Showing posts with label antioxidants. Show all posts
Showing posts with label antioxidants. Show all posts

Sunday, March 24, 2013

Green Tea Extract: EGCG & The Benefits It Has for Down Syndrome


EGCG, which stands for Epigallocatechin-3-gallate, is an extract from Green Tea. EGCG is the major polyphenolic compound found in green tea. Green Tea has been known to have lots of health benefits for awhile, but about two years ago it came to the attention of people in the Down syndrome world.

I’ve been watching it over the last couple years. But, when I saw some new research come out about EGCG a couple weeks ago, I decided it was time to jump on the bandwagon and start supplementing with EGCG. As usual though, I needed to have all my ducks in a row, so to speak, have all the research and facts lined up, so I can definitively know why we are using EGCG. Of course, this helps others as well, which is also why I’ve typed it all up.

Original research with EGCG that sparked the attention of those in the DS world was research for Alzheimer’s disease. Let’s look at some of this initial research to lay the groundwork.

EGCG prevents certain apoptotic (pre-programmed) cell death through inhibiting the elevation of Abeta (a protein involved with Alzheimer’s and also involved with DS) via inhibition of beta and gamma-secretases. This, therefore, reduces neuroinflammation that’s associated with the progression of Alzheimer’s disease (1). We also know that neuroinflammation is involved with DS.

Alzheimer’s Disease & Down syndrome have the increased amyloid-beta protein (Abeta), which causes plaques & tangles in the brain. The processes & increases which Abeta cause are reduced by EGCG. EGCG improves memory function, as well as reducing harmful levels of increased Abeta and its associated functions (2).

So, we have EGCG which prevents cell death, reduces the elevated levels of amyloid beta, reduces Beta Secretase expression, reduces APP (Amyloid Precursor Protein – overexpressed in DS) and reduces neuroinflammation. All of this will help improve neurogenesis. That’s all great stuff, but there’s still more amazing benefits to EGCG – specifically for Down syndrome.

There’s an annoying little gene that is over expressed in Down syndrome called – get ready for this long word - dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 1A, also known as DYRK1A. We’ll use the abbreviated word, since it’s a lot easier to say and remember! DYRK1A causes cognitive & learning impairments in DS and is highly involved in the neurodegenerative process in the Down syndrome brain (3-6). It also plays a role in the Alzheimer-like pathway that is seen in Down syndrome (3).
The good thing about DYRK1A is research has shown that it can be inhibited. If DYRK1A is inhibited, then the harmful effects of the gene won’t be able to function.  Remember, the over expressed aspect of this gene is what is the problem – not just the gene in and of itself.

EGCG is a safe DYRK1A inhibitor and there has been very successful research done in individuals with Down syndrome. The Jerome Lejeune Foundation has a program designed to research what will inhibit this gene. Professor Mara Dierssen, from the Jerome Lejeune Foundation, has had a very successful clinical trial (10) with individuals with Down syndrome using EGCG. Professor Dierssen is also now recruiting for a second clinical trial (11).

EGCG is also a GABA antagonist (7-9). An antagonist is a substance that acts within the body to reduce the physiological activity of another substance. Gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter.

Now that we have the definitions down, let’s get on to the problem with GABA. GABA is a good thing when it is not in excess, because it creates the perfect balance between neuronal excitation and inhibition to allow for efficient learning. But, there appears to be too much GABA-related inhibition in Down syndrome and therefore it “turns off” too many neurons in the brain and makes it more difficult to process information.

So, EGCG being a GABA antagonist, namely blocking the GABA(A) receptor (recombinant alpha1beta2gamma2L GABA(A) receptor), is a very beneficial thing for individuals with DS.  Having an antagonist which can reduce GABA, will greatly help the brain and learning in Down syndrome.

Mitochondrial dysfunction has been well established in Down syndrome. EGCG prevents oxidative deficit in the mitochondria, reduces oxidative stress and actually promotes mitochondrial biogenesis in Down syndrome (12).  This is amazing, because there has never before, to my knowledge, been a way to efficiently combat the mitochondrial dysfunction in Down syndrome.

EGCG is also an iron-chelator, which can be beneficial for individuals with DS, due to the oxidation issues that come with high levels of iron. Now, if an individual with DS already has low levels of iron, this would be something to keep in mind and monitor the iron levels while supplementing with EGCG.
So, to recap, EGCG helps improve memory, reduce the learning impairment seen in individuals with DS, reduce oxidative stress, is a potent antioxidant, promotes mitochondrial biogenesis, is a GABA antagonist, is an iron-chelator, inhibit DYRK1A, prevents cell death, reduces neuroinflammation, reduces Beta Secretase & APP expression, and causes a reduction in Abeta and the problems it causes.

With all this, one may ask, is there anything negative about EGCG? There is one thing to keep an eye on, but I wouldn’t necessarily call it a “negative.”

EGCG inhibits or reduces DHFR, which is an enzyme involved in the methylation and folate cycle. So, ultimately, it may reduce folate. We already know that folate is reduced in Down syndrome and many people use additional supplements to increase folate in Down syndrome. As long as a sufficient amount of folate or folinic acid is supplemented, I would not be too concerned about this aspect of EGCG. There are some other questions regarding DHFR and some genes that it is involved in regulating – whether it is good to stop that or not.

But, for now, look at all the benefits for EGCG above and think about all the problems which DYRK1A (and others) cause. The answer is simple for me, at the moment: Supplement with additional folate/folinic acid, or supplements to support the methylation cycle, as you are using EGCG.

Now, the question comes down to, what is the recommended dosage and what are the best brands.

The recommended dosage is 9mg/kg (kg=2.5lbs) of EGCG. This is the dosage that the clinical trials in Down syndrome are using. This is also the dosage that many parents are using with their children.

One important note on the dosage: that is NOT 9mg/kg of Green Tea. This is important to note, as most products will be Green Tea that you are giving. You will have to calculate the amount of EGCG in the product to give the correct amount. You will be giving more Green Tea, but the recommended dosage of 9mg/kg.

