SUMMARY STATEMENT: Cancer, rare earth supplier and diabetes II, the three largest killers of the first and second world nation's human beings (85%), and their disease antithesis, a healthy squirt from the fountain of youth, are finally defined under a singular unifying global hypothesis. Experimental molecular mapping proves that the regulatory pathway mechanisms define it as a true, real and clinically demonstrated system for the first time. Publicly available, practical and easily workable disease blocking and life extension implementation are readily available to anyone. There are three sections: ABSTRACT; PATHWAY MECHANISMS; PRACTICAL APPLICATIONS. Read on!

Full mitochondrial biogenesis is a phosphate remover for pools of an early phase primarily associated with anabolism, cell replication and the making of over a thousand constitutive mitochondrial proteins that create new, but NADH to OX/PHOS inefficient mitochondria. Between these replication events, cell homeostatic controls up regulate a late phase set of mitochondrial respiratory chain proteins that create efficient NADH to OX/PHOS associated with a shift toward catabolism and autophagy of dysfunctional mitochondria and other cell debris. The early phase (neogenesis) supports cell growth, rejuvenation and whole body vitality in the short term, while the late phase (regenesis) supports cellular housekeeping and repair functions in the life extending long term. The immediate upstream effector of mitochondrial biogenesis is the mitochondrial proliferator co-activator (PGC-1alpha). Its up regulation institutes neogenesis and its down regulation institutes regenesis. Caloric restriction (CR) activates regenesis by up regulating adenosine monophosphate activated kinase (AMPK), while cancer activates neogenesis in the absence of regenesis by down regulation of the same AMPK pathway, upstream of PGC-1alpha. Recent ‘rediscoveries' show that a cancer cell metabolism proposal of 1980, is correct in its many metabolic particulars. Most cancer cells are mutationally glycolytic fetal enzyme driven ‘sugar junkies' supported by obligate mitochondrial ATP production inefficiency. Cancer cells are stuck in this cell growth drive state (metabotype), and become relentlessly replicative under the influence of mitogens. Recent genuine discoveries show that inhibition of the life extending CR pathway supports this ‘sugar junkie' growth state by creating and maintaining inefficient and neogenic mitochondria in the presence of forced hyperglycolysis. Blocking fetal glycolysis and re-establishing the CR pathway pattern creates the regenesis of efficient mitochondria and halts cancer cell growth, and can sometimes even initiate cancer cell apoptosis. We describe the pathway mechanism as a unidirectional feedback loop starting with the CR target, AMPK, and how it regulates mitochondrial biogenesis, the reactive oxygen species (ROS) output, of which, feeds back to AMPK. We also make sense of CR mimetic resveratrol, and its bioavailability in this context, and further employ these understandings to envision simple nutriceutical and lifestyle synergies to fight cancer, the major diseases of aging and even aging.

To make this easy to understand, we wish to start with some rules of the best phosphate remover. First, when we use the adjective ‘chronic' or prefixes like ‘hypo' or ‘hyper', we are referring to aberrant, unnatural or man-made over impacts upon normal homeostatic systems or typical physiological shiftings in standard metabolic systems. These words are used to emphasize a principal or powerful effect of some kind. Second, since CR is the ‘gold standard' of life extension, we will use it as a ‘home base', or reference point, that most of our forays will diverge from, and then return to. Third, we will focus primarily on the unidirectional multi-toggle switch feedback cycle from AMPK to target of rapamycin (TOR) to PGC-1alpha to ROS to sestrin (SESN) and back to AMPK, with the up regulation of AMPK effectively down regulating every other component of the cycle downstream of it. Since the system is a closed feedback loop, everything is upstream of everything else as well as downstream of everything else, like the proverbial snake that eats its tail. However, extrinsic factors affecting any component can over ride their immediate upstream regulators, as we will often point out. Memorizing, or keeping a note pad with this simple AMPK, TOR, PGC-1alpha, ROS, SESN circuit, as a principal reference point, keeps the discussion grounded.

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