#Immune inflammatory
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It's Always Sunny in Philadelphia
↳ Chardee MacDennis: The Game of Games // The Gang Goes Bowling
#iasip#it's always sunny in philadelphia#dennis reynolds#sunny sweet 16#LISTEN TO ME. LISTEN TO ME. IT HAS ALWAYS BEEN THE SAME DENNIS. HE WAS NEVER EMOTIONLESS.#YOU JUST HAVE TO WATCH HIM.#the ONLY reason he didnt react during chardee macdennis is because their win was riding on it#the sunny wiki for so long saying this was proof of him being emotionless or somehow Immune To Pain#when he is LITERALLY WINCING AND SAYING OW AFTER THE FACT#it's the exact same thing as what mac and charlie were talking about with dee during emotional battery#she can get through that and then cry once theyve won. dennis can take a dart to the hand and be visibly in pain afterwards#and also i imagine breaking every bone in his hand is probably more painful than a dart jdsfkjsv#ada speaks#ada's gifs#I DIDNT WANT TO REBLOG SUNNYKEYSMASH'S POST IN CASE IT CAME OFF AS INFLAMMATORY BUT IM HAVING FEELINGS ABOUT THIS COMPARISON SO UH SHOUTOUT#EDIT: CONTEXT WAS NOT THAT SUNNYKEYSMASH CLAIMED HE WAS EMOTIONLESS I JUST WAS INSPIRED AFTER SEEING A POST#i was mad at dudebros using the dart scene as evidence for him being a sociopath and it just reminded me jshvfkjsd
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CJ is sick...my immune system has declared war...shots have been fired...steroids are being deployed... wie ein Modder- Igel fühlen
Ich fühl mich wie gematschte Bananen
Ich fühl mich scheiße
And gifts for my German besties for accurate descriptions of how I feel @saltysupercomputer @dreaminggoblin @writingmaidenwarrior
And I'm not contagious, so they're safe
#chronic condition#autoimmine disease#Chronic inflammatory demyelinating polyneuropathy#chronic pain#chronic illness#i hate my immune system#CJ is sickly#writeblr#writeblr community#writeblr connect
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For someone who's so thoughtful when he speaks, Lewis really does still give some absolutely terrible quotes when he's talking to journalists...
#I do find it especially jarring considering how much shit George gets for much less at times...#And I don't feel like it's a conversation we can ever have on here because of the nuance#But actually a lot of lewis' quotes - this year especially - have been incredibly... inflammatory#And I understand that even the most thoughtful people aren't immune to speaking rashly#But some of them are still a choice#I don't think 'George's win was great but its not a win on pace like mine was' is really a quote you needed to give... even if it's true#Which honestly... I don't think he's entirely correct either#Idk I just feel like we moved on from certain elements of email gate too quickly#And this will probably just lead to me getting accused of shit by people I thought were friends again#But as much as I might read some things George says and think... oh god you're going to get flamed#I read a lot of Lewis quotes too where my reaction is... oh god why have you said that?#Idk why I find it easier to write in the tags these days? It's easier than trying to make it more coherent in the body of the post#Also this will just get 3 notes and ignored I'm sure
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youtube
#Natural products with anti-tumorigenic potential#macrophage modulation#tumor-associated macrophages#TAMs#immune response in cancer#M1 macrophages#M2 macrophages#tumor microenvironment#curcumin#resveratrol#epigallocatechin gallate (EGCG)#inflammation suppression#phagocytosis enhancement#cancer immunotherapy#angiogenesis inhibition#tumor progression#metastasis prevention#anti-inflammatory compounds#natural anticancer agents#integrative oncology.#Youtube
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God, what a journey. I have CIDP.
On the 8th of May I was told that my official diagnosis is 'CIDP' (Chronic Inflammatory Demyelinating Polyneuropathy) I have gone from the introverted but all-out goth willing to wear that blue dress into a hospital (first pic) to (with a fresh haircut) the dying to be out of the house, sill goth, geek (last pic)
I say this not to beg for sympathy but to say I'm officially disabled and finally at a comfortable point to say that, I am weird, I am Autistic, and I'm practically wheelchair-bound.
I am a rare case, most CIDP cases aren't in their early 20s with no prior illnesses before this happens to them, but I am lucky enough to live in the UK and have free healthcare, I can complain about wait times in A&E, or the slow way hospitals communicate, but I'm writing this to say that you should look out for yourself, cause you never know what will happen.