Because EGCG is still in the early stages of use and development, it can be a little tricky to get a brand that is bioavailable. A good brand of just EGCG is Teavigo. The problem with Teavigo is that it is not in a liposomal encapsulation (a fatty acid), to make it bioavailable enough to cross the blood-brain-barrier (which is where it is needed).

GreenSelect Phytosomes made by a company named Indena, has been found by some to be a good bioavailable form of EGCG. This has the phospholipid bound to it. There are several companies which use GreenSelect as their base. One example is VitaCost GreenSelect. Another example is Swanson's Ultra GreenSelect Green Tea Phytosome.

Another liposomal brand which some families use with their children is Enzymatic Therapy Green Tea Elite with EGCG. You can view it here and here.

We will be using the Swanson's Ultra GreenSelect Green Tea Phytosome, as is mentioned above. The cost is $14.99 for 60 capsules. Each capsule contains the following:

GreenSelect® Phytosome™
(green tea extract Camellia sinensis leaves/ Glycine max soybeans) -600 mg
Standardized to:  
19-25% polyphenols - 114-150 mg  
13% epigallocatechin 3-0 gallate (EGCG) - 78 mg
The dosage can be a little tricky with the GreenSelect Green Tea. VitaCost's GreenSelect Extract which is mentioned above contains the following per 1 capsule:
“Green Tea Extract (Camellia sinensis leaves/Glycine max soybeans) [standardized to 60% polyphenols 180mg, 40% epigallocatechin 3-0 gallate (EGCG) 120 mg]”
Originally we were going to use the VitaCost brand. But, Richard on the DSTNI list pointed out that VitaCost doesn't calculate the dosage accurately. Yes, it can be a little confusing. But, they miss the dosage part of the fatty acids in the mix. So, the dosage above for Swanson's GreenSelect is accurate and not as confusing. The VitaCost dosage is not accurate.

For a child that is O’s weight – 50 lbs – that would calculate out to 180mg/day of EGCG. With the Swanson GreenSelect EGCG, that would mean approximately 2 & 1/2 capsules. With the VitaCost brand, the dosage is almost doubled.

So, there’s a LONG explanation of why EGCG is good and everything that goes with it. I will keep notes of how O does on the EGCG and any changes we see.

*Note (Update 8/20/15): I realized that it is not mentioned about giving the child the 9mg/kg dosage of EGCG twice a day. That IS the recommended thing to do. It is best to give the 9mg/kg dosage TWICE a day, as then it is in child's body at all times. We do this with O. Some have had problems giving the dosage at night, because it has kept their child awake. Others have not had this problem. We have not experienced this problem at all.

References:
1. Brain Res. 2009 Jan 23;1250:164-74 (-)-Epigallocatechin-3-gallate prevents lipopolysaccharide-induced elevation of beta-amyloid generation and memory deficiency. Lee YK, Yuk DY, Lee JW, Lee SY, Ha TY, Oh KW, Yun YP, Hong JT.
2. Nutr. 2009 Oct;139(10):1987-93. Green tea (-)-epigallocatechin-3-gallate inhibits beta-amyloid-induced cognitive dysfunction through modification of secretase activity via inhibition of ERK and NF-kappaB pathways in mice. Lee JW, Lee YK, Ban JO, Ha TY, Yun YP, Han SB, Oh KW, Hong JT.
3. Ageing in Down Syndrome: DYRK1A As a Candidate Gene for Cognitive Decline
http://www.sciencedirect.com/science/article/pii/S2171974808700394
4. Dyrk1A Overexpression Inhibits Proliferation and Induces Premature Neuronal Differentiation of Neural Progenitor Cells. http://www.jneurosci.org/content/30/11/4004.full
5. DYRK1A in normal brain development and Down syndrome. http://www.nature.com/nrn/journal/v13/n12/fig_tab/nrn3314_F2.html 
6. Green Tea Polyphenols Rescue of Brain Defects Induced by Overexpression of DYRK1A http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0004606
7. http://sydney.edu.au/medicine/pharmacology/adrien-albert/images/pdfs/RefsPDFs/367.pdf 
8. Reducing GABAA α5 Receptor-Mediated Inhibition Rescues Functional and Neuromorphological Deficits in a Mouse Model of Down Syndrome. http://www.jneurosci.org/content/33/9/3953.full
9. Implications for treatment: GABAA receptors in aging, Down syndrome and Alzheimer's disease. http://www.ncbi.nlm.nih.gov/pubmed/21388375
10. http://clinicaltrials.gov/ct2/show/NCT01394796?term=EGCG+and+down+syndrome&rank=1
11. http://clinicaltrials.gov/ct2/show/NCT01699711?term=EGCG+and+down+syndrome&rank=2
12. Epigallocatechin-3-gallate prevents oxidative phosphorylation deficit and promotes mitochondrial biogenesis in human cells from subjects with Down's syndrome http://www.sciencedirect.com/science/article/pii/S092544391200302X
13.  A few helpful websites:
https://sites.google.com/site/superdownsyndrome/supplements/green-tea-extract
http://changingmindsaboutdownsyndrome.blogspot.com (search EGCG)
http://dsdaytoday.blogspot.com/2011/03/egcg-green-tea-extract.html
http://dstoner.net/Math_Science/Downs.html




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Wednesday, October 31, 2012

31 for 21: Oxidative Stress & Down Syndrome

Well, 31 for 21 is coming to a close. I didn't get nearly as many "in-depth" posts up as I may have liked. So, I'll just have to work on that over the next few months :).

Today, I wanted to share a study that came across a DS listserv the other day on Oxidative Stress and Down syndrome.

Oxidative Stress and Down Syndrome: A Route toward Alzheimer-Like Dementia

You can view the full text of the report here.

I wanted to point out a few quotes from the conclusion.

