Categories:

Minimum amount of physical activity for reduced mortality and extended life expectancy

Also see:
Potential Adverse Cardiovascular Effects from Excessive Endurance Exercise

Lancet. 2011 Oct 1;378(9798):1244-53. Epub 2011 Aug 16.
Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study.
Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC, Chan HT, Tsao CK, Tsai SP, Wu X.
BACKGROUND:
The health benefits of leisure-time physical activity are well known, but whether less exercise than the recommended 150 min a week can have life expectancy benefits is unclear. We assessed the health benefits of a range of volumes of physical activity in a Taiwanese population.
METHODS:
In this prospective cohort study, 416,175 individuals (199,265 men and 216,910 women) participated in a standard medical screening programme in Taiwan between 1996 and 2008, with an average follow-up of 8·05 years (SD 4·21). On the basis of the amount of weekly exercise indicated in a self-administered questionnaire, participants were placed into one of five categories of exercise volumes: inactive, or low, medium, high, or very high activity. We calculated hazard ratios (HR) for mortality risks for every group compared with the inactive group, and calculated life expectancy for every group.
FINDINGS:
Compared with individuals in the inactive group, those in the low-volume activity group, who exercised for an average of 92 min per week (95% CI 71-112) or 15 min a day (SD 1·8), had a 14% reduced risk of all-cause mortality (0·86, 0·81-0·91), and had a 3 year longer life expectancy. Every additional 15 min of daily exercise beyond the minimum amount of 15 min a day further reduced all-cause mortality by 4% (95% CI 2·5-7·0) and all-cancer mortality by 1% (0·3-4·5). These benefits were applicable to all age groups and both sexes, and to those with cardiovascular disease risks. Individuals who were inactive had a 17% (HR 1·17, 95% CI 1·10-1·24) increased risk of mortality compared with individuals in the low-volume group.
INTERPRETATION:
15 min a day or 90 min a week of moderate-intensity exercise might be of benefit, even for individuals at risk of cardiovascular disease.
FUNDING:
Taiwan Department of Health Clinical Trial and Research Center of Excellence and National Health Research Institutes.

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Blue Light, Cytochrome Oxidase, and Eye Injury

Also see:
Glucocorticoids, Cytochrome Oxidase, and Metabolism
Fat Deficient Animals – Activity of Cytochrome Oxidase
Light is Right
10 Tips for Better Sleep Quality
Using Sunlight to Sustain Life
Red Light Improves Mental Function
Light as Medicine? Researchers explain how
Red Light and Near-Infrared Radiation: Powerful Healing Tools You’ve Never Heard of
Get a “Chicken Light” and Amp Up Your Energy!

The Therapeutic Effects of Red and Near-Infrared Light (2015)
The Therapeutic Effects of Red and Near-Infrared Light (2017)
The Benefits of Near Infrared Light
MECHANISMS OF LOW LEVEL LIGHT THERAPY

The Lowdown on Blue Light: Good vs. Bad, and Its Connection to AMD
Light exposure and kids’ weight: Is there a link?

Article:
Blue light has a dark side
Smartphone overuse may ‘damage’ eyes, say opticians
Digital eye strain worse for multitaskers, survey finds

Videos:
Eye Damage from Blue Light

Quote by Ray Peat, PhD:
“By the 1960s, several studies had been published showing the inhibition of respiratory enzymes by blue light, and their activation by red light.”

“Old observations such as Warburg’s, that visible light can restore the activity of the “respiratory pigments,” showed without doubt that visible light is biochemically active. By the 1960s, several studies had been published showing the inhibition of respiratory enzymes by blue light, and their activation by red light. The problem to be explained is why the science culture simply couldn’t accept crucial facts of that sort.”

“Red and orange wavelengths penetrate tissue very effectively, because of their tissues because of their weaker absorption of water, allowing them to react with pigments in the cell, such as cytochrome oxidase, which is activated (or re-activated) by red light, increasing production of ATP. This effect counteracts the toxic effects of ultraviolet light, but there are probably other mechanism involved in the many beneficial effects of red light.”

“Blue light is now known to be toxic to the eye, by activating the oxidation of polyunsaturated fatty acids; it has been known to be toxic to various cells, including plant cells, for more than 50 years. In the eye, blue light creates free radicals in melanin, which catalyze the oxidations.”

“Cytochrome oxidase is one of the enzymes damaged by stress and by blue light, and activated or restored by red light, thyroid, and progesterone. It’s a copper enzyme, so it’s likely to be damaged by excess iron. It is most active when it is associated with a mitochondrial lipid, cardiolipin, that contains saturated palmitic acid; the substitution of polyunsaturated fats lowers its activity. Mitochonrial function in general is poisoned by the unsaturated fats, especially arachidonic acid and DHA.”

“Red light is protective, blue light (or u.v.) is harmful, so wearing orange lenses would be helpful. Progesterone and pregnenolone, by reducing the stress reactions, should be helpful–in the eye diseases of infancy and old age, as they are in the respiratory distress syndromes.”

Graefes Arch Clin Exp Ophthalmol. 1993 Jul;231(7):416-23.
Inhibition of cytochrome oxidase and blue-light damage in rat retina.
Chen E.
The activity of cytochrome oxidase, outer nuclear layer thickness, and edema were quantitatively evaluated in the blue-light exposed rat retina. Dark-adapted or cyclic-light reared rats were exposed to blue light with a retinal dose of 380 kJ/m2. Immediately, 1, 2, and 3 day(s) after exposure, the retinas of six rats from each adaptation group were examined. There was no difference between the dark-adapted and cyclic-light reared rats. Immediately after light exposure, cytochrome oxidase activity decreased. The activity in the inner segments remained low at day 1, while severe edema was observed in the inner and outer segments. The outer nuclear layer thickness decreased 1-3 days after exposure. The blue-light exposure inhibited cytochrome oxidase activity and caused retinal injury. Similarity of the injury process in the dark-adapted and cyclic-light reared retinas suggests that rhodopsin was not involved. The inhibition of cytochrome oxidase could be a cause of retinal damage.

Acta Ophthalmol Suppl. 1993;(208):1-50.
Inhibition of enzymes by short-wave optical radiation and its effect on the retina.
Chen E.
Exposure to short-wave optical radiation is a potential hazard for vision. In the present study, blue-light damage is studied in rat retina. It was hypothesized that the absorption of blue light by cytochrome oxidase in rat retina inhibits this enzyme, and may reduce the retinal oxidative metabolism. Irreversible inhibition of the oxidative metabolism may decrease the activity of the Na/K-ATPase, hence redistribute ions, increase intracellular osmotic pressure and cause cellular edema. Severe retinal edema may be the cause of retinal degeneration…Blue light inhibited cytochrome oxidase at a retinal dose of about 110 kJ/m2. This inhibition was reversible, and is probably related to the light regulation of retinal metabolism. At a retinal dose of about 380 kJ/m2, the inhibition of cytochrome oxidase was followed consecutively by a probable redistribution of chlorine and potassium in the inner and outer segments, damage to the mitochondria in the inner segments, edema in the inner and outer segments, and progressive degeneration of photoreceptor cells. Dark adaptation did not increase the blue-light retinal injury. These findings support the hypothesis that inhibition of cytochrome oxidase is one of the causes of blue-light retinal damage. The alteration of enzyme kinetics after in vitro exposure to short-wave optical radiation was estimated using lactate dehydrogenase as a model. The ultraviolet-radiation exposure inhibited lactate dehydrogenase with a significant decrease in maximal velocity, while Michaelis constant remained unchanged.

