Welcome! This blog contains research & information on lifestyle, nutrition and health for those with MS, as well as continuing information on the understanding of the endothelium and heart-brain connection. This blog is informative only--all medical decisions should be discussed with your own physicians.

The posts are searchable---simply type in your topic of interest in the search box at the top left.

Almost all of MS research is initiated and funded by pharmaceutical companies. This maintains the EAE mouse model and the auto-immune paradigm of MS, and continues the 20 billion dollar a year MS treatment industry. But as we learn more about slowed blood flow, gray matter atrophy, and environmental links to MS progression and disability--all things the current drugs do not address--we're discovering more about how to help those with MS.

To learn how this journey began, read my first post from August, 2009. Be well! Joan

Showing posts with label endothelial health. Show all posts
Showing posts with label endothelial health. Show all posts

Friday, September 21, 2012

Oxidative Stress, MS and CCSVI


September 21, 2012 at 9:07am

We've just learned that one target of BG-12/Tecfidera, the new oral super drug /furniture fungicide, and Nrf2 activator from Biogen,  is oxidative stress.  This drug uses the Nrf2 pathway to combat oxidative stress.
link

What is oxidative stress, and how does it impact multiple sclerosis?

I first started reading about oxidative stress when I began researching the Endothelial Health program to help my husband Jeff.  I did this because his blood and body showed signs of oxidative stress.  The following info is from the program. 


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Oxidative stress
Our bodies constantly react with oxygen as we breathe and as our cells produce energy. However, our use of oxygen is a double-edged sword: we need oxygen to survive, but as a consequence of using oxygen, highly reactive molecules, known as “free radicals,” are produced. 

Free radicals are atoms or molecules with electrons which have lost their partner electron, often as a result of our respiratory or metabolic process, or from outside influences. Free radicals can disrupt the balance of nitric oxide, damage the endothelium and leave it overly permeable, allowing toxins to pass into our tissues9. 

In most instances, our body has an adequate supply of antioxidants obtained from food to neutralize these free radicals, but if the body is depleted, or if there are too many coexistent factors, injury to the endothelium and a change in the balance of NO may occur.

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People with MS have lower levels of antioxidants in their blood.  It's a scientific fact, pwMS have serious oxidative stress.

Oxidative stress in patients with multiple sclerosis.
We have investigated the oxidative stress in the blood (plasma, erythrocytes and lymphocytes) of 28 patients affected with multiple sclerosis (MS) and of 30 healthy age matched controls, by performing a multiparameter analysis of non-enzymatic and enzymatic antioxidants--

 In conclusion, the blood of patients with MS shows the signs of a significant oxidative stress. The possibility of counteracting it by antioxidant administration plus an appropriate diet, might represent a promising way of inhibiting the progression of the disease. 
Oxidative stress in multiple sclerosis
Accumulating data indicate that oxidative stress (OS) plays a major role in the pathogenesis of multiple sclerosis (MS). Reactive oxygen species (ROS), leading to OS, generated in excess primarily by macrophages, have been implicated as mediators of demyelization and axonal damage in MS. ROS cause damage to main cellular components such as lipids, proteins and nucleic acids (e.g., RNA, DNA), resulting in cell death by necrosis or apoptosis. In addition, weakened cellular antioxidant defense systems in the central nervous system (CNS) in MS, and its vulnerability to ROS effects may augmented damage. Thus, treatment with antioxidants might theoretically prevent propagation of tissue damage and improve both survival and neurological outcome. Central nervous system is particularly susceptible to ROS-induced damage due to the high oxygen demands of the brain and low concentration of endogenous antioxidants.
http://www.ncbi.nlm.nih.gov/pubmed/20120717


There are many more published papers on MS and oxidative stress, and all of the end with something to the effect of ---gosh, we really should have more studies done on how antioxidants help keep pwMS  healthy!  

But no one does these studies, because there is NO MONEY TO BE MADE!!  

You can simply go and eat more fresh fruits and vegetables, take some antioxidant supplements, vitamin D, stop smoking and drinking, exercise and take care of yourself.  
This is what I explained to Jeff when our family started doing the Endothelial Health Program together.  Dr. Terry Wahls, Dr. George Perlmutter and Dr. George Jelinek would tell you to do the same.  

Now---how does oxidative stress fit into the CCSVI scenario?  