It's already a well established fact that there is increased oxidative stress in Down syndrome, just like this points out.

"Within the context of the reported findings discussed above, we hypothesize that trisomy affects gene/protein expression that results in increased OS conditions and impaired mitochondrial function. These alterations occur early in DS as demonstrated by studies performed on fetal brain and amniotic fluid from DS pregnancy and play an important  role in neurodegeneration."





This is true below and a lot of people may not realize it. It's not just that the overexpression of SOD1 causes increased oxidative stress. It also reduces levels of agents that would counter act that oxidative stress and lowers the antioxidant enzymes.
"OS conditions arise not only from overexpression of SOD1 but also as a consequence of low levels of reducing agents and antioxidant enzymes."
Just thought this was an interesting statement:
"It is now well accepted that OS contribute to neurodegeneration, but in the case of DS and AD, genetic similarities, due to the fact that some of the genes responsible for familial form of AD are encoded by Chr21, provide an interesting field of research for the comprehension of many yet unsolved issues."
This is exactly why targeted nutritional intervention is so entirely important for individuals with DS. We have to combat the low antioxidant levels in DS with plenty of antioxidants!
"Based on this notion, it is possible that using antioxidant nutrients to scavenge oxygen-derived free radicals may modulate some of the complications of DS. "



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Saturday, December 17, 2011

Using Evening Primrose Oil, Is it Good or Bad?

Evening Primrose Oil is commonly used as a vegetarian source for essential fatty acids (EFAs): omega 3's, omega 6's, gamma linoleic acid (GLA) & linoleic acid (LA). This used to be commonly be recommended by those in the supplementation world of DS, but then after more current research, the recommendation was reversed.

Dr. Leichtman used to recommend the use of EPO as well (as his website states, but that is out of date), but presently does not recommend it.

When we first started supplementing with TNI, Omega 3's, etc, I remember all the talk of how people used to use EPO and switched to another source. Recently I've been seeing a lot of families starting to use EPO again and it's raised questions and concerns in my mind. Because I recall there being a concern back in the day, but I couldn't remember the exact reason for why.

Well, because my research side of me wants to be informed, I looked up the use of EPO again.

It is true that there are benefits that EPO can give. Andi over at Down Syndrome: A Day to Day Guide shares some good info on her blog here. Since Andi has all the good info on EPO on her blog, I won't explain it all here :).

But, there are also risks involved with giving EPO. Omega 6's are essential fatty acids, but they must be given in moderation, as they can increase oxidative stress.

The two main fatty acids EPO converts to is GLA & LA. Both of these, but particularly, LA have been shown to induce oxidative stress & damage, as well as programmed cell death (apoptosis). While, certain amounts of LA and GLA can have some antioxidant states, they more commonly increase oxidative stress.

There is so much extra oxidative stress in people with Down syndrome due to the overexpressed genes on the 3rd chromosome. In DS, there is not enough antioxidants to battle this already highly oxidant state.

I am hesitant to supplement with a product that is known to increase oxidative stress, however mild it may be. While EPO isn't a very high pro-oxidant vegetable origin of omega 3's, it does still encourage a pro-oxidant state.

While there are no studies, as usual, on EPO in people with DS, you can see a couple studies here and here.

One quote from the discussion of the second study is below,

The possibility arose by in vitro experiments that a high intake of LA would increase oxidative stress in the body is supported by the results of our strictly controlled human experiment... ...although the intake of antioxidants and plasma levels of a-tocopherol of our subjects were well above recommendations.
Flax seeds that are freshly ground are a much better source of vegetarian omega-3's & 6's, but it is harder to quantify. EPO may be okay to give, if it is given in small amounts. I do not feel comfortable giving it at all, therefore we stick with fish oils for our essential fatty acids.



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Sunday, November 20, 2011

Why is Glutathione low when Cysteine is high?



A question that I have thought many times, and was also recently asked is, "Why is Glutathione low when Cysteine (a component which makes up Glutathione) is in excess in DS?"

It's a good question. And a hard one at that!

Bottom line - No one really understands it all the way. But, this is what is understood:

There is excess cysteine due to the overexpressed CBS gene. Then there is also the overexpressed SOD1 gene causing a 50% increase in oxidative stress/free radicals. This increase in oxidative stress seems to cause a decrease in Glutathione, as there are not enough antioxidants (Glutathione being one of them) to match the amount of oxidative stress and free radicals which are present.

One of the best studies on the topic is, Homocysteine Metabolism in Children with Down Syndrome: In Vitro Modulation. One quote from the abstract says,

Plasma levels of cystathionine and cysteine were significantly increased, consistent with an increase in CBS activity. Plasma glutathione levels were significantly reduced in the children with DS and may reflect an increase in oxidative stress due to the overexpression of the superoxide dismutase gene, also located on chromosome 21.
 Another good article on this topic is Steven Fowkes article from CERI, Antioxidant Intervention in Down's Syndrome. This article is a few years old (written in 1998), but it is still interesting.



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Friday, November 18, 2011

Supplementing with S.O.D - Is it Good or Bad?

One of my blog readers left a comment on a post mentioning that they give their daughter S.O.D (SuperOxide Dismutase) as a supplement. In the meantime, I have had email correspondance with them and discussed this topic, but I thought it would be helpful to share here as well.

SuperOxide Dismutase itself is sold as a vitamin supplement by a lot of companies. In and of itself, SOD is not bad. It is a powerful antioxidant. But, as with almost anything, too much SOD, causes lots of damage.

The gene for SOD is on the 21st chromosome and is 50% overexpressed in Down Syndrome because of the triplicated chromosome 21.

One example of the increased SOD can be seen in the study, Increased superoxide dismutase and Down's syndrome,

The enzyme superoxide dismutase (SOD) is a constitutive enzyme coded by a gene located in Chromosome 21 (21q22.1). Thus, the tissues from patients with trisomy 21 contain 50% more SOD activity.
This triplication causes an increase in the hydroxyl radical, which causes free radicals. Free radicals then turn into oxidative stress. Oxidative stress causes apoptosis (programmed cell death). 

