From: "Richard Padilla"
Newsgroups: alt.invest.real-estate.methods
Subject: Mona Vie helps to alleviate your
Date: Tue, 14 Mar 2006 04:33:06 GMT
Symptom Alleviations
Quieting a Body's Defenses
Researchers are linking inflammation to
an ever-wider array of chronic
illnesses. But treatments that block the
inflammatory response can backfire.
By Anne Underwood
Newsweek
Summer 2005 - A decade ago, the cause of
meta Kiss's heart attack might have been
written off as a medical mystery. The
59-year-old homemaker had never smoked,
weighed in at a slender 119 pounds and
had fabulous cholesterol readings, with
her good cholesterol actually surpassing
the bad. And there was no history of
heart disease in her family. So what put
her at risk for the heart attack she
suffered in 2000? To Eric Matteson, one
of her doctors at the Mayo Clinic, the
answer leapt right out. "She had
rheumatoid arthritis," he says.
If the two conditions sound unrelated,
that's because most of us are just now
awakening to the risks of chronic
inflammation. A decade ago, researchers
were blaming oxidative damage for
everything from cancer to heart disease.
Now chronic, low-grade inflammation is
seizing the spotlight. "Inflammation is
the evil twin of oxidation," says
neuroscientist James Joseph of Tufts
University. "Where you find one, you
find the other." That would include not
only such obvious inflammatory
conditions as asthma and rheumatoid
arthritis, but also ailments never
previously associated with
inflammation-such as atherosclerosis,
Alzheimer's disease, colon cancer and
diabetes. Suddenly medical puzzles seem
to be fitting together, such as why
hypertension puts patients at increased
risk of Alzheimer's, or why rheumatoid-
arthritis sufferers have higher rates of
sudden cardiac death. They're all
connected on some fundamental level-
which raises a tantalizing question. If
there are common threads in the
development of all these diseases, are
there common treatments? Drug companies
are eager to find out. But it's not as
simple as it seems.
If you can't live with inflammation, you
can't live without it, either.
Inflammation is a key component of the
immune system's defenses. If you cut
yourself, the body sends in a barrage of
microbe-fighting molecules (including
oxidants), and the wound becomes red,
hot and swollen. When the threat of
infection recedes, so does the
inflammation. But persistent insults
like cigarette smoke, excess cholesterol
and lingering infections can produce a
low-grade, chronic inflammation that
simmers on, like the low flame on the
back burner that we're unaware of until
the pot burns.
DIABETES-
Diabetes has emerged as a recent
example. The correlation between type 2
diabetes and obesity is so well
established that some researchers refer
to the two collectively as "diabesity."
Now we're starting to understand why
they're linked. When you gain weight,
fat cells grow more biochemically
active, churning out inflammatory
compounds. As obesity ratchets up
inflammation, inflammation in turn
promotes insulin resistance, a central
feature of diabetes and the so-called
metabolic syndrome that precedes it.
Just why inflammation leads to insulin
resistance is unclear. But Dr. Steven
Shoelson, associate director of research
at Joslin Diabetes Center, has bred a
strain of mice whose fat cells produce
exceptional levels of inflammatory
compounds like TNF-alpha, IL-1 and
resistin (as in insulin resistance). "We
reproduced the whole constellation of
metabolic syndrome in these mice," he
says, "just by inciting inflammation."
HEART DESEASE-
In addition to diabetes, heart disease
is a risk for people who are overweight.
Inflammation may be the common
denominator. "Inflammation is the alpha
and omega of atherosclerosis," says Dr.
Peter Libby, chief of cardiovascular
medicine at Brigham and Women's Hospital
in Boston. "It's there at every step of
the process." Plaque formation begins
when cholesterol gets stuck in arterial
walls and oxidizes, prompting the immune
system to attempt a cleanup. Although
inflammation is the body's attempt to
heal, it only encourages the formation
of bigger, more complicated plaques.
With luck, plaques will remain stable
for decades and cause no trouble. But
inflammatory chemicals can weaken the
fibrous cap that holds a plaque in
place. If it ruptures, fat spills into
the blood, where it collides with
clotting factors, producing a clot that
can block an artery and cause a heart
attack or stroke.
CANCER-
Even certain cancers are being linked to
inflammation. "People with chronic
inflammatory bowel diseases have
tremendously enhanced risk of colon
cancer," says Lisa Coussens, a cancer
biologist at the University of
California, San Francisco. Other
triggers of tumor-inducing inflammation
include cigarette smoke in the lungs,
persistent infections like hepatitis C
in the liver and chronic heartburn,
which repeatedly irritates the lining of
the esophagus with gastric acid.
Whatever the cause, says Coussens, the
result is a series of changes that can
set a cell on the road to malignancy.
These include oxidative damage to DNA,
the disabling of suicide mechanisms that
should cause an abnormal cell to self-
destruct, and the release of growth
factors that can make the abnormal cell
grow and divide.
INFLAMATION-
This knowledge is beginning to change
clinical approaches to treatment. For
example, doctors used to use bare wire-
mesh frames called stents to hold open
clogged arteries, but the blood vessels
routinely formed scar tissue over the
stents and often narrowed again. Now
doctors are achieving much better
success rates with stents that are
coated with anti-inflammatory drugs. And
they're starting to look beyond
cholesterol alone for the keys to
reducing heart attacks. Several large
trials suggest that those patients who
do best reduce both cholesterol and
inflammation. Statin drugs help many
patients reduce both, but future
treatments may target inflammation more
directly. Millennium Pharmaceuticals in
Cambridge, Mass., is working with an
experimental drug that blocks
macrophages, a type of inflammatory
immune cell, from moving out of the
bloodstream and into vessel walls and
other tissues.