Curr Eye Res. 1992 Sep;11(9):825-31.
Cytochrome oxidase activity in rat retina after exposure to 404 nm blue light.
Chen E, Söderberg PG, Lindström B.
Cytochrome oxidase (CYO), a key enzyme in the respiratory chain, was observed as an indicator of retinal metabolism after an in vivo blue light exposure. Thirty Sprague-Dawley rats were exposed to optic radiation of 404 nm with a retinal dose of 110kJ/m2. Immediately after exposure, the CYO activity in the pigment epithelium, in the outer and inner segments of photoreceptors, and in the outer plexiform layer of the exposed retina, was reduced to one-third-to-half of the control level. However, there was an increase in CYO activity in the exposed retina one day after exposure. One week after exposure, the CYO activity in the inner segment and the outer plexiform layer was higher, while the activity in the other two layers was lower, than that at one day, although still higher than in the control. Two weeks after exposure, the CYO activity in the four retinal layers returned to the level of the control retina, as did the activity four weeks after. After exposure, no ophthalmoscopically visible retinal change and no light-microscopically evident morphological alterations were found. There was no retinal edema or loss of photoreceptor cells. The observed alteration in CYO activity after blue light exposure may represent an inhibition of retinal metabolism. The inhibition was reversible. If this compensation mechanism is overwhelmed, retinal damage may occur.

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Estrogen and Liver Toxicity

Also see:
Estrogen, Endotoxin, and Alcohol-Induced Liver Injury
Alcohol Consumption – Estrogen and Progesterone In Women
How does estrogen enhance endotoxin toxicity? Let me count the ways.
PUFA and Liver Toxicity; Protection by Saturated Fats
Endotoxin: Poisoning from the Inside Out

“Many things in our environment are increasing the incidence of certain kinds of liver disease. The liver processes things that are ingested or that enter the blood stream after being inhaled or absorbed through the skin, so in a toxic environment it is susceptible to injury. If deprived of good nutrition or adequate thyroid hormone it is especially sensitive to toxins. The body’s own estrogen is a burden on the liver, causing women’s livers to be on average slower than men’s in processing environmental chemicals.

Almost any kind of toxin causes the liver to be less efficient at excreting other substances, including hormones. In malnutrition, sickness, and in aging, there is a tendency for higher levels of estrogen to remain circulating in the blood.” -Ray Peat, PhD

J Korean Med Sci. 1999 Jun;14(3):277-85.
The metabolic effects of estriol in female rat liver.
Yang JM, Kim SS, Kim JI, Ahn BM, Choi SW, Kim JK, Lee CD, Chung KW, Sun HS, Park DH, Thurman RG.
The effects of estriol on oxygen uptake, glucose release, lactate and pyruvate production, beta-hydroxybutyrate and acetoacetate production in perfused rat liver as well as, carbon uptake in rat liver and intracellular calcium in isolated Kupffer cells were investigated. Basal oxygen consumption of perfused liver increased significantly in estriol or ethanol-treated rats. But these increased effects were blocked by gadolinium chloride pretreatment. In a metabolic study, pretreatment with estriol resulted in a decrease in glucose production and in glycolysis while an increase in ketogenesis. A more oxidized redox state of the mitochondria was indicated by increased ratios of perfusate [lactate]/[pyruvate] and decreased ratios of perfusate [beta-hydroxybutyrate]/[acetoacetate]. Carbon uptake of Kupffer-cell increased significantly in estriol-treated rats. But these increased uptake were not shown in rats pre-treated by gadolinium chloride blocking phagocytosis. In isolated Kupffer cells from estriol-treated rats, intracellular calcium was more significantly increased after addition of lipopolysaccharide (LPS) than in controls. These findings suggest that the metabolic effects of estriol (two mg per 100 mg body wt) can be summarized to be highly toxic in rat liver, and these findings suggest that oral administration of estrogens may induce hepatic dysfunctions and play a role in the development of liver disease.

Estrogen makes the toxic-mediator-producing cells in the liver (Kupffer cells) hypersensitive to LPS–15 times more sensitive than normal (Ikejima, et al., 1998). One way estrogen increases the toxicity of endotoxin is probably by making the intestine more permeable (Enomoto, et al., 1999). -Ray Peat, PhD

Am J Physiol. 1998 Apr;274(4 Pt 1):G669-76.
Estrogen increases sensitivity of hepatic Kupffer cells to endotoxin.
Ikejima K, Enomoto N, Iimuro Y, Ikejima A, Fang D, Xu J, Forman DT, Brenner DA, Thurman RG.
The relationship among gender, lipopolysaccharide (LPS), and liver disease is complex. Accordingly, the effect of estrogen on activation of Kupffer cells by endotoxin was studied. All rats given estrogen intraperitoneally 24 h before an injection of a sublethal dose of LPS (5 mg/kg) died within 24 h, whereas none of the control rats died. Mortality was prevented totally by pretreatment with gadolinium chloride, a Kupffer cell toxicant. Peak serum tumor necrosis factor-alpha (TNF-alpha) values as well as TNF-alpha mRNA in the liver after LPS were twice as high in the estrogen-treated group as in the untreated controls. Plasma nitrite levels and inducible nitric oxide synthase in the liver were also elevated significantly in estrogen-treated rats 6 h after LPS. Furthermore, Kupffer cells isolated from estrogen-treated rats produced about twice as much TNF-alpha and nitrite as controls did in response to LPS. In addition, Kupffer cells from estrogen-treated rats required 15-fold lower amounts of LPS to increase intracellular Ca2+ than controls did, and Kupffer cells from estrogen-treated animals expressed more CD14, the receptor for LPS/LPS binding protein, than controls. Moreover, estrogen treatment increased LPS binding protein mRNA dramatically in liver in 6-24 h. It is concluded that estrogen treatment in vivo sensitizes Kupffer cells to LPS, leading to increased toxic mediator production by the liver.