Because of this, I would not supplement with S.O.D. because it IS in excess in DS.  And the excessive amounts are not helping people with DS, but actually causing many problems.

In Down Syndrome there are not enough antioxidants to combat the increase in oxidative stress, because the antioxidants are low. Zinc is low in DS, because of the overexpressed SOD gene. Glutathione is low because of the overexpressed Glutathione Peroxidase gene.

There are so many other good antioxidants that you can give people with DS, such as Zinc, Vitamin E, Glutathione, Blueberry, Curcumin, Coenzyme Q10,  etc, that I would not want to supplement with a source that is known to be overexpressed in DS.

Is the supplemental form of SOD the same as the form that is overexpressed in DS? I don't know, but personally, I wouldn’t want to risk it. SOD is overexpressed from the time the child is in the womb and throughout their whole life.


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Thursday, November 10, 2011

Study shows Low Melatonin in children with Down Syndrome

I thought this was an interesting study. I will bold the most important parts, so you don't have to read through it all to see the conclusion.

Although we do not, a lot of people supplement extra Melatonin to their children with DS to help with sleep. This study is interesting in light of that, as a lot of people with DS respond really well to Melatonin. I guess you could get two birds with one stone with this - help with sleep and help reduce oxidative stress.

J Pediatr Endocrinol Metab. 2010 Mar;23(3):277-82.
Melatonin and elimination of kynurenines in children with Down's syndrome.
Uberos J, Romero J, Molina-Carballo A, Muñoz-Hoyos A.
Source


Departamento de Pediatría, Facultad de Medicina, Universidad Granada, Granada, Spain. uberosfernandez@terra.es

Abstract

BACKGROUND:
Heightened activity of superoxide dimutase is an effect derived from the gene dose in the trisomy of Down's syndrome (DS), and has been related to the increased production of hydrogen peroxide and with greater lipid peroxidation. Many of the degenerative changes observed in patients with DS have been associated with the pathological effects of free radicals, and for this reason it is of interest to determine the levels present in these patients of powerful antioxidant molecules such as melatonin, and of metabolites with important neuroprotector and neurotoxic consequences such as those derived from the kynurenine pathway.

PATIENTS AND METHODS:
A study was made of 15 children with DS, together with a control group of 15 non-DS children, matched for age and sex, examined at the Hospital Costa del Sol, Marbella, Spain. Serum melatonin and serotonin were analyzed by RIA; urinary tryptophan metabolites (kynurenine pathway) were determined during periods of light and darkness (09.00-21.00 h and 21.00-9.00 h) by thin-layer chromatography.

RESULTS:
The mean values of serotonin and melatonin were found to be lower in the patients with DS, although the level of nocturnal secretion of melatonin was higher. Urinary excretion of kynurenine was lower in the patients with DS, although greater quantities of kynurenic acid and anthranilic acid were excreted.

CONCLUSIONS:
Patients with DS present levels of plasma melatonin and urinary kynurenine that are lower than the corresponding levels in the control population, together with higher values of kynurenic acid and anthranilic acid. These circumstances constitute an added risk to these patients of damage by free radicals.


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Thursday, October 27, 2011

31 for 21: Blueberry

I mentioned in a post a few weeks ago that we would be supplementing extra Blueberry. So, I thought I'd share some articles from Life Extension which goes over the benefits of Blueberry.

We use Swanson Vitamins Greenfoods Blueberry Extract.

I will paste one overview article from LEF here and link to a few others.

Blueberries: Colorful Protection for a Healthier Heart, Sharper Brain, and Cancer Defense

Blueberries: The World's Healthiest Food

Report: Blueberries


By Laurie Barclay, MD

Published scientific studies show that blueberries are packed with nutrients that not only improve cognitive function and delay neurological decline but also protect delicate brain structures against oxidative damage.

Rich in powerful polyphenol compounds, blueberries have been shown to uniquely protect the brain against noxious influences such as free radicals, radiation, inflammation, and excitotoxicity. Furthermore, blueberries may even reverse age-related deficits in cognitive and motor function. Scientists have noted that blueberry compounds are readily absorbed into the bloodstream, then cross into the brain where they influence regions involved in memory and motor function—suggesting therapeutic roles against Parkinson’s and Alzheimer’s.

In this report, we speak with some of the scientists at the forefront of this exciting area of research.
Blueberries: A Nutritional Powerhouse

Modern science has made much progress in discovering the benefits of specific compounds found in fruits and vegetables, such as vitamin C and resveratrol. Nutrient-dense “superplants” go a step further and are packed with complex blends of phytonutrients that work together to promote optimal health.
Blueberries: A Nutritional Powerhouse

One such “superfruit” is the blueberry, which contains a powerhouse of nutrients that may defend the body against the ravages of aging and disease. Blueberries are rich in polyphenols, of which some of the most beneficial are a class of flavonoids called anthocyanins, which give the berry its intense blue color.1 These remarkable compounds as well as proanthocyanidins, flavonols, and tannins, which are also found in blueberries, act not only as antioxidants,2 but have been shown in the laboratory to fight inflammation as well.