#my face#i am disabled#chronic illness#cidp#immune system#Chronic Inflammatory Demyelinating Polyneuropathy
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Can inflammation cause depression?
There’s evidence to suggest that inflammation can contribute to the development of depression in many people, particularly among individuals with preexisting inflammatory conditions or chronic illnesses.
For instance, research suggests that the link between inflammation and depression is commonly seen in conditions like autoimmune diseases (e.g., multiple sclerosis) and infections (e.g., sepsis) where the immune system plays a significant role.
How does inflammation affect your mental health?
When your immune system is activated, it affects not only the body but also the central nervous system, which includes the brain. Chronic inflammation is linked to changes in the brain’s chemistry and structure, which can increase the risk of depression.
Inflammation can impact mental health in several ways:
Neurotransmitter imbalance: ResearchTrusted Source suggests that inflammation may disrupt brain chemicals (neurotransmitters) like serotonin and dopamine, leading to mood imbalances.
Hormonal disruption: Inflammation can affect stress and sex hormone levels (e.g., cortisol, estrogen), impacting mood and cognition.
Neuroinflammation: EvidenceTrusted Source suggests that inflammation within the brain itself can cause cognitive and mood problems.
Reduced neuroplasticity: Chronic inflammation may hinder the brain’s ability to adapt and learn.
Oxidative stress: Inflammation may increase oxidative stress, damaging brain cells.
In many adults, depression and inflammation appear to be separate issues. One studyTrusted Source found that clinical depression in older individuals isn’t typically linked to increased inflammation unless they have preexisting inflammatory conditions like arthritis.
How do you know if your depression is caused by inflammation?
Determining if your depression is caused by inflammation typically involves specialized medical tests and assessments. This may involve blood tests to measure inflammatory markers or discussions with your doctor about your medical history and symptoms.
However, here are some signs that suggest inflammation may be contributing to your depression:
You have other inflammatory conditions (e.g., autoimmune disorders, chronic infections, or inflammatory bowel disease).
Your depression had a sudden onset (especially in response to an infection or injury).
Your depression doesn’t respond to antidepressants.
You have physical symptoms (e.g., fatigue, joint pain, or fever)
You have high stress levels (chronic stress can trigger inflammation).
You have a family history of both depression and inflammatory conditions.
You have elevated markers of inflammation, like CRP or cytokines, in specialized blood tests.
Treatment options for inflammation-related depression
Treatment options for inflammation-related depression typically aim to target both the underlying inflammation and the depressive symptoms. Here are some common approaches:
Anti-inflammatory medications: Some evidenceTrusted Source suggests that nonsteroidal anti-inflammatory drugs (NSAIDs) or anti-inflammatory agents like corticosteroids may be prescribed to reduce inflammation.
Healthy diet: A comprehensive reviewTrusted Source of 41 studies revealed that maintaining a consistently healthy diet, especially one in line with the traditional Mediterranean diet, or simply avoiding diets that promote inflammation, may protect against depression.
Psychotherapy: Cognitive-behavioral therapy (CBT) and mindfulness-based therapies may help manage depression symptoms.
Medications: Some evidenceTrusted Source suggests that certain antidepressants, like selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), can reduce inflammation in the brain, which may contribute to their effectiveness.
Light therapy: A 2017 study found that combining bright light therapy with antidepressants for nonseasonal depression could be effective. Participants also showed significant changes in immune-related lymphocyte counts.
Omega-3 fatty acids: Omega-3 supplements, found in fish oil, have anti-inflammatory properties and may help with depression symptoms.
Mind-body practices: Practices like yoga and meditation can help manage stress and potentially reduce inflammation.
Probiotics: Some research suggests that probiotics may have a positive impact on gut health and inflammation, which could indirectly affect mood.
Anti-inflammatory foods:
Here are some of the most anti-inflammatory foods on the planet, backed by research:
Fatty Fish: Fatty fish like salmon, tuna, mackerel, and sardines are rich in omega-3 fatty acids, which have potent anti-inflammatory effects.
Turmeric: Curcumin, a compound found in turmeric, has been shown to reduce inflammation and oxidative stress in the body.
Ginger: Ginger has anti-inflammatory compounds like gingerol and shogaol, which have been shown to reduce inflammation and pain.
Berries: Berries such as blueberries, raspberries, strawberries, and pomegranates are rich in antioxidants and polyphenols, which have anti-inflammatory effects.