Am J Physiol. 1999 Sep;277(3 Pt 1):G671-7.
Estriol sensitizes rat Kupffer cells via gut-derived endotoxin.
Enomoto N, Yamashina S, Schemmer P, Rivera CA, Bradford BU, Enomoto A, Brenner DA, Thurman RG.
The relationship between gender and alcohol-induced liver disease is complex; however, endotoxin is most likely involved. Recently, it was reported that estriol activated Kupffer cells by upregulation of the endotoxin receptor CD14. Therefore, the purpose of this work was to study how estriol sensitizes Kupffer cells. Rats were given estriol (20 mg/kg ip), and Kupffer cells were isolated 24 h later. After addition of lipopolysaccharide (LPS), intracellular Ca2+ concentration was measured using a microspectrofluorometer with the fluorescent indicator fura 2, and tumor necrosis factor-alpha was measured by ELISA. CD14 was evaluated by Western analysis. One-half of the rats given estriol intraperitoneally 24 h before an injection of a sublethal dose of LPS (5 mg/kg) died within 24 h, whereas none of the control rats died. Mortality was prevented totally by sterilization of the gut with antibiotics. A similar pattern was obtained with liver histology and serum transaminases. Translocation of horseradish peroxidase was increased about threefold in gut segments by treatment with estriol. This increase was not altered by treatment with nonabsorbable antibiotics. On the other hand, endotoxin levels were increased to 60-70 pg/ml in plasma of rats treated with estriol. As expected, this increase was prevented (<20 pg/ml) by antibiotics. In isolated Kupffer cells, LPS-induced increases in intracellular Ca2+ concentration, tumor necrosis factor-alpha production, and CD14 were increased, as previously reported. All these phenomena were blocked by antibiotics. Therefore, it is concluded that estriol treatment in vivo sensitizes Kupffer cells to LPS via mechanisms dependent on increases in CD14. This is most likely due to elevated portal blood endotoxin caused by increased gut permeability.

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Estrogen Related to Loss of Fat Free Mass with Aging

Also See:
Fat Tissue and Aging – Increased Estrogen
Estrogen Levels Increase with Age
Resistance Training Limits Age-Related Muscle & Strength Loss

A recent study (Toth, et al., 2000) shows that, at least in women, estrogen is closely associated with the general loss of fat-free tissue with aging. This shows a close association between the generalized atrophy of aging and the amount of estrogen in the tissues. -Ray Peat, PhD

“Muscle physiologists and endocrine physiologists know that fatigue, stress and excess estrogen can cause the tissues to swell hugely, increasing their weight and water content without increasing their protein content.

As soon as cheap synthetic estrogens, such as DES, became available in the 1940s, their use in animals was promoted because it was clear that they caused massive water retention. Women who suffer from hyperestrogenism always have a problem with water retention, but they have never been known to suffer from over-developed skeletal muscles. In fact, in humans of both sexes, an excess of estrogen has been commonly associated with sarcopenia, muscular dystrophy, and atrophy of the skeletal muscles. Similar observations have been made in a variety of animals. Meat scientists are the only people I know of who have ever referred to estrogen as an anabolic steroid, in the sense of “building muscle.” -Ray Peat, PhD

J Clin Endocrinol Metab. 2000 Apr;85(4):1382-7.
Regulation of protein metabolism in middle-aged, premenopausal women: roles of adiposity and estradiol.
Toth MJ, Tchernof A, Rosen CJ, Matthews DE, Poehlman ET.
The age-related loss of fat-free mass (FFM) is accelerated in women during the middle-age years and continues at an increased rate throughout the postmenopausal period. Because protein is the primary structural component of fat-free tissue, changes in FFM are largely due to alterations in protein metabolism. Knowledge of the hormonal and physiological correlates of protein metabolism in middle-aged women, therefore, has important implications for understanding the mechanisms underlying changes in FFM. We measured leucine kinetics (expressed relative to FFM: micromol/kg FFM/h) in 46 middle-aged, premenopausal women (mean +/- SD, 47 +/- 3 yr) after an overnight fast (i.e. basal) and during euglycemic hyperinsulinemia (40 mU/m2/min) using a 5.5-h infusion of [1-13C]leucine. Additionally, we measured insulin-stimulated glucose disposal by euglycemic hyperinsulinemic clamp, body composition by dual energy x-ray absorptiometry, abdominal fat distribution by computed tomography, and hormone levels by RIA as possible correlates of protein metabolism. Under basal conditions, stepwise regression analysis showed that leucine appearance (i.e. protein breakdown) was related to percent body fat and serum estradiol (r2 = 40%; P < 0.01), and leucine oxidation was related to serum estradiol and percent body fat (r2 = 26%; P < 0.05). Under euglycemic hyperinsulinemic conditions, no variables correlated with the percent change in leucine appearance. The percent change in leucine oxidation was related to intraabdominal adipose tissue area and glucose disposal rate (r2 = 48%; P < 0.01). Correlates and r2 values for nonoxidative leucine disposal (i.e. protein synthesis) under basal and euglycemic hyperinsulinemic conditions were similar to those observed for leucine appearance. From these results, we conclude that adiposity and/or serum estradiol may contribute to the regulation of protein metabolism and FFM in middle-aged, premenopausal women.

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Carrageenan: A pseudo-latex allergy

Also see:
Carrageenan, Inflammation, Cancer, Immunity
Plant Toxins in Response to Stress

Doubts surface about safety of common food additive, carrageenan
Carrageenan: How a “Natural” Food Additive is Making Us Sick

J Allergy Clin Immunol. 1995 May;95(5 Pt 1):933-6.
Anaphylaxis to carrageenan: a pseudo-latex allergy.
Tarlo SM, Dolovich J, Listgarten C.
Source
Toronto Hospital, Western Division, Ontario, Canada.
Abstract
BACKGROUND:
Anaphylactic reactions during a barium enema have been attributed to allergy to latex on the barium enema device. The observation of anaphylaxis during barium enema without latex exposure or latex allergy led to the performance of an allergy skin test to the barium enema solution.
METHODS:
Individual components of the barium enema solution were obtained for double-blind skin testing. A RAST to identify specific IgE antibodies to the skin test active agent was established.
RESULTS:
Carrageenan, a component of the barium enema solution, produced positive reactions to allergy skin test and RAST. Gastrointestinal symptoms for which the patient was being investigated by the barium enema subsequently disappeared with a diet free of carrageenan.
CONCLUSIONS:
Carrageenan is a previously unreported cause of anaphylaxis during barium enema. It is an allergen widely distributed in common foods and potentially could account for some symptoms related to milk products or baby formula.

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Potential Adverse Cardiovascular Effects from Excessive Endurance Exercise

Also see:
The Exercise Equivalent of a Cheeseburger? New Research Says Endurance Running May Damage Health
Can Endurance Sports Really Cause Harm? The Lipopolysaccharides of Endotoxemia and Their Effect on the Heart
Exercise Induced Stress
Exercise and Effect on Thyroid Hormone
Exercise Induced Menstrual Disorders
Ray Peat, PhD: Quotes Relating to Exercise
Ray Peat, PhD and Concentric Exercise
Running on Empty


https://www.youtube.com/watch?v=jp_zviTtIQk

Dr. James O’Keefe, Clinical Cardiologist from Saint Luke’s Mid America Heart Institute in Kansas City, Missouri, describes the risks and benefits of extreme endurance exercise, emphasizing the importance of moderation.

