, another publication this week in the journal, Endocrine, reports that even without weight reductions, exercise by itself helps control blood sugar levels.

GET TO YOUR IDEAL WEIGHT.

Obese individuals are at greater risk of getting diabetes. Fat cells release pro-inflammatory cytokines, messages that result in inflammation. Many diabetic symptoms are reduced, even with minimal weight loss.

Make smarter beverage and food choices. The most recent discussions about foods is to ignore the amount of fat you take in, and instead, concentrate on decreasing your total carbohydrate intake.

 Limit your intake of:

  • Liquid carbohydrates such as sodas, either regular or “diet”, fruit juices, “energy” drinks, beer.
  • Fried foods.
  • Starches, such as corn, white rice, chips, nachos, French fries.
  • White flour such as found in breads, pasta, cakes, desserts.

 Fill half your plate with vegetables and colorful fruit. The following foods are reportedly helpful to diabetics: Brewer’s yeast, broccoli, buckwheat, liver, okra, peas, and spinach.

VITAMIN D MAY PLAY A ROLE IN BALANCING INFLAMMATORY RESPONSES. Recent studies suggest that vitamin D, actually a hormone-like biochemical, is involved in cell growth and immunity. Studies suggest that vitamin D suppresses proinflammatory cytokines and increases anti-inflammatory cytokines. Organ systems such as liver, skin, thymus, small intestines, and pancreas have cells that bind a form of vitamin D. Certain groups of diabetics have low levels of vitamin D.

The body produces its own vitamin D when sun exposure is appropriate. Moderate sun exposure during the summer months, stimulates the production of its vitamin D. In temperate climes, supplementation may be prudent.

 OMEGA-3 FATTY ACIDS. There are suggestions in the scientific literature that diabetics may benefit from consuming omega-3 fish oils. Consume 2-3 servings of fish/week or take supplements.

MODERATE COFFEE CONSUMPTION. Certain compounds in coffee may help decrease inflammation. Moderate consumption of coffee may be helpful to diabetics.

HYPERIMMUNE EGG. Immunologists have shown that consumption of multiple servings/day of hyperimmune egg is a natural way to help the body regain its immune homeostasis.

IN SUMMARY

Important steps that a diabetic can take are to become physically active, control their diet and weight, and are other steps to reduce inappropriate inflammation.


www.ncbi.nlm.nih.gov/pubmed/22399699

www.ncbi.nlm.nih.gov/pubmed/22407494

www.ncbi.nlm.nih.gov/pubmed/20181814

www.ncbi.nlm.nih.gov/pubmed/22404117

www.ncbi.nlm.nih.gov/pubmed/22397028

www.ncbi.nlm.nih.gov/pubmed/19957870

www.ncbi.nlm.nih.gov/pubmed/21593500

www.ncbi.nlm.nih.gov/pubmed/22375372

 

 

The body’s cells, especially brain and red blood cells, obtain their energy needs from the glucose (sugar) that circulates in the bloodstream.  There is an optimum amount of glucose that our body needs.  Too high a level of glucose, is just as bad as too little. The body uses insulin, a hormone, to support healthy levels of blood sugar.  Individuals with diabetes cannot properly control their blood glucose levels, and are therefore at risk of cardiovascular disease, stroke, eye, kidney, skin, and nervous system complications.

 The probability of getting diabetes is especially high in obese individuals.  Fat cells, especially those found around one’s waist, release pro-inflammatory cytokines.  The production of these immune factors result in inflammatory responses that destroy insulin-producing cells, making it difficult for the person to control their blood glucose.

 Dr. Umut Ozcan of Children’s Hospital Boston, has stated that “For 20 years, inflammation has been seen as detrimental, whereas it is actually beneficial.”  Research demonstrates that obese individuals have difficulty in maintaining healthy blood sugar levels due to imbalances of inflammatory molecules. Some proteins triggered by inflammation help the body control glucose levels, whereas other types of inflammatory molecules are detrimental to maintaining healthy glucose levels. 

 Dr. Ozcan continues,  “It may be that inflammatory pathways are not working optimally and there could be a resistance to the cytokines that mediate the inflammation.”.

 Restoring immune homeostasis, balance,  by helping the body control excessive inflammation may reduce the symptoms of diabetes or the risk of getting the condition in the first place.    Lifestyle changes, rather than medication, are the best way to regain immune balance.