Oxidative stress is actually found in all neurodegenerative disease---Alzheimer's, Parkinsons, MS and dementia.  These diseases share two things that contribute to oxidative stress:

1. Iron deposition in brain tissue
2. Hypoperfusion, or slowed blood flow through the brain.

So, we can see that pharma is figuring out there's more to MS treatment. They've seen the papers on CCSVI research, hypoperfusion, oxidative stress and gray matter atrophy.  But they will never tell you that in those words, because the want to keep selling you Tysabri, chemotherapies and other immune ablating drugs.  They will, however, figure out a way to sell you a pill that addresses oxidative stress.  

And you can bet your bottom dollar they are working on a drug to increase cerebral perfusion.

That's why we have to share this information, and help each other and those newly diagnosed with MS.  
Because there is hope, but there will be no miracle pill.
be well,
Joan


Monday, January 30, 2012

What's the difference between nitrous oxide and nitric oxide?



January 30, 2012 at 2:53pm

I get this question a lot.  Thought I'd take the time to break it down in English (as opposed to chemistry talk, which still makes my head spin.) 

Nitric Oxide (NO) is NOT the same as Nitrous Oxide (N2O).
Nitric Oxide is one molecule of nitrogen, one of oxygen.
Nitrous Oxide has 2 molecules of nitrogen, and one of oxygen.
And that extra molecule of nitrogen changes the gas completely.

Nitrous Oxide (N2O) has been getting some press recently, since Demi Moore was hospitalized for inhaling canned Nitrous Oxide (in a form called "whippets") and having a seizure.  Nitrous oxide is used in aerosol cans, to propel whipped cream or cooking spray out of the bottle.

Nitrous Oxide (N20) is what they give you at the dentist's office, also called "laughing gas."  I had my wisdom teeth out on Nitrous Oxide, and it made me so loopy, I was laughing while the oral surgeon was sawing into my jawbone to remove my impacted wisdom teeth.  It's powerful stuff.  And should not be used recreationally.

What I started writing about and investigating for Jeff's health was nitric oxide.

Nitric Oxide (NO) is a tiny, 2 atom gas that is the hallmark of healthy vascular function.  It is the signaling factor that controls the body's vascular tone, and levels of inflammation, coagulation and oxidation.  It controls the endothelium, or the lining of all of our blood vessels.  It's good for you.

NO has been show to protect the heart, stimulate the brain, and kill bacteria, thus playing a pivotal role in a wide variety of diseases and conditions.

If the lining of our blood vessels become damaged and the NO levels become imbalanced, cells which should remain in the blood can leak through blood vessels and into adjacent body tissue. Some of the leaked cells can include proteins, such as the C-reactive protein, which is produced by the liver and causes inflammation. When NO in inhibited, endothelial signaling can become impaired, and disease may result. 

The Endothelial Health program discusses ways to enhance nitric oxide bioavailability in our bodies, and to maintain healthy immune systems and vascular systems.  This does not mean taking nitric oxide supplements....it means healthy living for healthy blood vessels.

Here's the program I created for Jeff, for those who may not have checked it out yet---

Chemistry is important...one extra molecule can make a big difference!
Joan


Tuesday, January 24, 2012


Vascular inflammation in MS

January 24, 2012 at 11:42am

The Buffalo team has recently published a study on Lp-PLA2 levels in the blood of people with MS.

Lp-PLA2 is an enzyme that circulates in the blood and attaches to cholesterol in the blood stream.  It is an important marker of inflammation, just like C reactive protein.

Here's more information on Lp-PLA2

Lp-PLA2 is also an important marker in endothelial dysfunction.  This means that the lining of the blood vessels is breaking down and inflamed.

What the Buffalo researchers found is that this enzyme shows up in the blood of pwMS---and levels are significantly higher than in controls.

Lp-PLA2: Inflammatory Biomarker of Vascular Risk in Multiple Sclerosis.

A member of the A2 phospholipase superfamily, the enzyme lipoprotein-associated phospholipase A2 (Lp-PLA2), is involved in atherogenic processes. Lp-PLA2 mass and activity were measured by the enzyme-linked immunosorbent assay and by a colorimetric method, respectively, and compared among 63 multiple sclerosis (MS) patients and 47 age-matched healthy controls (HCs). Lp-PLA2 plasma levels were significantly higher in MS patients (236.7 ± 10 ng/ml) compared to HCs (197.0 ± 7 ng/ml) (p = 0.003)


Here is a study of plasma levels of Lp-PLA2 in those with coronary disease and normals.  Lp-PLA2 is a marker of endothelial dysfunction. ( Note that pwMS had a 236.7 ng/ml level, and those with coronary arterial disease had a 246.2 ng/ml level.  Normals have around a 200 ng/ml level.)