One Running Shoe in the Grave: New Studies on Older Endurance Athletes Suggest the Fittest Reap Few Health Benefits from The Wall Street Journal
Excessive Endurance Training Can Be Too Much of a Good Thing, Research Suggests from Science Daily

Mayo Clin Proc. 2012 Jun;87(6):587-95. doi: 10.1016/j.mayocp.2012.04.005.
Potential adverse cardiovascular effects from excessive endurance exercise.
O’Keefe JH, Patil HR, Lavie CJ, Magalski A, Vogel RA, McCullough PA.
A routine of regular exercise is highly effective for prevention and treatment of many common chronic diseases and improves cardiovascular (CV) health and longevity. However, long-term excessive endurance exercise may induce pathologic structural remodeling of the heart and large arteries. Emerging data suggest that chronic training for and competing in extreme endurance events such as marathons, ultramarathons, ironman distance triathlons, and very long distance bicycle races, can cause transient acute volume overload of the atria and right ventricle, with transient reductions in right ventricular ejection fraction and elevations of cardiac biomarkers, all of which return to normal within 1 week. Over months to years of repetitive injury, this process, in some individuals, may lead to patchy myocardial fibrosis, particularly in the atria, interventricular septum, and right ventricle, creating a substrate for atrial and ventricular arrhythmias. Additionally, long-term excessive sustained exercise may be associated with coronary artery calcification, diastolic dysfunction, and large-artery wall stiffening. However, this concept is still hypothetical and there is some inconsistency in the reported findings. Furthermore, lifelong vigorous exercisers generally have low mortality rates and excellent functional capacity. Notwithstanding, the hypothesis that long-term excessive endurance exercise may induce adverse CV remodeling warrants further investigation to identify at-risk individuals and formulate physical fitness regimens for conferring optimal CV health and longevity.

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Ray Peat and Bud Weiss: The Biology of Carbon Dioxide (October 9, 2010)

Also see:
Master List – Ray Peat, PhD Interviews

https://www.youtube.com/watch?v=AZkGxrntmTE

In this video, Dr. Ray Peat discusses his alternative views on carbon dioxide as it relates to Biology. In his view, the health of the organism is governed by the stability and coherent functioning of its cells and tissues. Carbon dioxide, through a variety of biochemical reactions, is one of the chief agents of this stability. Rather than being a toxic metabolic afterthought, it is integral to health, emotional wellbeing and longevity.
Dr. Peat started his scientific career in the 70’s with Dr. Soderwall at the University of Oregon. He is a doctor of Biology who specializes in the physiology of organisms, with an emphasis on the energy and structure of living systems.

His notable influences cited in the video include: Dr. Gilbert Ling, William Koch, Albert Szent-Gyorgyi, Otto Warburg and Hans Selye. Other people mentioned include Swedenborg, J.C. Bose, William Blake, S.W. Stromp and Mae-Won Ho.

Ray Peat’s work may be found at his website, www.raypeat.com

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Plant Toxins in Response to Stress

Also see:
Toxic Plant Estrogens
Carrageenan: A pseudo-latex allergy

Some plants have specific “pests,” such as insects, that have adapted to be resistant to that plant’s toxins, but if the plant and its predator are to survive, there has to be a balance between the plant tissue’s digestibility and its toxicity. Injury of a plant stimulates it to make increased amounts of its defensive chemicals. -Ray Peat, PhD

Science. 1972 May 5;176(4034):512-4.
Toxic substances in plants and the food habits of early man.
Leopold AC, Ardrey R.
The widespread occurrence of toxic substances in plants must have greatly restricted their usefulness as food for primitive man. The development of cooking of plant products is suggested to have been a major evolutionary advance, making a major increase in the vegetable materials palatable to man; this technical advantage apparently occurred only in the most recent 2 percent of the anthropological record.

I think far too little attention is being given to the effects of abnormal and stressful growth conditions on the plants’ natural defense systems. Plants normally synthesize some toxins and inhibitors of digestive enzymes to discourage attacks by bacteria, fungi, insects, and other predators. When a plant is injured or otherwise stressed, it produces more of the defensive substances, and very often they communicate their stress to other plants, and the resulting physiological changes can cause changes in seeds that affect the resistance of the progeny. (Agrawal, 2001). -Ray Peat, PhD in “Milk in context: allergies, ecology, and some myths”

Am Nat. 2001 May;157(5):555-69.
Transgenerational consequences of plant responses to herbivory: an adaptive maternal effect?
Agrawal AA.
Herbivory has many effects on plants, ranging from shifts in primary processes such as photosynthesis, growth, and phenology to effects on defense against subsequent herbivores and other species interactions. In this study, I investigated the effects of herbivory on seed and seedling characteristics of several families of wild radish (Raphanus raphanistrum) to test the hypothesis that herbivory may affect the quality of offspring and the resistance of offspring to plant parasites. Transgenerational effects of herbivory may represent adaptive maternal effects or factors that constrain or amplify natural selection on progeny. Caterpillar (Pieris rapae) herbivory to greenhouse-grown plants caused plants in some families to produce smaller seeds and those in other families to produce larger seeds compared with undamaged controls. Seed mass was positively associated with probability of emergence in the field. The number of setose trichomes, a putative plant defense, was higher in the progeny of damaged plants in some families and lower in the progeny of damaged plants in other families. In a field experiment, plant families varied in their resistance to several herbivores and pathogens as well as in growth rate and time to flowering. Seeds from damaged parent plants were more likely to become infested with a plant virus. Although herbivory on maternal plants did not directly affect interactions of offspring with other plant parasites, seed mass influenced plant resistance to several attackers. Thus, herbivory affected seed characters, which mediated interactions between plants and their parasites. Finally, irrespective of seed mass, herbivory on maternal plants influenced components of progeny fitness, which was dependent on plant family. Natural selection may act on plant responses to herbivory that affect seedling-parasite interactions and, ultimately, fitness.

“One of many substances produced by plants in response to injury is chitinase, an enzyme that breaks down chitin, a polysaccharide that is a structural component of fungi and insects. Chitinase, which is produced by bacteria and humans, as well as by plants and other organisms, is involved in developmental processes as well as in the innate immune system. In plants, the enzyme is induced by ethylene and salicylate, in animals by estrogen, light damage, and infections, and can be demonstrated in polyps and cancers.