 Please look for our next posting that will describe ways that one can help correct imbalances between pro-inflammatory (molecules that lead to inflammatory responses) and anti-inflammatory cytokines (cell messages).

 

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0031225

www.cdc.gov/obesity/causes/health.html

www.nature.com/nm/journal/v17/n10/abs/nm.2449.html

vectorblog.org/2011/09/in-diabetes-inflammation-may-be-part-of-the-solution-not-the-problem/

http://cat.inist.fr/?aModele=afficheN&cpsidt=20604914

 

Many patients that undergo chemotherapy report lingering effects of the disease, or from treatment protocols. Some individuals report that experience problems with cognition, clear thinking, memory, focus, concentration, and staying organized which they call “brain fog” or “chemo brain.”

The relationship between inflammation and cancer is still under intense study. Immune inflammation plays a major role during different stages of tumor development, from recognition of the cancer cells, to metastasis, to resolution of the disease. There are proven complex interactions between immune and cancer cells during which there appears to be “cross-talk.”

Chemotherapeutic medications are, of necessity, cytotoxic. The medications cause the death of cells (apoptosis) by programming their death or by interfering with certain biochemical processes within the cell.

The relationship of inflammatory immune cells and dead cells is a complex one. Whenever a cell dies because of infection or injury, inflammatory immune cells release inflammatory cytokines, messages that activate immune cells to clean up debris, and start the healing process.

Chemotherapy, in which both healthy and cancerous cells are killed, can have unintended effects. The medications can damage immune cells and their DNA; the very cells that the body needs to stop cancer cells from multiplying, to clean up the dead cells, and heal the body after cytotoxic challenge.

An example of such a possible problem is tumor lysis syndrome. When large numbers of cells are killed by chemotherapeutic agents, the dying cells release vast amounts of inflammatory-triggering compounds. The body is simply overwhelmed by these factors, resulting in significant immunological and chemical disruptions throughout the body.

A limited number of studies, still to be replicated, suggest that long after treatment has ended, healthy brain cells continue to die off. And at least one study has shown altered brain structure in individuals that had undergone chemotherapy a year previously. These results however, were not seen in patients that had received chemotherapy three years previously.

The relationship between inflammation, cancer, and cancer therapy, is not understood. However, the available science suggests that limiting excessive inflammatory responses by the immune system, may help minimize the adverse effects of chemotherapy, especially as it relates to the brain.

 

http://www.mayoclinic.com/health/chemo-brain/DS01109


www.ncbi.nlm.nih.gov/pubmed/20303878


www.ncbi.nlm.nih.gov/pubmed/21545608

www.nature.com/cdd/journal/v15/n1/full/4402255a.html

www.ncbi.nlm.nih.gov/pubmed/22294874

www.nature.com/nrclinonc/journal/v3/n8/full/ncponc0581.html

jbiol.com/content/7/4/11

 

For years, physicians told their (overwhelmingly female) patients, that patient complaints of skeletal and muscle pains, sleep disorders, overwhelming fatigue not improved by bed rest, brain “fog”, and lack of stamina, were “all in their mind”.

However once pharmaceutical medications were introduced into the market place to help decrease some of these symptoms, health practitioners started diagnosing these conditions as chronic fatigue syndrome, CFS or ME, myalgic encephalomyelitis.

Viral Involvement Controversial

In 2009, an article in the prestigious journal Science reported that 95% of subjects with chronic fatigue syndrome were infected with a specific virus and/or had antibodies to that virus. The investigational team emphasized that these findings did not prove that there was a link between this virus and chronic fatigue, but that the virus might be “a contributing factor”.

Late this past year, the editors of Science retracted the controversial article due to the poor quality controls, and omissions in the description of certain figures. Additionally, other laboratories have been unable to replicate the results.

This specific virus may not have been responsible for ME, but the concept is sound since other studies have suggested that bacterial and viral infections can trigger inflammatory immune diseases such as heart valve damage, arthritis, multiple sclerosis, diabetes, and systemic lupus erythematosus (SLE).

Autoimmune Inflammatory Conditions

Inflammatory diseases are often manifestations of an autoimmune inflammatory response. Autoimmune disease occurs when the immune system “over-reacts” to a stimulus and attacks its own cells with excessive inflammatory responses.

Digestive Tract-A Large Immune Organ

The lining of the digestive tract is heavily populated by immune cells and is considered a major immune organ. Many CFS patients complain of gut dysfunction, and have been diagnosed with irritable bowel syndrome (IBS) and with proinflammatory cytokine production.