This dual effect gives anthocyanins the potential to fight cancer,3-6 cardiovascular disease,5 inflammation,7 and aging and degeneration of nerve cells.8,9

Oxidative stress and inflammation are thought to be common culprits not only in aging itself, but also in cardiovascular disease, Alzheimer’s disease, and other neurodegenerative diseases plaguing our graying population. Population studies suggest that consuming a diet high in antioxidants, such as those found in fruits and vegetables, may forestall the onset of Alzheimer’s disease and other dementias.10,11 Polyphenolic compounds found in blueberries can decrease the age-enhanced vulnerability to oxidative stress and inflammation. Compared with other fruits and vegetables, blueberries are among the highest in antioxidant capacity, or in their ability to scavenge harmful free radicals, as measured by the oxygen radical absorbance capacity (ORAC) test.12 Similarly, wild blueberries outpace other fruits such as cranberry, apple, and grapes in the cellular antioxidant activity assay, a newly developed, next-generation technology that measures antioxidant effects within the cells themselves.13
Alzheimer’s disease

Despite the undisputed advances made possible through a variety of drugs available to combat various diseases, drugs have powerful effects, some beneficial, some potentially harmful. The potential risks must be considered when prescribing or taking medications, especially for chronic diseases of aging in which treatment may be needed over the long term.

On the other hand, fruits and vegetables that are naturally found in our diet can be safely processed by the body without concern for possible side effects. Appropriate intervention with blueberries and their extracts may promote health and combat disease—without the risk of adverse complications common with powerful drugs.

A wealth of studies published in 2007 reveal that blueberries do just that. Animal studies have shown that pterostilbene, an active ingredient in blueberries, may specifically help to prevent colon cancer.14 Another constituent of blueberries—tannins—can kill disease-causing bacteria,15 while blueberry phenolics have a beneficial effect on bacteria in the colon, thereby reducing gastrointestinal inflammation.16 Further up-to-the-minute research shows that the antioxidant power of blueberries promotes eye health and protects against chromosomal damage,9 while anthocyanins found in berries may also improve the function of brain cells, with corresponding behavioral improvements.8
Blueberry Extract Protects Brain Cells From Injury

In an exciting study published recently, the National Institute of Aging looked at the effect of a blueberry-enriched diet in protection from brain injury in rats. 17 Young rats received a diet containing 2% blueberry extract, or a control diet, for at least eight weeks. Some of the rats were then given injections of kainic acid, a noxious chemical producing oxidative stress and overexcitability of nerve cells, into the hippocampus, a brain region involved in memory and learning.

Rats that received kainic acid injections clearly had impaired learning performance compared with control rats. However, those rats that had received the blueberry-supplemented diet before kainic acid injection had much less impairment than those that received the control diet. Even more amazingly, microscopic examination of brain tissue confirmed that rats receiving the control diet and kainic acid injections had significantly greater loss of brain cells than rats pretreated with the blueberry-supplemented diet.
Blueberry Extract Protects Brain Cells From Injury

Donald K. Ingram, PhD, from the Nutritional Neuroscience and Aging Laboratory, Pennington Biomedical Research Center, Louisiana State University System in Baton Rouge, who collaborated with the National Institute of Aging on this study told Life Extension, “Beyond the demonstrated antioxidant activity, blueberries appear to stimulate stress responses that protect cells [from] a great variety of injuries.” He added, “Evidence that blueberries could be helpful to the aging brain is derived from a variety of carefully conducted rodent studies showing improved performance of aged animals in behavioral tasks, as well as increased protection against various forms of brain injury relevant to human neurodegenerative disease.”

Dr. Ingram’s group took their findings one step further. They found that serum from the blood of rats fed the blueberry-enriched diet actually protected cells grown in the laboratory from death induced by hydrogen peroxide, a potent oxidative stressor that generates many free radicals. The researchers concluded that blueberry supplementation may protect against neurodegeneration and cognitive impairment caused by excitotoxicity and oxidative stress.17

“Given the epidemiological evidence that diets high in fruit and vegetable content, particularly those of dark color [may help protect against oxidative stress], consumption of blueberries could be highly recommended as part of a healthy diet,” Dr. Ingram said. “There is a great need now for systematic clinical trials to confirm the beneficial effects of blueberry consumption on a number of important health measures, including behavioral function as well as risk factors for age-related disease, such as cardiovascular disease and diabetes.”

Blueberry Extract May Prevent Age-Related Brain Impairment

The potential health benefits of eating blueberries and similar fruits, and the scientific evidence supporting this potential, were also highlighted recently at the 2nd International Symposium on Berry Health Benefits, held in June 2007 at Oregon State University in Corvallis.

One of the main presenters at this symposium was James A. Joseph, head of the Neuroscience Laboratory of the USDA-ARS Human Nutrition Research Center on Aging at Tufts University in Boston, MA.
Blueberry Extract May Prevent Age-Related Brain Impairment

His group sought to confirm whether blueberry supplementation promotes communication between nerve cells, and so theoretically reduces the risk of cognitive and motor impairments associated with aging. Using an animal model, Dr. Joseph’s group studied the effects of a blueberry-supplemented diet on movement and memory problems related to aging, as well as on the underlying chemical and physical changes in the brain.8

“We fed rats a diet containing blueberries, strawberries, or spinach (the equivalent of you eating a large spinach salad, or a cup of blueberries, or about a pint of strawberries) for eight months, beginning at about 19 months of age, at which time they’re starting to show signs of aging in cognitive and motor function,” Dr. Joseph told Life Extension. “We showed that these animals did better than the ones that were maintained on non-supplemented diets.”

Compared with the rats that received the control diet, the aging rats that received supplemented diets were much less likely to develop impairments in water maze performance and on other tests of memory, learning, and coordination, such as balancing on a narrow or spinning rod. What was even more exciting was that when aged rats that already had impairments on these tests were given blueberry extract, their performance improved or even returned to normal!8

“The blueberries were pretty good at blocking some of the effects of the oxidative stressors; in other words, they were fairly good scavengers of free radicals, [and] we also started looking at other mechanisms, and other potential benefits that they might have,” Dr. Joseph said. “We showed that neurogenesis—the growth of new neurons—is increased in these animals, which goes along with the behavioral improvements that we saw.”

Increased levels of a neuronal chemical known as extracellular signal-regulated kinase (ERK), which protects nerve cells, gave further proof of neurogenesis in the blueberry-supplemented animals. In fact, ERK has been shown to be crucial for a variety of memory tasks, making it uniquely poised to change the neuronal and behavioral effects of aging.