 

The two main classes of plant allergens are the stress-induced chitinases, and seed storage proteins, such as gluten. The chitinase allergens are responsible for reactions to latex (which is secreted by rubber trees in reaction to a wound), bananas, avocados, many other fruits and vegetables, and some types of wood and other plant materials. Intensive agricultural methods are increasing the formation of the defensive chemicals, and the industrialized crops are responsible for the great majority of the new allergies that have appeared in the last 30 years.” -Ray Peat, PhD in “Milk in context: allergies, ecology, and some myths”

Kokuritsu Iyakuhin Shokuhin Eisei Kenkyusho Hokoku. 1998;(116):46-62.
[Plant defense-related proteins as latex allergens].
[Article in Japanese]
Yagami T.
Immediate-type allergic reactions to latex products made from natural rubber are called latex allergy. One of the notable features of latex-allergic people is their cross-reactivity to various vegetable foods and pollen. The structurally similar proteins which most kinds of plants potentially induce must be responsible for these cross-reactions. However, the taxonomical dissimilarity among the causative plants has kept us from concrete explanations of such cross-reactive allergens. We have speculated that plant defense-related proteins are a possible cause of the latex allergy. The well-known serologic relationships and sequence similarities of these ubiquitous plant proteins can explain the cross-reactivity without difficulty. Rubber trees cultured in plantation farms are repeatedly tapped and treated with phytohormones. These stresses would result in the significant induction of defense-related proteins. Indeed, we were able to detect defense-related enzymes in latex extracts. Moreover, three hydrolytic enzymes (beta-1,3-glucanase, chitinase/lysozyme, and carboxylesterase) that are very likely to take a defensive role were specifically recognized by the IgE antibodies of latex-allergic people and atopic patients. These experimental results strongly support our hypothesis. Because of their conserved structures, defense-related proteins should form a family of plant pan-allergens.

Clin Exp Allergy. 1999 May;29(5):673-80.
Isolation and characterization of major banana allergens: identification as fruit class I chitinases.
Sanchez-Monge R, Blanco C, Díaz-Perales A, Collada C, Carrillo T, Aragoncillo C, Salcedo G.
BACKGROUND:
Banana allergy has been associated with the latex-fruit syndrome. Several IgE-binding components, the relevant ones being proteins of 30-37-kDa, have been detected in banana fruit, but none of them have been isolated and characterized yet. Objective To purify and characterize the 30-37 kDa banana allergens.
METHODS:
Fifteen patients allergic to banana were selected on the grounds of a latex-allergic population. Prick by prick tests to this fruit were performed. Total and specific IgE to banana were determined. Banana allergens were isolated by affinity chromatography, followed by cation-exchange chromatography. Their characterization includes N-terminal sequencing, enzymatic activity assays, immunodetection with sera from allergic patients and with antichitinase antibodies, and CAP and immunoblot inhibition tests. Skin prick tests with banana extracts and with the purified allergens were also carried out.
RESULTS:
Two major IgE-binding proteins of 34 and 32 kDa, also recognized by polyclonal antibodies against chestnut chitinases, were immunodetected in crude banana extracts. Purification and characterization of both proteins have allowed their identification as class I chitinases with an hevein-like domain. Each isolated allergen reached inhibition values higher than 90% in CAP inhibition assays, and fully inhibited the IgE-binding by the crude banana extract when tested by an immunoblot inhibition method. The two purified allergens provoked positive skin prick test responses in more than 50% of the banana-allergic patients.
CONCLUSIONS:
Class I chitinases with an hevein-like domain are major allergens in banana fruit. Their presence in other fruits and nuts, such as avocado and chestnut, could explain the cross-sensitization among these foods.

J Allergy Clin Immunol. 1998 Mar;101(3):379-85.
Plant defense-related enzymes as latex antigens.
Yagami T, Sato M, Nakamura A, Komiyama T, Kitagawa K, Akasawa A, Ikezawa Z.
BACKGROUND:
Latex allergy is an increasing hazard to people who frequently come into contact with latex products. Of interest concerning this immediate-type allergy is the cross-reactivity to various vegetable foods and pollen. Despite its high prevalence, no adequate explanation has been provided for the cross-reactive antigens.
OBJECTIVE:
We have hypothesized that a series of plant defense-related proteins act as latex allergens, as well as vegetable food allergens. To evaluate this hypothesis, hydrolytic enzymes that are very likely to take on defensive roles in rubber trees were examined for their antigenicity.
METHODS:
By applying chromatographic procedures, defense-related enzymes were separated from nonammoniated latex (NAL). Their antigenicity was examined by immunoblotting and ELISA with sera containing IgE antibodies to crude latex proteins.
RESULTS:
Three kinds of hydrolytic enzymes (basic beta-1,3-glucanases [35, 36.5, and 38 kd], a basic chitinase/lysozyme [29.5 kd], and an acidic esterase [44 kd]) were separated from NAL. They were recognized by IgE antibodies from a significant number of patients allergic to latex. The basic beta-1,3-glucanases and the acidic esterase were also strongly recognized by IgE antibodies from several atopic subjects who were allergic to various vegetable foods rather than latex products.
CONCLUSION:
It was ascertained that the three defense-related enzymes separated from NAL constituted part of the latex antigens. Taking together the well-known serologic or immunologic relationships and amino acid sequence similarities of defense-related proteins coming from phylogenetically distant plant species, we can suspect their universal antigenicity and cross-reactivity.

Clin Exp Allergy. 2002 Mar;32(3):455-62.
Cloning and molecular characterization of the Hevea brasiliensis allergen Hev b 11, a class I chitinase.
O’Riordain G, Radauer C, Hoffmann-Sommergruber K, Adhami F, Peterbauer CK, Blanco C, Godnic-Cvar J, Scheiner O, Ebner C, Breiteneder H.
BACKGROUND:
In the last 10 years type-I allergy against proteins from Hevea brasiliensis latex has become an acknowledged medical issue. Fruit-allergic patients represent one risk group for developing latex allergy. Class I chitinases have been identified from chestnut, avocado and banana as relevant allergens. The chitin binding (hevein) domain from these class I chitinases has been postulated to bear the important IgE binding epitopes.
OBJECTIVE:
To clone the cDNA of an allergenic latex class I chitinase, to express the recombinant protein and to determine its IgE cross-reactivity with hevein (Hev b 6.02).
METHODS:
A full-length cDNA coding for a class I chitinase has been isolated from Hevea latex RNA by reverse transcription followed by PCR. The chitinase encoding sequence has been subcloned into the pMAL expression vector and expressed in E. coli as a fusion protein to maltose binding protein. The highly enriched recombinant protein fraction has been tested for its IgE binding capacity in immunoblots and ELISA. Furthermore, the pathogenesis-related function of the recombinant protein was tested in a fungal growth inhibition assay.
RESULTS:
The Hevea brasiliensis latex chitinase, designated Hev b 11, displays 70% identity to the endochitinase from avocado and its hevein-domain 58% to hevein (Hev b 6.02). The recombinant Hev b 11-maltose binding protein is recognized by latex- and fruit-allergic patients with IgE binding in both, ELISA and immunoblots. Pre-incubation of sera with rHev b 11-maltose binding protein showed an overall 16% inhibition of subsequent binding to rHev b 6.02-maltose binding protein on solid phase. The growth of F. oxysporum was inhibited in a dose dependent manner by addition of rHev b 11-maltose binding protein to the culture.
CONCLUSIONS:
Hev b 11, a class I chitinase, is another allergen from Hevea latex with a chitin binding domain and displays a different IgE binding capacity compared with hevein.