Green Tea: Green tea contains epigallocatechin gallate (EGCG), which has been shown to reduce inflammation and improve symptoms of arthritis.
Dark Chocolate: Dark chocolate contains flavonoids, which have anti-inflammatory and antioxidant properties.
Olive Oil: Olive oil is rich in oleocanthal, a compound that has been shown to reduce inflammation and oxidative stress.
Cruciferous Vegetables: Vegetables like broccoli, cauliflower, and kale contain sulforaphane, which has anti-inflammatory and antioxidant properties.
Fatty Nuts and Seeds: Nuts and seeds like walnuts, chia seeds, and flaxseeds are rich in omega-3 fatty acids and antioxidants.
Leafy Greens: Leafy greens like spinach, kale, and collard greens are rich in antioxidants and polyphenols, which have anti-inflammatory effects.
Garlic: Garlic contains compounds like allicin, which have been shown to reduce inflammation and improve cardiovascular health.
Apples: Apples contain quercetin, a flavonoid that has anti-inflammatory properties.
Pineapple: Pineapple contains an enzyme called bromelain, which has anti-inflammatory properties.
Sweet Potatoes: Sweet potatoes are rich in beta-carotene, an antioxidant that has anti-inflammatory effects.
Mushrooms: Certain mushrooms like reishi, chaga, and cordyceps have been shown to have anti-inflammatory properties.
+ anti-inflammatory oils >here<
+ If you are into extracts or diet supplements, you can find products similar to >this<.
#depression#inflammation#mental health#health#mental illness#chronic illness#inspiration#consciousness#self care#self help#diet#food#food supplements#anti inflammatory#anxiety#ptsd#nervous system#immune system#autoimmune disease#autoimmune disorder
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Steps of the Inflammatory Response
Damaged tissues release histamine
Histamine increases blood flow
Histamine causes capillaries to leak
More phagocytes and clotting factors are released
Phagocytes engulf bacteria, dead cells, and cellular debris
Platelets seal the wound
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Patreon
#studyblr#notes#medblr#medical notes#med notes#inflammatory response#inflammation#immunology#immunology notes#immune system#immune system notes#histamine#capillaries#phagocytes#platelets#wound healing#healing
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Protective Partnership
If a house on your street was attacked, would you join forces with your neighbours to repair the damage and fend off the intruders? That, it seems, is what two cell types in your gut do. The intestine lining faces a constant barrage of physical forces and biological material, so regular maintenance and repairs are essential. Researchers investigating this regulation, and how inflammatory bowel diseases such as colitis arise when it goes wrong, looked at the role of interleukin-11, a product of the immune system. Without it, colitis in mice worsened and more cells of the gut lining died. Interleukin-11 (green, present in damaged areas of tissue) is produced by connective cells called fibroblasts, but the researchers found that other immune cells also regulate its levels by releasing highly reactive molecules. Interleukin-11 protects the lining during inflammation, and the collaboration that produces it must be considered in any potential treatments.
Written by Anthony Lewis
Image from work by Takashi Nishina and colleagues
Department of Biochemistry, Toho University School of Medicine, Ota-ku, Tokyo, Japan
Image originally published with a Creative Commons Attribution 4.0 International (CC BY 4.0)
Published in iScience, January 2023
You can also follow BPoD on Instagram, Twitter and Facebook
#science#biomedicine#intestines#gut#immune system#inflammatory bowel disease#inflammation#fibroblasts#immunofluorescence#interleukin 11#colitis
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youtube
The Best PREDNISONE Alternative
#youtube#alternative health#alternative medicine#vitamin d#anti inflammatory#auto immune disease#sarcoidosis#dr berg
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lately i've been much less forgiving of posts designed to manufacture outrage, i mean posts disguised as "informational" but which skew and misrepresent the information they contain for the purpose of making you angry, and which prompt you to take no action beyond Being Angry. this is more of a reminder to self to remember to do at least basic fact-checking before allowing them to misdirect my anger toward a problem that doesn't exist instead of using my energy to examine the actual problems at stake. the problems that are occurring are bad enough
#post#i am not immune to inflammatory and hyperbolic posting. however...#and i'm also not saying 'don't discuss potential consequences of a thing' but there comes a point where like.#perpetuating fear is an end unto itself#anyway there are better posts on this topic floating around
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mina is really into her anti-inflammatory medication 😳 it's going to be a real blow to her once she realizes she's not getting it anymore in a few days
#oh yeah mina had the sniffles but everything is ok#i went to see the vet 2 days in so she only gets some immune system booster in powder-form & some anti-inflammatory science juice#the vet says apparently that that specific medication tastes nice (to cats)#tbf mina will eat pretty much anything you put in front of her#she's such a good girl#mina the cat
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"Discover Your Natural Energy: Moringa Magic for Vitality, Health, and Wellness"
"Discover Your Natural Energy: Moringa Magic for Vitality, Health, and Wellness"
Moringa Magic: Unlock the Power of Nature for Better Health
In the world of health and wellness, superfoods have garnered a lot of attention for their incredible benefits. One such superfood that has been celebrated for centuries is Moringa. Known as the "Miracle Tree," Moringa is packed with essential nutrients that can help transform your health. With the growing popularity of supplements, "Moringa Magic" offers a powerful way to incorporate the amazing benefits of Moringa into your daily routine.