Increase in Inflammatory Markers

Immunologically, individuals with chronic fatigue have increased blood levels of inflammatory compounds, such as C-reactive protein (CRP), and exhibit immunological abnormalities, including increased numbers of activated immune cells, and high levels of inflammatory cytokines, indicative of inflammation.

“… [T]he simplest way to think about … findings [such as these-HCG] is that people with increased inflammation–from whatever source–are more likely than others to develop a range of symptoms that frequently lead to a diagnosis of a condition such as CFS …” says William C. Reeves, MD, Chief of the Chronic Viral Diseases Branch, the Centers for Disease Control and Prevention (CDC). “

Role of Immune Inflammation

Immune inflammation helps defend the body from infection and heals the body after injury. However, when immune inflammation is in “overdrive”, autoimmune and other autoinflammatory conditions result.

Making certain lifestyle changes will contribute to lowering the amount of inflammation in the body. These are: a) becoming physically active so that muscle contractions generate naturally-occuring anti-inflammatory molecules and b) controlling one’s weight to reduce the levels of inflammatory compounds being released by fat cells.

Other steps to consider are moderate exposure to sunlight (or taking vitamin D3 supplements), consuming omega-3, and adding hyperimmune egg to one’s diet.

Immune Balance

Good health is determined by the balance between the pro-inflammatory and anti-inflammatory cytokines produced by our immune cells; maintaining these immune factors in their appropriate amounts, is essential.

www.sciencemag.org/content/326/5952/585
www.sciencemag.org/content/334/6063/1636.1
www.sciencedirect.com/science/article/pii/S0889159108004261
www.nutritionandmetabolism.com/content/7/1/79
www.ncbi.nlm.nih.gov/pubmed/19758205
cmr.asm.org/content/9/4/532.abstract
www.ncbi.nlm.nih.gov/pubmed/16380690
www.ncbi.nlm.nih.gov/pubmed/18801465

Alcohol hangovers occur when blood alcohol concentrations (BAC) return to zero. The event is characterized by pounding headache, sensitivity to lights and loud noises, dizziness, drowsiness, nausea, vomiting, dry mouth, sweating, concentration problems, hyper-excitability, and anxiety and/or depression.

The biology of hangovers is complex and surprisingly, has not been well-researched. Dehydration and sleep deprivation may be contributors to the state of being hung over, but biological changes during suggest that, as with a majority of disease, imbalances of immune factors, especially excessive production of inflammatory cytokines, may be the culprit.

Hangovers are reminiscent of “sickness behavior”, the feelings that sick individuals have during the course of fighting an infection. “Feeling poorly” is the effect of increased levels of proinflammatory cytokines, that increase inflammation in the brain.

During inflammation, a great deal of cross-talk, mediated by cytokines, goes on between the immune system, the brain, and the intestines, which stimulates a wide range of physical, hormonal, nervous , gastrointestinal, and emotional responses.

Increased levels of inflammatory cytokines, such as IL-12 and interferon-gamma (IFN-gamma) are found in individuals suffering from hangovers. Additionally IL-10 , which suppresses inflammatory cytokines, is also found at higher levels in hangover subjects.

C-reactive proteins (CRP) are found in the blood and are considered an excellent marker for inflammation in the body. High levels of C-reactive protein are strongly associated with the severity of hangover events. The response may be related to inflammation induced by excessive ingestion of certain alcohol components such as congeners, or alcohol metabolites.

Numerous anecdotal reports suggest that when the body is in immune inflammatory balance, that hangovers will not occur at all, or, will be severely limited in their scope.


http://alcalc.oxfordjournals.org/content/43/2/124.full
http://www.ncbi.nlm.nih.gov/pubmed/15226168
http://www.ncbi.nlm.nih.gov/pubmed/14693266
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC508465/pdf/1002641.pdf
http://www.ncbi.nlm.nih.gov/pubmed/20712594
http://www.ncbi.nlm.nih.gov/pubmed/11259077

 Role of Balancing Inflammatory and Anti-inflammatory Immune Factors (e.g., Cytokines):

An injury requires enough inflammation to start the healing process, but not so much that it starts a cascade of immune inflammation that causes damage to by-stander tissues. Cytokines are immune factors generated by white cells that initiate pro-inflammatory (inflammatory) responses and anti-inflammatory responses in response to infection or injury. A healthy person produces appropriate levels of these factors depending on the challenge it encounters. A body in immune homeostasis will either up-regulate, increase immune inflammation, or down-regulate, limit its inflammatory responses, depending on the body’s needs.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Doctors often suggest non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin when a patient complains of a sprain or other work- or sport-related injury.. These pharmaceutical compounds inhibit the production of immune inflammatory molecules such as cytokines. Limit the amount of inflammation and its resulting pain and stiffness are decreased.

