Pierre MADL Div. of Material Sciences Dep
Transcription
Pierre MADL Div. of Material Sciences Dep
Quality of our Food 15-08-21 15-08-21 Madl Madl 0 Pierre MADL Div. of Material Sciences Dep. Physics & Biophysics University of Salzburg Hellbrunnerstr. 34 A-5020 Salzburg [email protected] http://biophysics.sbg.ac.at/home.htm 0 Intro Food Epigenome Method Implication Intro Points of Departure 1. Psychological and physical conditions; 2. Personal life attitude; 3. Personal life organization; 4. Epi-/Genetic predisposition; 5. Nutrition 15-08-21 Madl 1 p.21: »das ganze ist mehr als die summe seiner teile«. Kollath (1977) meint, dass nahrung mehr als nur das gemisch aus kohlehydraten, fetten, eiweissen, mineralsalzen, vitaminen, spurenelementen und ballaststoffen ist …. Legionen von forschern könnten jahrzehntelang mit dieser fragestellung sinnvoll beschäftigt werden; d.h.: - in wie weit biologische rhythmen die optimale auswahl der nahrung beeinflussen (wie es bspweise die mazdaznan-filosofie postuliert), - ob es zutrifft, dass das optimum der ernährung gleichbedeutend damit ist, dass möglichst wenig nahrung aufgenommen werden muss, - ob die optimale nahrung stets aus der jeweiligen lebensregion des verbrauchers stammen muss, wie es die makrobiotiker annehmen, - ob polaritätsdenken eine basis hat, bsp-weise ob die ernährungsfysiologische rolle der einzelkomponenten das säure-basen-gleichgewicht des bluts, des urins und des extrazellulärraums eine übergeordnete funktion hat, - inwieweit den lebensmitteln vorwiegend eine evolutionsbiologische bedeutung zukommt, wie es in ansätzen der anthroposofen zum ausdruck kommt. Heute kennt man fast alle mangelerscheinungen, die beim ausfall »essentieller« substanzen in der nahrung auftreten. Weniger gut bekannt sind die langzeit-wirkungen von überschüssen …. In form von stärkungsmitteln, vitaminpräparaten oder »natürlichen« zusatzstoffen in der nahrung ….. Der gesunde appetit nimmt jedenfalls wenig rücksicht darauf. …. »Bei durstgefühl ist es mit hoher wahrscheinlichkeit günstig zu trinken.« fragt sich nur noch, was. Source: Poop F.A. (2002). Die Botschaft der Nahrung, Zweitausendeins Verlag, FRA.a.Main FRG Kollath W. (1997). Die Ordnung unserer Nahrung. 6th ed. K. F. Haug Verlag, Heidelberg – FRG. 1 Intro Food Epigenome Method Implication Threshold Levels Threshold & Risks: • Threshold limits • No-effect level However: • The smaller the more toxic (Donaldson et al. 2000) Riepe, 2003 Grenzwerte: sind gesetzlich verankerte (justiziable) grössen; eine überschreitung ist demnach klagbar; bei jeder messung treten allerdings messfehler auf (zufällige und systematische fehler); daher gilt das der grenzwert nur innerhalb eines bestimmten toleranzbereiches gültig ist; wird ein grenzwert gemessen, so lässt sich nicht genau sagen ob man jetzt schon darüber oder noch unterm grenzwert liegt! Vorsorge-, richt-, und orientierungs-werte sind nur empfehlungswerte und haben daher keine gesetzeskraft; In some fine powders, including ultrafine titanium dioxide, carbon blacks, and fumed silicas, specific surface areas in excess of 2·E5m2/kg [200m2/g] are achieved among particles with aerodynamic diameters less than 4 mm. In comparison, an aerosol of spherical particles 4mm in diameter and with unit density would have a specific surface area of 1.5 x 103m2/kg [1.5m2/g]. There is evidence that for some lowsolubility materials toxic response may be associated with surface area or even particle number (Oberdorster et al., 1994; Lison et al., 1997; Donaldson et al., 1998).[1] Donaldson et al. (2000) documented that nano-particles have profound effects upon the recipient tissues.