Biochem Soc Trans. 2002 Nov;30(Pt 6):935-40.
The latex-fruit syndrome.
Wagner S, Breiteneder H.
Approximately 30-50% of individuals who are allergic to natural rubber latex (NRL) show an associated hypersensitivity to some plant-derived foods, especially freshly consumed fruits. This association of latex allergy and allergy to plant-derived foods is called latex-fruit syndrome. An increasing number of plant sources, such as avocado, banana, chestnut, kiwi, peach, tomato, potato and bell pepper, have been associated with this syndrome. The prevailing hypothesis is that allergen cross-reactivity is due to IgE antibodies that recognize structurally similar epitopes on different proteins that are phylogenetically closely related or represent evolutionarily conserved structures. Several types of proteins have been identified to be involved in the latex-fruit syndrome. Two of these are plant defence proteins. Class I chitinases containing an N-terminal hevein-like domain cross-react with hevein (Hev b 6.02), a major IgE-binding allergen for patients allergic to NRL. A beta-1,3-glucanase was identified as an important latex allergen which shows cross-reactivity with proteins of bell pepper. Another important NRL allergen, Hev b 7, is a patatin-like protein that shows cross-reactivity with its analogous protein in potato. Furthermore, patients with allergy to plant-derived foods and associated pollinosis show a high frequency of IgE reactivity to the pan-allergen profilin, which may cause positive serum IgE determinations to NRL. Although there is much information about the plant-derived foods and some data about the allergens involved in the latex-fruit syndrome, it is not always clear whether latex sensitization precedes or follows the onset of food allergy.

Clin Exp Allergy. 2004 Nov;34(11):1739-46.
Characterization of cross-reactive bell pepper allergens involved in the latex-fruit syndrome.
Wagner S, Radauer C, Hafner C, Fuchs H, Jensen-Jarolim E, Wüthrich B, Scheiner O, Breiteneder H.
BACKGROUND:
Between 30% and 50% of individuals who are allergic to latex products are also allergic to specific plant foods, a fact that is well documented as the latex-fruit syndrome. Simultaneous sensitization to latex and bell pepper has been previously reported. Although bell pepper fruits are frequently consumed raw, cooked or as a spice, little is known about the cross-reactive allergens.
OBJECTIVE:
In this study we wished to identify bell pepper allergens involved in the latex-fruit syndrome.
METHODS:
Sera of four patients who displayed clinical symptoms to latex and bell pepper were used in immunoblot studies on protein extracts of three different cultivars of fresh bell pepper and fresh Hevea latex. Cross-reactive allergens were identified by inhibition experiments using recombinant Hev b 8 (latex profilin), and natural Hev b 2 (latex beta-1,3-glucanase) in addition to the protein extracts. A novel cross-reactive IgE-reactive 30 kDa protein was subjected to sequence analysis.
RESULTS:
Three patients displayed IgE to profilins from bell pepper fruits and latex. Two patients possessed IgE to Hev b 2, a latex beta-1,3-glucanase, and a homologous protein in bell pepper. One patient possessed IgE reactive with a protein of 30 kDa identified by N-terminal sequencing as an l-ascorbate peroxidase and another patient to a protein of 38 kDa. Additionally, IgE binding proteins in two higher molecular weight ranges showed cross-reactive capacities.
CONCLUSION:
Our findings show on the molecular level that bell pepper is part of the latex-fruit syndrome. For the first time we have identified the major latex allergen Hev b 2, a beta-1,3-glucanase, and the bell pepper l-ascorbate peroxidase as cross-reactive allergens. We were also able to show that profilins are responsible for some of the IgE cross-reactivity.

J Allergy Clin Immunol. 1999 Mar;103(3 Pt 1):507-13.
Class I chitinases as potential panallergens involved in the latex-fruit syndrome.
Blanco C, Diaz-Perales A, Collada C, Sánchez-Monge R, Aragoncillo C, Castillo R, Ortega N, Alvarez M, Carrillo T, Salcedo G.
BACKGROUND:
Latex-fruit cross-sensitization has been fully demonstrated. However, the antigens responsible for this “latex-fruit syndrome” have not been identified. We have recently shown that class I chitinases are relevant chestnut and avocado allergens.
OBJECTIVE:
We sought to evaluate the in vivo and in vitro reactions of purified chestnut and avocado chitinases in relation to the latex-fruit syndrome.
METHODS:
From a latex-allergic population, eighteen patients allergic to chestnut, avocado, or both were selected. Skin prick tests (SPTs) were performed with crude chestnut and avocado extracts, chitinase-enriched preparations, and purified class I and II chitinases from both fruits. CAP-inhibition assays with the crude extracts and purified proteins were carried out. Immunodetection with sera from patients with latex-fruit allergy and immunoblot inhibition tests with a latex extract were also performed. Eighteen subjects paired with our patients and 15 patients allergic to latex but not food were used as control groups.
RESULTS:
The chestnut class I chitinase elicited positive SPT responses in 13 of 18 patients with latex-fruit allergy (72%), and the avocado class I chitinase elicited positive responses in 12 of 18 (67%) similarly allergic patients. By contrast, class II enzymes without a hevein-like domain did not show SPT responses in the same patient group. Each isolated class I chitinase reached inhibition values higher than 85% in CAP inhibition assays against the corresponding food extract in solid phase. Immunodetection of the crude extracts and the purified class I chitinases revealed a single 32-kd band for both chestnut and avocado. Preincubation with a natural latex extract fully inhibited the IgE binding to the crude extracts, as well as to the purified chestnut and avocado class I chitinases.
CONCLUSION:
Chestnut and avocado class I chitinases with an N-terminal hevein-like domain are major allergens that cross-react with latex. Therefore they are probably the panallergens responsible for the latex-fruit syndrome.

Curr Opin Allergy Clin Immunol. 2001 Apr;1(2):177-83.
The role of plant panallergens in sensitization to natural rubber latex.
Salcedo G, Diaz-Perales A, Sanchez-Monge R.
Latex allergy represents an increasing occupational problem, mainly among healthcare workers. An association between latex allergy and hypersensitivity to some plant foods, particularly fruits (the latex-fruit syndrome), has been established. Class I chitinases with an N-terminal hevein-like domain from avocado, chestnut, banana and other foods, and latex hevein seem to be the allergens responsible for the cross-reactions involved in the latex-fruit syndrome. The potential role of other latex allergens, such as profilin, Hev b 5, Hev b 7 and beta-1,3-glucanases, in the co-sensitization to latex and plant foods is also discussed.

Curr Allergy Asthma Rep. 2003 Jan;3(1):47-53.
Latex-fruit syndrome.
Blanco C.
Natural rubber latex immunoglobulin E-mediated hypersensitivity is probably one of the most relevant challenges that has been faced in the treatment of allergies during recent years. Additionally, allergen cross-reactivity has arisen as another very important problem, in the difficulty in diagnosing it and in its clinical implications. It is clear that some latex allergens cross-react with plant-derived food allergens, the so-called latex-fruit syndrome, with evident clinical consequences. Although the foods most frequently involved are banana, avocado, kiwi, and chestnut, several others are also implicated. Investigations point to a group of defense-related plant proteins, class I chitinases, which cross-react with a major latex allergen, hevein, as the panallergens responsible for the syndrome. This review focuses on our current understanding of the latex-fruit syndrome.