The problem is that many of these medications put people at risk of significant digestive, cardiovascular, kidney, and muscular/skeletal problems. For example, according to the American College of Gastroenterology, the regular use of non-steroidal anti-inflammatory drugs is the major cause of potentially life-threatening ulcers and stomach bleeding.

Also, some practitioners question whether the use of NSAIDs may be the cause of increases in osteoarthritis and the high level of knee and hip replacements.

Because of concerns about health risks, some health practitioners physicians suggest complementary, more natural methods, to decrease pain and inflammation, and perhaps even prevent damage from muscle injury.

Complementary Approaches:

Glucosamine: Glucosamine is a natural substance produced by the body that encourages cartilage regeneration and the production of synovial fluid that helps “lubricate” the joints. There is evidence that glucosamine has anti-inflammatory properties.

 Omega-3 Fish Oil:  Omega-3 fish oils have been shown to have anti-inflammatory properties and help the body control pro-inflammatory cytokines and the pain that results from up regulating, increasing, inflammation.

 Vitamin D3:Vitamin D appears to affect immunological function such as inflammation. Vitamin D supplementation has been found to provide therapeutic relief.

Hyperimmune Egg: Hyperimmune egg, an all natural, food-based ingredient, is another approach to helping the body return to immune inflammatory homeostasis. In a study conducted at a major hospital in NYC, individuals on hyperimmune egg for 30 days reported higher levels of joint comfort.

When certain types of glucosamine are added in combination with hyperimmune egg, joints appear to heal more rapidly and individuals report changes in their quality of life.

 Summary:

When experiencing sprains, strains, or other injuries due to work, sports, or accidents, one might wish to consider the use of complementary ingredients prior to starting on prescription medications.

 

http://www.ncbi.nlm.nih.gov/pubmed/20424410
http://www.ncbi.nlm.nih.gov/pubmed/17112189
www.ncbi.nlm.nih.gov/pubmed?term=Family%20Practice.%202005%3B22%3A118-125
http://www.ncbi.nlm.nih.gov/pubmed/20726384
http://www.ncbi.nlm.nih.gov/pubmed/20737476
http://newsblog.mayoclinic.org/2009/03/20/mayo-clinic-researchers-link-vitamin-d-and-chronic-pain-relief/
http://www.ncbi.nlm.nih.gov/pubmed/22143284
http://www.umm.edu/altmed/articles/omega-3-000316.htm
http://www.ncbi.nlm.nih.gov/pubmed/21067953
http://HyperimmuneEgg.org
www.google.com/patents/about/6706267_Glucosamine_and_egg_for_reducing.html?id=SAwRAAAAEBAJ

Exercise is essential for workers such as firefighters and paramedics that have physically-and emotionally-demanding jobs, and is mandated by most departments.

According to a study by the University of Arizona, Tucson, AZ and the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 30% of the strains and sprains that firefighters and paramedics experienced, happened as they were working out. Seventeen percent of injuries, and almost half of time off work for injuries, were caused by strains and sprains resulting from workers carrying individuals.

Pain and inflammation “feed one another”. Pain triggers more inflammation and inflammation  leads to more pain. It is not clear how the body senses pain, nor biochemically, the exact events that lead to the sensation of pain. We know however, that pain signals from our back or limbs travel along nerve cells to the spinal cord and up to the brain, and that inflammation in the spinal cord and brain is either the direct cause of pain, or a major contributor to pain sensations that we experience.

When muscles and tissues are injured, immune cells respond by entering the area and releasing cellular factors (e.g., cytokines) that will up-regulate inflammation as a way to help the body heal.

However, it is as important for the body to decrease its inflammatory responses after a challenge is met, as it is to increase the response in the first place. Decreases in inflammatory responses, down-regulation, result from the production of different amounts of anti-inflammatory cytokines and their ratio to pro-inflammatory cytokines that cause inflammation. It all about the appropriate balance of immune responses, immune homeostasis.