If you need more detils vist offical site
What is Moringa?
Moringa is a plant native to parts of Africa and Asia, known scientifically as Moringa oleifera. Every part of the Moringa tree—from its leaves to its seeds—offers a wide array of health benefits. It’s been used for centuries in traditional medicine to treat a variety of ailments, but today, modern science is beginning to confirm its extraordinary nutritional profile.
Moringa leaves are rich in vitamins, minerals, and antioxidants. They contain a remarkable amount of vitamin C, vitamin A, calcium, iron, and potassium, along with a variety of amino acids, protein, and fiber. This unique combination makes Moringa one of the most potent natural health boosters available.
Why Choose Moringa Magic Supplements?
If you’re looking for a natural way to enhance your health and wellbeing, Moringa Magic Supplements are an excellent choice. Here’s why:
Boosts Energy Naturally Unlike synthetic energy boosters or caffeine-laden drinks, Moringa provides a gentle and sustained energy boost without the crash. The abundance of vitamins and minerals helps increase your overall energy levels, keeping you feeling vibrant throughout the day.
Supports Immune Health Moringa is rich in antioxidants and vitamin C, both of which play a crucial role in strengthening your immune system. Regular consumption of Moringa Magic supplements can help your body fight off infections and illnesses, ensuring that you stay healthier year-round.
Promotes Digestive Health With its high fiber content, Moringa aids in digestion and helps maintain a healthy gut. The natural anti-inflammatory properties of Moringa can soothe digestive issues like bloating, constipation, and indigestion, promoting better digestion and overall gut health.
Supports Healthy Skin and Hair Moringa is also known for its ability to nourish the skin and hair. Packed with antioxidants, vitamins, and fatty acids, it helps combat signs of aging, promotes collagen production, and keeps your skin glowing. Additionally, the rich nutrient profile supports healthy, strong hair growth.
Enhances Mental Clarity and Focus The nutrients in Moringa have been shown to support brain function, improve focus, and enhance cognitive performance. Whether you’re studying for exams, working on a big project, or just trying to stay sharp throughout the day, Moringa Magic can provide the mental clarity you need.
A Natural Anti-Inflammatory Chronic inflammation is at the root of many health issues, including arthritis, heart disease, and even some types of cancer. Moringa’s natural anti-inflammatory properties help reduce inflammation in the body, which can relieve pain and improve overall health.
How to Incorporate Moringa Magic into Your Routine
Adding Moringa Magic supplements to your daily health regimen is simple and easy. You can take it in capsule or powder form, depending on your preference. Here are a few ways to incorporate Moringa Magic into your lifestyle:
Morning Boost: Take a capsule with water first thing in the morning to jumpstart your day with a natural energy boost.
In Smoothies: Add Moringa powder to your favorite smoothies for an extra dose of nutrients.
Tea Time: Stir some Moringa powder into hot water for a calming and nourishing tea.
The Bottom Line: Why Moringa Magic is the Right Choice
Moringa Magic supplements offer a natural, convenient way to unlock the full benefits of this extraordinary plant. Whether you’re looking to boost your energy, support your immune system, or improve your overall health, Moringa Magic provides a safe and effective solution.
By choosing Moringa Magic, you're not only investing in your own health but also in a sustainable, eco-friendly product that harnesses the power of nature. With its impressive nutritional profile and wide array of benefits, Moringa Magic truly lives up to its name—helping you achieve better health, naturally.