Not only is blueberry supplementation associated with growth of new nerve cells,18 but existing nerve cells are better able to communicate with one another through a process known as signal transduction. Levels of enzymes involved in signal transduction, such as GTPase and protective mitogen-activated protein (MAP) kinases, actually increased in the blueberry-supplemented animals.

This led the researchers to suggest that “nutritional interventions with high antioxidant fruits, such as berryfruits, may prove to be a valuable asset in strengthening the brain against the ravages of time and retard or prevent the development of age-related neurodegenerative diseases.”8

Not surprisingly, researchers in Dr. Joseph’s laboratory have confirmed that anthocyanins in blueberries are able to cross the blood-brain barrier of supplemented animals and localize in various brain regions important for learning and memory.19 Using mouse microglial cells (cells that nourish, protect, and enhance the function of brain cells) they also studied the mechanisms by which anthocyanins protect nerve cells and enhance their function.20

“The anthocyanins were localized in the brain, and the more different ones that were localized in the brain, the better the cognitive behavior was,” Dr. Joseph said. “We know that they are very good antioxidants, and very good anti-inflammatories. What we know from our work in mouse microglial cells is that these polyphenols can inhibit the stress pathways at several points involved in the inflammatory pathways, with reductions in inflammatory cytokines.”

This research suggests that blueberries produce antioxidant and anti-inflammatory effects by directly changing oxidative and inflammatory stress-signaling pathways. In the laboratory, blueberry extract prevented harmful biochemical changes associated with exposing microglia to an inflammatory substance.20
Blueberry Extract Protects Specific Brain Region From Injury

“In Alzheimer’s disease and in Parkinson’s disease, it’s postulated that these microglia become very overactivated and start to destroy the cells, functioning deleteriously instead of being beneficial to the brain,” Dr. Joseph explained. “When that happens, they can’t be activated and used for other purposes.”

Although injury and stress ordinarily activate the microglia to release substances that will protect nerve cells, pathological activation of microglia may aggravate the progressive damage associated not only with Alzheimer’s disease and Parkinson’s disease, but also with stroke, multiple sclerosis, and human immunodeficiency virus (HIV)- or AIDS-associated dementia.20,21

An interesting model system to study Alzheimer’s disease is the transgenic mouse that is genetically engineered to have variations in amyloid precursor protein (APP) and presenilin-1 (PS1), proteins that are important in producing the brain pathology characteristic of Alzheimer’s disease. Because of the APP mutation, transgenic mice have increased amounts of amyloid-beta, a protein fragment that makes up the “neuritic plaque,” which is the hallmark of this disorder. When transgenic mice were maintained on a blueberry-supplemented diet, the levels of two neuroprotective chemicals, extracellular signal-regulated kinase and protein kinase C, which are involved in learning and memory, were found to be increased.

Transgenic mice fed the blueberry-supplemented diet were also better able to navigate a maze than their counterparts fed a control diet, even though both groups of animals developed brain plaques. In transgenic mice, blueberry supplements appeared to enhance signaling at the level of the kinases, thereby increasing the sensitivity of brain receptors in the striatum that are involved in memory.8,22

Blueberry extract also reduced stress signaling caused by exposing brain cells from the hippocampus to the neurochemical dopamine or to amyloid-beta, the protein that accumulates in the brains of patients with Alzheimer’s disease.23

Blueberry Extract Protects Specific Brain Region From Injury

In collaboration with NASA at Brookhaven National Laboratory, Dr. Joseph’s group is studying a model system to help understand the injurious effects of radiation on the brain. Young rats exposed to about 150 rads of heavy particle radiation, of the type that astronauts are exposed to on long-term space flights, develop impairments in motor and cognitive function similar to those seen with aging.8,24

“If we pretreat these animals for eight weeks with a diet containing blueberries or strawberries, we find that we can block the effects of the radiation,” Dr. Joseph said. “What’s interesting is that on some behaviors, the strawberries work better, and, on other behaviors, the blueberries work better.”

Specifically, the proanthocyanins in blueberries seem to be drawn to the striatum, a brain structure controlling movement as well as certain memory tasks. The striatum is also one of the brain regions most affected by Parkinson’s disease.

In terms of whether there are actual brain regions where these polyphenols may have receptors, Dr. Joseph said, “If you think about it for a moment, why not—there are opioid receptors in the brain, caffeine receptors, and [marijuana] receptors. We haven’t isolated them yet, but we’re trying to tease out these mechanisms and see which may have the most effect as far as producing the beneficial properties of blueberries.”

If the proanthocyanins in blueberries have specific benefits within the striatum, it seems reasonable to assume that blueberry extract might nurture the predominant population of nerve cells located in the striatum, namely, neurons containing the neurotransmitter known as dopamine. Depletion of dopamine from the striatum is the biochemical basis underlying the rigidity, stiffness, and tremor seen in Parkinson’s disease.

In a rat model of Parkinson’s disease and its treatment,25 dopamine was depleted from the striatum, into which embryonic nerve cells containing dopamine were transplanted. Compared with control rats fed standard lab chow, those fed a diet containing 2% blueberry extract had significantly greater survival of transplanted nerve cells. These nerve cells also functioned well, as seen by better balance on a rotating rod test in the rats given blueberry extract than the controls.

“These findings provide support for the potential of dietary phytochemicals as an easily administered and well-tolerated therapy that can be used to improve the effectiveness of dopamine neuron replacement,” the authors wrote.25
What You Need to Know: Blueberries

    Compounds in blueberries known as flavonoids, especially the anthocyanins, have antioxidant and anti-inflammatory properties, giving them great potential to fight aging, Alzheimer’s disease, and other chronic ailments.

    Blueberries appear to protect cells from a wide range of injuries by exerting potent antioxidant and anti-inflammatory effects to directly change oxidative and inflammatory stress-signaling pathways.