(Please watch for the next posting discussing natural methods of helping the body achieve immune homeostasis, and recover, and heal faster.)

injuryprevention.bmj.com/content/early/2011/11/03/injuryprev-2011
www.nature.com/nrneurol/journal/v7/n3/full/nrneurol.2011.4.html
www.ncbi.nlm.nih.gov/pubmed/19096368
www.ncbi.nlm.nih.gov/pubmed/22119349
www.gluegrant.org/inflammation101.htm
http://www.ncbi.nlm.nih.gov/pubmed?term=Curr%20Drug%20Targets%20Immune%20Endocr%20Metabol%20Disord%202005%205%3A413

Taking an aspirin a day may lower cancer risk.

Individuals took a minimum of 75mg a day of aspirin for 6 years. Twenty years later, these individuals had a 24% lower risk of developing colon cancer in the first place, and a 35% lower risk of death from colon cancer as compared to placebo.

This was especially important because the some of the cancers studied are found in a part of the colon that is not easily seen with current screening tests.

The populations studied were males at cardiovascular risk. Forty percent of the patients were smokers and most were males. Therefore, the effectiveness of aspirin for non-smokers or females is not known.

 “Cross-talk” between cancer and immune cells.

We have long known that there is “cross-talk” between cancer and immune cells. Immune cells affect the growth of cancer cells and cancer cells affect immune cell inflammatory responses.

Inflammation and Cancer.

Studies have shown that patients with inflammatory bowel diseases, such as ulcerative colitis, or Crohn’s disease, are more likely to develop gastrointestinal cancers than the general population.

Inflammation of the gut occurs with the release of inflammatory cytokines and other immune molecules. They have been shown to contribute to the development and growth of gastrointestinal cancers.

Aspirin regulating immune balance.

Thus aspirin may be helping to regulate the body’s inflammatory responses, and helping to keep the body in immune balance, immune homeostasis.

 
www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62110-1/abstract

www.ncbi.nlm.nih.gov/pmc/articles/PMC2866629/

www.ncbi.nlm.nih.gov/pubmed/18473765

 

Recently, a professional networking site directed me to a short note by Lisa Moreno-Dickinson, President of the stopcaidnow.org. The title of her article was “When Doctors Don’t Know How to Help From Misdiagnosis to No diagnosis … What Can a Parent Do?”.

CAID refers to Childhood Auto Inflammatory Diseases. These genetic disorders usually start in infancy or childhood and are reported to be the result of gene mutations. The periodic attacks of these conditions affect many different organ systems. They are characterized by sudden inflammation and fever onset, and symptoms such as rashes, headache, abdominal, chest, muscle, and joint pains, swollen joints and scrotum.

Much of the science suggests that these conditions are not autoimmune in nature. These individuals have no any significant elevations of autoantibodies, immunoglobulins, large immune molecules that are directed against self, nor activation of specific white blood cells.

Our knowledge of the complexities of the immune system, especially its inflammatory pathways, are still in their infancy as supported by the fact that cancer, colds, infectious, and chronic diseases are rampant.

I respectfully suggest that perhaps autoinflammatory investigators have not used the appropriate assay to find autoimmune responses because a) it does not exist yet, or b) it is difficult to “test for everything”.

A recent report suggests that there is an association between autoinflammatory conditions and mitochondrial health. Mitochondria are the power stations of a cell that provides it with the energy it needs to grow, divide, and “do its job”. They play major roles in healthy aging, degenerative diseases, cancer, and ultimately, cell death. The greater its metabolic or energy requirements, the more mitochondria a cell appears to have. As an example, a muscle cell may have thousands of mitochondria and a skin cell only a few hundred.

Antibodies to mitochondrial proteins have been reported in autism spectrum disorders, which are attributed to inflammatory conditions of the nervous system. Additionally children with severe autism have higher levels of inflammatory cytokines and certain immune molecules than controls.

In Blau’s syndrome, an autoinflammatory disease, symptoms are associated with the skin, joints, and eyes. It is often mistaken for sarcoidosis, a known autoimmune disease of the skin and other organs. Crohn’s disease is an inflammatory autoimmune bowel disease in which the immune system attacks its own digestive lining.

There are two genes, NOD1 and NOD2 that help regulate the production pro-inflammatory cytokines, immune molecules that cause inflammation. Mutations of these genes are found in a number of inflammatory disorders including Blau’s syndrome, sarcoidosis, and inflammatory bowel diseases.