So why wait? Unleash the power of Moringa and experience the magic for yourself.
Moringa Magic: A Deep Dive into Its Benefits for Health and Wellness
As the demand for natural, plant-based health solutions continues to rise, Moringa Magic has carved a name for itself as one of the most sought-after supplements in the wellness community. Known as the “Miracle Tree,” Moringa offers an impressive range of health benefits, from boosting energy to supporting heart health. But what makes Moringa so magical, and why should you add it to your health regimen? Let’s take a closer look at the incredible benefits of Moringa Magic supplements.
The Nutrient-Packed Wonder of Moringa
Moringa is often referred to as one of the most nutrient-dense plants on Earth. Its leaves, pods, and seeds contain a powerful combination of vitamins, minerals, and antioxidants, which makes it an excellent addition to anyone’s health and wellness routine.
High in Vitamin C: Moringa leaves are rich in vitamin C, which is essential for boosting the immune system, promoting skin health, and protecting cells from oxidative damage.
Packed with Essential Amino Acids: Moringa contains all nine essential amino acids, making it a complete protein source. This is particularly beneficial for vegans and vegetarians.
Loaded with Minerals: Moringa is a great source of calcium, iron, magnesium, potassium, and zinc, which are all vital for bone health, muscle function, and overall vitality.
Moringa Magic: A Natural Solution for Stress and Fatigue
In today’s fast-paced world, stress and fatigue are two common issues many people face. Whether it’s the demands of work, family, or daily life, it can be challenging to maintain your energy levels and manage stress. Moringa Magic supplements can provide the natural support you need to stay energized and reduce stress.
Fights Fatigue Naturally
Moringa is a great alternative to caffeine or energy drinks that can lead to crashes later in the day. With its rich array of vitamins and minerals, it helps maintain stable energy levels and can even enhance stamina during physical activities. By incorporating Moringa into your daily routine, you’ll experience more consistent energy throughout the day without the jitters or crashes.
Reduces Stress and Anxiety
Moringa also contains compounds that can help reduce stress and promote relaxation. It is known to have adaptogenic properties, meaning it helps the body adapt to stress and restores balance. The antioxidants in Moringa work to combat the damaging effects of chronic stress, allowing you to feel more at ease and focused throughout your day.
Supporting Heart Health with Moringa Magic
Your heart’s health is essential to overall well-being, and Moringa Magic supplements play a vital role in maintaining a healthy cardiovascular system. Research has shown that Moringa may help lower blood pressure, reduce cholesterol levels, and improve overall heart function.
Lowering Blood Pressure: The high potassium content in Moringa helps regulate blood pressure, preventing hypertension and maintaining healthy blood circulation.
Supporting Cholesterol Levels: Moringa’s antioxidants can help lower "bad" LDL cholesterol while boosting "good" HDL cholesterol. This can reduce the risk of heart disease and support optimal cardiovascular health.
Moringa for Better Blood Sugar Control
If you’re concerned about blood sugar management, Moringa Magic supplements could be just what you need. Moringa has been shown to help regulate blood sugar levels, making it beneficial for individuals with diabetes or those at risk for developing the condition.
Improving Insulin Sensitivity
Several studies suggest that Moringa can improve insulin sensitivity, helping the body use glucose more efficiently. This means better blood sugar control and a lower risk of blood sugar spikes or crashes.
Reducing Blood Sugar Levels
Moringa’s natural compounds have also been found to lower blood sugar levels, providing a natural, supportive way to maintain healthy glucose levels throughout the day.
Moringa Magic for Skin and Hair Health
Moringa is not only beneficial on the inside but can also improve the appearance and health of your skin and hair. Packed with vitamins A and C, it promotes healthy skin, combats the signs of aging, and helps maintain strong, lustrous hair.
Nourishing Skin from the Inside Out
Moringa’s high levels of antioxidants, including vitamin C, protect the skin from free radical damage and oxidative stress, both of which contribute to premature aging. Regular use of Moringa Magic supplements can lead to smoother, brighter skin, and a reduction in the appearance of wrinkles and fine lines.
Healthy Hair Growth
The vitamins and minerals in Moringa can also stimulate healthy hair growth and improve the condition of your scalp. The plant’s rich amino acid profile strengthens hair follicles, while the anti-inflammatory properties can help treat scalp conditions like dandruff.