But taming the immune system isn't as
simple as it sounds. As Libby explains,
there are three ways to go about it. You
can reduce the triggers that cause
inflammation. You can hamper the
cellular "master switches" that
orchestrate the body's inflammatory
response. Or you can knock out the
inflammatory chemicals-the "foot
soldiers," as Libby dubs them-that
actually produce the inflammation.
Here's the catch. If you turn down the
central switches too much, "you run the
untoward risk of secondary infections,"
says Dr. Mark Fishman, president of the
Novartis Institutes for BioMedical
Research. Tysabri, an immune-modulating
drug for multiple sclerosis, was
voluntarily withdrawn from the market
earlier this year after two patients
taking it with another medication called
Avonex developed an additional
neurodegenerative disease, this one
caused by a latent virus most of us
harbor. Scientists need a much more
detailed knowledge of how the various
parts of the immune system interact and
overlap, so they can develop key blood
tests to tell them just how much they're
turning down the system.
As for the foot soldiers, it turns out
that many of the body's inflammatory
chemicals also have beneficial
functions, like protecting the stomach
or guarding the lining of blood vessels
against clots. If you knock out
something that causes harm in one part
of the body, you may eliminate positive
effects elsewhere. Drugs like Vioxx and
Bextra are a case in point. By
inhibiting inflammatory Cox-2 enzymes,
they relieved pain, but also hampered a
compound that helps prevent dangerous
blood clots from forming in arteries. A
second problem with the foot soldiers is
that there are so many with overlapping
functions that eliminating a single one
doesn't necessarily help you. The drugs
Enbrel and Remicade fight rheumatoid
arthritis by targeting the inflammatory
compound TNF-alpha, but they do nothing
for congestive heart failure, which many
cardiologists believe is also an
inflammatory condition.
Instead of aiming at narrower and
narrower targets, some scientists are
doing the opposite and striving for
broader "immune modulation." One such
treatment, called Celecade, is now in
advanced testing for congestive heart
failure. Doctors withdraw a test tube of
the patient's blood and place it in a
machine that delivers bursts of UV
radiation for 10 to 15 minutes. The
radiation kills immune-system white
cells by triggering mechanisms of self-
destruction. The blood is then
reinjected into the patient's hip. As
the procedure is repeated during the
following weeks and months, the immune
system interprets the self- destruction
of white cells as a signal that the
danger is reduced and responds by
turning down systemic inflammation
across the board. "When I first saw this
data, I was intrigued but highly
skeptical," says cardiologist James
Young of the Cleveland Clinic
Foundation. Now that he has taken part
in trials, he's cautiously optimistic
that it will become a useful treatment.
W. R. Woofter, 59, of Berea, Ohio, is
one patient who's tried it. He's had
five heart attacks since 1968 and severe
congestive heart failure since 2002.
Since last August, he's been going for
monthly treatments. "I haven't
deteriorated any more," he says. "I've
been able to cut back on diuretic drugs
by a third and cut another medicine for
cardiac dysrhythmia by half." And he's
back to golfing. "I'm still taking
people's money," he says.
Medicine doesn't provide the only way to
beat inflammation. Exercise and weight
loss work to reduce inflammation in the
fat cells and liver. And a diet rich in
fruits, vegetables, whole grains and
omega-3 fatty acids tones down
inflammation overall.
The omega-3s are particularly important.
Found in coldwater fish like salmon,
sardines and mackerel, as well as
walnuts, flaxseed and dark leafy greens,
they form the building blocks of a
number of anti-inflammatory compounds in
the body. Dozens of studies have shown
that the omega-3s can help prevent heart
attacks and sudden cardiac death by
preventing arrhythmias, making blood
less likely to clot in arteries,
improving the balance of good and bad
cholesterol and limiting inflammation.
But the modern diet is generally
deficient in them. That's why a growing
number of doctors are recommending fish
-oil capsules.
A diet rich in fruits and vegetables
also helps. One anti-inflammatory
compound in food that has been studied
extensively is curcumin, the yellow
pigment in the curry spice turmeric.
Greg Cole, professor of medicine and
neurology at UCLA, has found that small
doses reduce TNF-alpha and IL-1. Larger
doses lead to a decrease in Cox-2
enzymes. But Cole considers curcumin a
far safer Cox-2 inhibitor than, say,
Vioxx. While drugs usually block a
single target molecule and reduce its
activity dramatically, he says, natural
anti-inflammatories, such as Monavie,
gently tweak a broader range of
inflammatory compounds. "You'll get
greater safety and efficacy reducing
five inflammatory mediators by 30
percent than reducing one by 100
percent," he notes.
The beauty of these lifestyle changes is
that they're so low tech, affordable and
effective. When patients with a
sedentary lifestyle and miserable diets
come into the office of cardiologist
Herbert Insel at New York University,
they invariably ask if he can help them.
"Sure," he replies. "But you can help
yourself better." We may all have it
within our grasp to reduce
inflammation-if we can just muster the
willpower.
Goto http://GotMonavie.net
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