Investigations of the pivotal role of gene regulation of inflammatory responses are underway; however, ways to neutralize the effects of such mutations may be years away.

Parents and clinicians do not have the luxury of just waiting. We know that inappropriate inflammatory responses are occurring in many, so why not determine whether the re-introduction of immune homeostasis, immune balance would make a difference in their quality of life?

 

www.parentsociety.com/parenting/when-doctors-dont-know-what-to-do-or-how-to-help/?goback=%2Egde_151241_member_74525704

www.ncbi.nlm.nih.gov/pmc/articles/PMC2735099/

www.ncbi.nlm.nih.gov/pubmed/16466630

www.ncbi.nlm.nih.gov/pubmed/21453638

www.ncbi.nlm.nih.gov/pubmed/21083929

www.ncbi.nlm.nih.gov/pubmed/21735170

www.ncbi.nlm.nih.gov/pubmed/18368292

www.ncbi.nlm.nih.gov/pubmed/21521652

www.ncbi.nlm.nih.gov/pubmed/21433392

 

The Centers for Disease Control is investigating at least 100 reports of food poisoning, and 18 deaths, due to contaminated cantaloupes. DNA isolated from infected individuals has determined that Listeria is the responsible bacteria. Ninety-eight percent of 93 individuals contacted by monitoring agencies were hospitalized due to their infections. Because of lag times between consumption of these cantaloupes, illness, diagnosis, and laboratory confirmation, more cases are expected to occur.

Five percent of the human population has Listeria in its stool. It is also found in stools of non-human mammals, and birds. This may explain the fact that Listeria is found in water, soil, and animal feed.

Newborns, pregnant women, and individuals with immune disorders such as kidney disease, cancer, diabetes, and HIV/AIDS are at increased risk of becoming ill when infected with Listeria. In 89 % of cases, Listeria pass through the intestinal wall and enter the blood stream. From there, they are carried throughout the body and can end up in the brain, spinal cord, heart, eyes, liver, spleen, lungs, bones, and joints.

Instead of being attacked by immune cells, initially, Listeria hides in immune cells, multiplies, and infects other white blood cells. To stop the infection and return to immune balance, immune homeostasis, the body defends itself by releasing inflammatory and anti-inflammatory cytokines, cell messages, and antibodies, large proteins that mark the bacteria for destruction by inflammatory immune cells.

About half of adults with Listeria infection will be diagnosed with meningitis, an inflammatory condition of the brain and spinal cord. Endocarditis, inflammation of the inner lining of the heart, results in deaths of about 50% of patients.

So, ultimately, excessive inflammation kills infected individuals.

 

www.faqs.org/health/topics/74/Listeriosis.html#ixzz1ZgKQS5E5
www.cdc.gov/listeria/outbreaks/cantaloupes-jensen-farms/100411/index.html#introduction
www.ncbi.nlm.nih.gov/pubmed/21830209
www.ncbi.nlm.nih.gov/pubmed/8251578
www.experts.scival.com/mskcc/grantDetail.asp?t=ep1&id=373762&o_id=3&

Today, three immunologists, Drs. Ralph Steinman*, Jules Hoffman, and Bruce Beutler, won the Nobel Prize in Medicine/Physiology for adding to our scant knowledge of immune system responses to pathogenic microorganisms and cancer cells. Their studies should also provide a better understanding as to how excessive inflammation leads to autoimmunity, attacks on the body’s own healthy tissues.

Two decades ago Dr. Ralph Steinman and his colleague, Dr. Zanvil Alexander Cohn at the Center for Immunology and Immune Diseases, Rockefeller University in New York City, described dendritic cells, specialized immune cells that interact with other immune cells to define how the body will respond to underlying infection and disease.

Dendritic cells are essential to the body’s ability to control immune inflammatory homeostasis. Immune homeostasis is the delicate balance of all immune responses, especially inflammatory and anti-inflammatory responses, that that the body uses to fight disease. Too little inflammation may result in uncontrolled growth of pathogens or cancer cells, whereas too much inflammation, may result in autoimmune conditions such as diabetes, arthritis, lupus, multiple sclerosis, Crohn’s disease, etc.

Part of the role of immune homeostasis is to determine “what comes next” in meeting immune challenges. Dr. Steinman and his colleagues described an important phase of the immune response, “maturation”, which helps the body determine inflammatory and other responses to infection.

Dendritic cells are also important in helping the body maintain immunological “memory”. This assures a more rapid and thorough immune response if is attacked by the same pathogen another time. [Successful immunization depends on immunological memory.]