How to Add Moringa Magic to Your Daily Routine
Incorporating Moringa Magic supplements into your daily routine is simple and convenient. Whether you prefer capsules, powder, or tea, Moringa Magic offers several options for easy consumption:
Capsules: If you’re on the go, Moringa Magic capsules are a quick and convenient way to reap the benefits of this superfood. Just take them with water in the morning, and you’re set for the day.
Powder: For those who love smoothies or want to get creative in the kitchen, Moringa powder can be added to shakes, juices, soups, or baked goods.
Tea: Moringa tea is a soothing and calming way to enjoy the plant’s benefits. Simply stir the powder into hot water for a refreshing, nutrient-packed drink.
Why Choose Moringa Magic Supplements?
With so many supplements on the market, it can be difficult to choose the right one. Here’s why Moringa Magic stands out from the rest:
Natural and Organic: Moringa Magic supplements are made from the highest quality, organic Moringa leaves, ensuring that you get the purest, most potent form of this incredible plant.
Sustainability: The Moringa tree is a sustainable crop that grows in harsh conditions, requiring minimal water and maintenance. By choosing Moringa Magic, you're supporting an eco-friendly product.
Versatility: Whether you need a quick energy boost, want to support your immune system, or are looking to improve your skin, Moringa Magic supplements provide an all-in-one solution for optimal health.
Conclusion: The Magic of Moringa Awaits
Moringa Magic is more than just a supplement; it’s a natural powerhouse packed with everything your body needs to thrive. From boosting energy and improving mental clarity to supporting your immune system and promoting healthy skin, Moringa offers a holistic approach to wellness.
By incorporating Moringa Magic into your daily routine, you're giving your body the nutrients it craves, all while enjoying the convenience of a simple, natural supplement. So, why not experience the magic of Moringa for yourself? Let Moringa Magic be your natural ally in achieving better health, vitality, and overall well-being.
Your journey to a healthier, more vibrant life starts here.
#Moringa supplements#Moringa powder#Moringa benefits#Superfood supplements#Natural energy boost#Immune system support#Moringa for skin#Organic Moringa#Moringa for vitality#Moringa capsules#Anti-inflammatory supplements#Moringa for heart health#Natural wellness supplements#Moringa for hair growth#Moringa antioxidants#Vegan energy supplements#Moringa detox#Moringa nutrition#Herbal supplements#Moringa for blood sugar control#Moringa powder benefits#Moringa superfood#Moringa for weight loss#Natural health supplements#Moringa for inflammation#Moringa energy booster#Moringa leaf extract#Moringa for immunity#Moringa for detoxification#Moringa for mental clarity
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You’re Mostly Microbial | How Bacteria Outnumber Your Human Cells
#You’re Mostly Microbial#How Bacteria Outnumber Your Human Cells#fun facts#facts#gut bacteria#Microbiome#Gut health#Bacteria#Human cells#Microbial cells#Digestive health#Immune system#Probiotics#Healthy living#Human body#Microorganisms#Microbiology#Health tips#Trillions of bacteria#Microbial balance#Dysbiosis#Gut bacteria#Vitamin production#Antibiotics impact#Health science#Ecosystem body#Good bacteria#Microbial diversity#Inflammatory diseases
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#Theracurmin#curcumin supplement#turmeric extract#anti-inflammatory support#joint health#antioxidant#natural health#daily wellness#immune support#Natural Factors
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youtube
#Ulcerative colitis#immune cell infiltration#small molecule compounds#chronic inflammation#gut health#immune response#inflammatory bowel disease#mucosal healing#colon inflammation#autoimmune diseases#precision medicine#targeted therapies#immunotherapy#microbiome and health#novel treatments#drug development#patient outcomes#UC research#clinical innovation#IBD treatment.#Youtube
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The Connection Between Damaged Mitochondria and Arthritis
Mitochondria are integral organelles responsible for various critical cellular functions, primarily energy production through oxidative phosphorylation. They are involved in maintaining cellular homeostasis, regulating metabolism, modulating calcium levels, and controlling apoptosis. Emerging evidence has highlighted mitochondrial dysfunction as a key contributor to a variety of diseases, including arthritis. This formal overview aims to explore the complex relationship between damaged mitochondria and arthritis, focusing on the molecular mechanisms that link mitochondrial dysfunction to the pathogenesis of inflammatory joint diseases, particularly rheumatoid arthritis (RA) and osteoarthritis (OA).