    In animal studies, a blueberry-enriched diet has been shown to protect against loss of brain cells seen with different types of brain injury and aging, as well as against associated impairments in memory, learning, and coordination.

    Blueberry supplementation is also associated with growth of new nerve cells, and with better communication between existing nerve cells through the process known as signal transduction.

    Anthocyanins in blueberries enter the brains of supplemented animals, where they lodge in the striatum, a specific area controlling certain types of memory and motor function. The striatum is also predominantly involved in Parkinson’s disease.

    Population studies in humans suggest that diets high in fruit and vegetables—particularly those of dark color, such as blueberries—may protect against oxidative stress, Alzheimer’s disease, and other chronic conditions.

    Experts interviewed by Life Extension highly recommend consumption of blueberries as part of a healthy lifestyle program.

Human Studies With Blueberries

In human volunteers, studies have shown that polyphenols and antioxidants in blueberry juice are easily absorbed and result in increased blood levels.26

Testing blood samples of these volunteers showed that drinking a blueberry-apple juice cocktail for four weeks resulted in 20% protection against chemical damage to the DNA in white blood cells. Individuals with certain genetic variations were more likely than others to show this protective effect.

In other research, it is known that antioxidant capacity in the blood normally decreases after a heavy meal because metabolizing the food increases free radicals. However, studies in healthy volunteers have shown that eating blueberries increases the level of antioxidant capacity in the blood. Eating high-antioxidant foods, such as blueberries, with each meal as part of a healthy diet is therefore a tasty antidote to prevent periods of oxidative stress that ordinarily follow eating.12
Blueberries For Life

“If I told you to take a certain drug, or to have a certain procedure, without knowing whether or not it’s been tested fully in people and found not to be harmful, I’d be very remiss in doing that, but I have no trouble recommending that someone eat berries or add foods with a lot of antioxidants to their diet,” Dr. Joseph concluded. “There is a lot of data out there which suggests that people who eat a diet high in fruits and vegetables are less likely to develop some of the diseases that occur in aging. It’s like your mother said: eat your fruits and veggies—they’re good for you.” •

If you have any questions on the scientific content of this article, please call a Life Extension Health Advisor at 1-800-226-2370.
References

1. Nicoue EE, Savard S, Belkacemi K. Anthocyanins in wild blueberries of Quebec: extraction and identification. J Agric Food Chem. 2007 Jul 11;55(14):5626-35.

2. Srivastava A, Akoh CC, Fischer J, Krewer G. Effect of anthocyanin fractions from selected cultivars of Georgia-grown blueberries on apoptosis and phase II enzymes. J Agric Food Chem. 2007 Apr 18;55(8):3180-5.

3. Boivin D, Blanchette M, Barrette S, Moghrabi A, Beliveau R. Inhibition of cancer cell proliferation and suppression of TNF-induced activation of NFkappaB by edible berry juice. Anticancer Res. 2007 Mar;27(2):937-48.

4. Huang C, Zhang D, Li J, Tong Q, Stoner GD. Differential inhibition of UV-induced activation of NF kappa B and AP-1 by extracts from black raspberries, strawberries, and blueberries. Nutr Cancer. 2007;58(2):205-12.

5. Neto CC. Cranberry and blueberry: evidence for protective effects against cancer and vascular diseases. Mol Nutr Food Res. 2007 Jun;51(6):652-64.

6. Seeram NP, Adams LS, Zhang Y, et al. Blackberry, black raspberry, blueberry, cranberry, red raspberry, and strawberry extracts inhibit growth and stimulate apoptosis of human cancer cells in vitro. J Agric Food Chem. 2006 Dec 13;54(25):9329-39.

7. Torri E, Lemos M, Caliari V, et al. Anti-inflammatory and antinociceptive properties of blueberry extract (Vaccinium corymbosum). J Pharm Pharmacol. 2007 Apr;59(4):591-6.

8. Joseph JA, Shukitt-Hale B, Lau FC. Fruit polyphenols and their effects on neuronal signaling and behavior in senescence. Ann NY Acad Sci. 2007 Apr;1100:470-85.

9. Zafra-Stone S, Yasmin T, Bagchi M, et al. Berry anthocyanins as novel antioxidants in human health and disease prevention. Mol Nutr Food Res. 2007 Jun;51(6):675-83.

10. Dai Q, Borenstein AR, Wu Y, Jackson JC, Larson EB. Fruit and vegetable juices and Alzheimer’s disease: the Kame Project. Am J Med. 2006 Sep;119(9):751-9.

11. Lau FC, Shukitt-Hale B, Joseph JA. Nutritional intervention in brain aging: reducing the effects of inflammation and oxidative stress. Subcell Biochem. 2007;42:299-318.

12. Prior RL, Gu L, Wu X, et al. Plasma antioxidant capacity changes following a meal as a measure of the ability of a food to alter in vivo antioxidant status. J Am Coll Nutr. 2007 Apr;26(2):170-81.

13. Wolfe KL, Liu RH. Cellular antioxidant activity (CAA) assay for assessing antioxidants, foods, and dietary supplements. J Agric Food Chem. 2007 Oct 31;55(22):8896-907.

14. Suh N, Paul S, Hao X, et al. Pterostilbene, an active constituent of blueberries, suppresses aberrant crypt foci formation in the azoxymethane-induced colon carcinogenesis model in rats. Clin Cancer Res. 2007 Jan 1;13(1):350-5.

15. Heinonen M. Antioxidant activity and antimicrobial effect of berry phenolics—a Finnish perspective. Mol Nutr Food Res. 2007 Jun;51(6):684-91.

16. Russell WR, Labat A, Scobbie L, Duncan SH. Availability of blueberry phenolics for microbial metabolism in the colon and the potential inflammatory implications. Mol Nutr Food Res. 2007 Jun;51(6):726-31.