Dr. Jules Hoffman and his team, described how the immune system first recognizes invading pathogens and then helps trigger the immune system to go into its protective mode.

Dr. Beutler discovered the inflammatory cytokine, tumor necrosis factor, TNF, and a marker on certain bacterial cells that helps the body recognize that it has been infected, so that it can mount an appropriate inflammatory attack.

www.nobelprize.org/nobel_prizes/medicine/laureates/2011/press.pdf

www.rockefeller.edu/labheads/steinman/pdfs/2003-APMI.pdf

www.ncbi.nlm.nih.gov/pubmed/21960036

www.wrvo.fm/post/nobelists-showed-how-immune-defenses-work-and-go-awry

*The Nobel Committee has expressed “deep sadness and regret” at the news that Dr.
Steinman died a few days before its announcement.   Typically, the Nobel Prize is not awarded posthumously, but the Committee has decided to proceed with bestowing the award on Dr. Steinman.

According to the World Health Organization smoking is the second largest preventable cause of disease and premature death. Globally, tobacco products are responsible for 5 million deaths annually. A person dies every 6 seconds from smoking-related diseases including chronic diseases and cancer.

Among its many effects, smoking triggers an immunologic response in arteries and veins which is associated with increased levels of inflammatory markers, such as C-reactive protein and increases in white blood cells. C-reactive protein is strongly associated with lifetime smoking exposure as measured by pack-years. Several studies have shown that such markers predict future cardiovascular events including atherosclerosis.

However, once smokers quit, their risk of future cardiac events and death gradually declines, and within 5 years, smoking-associated inflammatory responses start to return to normal.

Cigarette smoking has also been linked to increased risk of autoimmune diseases, including lupus, rheumatoid arthritis, multiple sclerosis, thyroid, and liver. Autoimmune diseases are immune disorders where the body attacks itself resulting in excessive inflammation and tissue damage.

Considering that cigarette smoke contains over 7000 chemicals, the likelihood that smoking triggers autoimmune and other excessive inflammatory immunological responses makes sense. An example of smoke-induced illness is chronic obstructive pulmonary disease (COPD) in which a person has difficulty in getting enough air.

The lungs, in response to cigarette smoke, activate cells lining the lungs and immune cells, resulting in inflammatory responses. If an individual is infected with a bacterial or viral infection in addition to the smoke assault, it results in a vicious cycle of more difficulties in breathing and greater inflammation. Studies have indeed shown that patients with COPD have autoantibodies and inflammatory responses against lung cells.

Researchers have reported that in female smokers, physical activity, known to help reduce inflammation, reduced their relative risk of developing lung cancer by more than 65 percent.

Thus, it might be expected that if smokers were better able to control their inflammatory responses and return to immune homeostasis, that they might be less likely to develop chronic diseases.

 

www.ncbi.nlm.nih.gov/pmc/articles/PMC1160597/

www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0020160

www.ncbi.nlm.nih.gov/pubmed/21907865

www.ncbi.nlm.nih.gov/pubmed/17975205

www.medicalnewstoday.com/releases/58661.php

 

Dr. Cynthia L. Ogden at the Centers for Disease Control reported this week that nearly 50% of Americans consume drinks containing sugar, such as soda and energy drinks on a daily basis. Five percent of this population drinks the equivalent of more than four cans of soda each day. Teenagers and young adults drink the most, with males consuming more sweet beverages than females. Most of the sugar drinks consumed outside of the home, are purchased at stores, not schools or restaurants, and lower- income individuals consume more sugary drinks than those with higher incomes (1).

Sugar drinks or sugar-sweetened beverages (SSBs) are the largest source of added sugars in the diet of U.S. youths, and probably adults as well. Drinking excessive amount of calories contributes to the problem of obesity in this country (2). Previous studies have shown that the average teenager consumes about 300 calories a day from sugar-sweetened beverages. Over a period of a year, 300 calories/day is equivalent to an extra 30 pounds of weight!

The fat tissue around the belly, called abdominal or visceral fat, consists of immune-like cells that release pro-inflammatory cytokine molecules that result in body-wide inflammation. Extra weight around the midsection is linked to an increased risk of inflammatory diseases such as atherosclerosis (hardening and clogging of the arteries), heart attacks, diabetes, certain cancers, sleep apnea, arthritis, etc.