[2] They found that nano-particles are more inflammogenic than their coarser siblings made of the same material. The cut-off size for this increased toxicity was found among a gradient that showed the greatest effect at particles smaller 65 nm and gradually decreased and levelled off towards larger diameters around 200 nm. The properties that drive this toxicity are still largely unknown. Nonetheless, it was possible to relate oxidative stress responses of the target cells to particle number concentration and their associated surface area. In addition, while one kind of nano-particle exerted a moderate inflammogenic response, the effects increased or even became synergistic when otherwise harmless nano-aerosols were added to the mono-specific class of particles. Legally binding threshold values and the corresponding alarm levels for authorities. General risk assessment chart, assigned to an exposed public (dots represent the individual members) Source: [1] B.A.Baron & K.Willeke (2001). Aerosol Measurement Principles, Techniques and Applications, 2nd e.d; [1] p.781-782; [2] Donaldson K., Stone V., Gilmour P.S., Brown D. M., MacNee W. (2000). Ultrafine Particles: Mechanisms of Lung Injury. Philosophical Transactions: Mathematical, Physical and Engineering Sciences, Vol. 358, No. 1775, Ultrafine Particles in the Atmosphere, pp.2741-2749. Intro Food Epigenome Method Implication Historic Review 15-08-21 Madl 3 3 Intro Food Epigenome Method Implication History (1/6) The Analyst i) Society for Analytical Chemistry (UK, 1874) published its first issue of ii) the Analyst in March 1876 Aim: …. the object of THE ANALYST is not only to present to its readers the latest and best authenticated processes of analysis …. but to publish all cases of prosecution for adulteration, and such parliamentary and other proceedings as may appear to touch the interests of Analysts in general. …. a major step towards a fragmentated science; Analyst 1876, 1:1 15-08-21 Madl 4 p.23: die seinerzeitigen lebensmitt-elexperten witterten im erfindungsreichtum ihre chancen: sie vermischten besonders begehrte genussmittel mit minderwertigen produkten und liessen sich diese »streckung« der produkte so bezahlen, als ob sie nicht stattgefunden hätte …. Die erste wissenschaftliche zeitschrift der »society of public analysts« (1874): »the analyst« (1876) dienten dem erfahrungsaustausch mit dem ziel, den panschern auf die sprünge zu kommen …. p.25: Mit der zersplitterung des qualitätsbegriffs in einzelne, untergeordnete merkmale verliert sich die rechtfertigung, von qualität zu reden, zugunsten einer zweifelhaften angabe über die zweckmässigkeit …. Solange chemikalien der nahrung zugesetzt werden, erhöht sich das risiko verminderter qualität, während die verhinderung des zusatzes einzelner stoffe …. die höchstmengen-verordnung liefert deshalb unbedingt notwendige, aber keineswegs hinreichende qualitätsleitwerte …. Kurioserweise verdanken wir die »naturbelassenheit« der kost immer mehr der sorgfalt von lebensmittel-ingenieuren …. Die lebensmittelindustrie geht …. neuerdings der folgender strategie nach: die in der nahrung natürlich vorhandenen substanzen, die den genusswert erhöhen, werden angereichert, andere, die die frische günstig beeinflussen, zugefügt, wieder andere, die den verkauf der ware fördern, gezielt verstärkt oder beigemischt, jene aber, die nutzlos erscheinen, soweit es geht herausverdünnt …. (Kerbusk 1993). Dieses unter dem schlagwort »lebensmittel-funktionalitaet« betriebene vorgehen erinnert an optimierungsprozesse …. warum sollten lebensmittel-chemiker, mit höherem sachverstand ausgerüstet, diese optimierung nicht noch besser vornehmen können als eine erfahrene, aber rücksichtslose natur? …. p.xxi: Schauen sie sich doch mal die forschungslandschaft an. Wenn heute jemand irgendwo als forscher arbeitet, dann hat er ein spezielles gebiet .... Jeder hat so ein spezialgebiet und 99% der kollegen wären gar nicht in der lage die ganze problematik zu erfassen die ja von interdisziplinärer natur ist .... Man darf gar