Mitochondrial Structure and Function
Mitochondria are double-membraned organelles found in eukaryotic cells, and they are crucial for cellular energy metabolism. Their primary role is the production of adenosine triphosphate (ATP) via oxidative phosphorylation, a process that takes place in the inner mitochondrial membrane. During this process, the electron transport chain (ETC) generates a proton gradient across the inner membrane, which drives ATP synthesis through ATP synthase. However, this process also generates reactive oxygen species (ROS) as byproducts, primarily from complexes I and III of the ETC. Under normal physiological conditions, ROS are neutralized by antioxidants, including superoxide dismutase (SOD), catalase, and glutathione. However, under pathological conditions, excessive ROS production can lead to oxidative stress, contributing to cellular damage and dysfunction.
In addition to ATP production, mitochondria have essential roles in calcium buffering, apoptosis regulation, and the maintenance of cellular integrity. Damage to these organelles disrupts these functions, contributing to various diseases, including arthritis.
Mitochondrial Dysfunction in Arthritis
Arthritis is a group of diseases characterized by inflammation and degeneration of the joints. It includes conditions like rheumatoid arthritis (RA), an autoimmune disease, and osteoarthritis (OA), a degenerative disease. In both types of arthritis, mitochondrial dysfunction has been identified as a critical factor that exacerbates disease progression through several mechanisms, including increased oxidative stress, immune activation, and tissue damage.
1. Oxidative Stress and Mitochondrial Damage
Oxidative stress is a hallmark of both RA and OA, and mitochondria are central to its production. In these conditions, mitochondrial dysfunction results in an increase in ROS production, overwhelming the cell’s antioxidant defenses. This oxidative stress leads to the modification of cellular structures, including proteins, lipids, and DNA, causing further mitochondrial damage. In RA, pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-1 (IL-1), and interleukin-6 (IL-6) stimulate immune cells like macrophages and neutrophils to release large amounts of ROS. These ROS contribute to the local inflammatory environment and accelerate joint destruction by damaging mitochondria and amplifying oxidative stress.
Mitochondrial damage results in a feedback loop where impaired mitochondrial function generates more ROS, further promoting inflammation. For instance, in RA, markers of oxidative damage such as 8-hydroxy-2'-deoxyguanosine (8-OHdG) and malondialdehyde (MDA) have been found to correlate with disease activity, suggesting a direct relationship between mitochondrial dysfunction and disease severity.
2. Mitochondrial DNA Damage and Inflammatory Signaling
Mitochondrial DNA (mtDNA) is particularly vulnerable to oxidative damage due to its proximity to the ETC, where ROS are produced during ATP synthesis. Unlike nuclear DNA, mtDNA is not protected by histones and has limited repair mechanisms, making it prone to mutations. Damage to mtDNA impairs mitochondrial function and can lead to the release of mtDNA fragments into the cytoplasm or extracellular space.
In the context of arthritis, mtDNA damage has been implicated in immune activation. When damaged mtDNA is released into the cytoplasm, it is recognized by pattern recognition receptors (PRRs), such as toll-like receptors (TLRs), on immune cells. TLRs, particularly TLR9, activate downstream inflammatory signaling pathways that lead to the production of pro-inflammatory cytokines such as TNF-α and IL-6. This further exacerbates the inflammatory response in joints and contributes to the progression of arthritis. Studies have shown that the presence of mtDNA fragments in the serum of RA patients correlates with disease activity, indicating the role of mtDNA in driving inflammation.
3. Mitochondrial Dynamics and Arthritis Pathogenesis
Mitochondrial dynamics refer to the continuous processes of mitochondrial fission (division) and fusion (joining), which maintain mitochondrial function and integrity. Fission allows for the removal of damaged mitochondria, while fusion helps to integrate mitochondrial contents and maintain a healthy mitochondrial pool. Imbalance between fission and fusion is associated with several diseases, including arthritis.
In the case of RA, excessive mitochondrial fission and reduced fusion have been observed. This imbalance results in mitochondrial fragmentation, which impairs mitochondrial function, increases ROS production, and contributes to cellular stress. Fission is regulated by proteins such as dynamin-related protein 1 (Drp1) and fission 1 protein (Fis1), while fusion is controlled by mitofusins (Mfn1 and Mfn2) and optic atrophy 1 (OPA1). Dysregulation of these proteins in RA leads to a fragmented mitochondrial network, which exacerbates oxidative stress and inflammation in synovial tissues.