J Am Diet Assoc. 2000 Nov;100(11):1381-4.
The latex and food allergy connection.
Perkin JE.
Natural rubber latex is used in the manufacture of many products in the United States. As natural rubber latex allergy becomes of increasing concern, dietitians need to have an understanding of this allergy and how it relates to workplace safety, employee health, and patient feeding and counseling. Natural rubber latex contains more than 35 proteins that may be related to Type I, Ig-E-mediated allergy in numerous segments of the population, including health care workers and patients. Many foods, especially chestnut, banana, and avocado, have the potential to cross-react with natural rubber latex. Chitinase enzymes, related to plant defense, are believed to be involved in this cross-reaction. A strong connection between food allergy and natural rubber latex allergy is recognized and described in this review.

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Blood Pressure Management with Calcium & Dairy

Also see:
Hypertension and Calcium Deficiency
Calcium Paradox
Calcium to Phosphorus Ratio, PTH, and Bone Health
Low CO2 in Hypothyroidism

Nutr Rev. 2013 Mar;71(3):149-57. doi: 10.1111/nure.12017.
Dairy and blood pressure: a fresh look at the evidence.
Park KM, Cifelli CJ.

J Am Coll Nutr. 2009 Feb;28 Suppl 1:103S-19S.
Milk products, dietary patterns and blood pressure management.
Kris-Etherton PM, Grieger JA, Hilpert KF, West SG.

J Am Coll Nutr. 2009 Apr;28(2):142-9.
Effects of dairy products on intracellular calcium and blood pressure in adults with essential hypertension.
Hilpert KF, West SG, Bagshaw DM, Fishell V, Barnhart L, Lefevre M, Most MM, Zemel MB, Chow M, Hinderliter AL, Kris-Etherton PM.

Br J Nutr. 2009 Jan;101(1):59-67. Epub 2008 May 20.
Low-fat dairy products and blood pressure: follow-up of 2290 older persons at high cardiovascular risk participating in the PREDIMED study.
Toledo E, Delgado-Rodríguez M, Estruch R, Salas-Salvadó J, Corella D, Gomez-Gracia E, Fiol M, Lamuela-Raventós RM, Schröder H, Arós F, Ros E, Ruíz-Gutiérrez V, Lapetra J, Conde-Herrera M, Sáez G, Vinyoles E, Martínez-González MA.

Hypertension. 1994 Apr;23(4):513-30.
Dietary calcium and blood pressure in experimental models of hypertension. A review.
Hatton DC, McCarron DA.

Semin Nephrol. 1995 Nov;15(6):593-602.
Mechanisms of calcium’s effects on blood pressure.
Hatton DC, Yue Q, McCarron DA.

Br J Pharmacol. 1993 Apr;108(4):948-58.
Effects of high calcium diet on arterial smooth muscle function and electrolyte balance in mineralocorticoid-salt hypertensive rats.
Arvola P, Ruskoaho H, Pörsti I.

Br J Pharmacol. 1995 Aug;115(8):1455-62.
Dietary calcium and magnesium supplements in spontaneously hypertensive rats and isolated arterial reactivity.
Mäkynen H, Kähönen M, Arvola P, Wuorela H, Vapaatalo H, Pörsti I.

Am J Clin Nutr. 2009 Jun;89(6):1877-83. Epub 2009 Apr 15.
Inverse association between dairy intake and hypertension: the Rotterdam Study.
Engberink MF, Hendriksen MA, Schouten EG, van Rooij FJ, Hofman A, Witteman JC, Geleijnse JM.

Hypertension. 2008 Apr;51(4):1073-9. Epub 2008 Feb 7.
Dietary intake of dairy products, calcium, and vitamin D and the risk of hypertension in middle-aged and older women.
Wang L, Manson JE, Buring JE, Lee IM, Sesso HD.

J Hypertens. 2006 Apr;24(4):671-81.
Independent contribution of dairy products and calcium intake to blood pressure variations at a population level.
Ruidavets JB, Bongard V, Simon C, Dallongeville J, Ducimetière P, Arveiler D, Amouyel P, Bingham A, Ferrières J.

J Hum Hypertens. 2002 Feb;16(2):105-10.
A cross-sectional study on association of calcium intake with blood pressure in Japanese population.
Morikawa Y, Nakagawa H, Okayama A, Mikawa K, Sakata K, Miura K, Ishizaki M, Yoshita K, Naruse Y, Kagamimori S, Hashimoto T, Ueshima H.

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Hypothyroidism, Intestinal Bacterial Overgrowth, & Lactose Intolerance

Also see:
Autoimmunity and Intestinal Flora
Lactose Intolerance, Starch, Fructose, Sucrose, & Thyroid Status
Ray Peat, PhD on the Benefits of the Raw Carrot
The effect of raw carrot on serum lipids and colon function
Protective Bamboo Shoots
Fermentable Carbohydrates, Anxiety, Aggression

Courtesy of Danny Roddy’s Work:
“The gastrointestinal tract is particularly sensitive to general stress. Loss of appetite is one of the first symptoms in the great “syndrome of just being sick,” and this may he accompanied by vomiting, diarrhea, or constipation.” – Hans Selye (The Stress of Life)

“In hypothyroidism, digestion in the stomach and intestines is delayed. The concentration of acid and enzymes involved in digestion may be diminished. Motility of the gut is reduced and food is propelled more slowly along the tract. Absorption through the intestinal wall is slower.” -Broda Barnes, MD, PhD

“The somewhat erratic digestion and absorption of food in the hypothyroid patient is one factor. Another is sluggishness of the liver, which may occur when thyroid function is low, with the result that stored glucose in the liver is not released properly as blood sugar begins to fall. There is usually an adequate store of glucose in the liver to last until the next regular meal but. if it is not released, hypoglycemia, or low blood sugar, may develop and call for extra food. Thyroid therapy improves digestion and absorption so that there is a more constant supply of nourishment in the blood; it also sensitizes the liver to the need for glucose release after digestion is complete.” -Broda Barnes, MD, PhD

Quote by Ray Peat, PhD:
“Bacterial overgrowth in the small intestine can be caused by hypothyroidism (Lauritano, et al., 2007), and the substances produced by these bacteria can damage the lining of the small intestine, causing the loss of lactase enzymes (Walshe, et al., 1990).”

