Posts Tagged ‘oxidative stress’

A new and convenient biomarker for early insulin resistance

Wednesday, June 16th, 2010

PLoS OneElevated levels of insulin due to insulin resistance can do so much damage throughout the body long before the onset of type 2 diabetes that better tools for making the diagnosis early enough for lifestyle changes to have their maximum benefit are always welcome. This research article just published in PLoS One (Public Library of Science) validates the use of an ‘old friend’, α-hydroxybutyrate (α–HB, α = alpha), as a valuable warning sign in the non-diabetic population. The authors first note that…

“Current diagnostic tests, such as glycemic indicators, have limitations in the early detection of insulin resistant individuals. We searched for novel biomarkers identifying these at-risk subjects.”

The authors use of ‘random forest statistical analysis’ of 399 nondiabetic subjects (representing a broad spectrum of insulin sensitivity and glucose tolerance) selected α-hydroxybutyrate (α–HB) as the most accurate biochemical for detecting insulin resistance.

“α–HB also separated subjects with normal glucose tolerance from those with impaired fasting glycemia or impaired glucose tolerance independently of, and in an additive fashion to, insulin resistance. These associations were also independent of sex, age and BMI.”

Thus the authors conclude:

α–hydroxybutyrate is an early marker for both insulin resistance and impaired glucose regulation.

I have been testing α–HB for years as part of an organic acids panel because it is also an indicator of toxin-stimulated upregulation of detoxification pathways and glutathione demand. So it makes sense that the authors would also add:

The underlying biochemical mechanisms may involve increased lipid oxidation and oxidative stress.”

I’m looking at an organic acids report from the file of a patient with other signs of insulin resistance plus a recurrence of breast cancer and, sure enough, α–hydroxybutyrate is abnormally elevated.

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Two new studies again show benefits of coffee

Saturday, February 27th, 2010

American Journal of Clinical NutritionCoffee is in the science news again, with two interesting papers that document its benefits. Both were recently published in the American Journal of Clinical Nutrition. The first paper adds more evidence that drinking coffee reduces the risk of type 2 diabetes. The study involved 69,532 French women who were observed over an 11 year period. The authors report an “inverse association [diabetes]…for both regular and decaffeinated coffee and for filtered and black coffee, with no effect of sweetening. Total caffeine intake was also associated with a statistically significantly lower risk of diabetes. Neither tea nor chicory consumption was associated with diabetes risk.” Interestingly, the authors also noted that the observed benefit was particularly pronounced with coffee consumed at lunch. Their conclusion: “Our data support an inverse association between coffee consumption and diabetes and suggest that the time of drinking coffee plays a distinct role in glucose metabolism.”

Considering the importance of inflammation in chronic disease, the second paper is especially interesting in that it documents reductions in subclinical inflammation and oxidative stress as mechanisms by which coffee lowers the risk of type 2 diabetes. Noting that “Coffee consumption is associated with a decreased risk of type 2 diabetes,” the authors state that their “aim was to investigate the effects of daily coffee consumption on biomarkers of coffee intake, subclinical inflammation, oxidative stress, glucose, and lipid metabolism.” They observed a number of interesting effects, including beneficial lowering of the LDL/HDL ratio and IL-18, and an increase in adiponectin. Meanwhile, no adverse changes were seen on the oral glucose tolerance test. They conclude: “Coffee consumption appears to have beneficial effects on subclinical inflammation and HDL cholesterol, whereas no [adverse] changes in glucose metabolism were found in our study.”

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Low vitamin B6 associated with chronic inflammation

Thursday, February 11th, 2010

Am Journal Clin NutritionThis study just published in The American Journal of Clinical Nutrition adds further evidence to the importance of evaluating Vitamin B6 for chronic inflammation, cardiovascular and otherwise. As the authors state, “Low vitamin B-6 status has been linked to an increased risk of cardiovascular diseases. The cardioprotective effects of vitamin B-6 independent of homocysteine suggest that additional mechanisms may be involved.” Their data demonstrated a powerful link: “We measured plasma pyridoxal-5′-phosphate (PLP), C-reactive protein (CRP), and an oxidative DNA damage marker, urinary 8-hydroxydeoxyguanosine (8-OHdG)…There was a strong dose-response relation of plasma PLP concentration with plasma CRP. Increasing quartiles of PLP were significantly associated with lower CRP concentrations and with lower urinary 8-OHdG concentrations.” Of equal importance was their finding that Metabolic syndrome, obesity, and diabetes were also significantly associated with low plasma PLP concentrations.” It is important to note that they measured the  metabolically activated form of B6, not the one found in foods and most supplements. Many people have a genotype that does not allow them to accomplish this activation efficiently, which is why we supplement with the activated form when indicated.

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Dairy reduces inflammation and oxidative stress more than soy

Sunday, December 6th, 2009

This is a surprising paper just published in the American Journal of Clinical Nutrition. Don’t forget that allergy to casein (dairy protein) is a serious matter, but when that is not a factor note what the investigators found: “The dairy-supplemented diet resulted in significant suppression of oxidative stress and lower inflammatory markers and increased adiponectin, whereas the soy exerted no significant effect.” Just goes to show the importance of the scientific approach and an open mind. The authors conclude: “An increase in dairy food intake produces significant and substantial suppression of the oxidative and inflammatory stress associated with overweight and obesity.” The best dairy is from animals eating alpine grasses or forage rather than grain, whether cow, sheep or yak. [In fact, 'yak' refers to the male of the species; the milk-bearing female is the dru.]

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Phytochemical rich foods reduce weight gain and inflammation

Friday, November 6th, 2009

Phytochemicals occur naturally in plants, especially richly colored vegetables and fruits. This interesting study reports that a Phytochemical Index (PI), derived from the proportional amount of phytochemical-rich foods in the subjects’ diets, correlated with weight-gain, waist circumference, waist-to-hip ratio and plasma oxidative stress (linked to inflammation). “The PI score was a significant contributor to yearly weight gain.” This confirms an additional benefit from a diet whose carbohydrate portion is mainly from low-glycemic vegetables and fruits.

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Ginkgo biloba prevents mobile phone-induced brain oxidative damage

Tuesday, November 3rd, 2009

Not many people seem to be aware of this interesting study in which the investigators subjected brain tissue (of rats) to mobile phone EMR (electromagnetic radiation): “Since several experimental studies suggest a role of reactive oxygen species (ROS) in EMR-induced oxidative damage in tissues, in this study, we investigated the effect of Ginkgo biloba (Gb) on MP-induced oxidative damage in brain tissue of rats.” Interestingly, they found that the oxidative damage that occurred in the control (untreated) group did not occur with the group treated beforehand with Gingko. “Conclusion: Reactive oxygen species may play a role in the mechanism that has been proposed to explain the biological side effects of MP, and Gb prevents the MP-induced oxidative stress to preserve antioxidant enzymes activity in brain tissue.”

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