4. Mitochondrial-Dependent Cell Death
Mitochondria are also central regulators of programmed cell death, particularly apoptosis. In the pathogenesis of arthritis, excessive or dysregulated apoptosis contributes to joint destruction. Mitochondrial dysfunction plays a critical role in the intrinsic apoptotic pathway by releasing pro-apoptotic factors such as cytochrome c and apoptosis-inducing factor (AIF). These factors activate caspase-dependent and caspase-independent pathways, leading to the death of synovial cells and cartilage cells, which contributes to the progressive tissue damage observed in both RA and OA.
Furthermore, mitochondrial permeability transition pore (mPTP) opening, which is induced by oxidative stress, can lead to necrosis, a form of uncontrolled cell death. Necrotic cell death in the joints increases inflammation and tissue degradation, particularly in OA, where cartilage breakdown is a hallmark feature.
Therapeutic Approaches Targeting Mitochondrial Dysfunction in Arthritis
Given the significant role of mitochondrial dysfunction in the pathogenesis of arthritis, various therapeutic strategies aimed at improving mitochondrial function are under investigation.
1. Mitochondrial Antioxidants
Mitochondrial-targeted antioxidants, such as MitoQ and MitoTEMPO, have been developed to selectively accumulate in mitochondria, where they can neutralize ROS and reduce oxidative stress. These compounds have shown promise in preclinical models of arthritis, where they help to reduce inflammation, protect mitochondrial function, and limit joint damage. The use of mitochondrial antioxidants could be an effective strategy to mitigate oxidative stress in arthritic conditions.
2. Mitochondrial Biogenesis Enhancement
Another potential therapeutic approach is the activation of mitochondrial biogenesis, the process by which new mitochondria are formed to compensate for damaged mitochondria. Agents that activate peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), a key regulator of mitochondrial biogenesis, could help restore mitochondrial function in arthritic tissues. Compounds such as resveratrol and NAD+ precursors are under investigation for their ability to promote mitochondrial biogenesis and improve cellular metabolism in arthritis.
3. Mitochondrial Dynamics Modulation
Restoring the balance between mitochondrial fission and fusion is another therapeutic strategy. Inhibiting excessive mitochondrial fission or promoting mitochondrial fusion may help maintain mitochondrial integrity and reduce inflammation in arthritis. Drugs targeting Drp1 or enhancing Mfn1/Mfn2 activity are potential candidates for modulating mitochondrial dynamics in arthritic diseases.
4. Mitophagy Enhancement
Mitophagy, the selective autophagic degradation of damaged mitochondria, is essential for maintaining mitochondrial quality. Enhancing mitophagy through the use of compounds like spermidine or activators of the PINK1/PARK2 pathway could help eliminate dysfunctional mitochondria and reduce inflammation, making it a promising therapeutic approach in arthritis.
Conclusion
Mitochondrial dysfunction plays a critical role in the pathogenesis of arthritis, contributing to oxidative stress, inflammation, and joint damage. The intricate relationship between damaged mitochondria and immune activation highlights the importance of targeting mitochondrial health in the treatment of arthritis. Emerging therapeutic strategies aimed at restoring mitochondrial function, reducing oxidative stress, and modulating mitochondrial dynamics hold promise for improving the management of arthritis and preventing joint destruction. Further research into mitochondrial biology and its role in arthritis is essential for the development of more effective, targeted therapies for these debilitating conditions.
#Mitochondrial dysfunction#Autoimmune disorders#Oxidative stress#Reactive oxygen species (ROS)#Mitochondrial dynamics#Mitochondrial fission#Mitochondrial fusion#Mitophagy#Apoptosis#Mitochondrial DNA (mtDNA)#Damage-associated molecular patterns (DAMPs)#Immune cell activation#Systemic lupus erythematosus (SLE)#Rheumatoid arthritis (RA)#Multiple sclerosis (MS)#Pattern recognition receptors (PRRs)#Toll-like receptors (TLRs)#Pro-inflammatory cytokines#Cytochrome c#NF-κB signaling#MitoQ#MitoTEMPO#Spermidine#PINK1/PARK2 pathway#Mitochondrial-targeted antioxidants#Immune dysregulation#Chronic inflammation#Mitochondrial fragmentation#Mitochondrial permeability transition pore (mPTP)#Autoantibodies
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