A healthy body controls the amount of inflammation it produces. Wellness is about maintaining “balance”, immune homeostasis. Balance one’s immune function and restore the proper and healthy balance of key systems that regulate the human body – metabolic, intestinal, hormonal, emotional, etc.–all mediated with the involvement of our immune systems.

An essential, simple step one can take to help the body regain immune and metabolic homeostasis and control weight, is to consume two or more servings/day of hyperimmune egg (http://www.HyperimmuneEgg.org ).

In addition, besides drinking less soda and other sugary beverages, incorporating the following steps will help achieve weight goals:
• Increase your physical activity-remember you have to use up more calories than you are consuming.
• Eat smaller portions then you typically consume.
• Increase intake of beans, nuts, lentils and colorful fruits and vegetables (berries, spinach, broccoli, etc.)
• Limit intake of:
Fast foods
Fried foods
Sugary desserts
Corn and potato processed products, (chips, nachos, French fries.)
White rice (use brown rice instead; it is higher in fiber and macronutrients)
Artificially-sweetened sodas and drinks—the body cannot tell the difference between “sweet”, and “sweet”

(1) http://www.cdc.gov/nchs/data/databriefs/db71.htm
(2) http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6023a2.htm?s_cid=mm6023a2_w

Rethink What You are Drinking: http://www.cdc.gov/healthyweight/healthy_eating/drinks.html

Aging and Rhinitis (Nasal Inflammation)

| Posted by in Aging | Immune Homeostasis (Immune Balance) | Infections and Inflammatory Responses - (Comments Off on Aging and Rhinitis (Nasal Inflammation))

Severe nasal reactions to medications, pollen, dander, foods, fragrances, and other environmental stimuli may occur as people age. These responses, often not a true allergic response, are termed vasomotor or nonallergic rhinitis (1), because they are not due to a typical “allergic” response.

Nonallergic rhinitis (“itis” as in inflammation) is associated with increased irritability, problems in focusing, sleep issues, and daytime sleepiness. Also individuals with rhinitis are at higher risk of getting asthma (2).

Hallmarks of nonallergic rhinitis include inflamed sinuses, drippy, congested nose, chronic sneezing or coughing. Nonallergic rhinitis is seen when inflammation occurs in the sinuses of the face, and the nasal membranes and blood vessels in the nose expand filling the lining of the nose with blood and fluids.

According to the Mayo Clinic specific triggers for nonallergic rhinitis also include (3):

Infections: Viral infections can result in nonallergic rhinitis due to postnasal drip and nasal discharge. Facial pain and sinusitis (inflammation and pressure in the sinus cavities of the face) may also be an unwelcome outcome.

Medications: Overuse of decongestant nasal sprays can cause rhinitis as can medications such as sedatives, beta blockers, antidepressants, oral contraceptives, erectile dysfunction drugs, blood pressure medications, aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs).

Environmental: Strong odors, such as perfumes or cleaning fluids, smoking, secondhand smoke, dust, can become a cause of nonallergic rhinitis.

Foods and beverages: Nonallergic rhinitis may occur when you eat, especially when eating hot or spicy foods. Drinking alcoholic beverages, such as beer and wine, also may cause the membranes inside your nose to swell, leading to nasal congestion.

Weather: Temperature or humidity changes can trigger the membranes inside your nose to swell and cause a runny or stuffy nose. Dr. Rohit Katial, Director of Adult Allergy and Immunology at National Jewish Health, Denver, CO states “Even cold air becomes more problematic as we get older” (1).

Stress and Exercise: Stress and exercise have been shown to induce inflamed sinuses.

Hormonal changes: Changes in hormones due to menstruation or pregnancy, or a autoimmune hormonal conditions.

The majority of inflammatory illnesses result from over production of pro-inflammatory (inflammation enhancing) cytokines, and other immune cellular factors. Our survival on earth depends on the ability of the body to rapidly generate appropriate inflammatory responses to “burn out” pathogens that threaten to destroy us.

The body must be able to modulate the amount of inflammation produced and decrease its intensity as the challenge is met. The key to health is immune homeostasis. We must generate enough of an inflammatory response to meet the threat, but in controlled amounts so that bystander tissues and organs are effected.

1) http://online.wsj.com/article/SB10001424053111903480904576510302458640840.html
2) http://emedicine.medscape.com/article/874171-overview
3) http://www.mayoclinic.com/health/nonallergic-rhinitis/DS00809/DSECTION=causes

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