17. Duffy KB, Spangler EL, Devan BD, et al. A blueberry-enriched diet provides cellular protection against oxidative stress and reduces a kainate-induced learning impairment in rats. Neurobiol Aging. 2007 May 22; [Epub ahead of print].

18. Casadesus G, Shukitt-Hale B, Stellwagen HM, et al. Modulation of hippocampal plasticity and cognitive behavior by short-term blueberry supplementation in aged rats. Nutr Neurosci. 2004 Oct-Dec;7(5-6):309-16.

19. Andres-Lacueva C, Shukitt-Hale B, Galli RL, Jauregui O, Lamuela-Raventos RM, Joseph JA. Anthocyanins in aged blueberry-fed rats are found centrally and may enhance memory. Nutr Neurosci. 2005 Apr;8(2):111-20.

20. Lau FC, Bielinski DF, Joseph JA. Inhibitory effects of blueberry extract on the production of inflammatory mediators in lipopolysaccharide-activated BV2 microglia. J Neurosci Res. 2007 Apr;85(5):1010-7.

21. McGeer PL, McGeer EG. Inflammation and neurodegeneration in Parkinson’s disease. Parkinsonism Relat Disord. 2004 May;10 Suppl 1:S3-S7.

22. Joseph JA, Denisova NA, Arendash G, et al. Blueberry supplementation enhances signaling and prevents behavioral deficits in an Alzheimer disease model. Nutr Neurosci. 2003 Jun;6(3):153-62.

23. Joseph JA, Carey A, Brewer GJ, Lau FC, Fisher DR. Dopamine and Abeta-induced stress signaling and decrements in Ca2+ buffering in primary neonatal hippocampal cells are antagonized by blueberry extract. J Alzheimers Dis. 2007 Jul;11(4):433-46.

24. Shukitt-Hale B, Carey AN, Jenkins D, Rabin BM, Joseph JA. Beneficial effects of fruit extracts on neuronal function and behavior in a rodent model of accelerated aging. Neurobiol Aging. 2007 Aug;28(8):1187-94.

25. McGuire SO, Sortwell CE, Shukitt-Hale B, et al. Dietary supplementation with blueberry extract improves survival of transplanted dopamine neurons. Nutr Neurosci. 2006 Oct;9(5-6):251-8.

26. Wilms LC, Boots AW, de Boer VC, et al. Impact of multiple genetic polymorphisms on effects of a 4-week blueberry juice intervention on ex vivo induced lymphocytic DNA damage in human volunteers. Carcinogenesis. 2007 Aug;28(8):1800-6.



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Tuesday, October 25, 2011

31 for 21: Glutathione

Side note: There was a mis-link on the post from yesterday regarding the Down Syndrome awareness shirts. The correct link is on that post, but you can also order the shirts from here.

There was some recent discussion on the Einstein Syndrome list (I know I mention this list frequently, but it's such a beneficial list!) about Glutathione (GSH) and if it's beneficial or not.

Bottom line: Yes, it's very beneficial!

But, I'll get to more detailed information here :).

L-Glutathione is an amino acid, which is a tripeptide (made up from 3 other amino acids). It's also a potent antioxidant and helps with many different functions in the body.

One of the best articles I have ever read on Glutathione and it's many mechanisms is Glutathione: Systemic Protection Against Oxidative & Free Radical Damage, which you can view as a full text here.

Glutathione is essential in the body's antioxidant system. As one quote from the above study says,

Antioxidants are the body's premier resource for protection against the diverse free radical and other oxidative stressors to which it invariably becomes exposed. the antioxidant defense system is sophisticated and adaptive, and GSH is a central constituent of this system
 Another interesting quote,
The consequences of sustained GSH depletion are grim. As cellular GSH is depleted, first individual cells die in those areas most affected [my note: we have lots of cell death already going on in DS]. Then zones of tissue damage begin to appear; those tissues with the highest content of polyunsaturated lipids and/or the most meager antioxidant defenses are generally the most vulnerable. Localized free-radical damage [my note: which is an issue in DS, due to low antioxidant levels & high oxidative stress] spreads across the tissue in an ever-widening, self-propagating wave. If this spreading wave of tissue degeneration is to be halted, the antioxidant defenses must be augmented.
Because Glutathione is low in people with DS and because it plays such a vital role in the immune system, it's important for us to try to help raise the levels of Glutathione in the body. Nutrivene-D does have Glutathione in it.

But, there is one tricky thing with GSH.

It's not very easily absorbed, although it can be absorbed. The best form of GSH is Reduced L-Glutathione. There are also some other forms of GSH called Lipsomal GSH, sublingual GSH and I believe there is also a Glutathione patch that people in the Autism community use. All of the above forms are supposed to be absorbed pretty well.

Methylcobalamin B12 also has been shown to help raise Glutathione levels in a study done by Jill James.

Someone may wonder about using N-Acetyl-Cysteine (NAC) to raise Glutathione levels. If you do much research, you will see this mentioned when talking about ways to raise Glutathione. From the research I have done, NAC should not be used in Down Syndrome. It has been shown to increase oxidative stress in people with DS and it also appears that it can cause leaky gut. Neither of which are needed in anyone, let alone someone with DS who is already struggling with increased oxidative stress and possibly gut issues.

Finally, one more interesting note about Glutathione from the above study,
Many pharmaceutical products are oxidants capable of depleting GSH [my note: Glutathione] from the liver, kidneys, heart, and other tissues. The popular over-the-counter drug acetaminophen [my note: active ingredient in Tylenol] is a potent oxidant. It depletes GSH from the cells of the liver [my note: which is where GSH is made & stored], and by so doing renders the liver more vulnerable to toxic damage.
Some may say it doesn't really matter if a drug such as Tylenol is used, if it's used in moderation. If you are comfortable giving your child Tylenol at various times, that's fine. It may be necessary at some times. We do not give Tylenol to O because of the concern that it would deplete already low Glutathione levels. There's more info on GSH and the Acetaminophen issue here.


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