“Once we accept Warburg’s thesis, that damaged respiration is the prime cause of cancer, the therapeutic use of thyroid in cancer seems obvious. Aging and estrogen-dominance are other states in which cells seem to be relatively insensitive to thyroid hormones. (Unsaturated fats are involved in resistance to thyroid, and promote the incidence of cancer in a variety of ways.) If the liver is a main site of T4′s conversion to T3, cancer patients may require very large doses of thyroid hormone, or else direct use of T3 (possibly in large doses), since the liver is so likely to be inefficient. Incidentally, thyroid’s ability to improve digestion and peristalsis is important for liver function; endotoxin absorbed from the intestine can be a serious burden to the liver, and it is known to cause a large increase in the blood estrogen level.”

“In hypothyroidism there is little stomach acid, and other digestive juices (and even intestinal movement) are in-adequate, so gas and constipation are common. Foods aren’t assimilated well, so even on a seemingly adequate diet there is ‘internal malnutrition.'”

“The absorption and retention of magnesium, sodium, and copper, and the synthesis of proteins, are usually poor in hypothyroidism. Salt craving is common in hypothyroidism, and eating additional sodium tends to raise the body temperature, and by decreasing the production of aldosterone, it helps to minimize the loss of magnesium, which in turn allows cells to respond better to the thyroid hormone. This is probably why a low sodium diet increases adrenalin production, and why eating enough sodium lowers adrenalin and improves sleep. The lowered adrenalin is also likely to improve intestinal motility.”

“Polysaccharides and oligosaccharides include many kinds of molecules that no human enzyme can break down, so they necessarily aren’t broken down for absorption until they encounter bacterial or fungal enzymes. In a well maintained digestive system, those organisms will live almost exclusively in the large intestine, leaving the length of the small intestine for the absorption of monosaccharides without fermentation. When digestive secretions are inadequate, and peristalsis is sluggish, bacteria and fungi can invade the small intestine, interfering with digestion and causing inflammation and toxic effects. Lactose malabsorption has been corrected just by correcting a deficiency of thyroid or progesterone…Sometimes having a daily carrot salad (grated, with salt, olive oil, and a few drops of vinegar) will stimulate (and disinfect) the small intestine enough to prevent fermentation.”

“The upper part of the small intestine is sterile in healthy people. In the last 40 years, there has been increasing interest in the “contaminated small-bowel syndrome,” or the “small intestine bacterial overgrowth syndrome.” When peristalsis is reduced, for example by hypothyroidism, along with reduced secretion of digestive fluids, bacteria are able to thrive in the upper part of the intestine. Sugars are very quickly absorbed in the upper intestine, so starches and fibers normally provide most of the nourishment for bowel bacteria…Thyroid hormone increases digestive activity, including stomach acid and peristalsis, and both thyroid and progesterone increase the ability of the intestine to absorb sugars quickly; their deficiency can permit bacteria to live on sugars as well as starches.”

“Any starch can support the growth of toxic bacteria in the small intestine, where there should be no bacteria. Cocoa and the flour both contain starch and fiber that can stimulate bacteria and inflammation, but they are both very common allergens. The effects of a particular food can last for days or weeks”

J Clin Endocrinol Metab. 2007 Nov;92(11):4180-4. Epub 2007 Aug 14. Association between hypothyroidism and small intestinal bacterial overgrowth. Lauritano EC, Bilotta AL, Gabrielli M, Scarpellini E, Lupascu A, Laginestra A, Novi M, Sottili S, Serricchio M, Cammarota G, Gasbarrini G, Pontecorvi A, Gasbarrini A.
OBJECTIVES:
Small intestinal bacterial overgrowth is defined as an abnormally high bacterial population level in the small intestine. Intestinal motor dysfunction associated with hypothyroidism could predispose to bacterial overgrowth. Luminal bacteria could modulate gastrointestinal symptoms and interfere with levothyroxine absorption. The aims of the present study were to assess the prevalence and clinical pattern of bacterial overgrowth in patients with a history of overt hypothyroidism and the effects of bacterial overgrowth decontamination on thyroid hormone levels.
METHODS:
A total of 50 consecutive patients with a history of overt hypothyroidism due to autoimmune thyroiditis was enrolled. Diagnosis of bacterial overgrowth was based on positivity to a hydrogen glucose breath test. Bacterial overgrowth positive patients were treated with 1,200 mg rifaximin each day for a week. A glucose breath test, gastrointestinal symptoms, and thyroid hormone plasma levels were reassessed 1 month after treatment.
RESULTS:
A total of 27 patients with a history of hypothyroidism demonstrated a positive result to the breath test (27 of 50, 54%), compared with two in the control group (two of 40, 5%). The difference was statistically significant (P < 0.001). Abdominal discomfort, flatulence, and bloating were significantly more prevalent in the bacterial overgrowth positive group. These symptoms significantly improved after antibiotic decontamination. Thyroid hormone plasma levels were not significantly affected by successful bacterial overgrowth decontamination.
CONCLUSIONS:
The history of overt hypothyroidism is associated with bacterial overgrowth development. Excess bacteria could influence clinical gastrointestinal manifestations. Bacterial overgrowth decontamination is associated with improved gastrointestinal symptoms. However, fermenting carbohydrate luminal bacteria do not interfere with thyroid hormone levels.

Gut. 1990 Jul;31(7):770-6. Effects of an enteric anaerobic bacterial culture supernatant and deoxycholate on intestinal calcium absorption and disaccharidase activity. Walshe K, Healy MJ, Speekenbrink AB, Keane CT, Weir DG, O’Moore RR.
Fifty two strains of anaerobic bacteria isolated from the upper gut of patients with small intestinal bacterial overgrowth were screened for phospholipase activity. Bacteroides melaninogenicus spp intermedius had the greatest activity. The effects of culture supernatants of this organism and deoxycholate on intestinal calcium absorption and disaccharidase activity were studied using a rat closed loop model. The supernatant decreased the in vitro uptake of calcium by 15% (p less than 0.001). Deoxycholate reduced calcium uptake by 16% (p less than 0.001). Combined culture supernatant and deoxycholate reduced calcium uptake by 39% (p less than 0.001) suggesting a potentiation of supernatant activity by deoxycholate. Culture supernatant and deoxycholate, both alone and combined, significantly reduced lactase, sucrase, and maltase activity. Electron microscopic evidence showed degeneration of microvilli, disruption of mitochondrial structure, and swelling of the endoplasmic reticulum after exposure of the intestinal loops to the supernatant or deoxycholate.

Indian J Endocrinol Metab. 2014 May-Jun; 18(3): 307–309. Link between hypothyroidism and small intestinal bacterial overgrowth Anant D. Patil

Altered gastrointestinal (GI) motility is seen in many pathological conditions. Reduced motility is one of the risk factors for development of a small intestinal bacterial overgrowth (SIBO). Hypothyroidism is associated with altered GI motility. The aim of this article was to study the link between hypothyroidism, altered GI motility and development of SIBO. Published literature was reviewed to study the association of altered GI motility, SIBO and hypothyroidism. Altered GI motility leads to SIBO. SIBO is common in patients with hypothyroidism. Patients with chronic GI symptoms in hypothyroidism should be evaluated for the possibility of SIBO. Both antibiotics and probiotics have been studied and found to be effective in management of SIBO.

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