keine fachdisziplin in den vordergund stellen, sondern muss die fragestellung in den vordergrund rücken. Source: Kerbusk K.P.1993.Der Gen-Frass. Biotechniker bauen die Nahrung um. Der Spiegel 15, 202-218 http://en.wikipedia.org/wiki/The_Analyst_(chemistry_journal) http://www.rsc.org/Publishing/Journals/an/Article.asp?Type=CurrentIssue 4 Intro Food Epigenome Method Implication History (2/6) Rene Descartes (1596 – 1650 ) i) philosopher, mathematician, scientist, and writer; ii) scientific progress via technical means; iii) rational knowledge: “incapable of destroyed”; search for truth in science; being iv) Discourse on the Method - accept only that which you are sure of; - Divide into as small parts as necessary; - Solve the simplest problems first; - Make as complete list as possible; Wikipedia, 2009 15-08-21 Madl 5 p.33: …. Der französische mathematiker und filosof Rene Descartes lebte von 1596 bis 1650 …. Ähnlich widersprüchlich und deshalb vital - bei weitem nicht notwendig falsch - in der wissenschaft den fortschritt und die technischen mittel für arbeitserleichterung bis hin zur selbstverwirklichung des menschen zu erkennen. Von ihm geprägt, folgt die wissenschaft …. Noch heute einigen regeln seiner methode des richtigen vernunftgebrauchs: - vermeide alle vorurteile und erkenne nur das als wahr an, was sich klar und deutlich nachweisen lässt, - zerlege die probleme soweit als möglich in einzelteile, - schreite vom einfachsten objekt gleichsam stufenweise zum komplizierten voran, - sichere die vollständigkeit des systems durch aufzählung. Source: http://en.wikipedia.org/wiki/Descartes http://en.wikipedia.org/wiki/Discourse_on_Method 5 Intro Food Epigenome Method Implication History (3/6) … .b u is t R no en tr eD ed e uc sc ib ar le te to s k ste new am t -e hat ng a in hu e… m a . n Denis Papin (1647 - 1712) Medical scholar who joined Christian Huygens, who was working with air pumps …. Together they pionered the invention of the steam digester, the forerunner of the steam engine. Energetic requirements to power the human body: 1. energy supply for internal and external work, to maintain heartbeat or contraction of muscles; 2. assurance of necessary materials for cell-growth, 3. body heat regulation; Wikipedia, 2009 15-08-21 Madl 6 Begonnen aber hat es damit, dass beim abbau aller vorurteile und der beschränkung auf das, was klar und deutlich nachweisbar ist, der mensch sich scheinbar nicht mehr von einer maschine unterscheiden lässt. Descartes hätte hier freilich bereits protestiert, denn eine maschine kann nicht zweifeln …. p.34: Aber als man die parallelität des menschen mit der dampfmaschine erkannte - im übrigen lange zeit nach Descartes -, waren die selbstzweifel der wissenschaftler zugunsten der fortschritts-gläubigkeit ausgeräumt …. der treibstoff (nahrung) für den menschen dient nach diesem modell den folgenden drei funktionen: 1. der zufuhr notwendiger energie für innere und äussere arbeit, wie herzschlag beziehungsweise kontraktion der muskeln, 2. der sicherung notwendiger substanzen für das zellwachstum, 3. der wärmeregulation. p.35: …. Im menschen sterben etwa 1·E6 zellen pro sekunde ab - die sowohl im korrekten »timing« als auch mit submolekularer präzision genau ausgeglichen werden; und das trotz eines lückenhaften nahrungsangebots, mit nicht einmal annähernd passenden bausubstraten wie proteine, lipide, enzyme, nukleinsäuren, vitamine - die nötig sind, um die gesamte substanz jeder fehlenden zelle zu nachzubilden …. p.36: Wäre die wachstumsrate der zellen z.b. des darms nur geringfuegig erhöht, stürbe der mensch innerhalb weniger tage an darmverschluss …. Source: www.kuhf.org/cdprojects/steam/track8.html http://www.nndb.com/people/558/000096270/ 6 Intro Food Epigenome Method Implication History (4/6) Missmatch b/w Calories & Excercise: • Energy pathways (an/aerobic) • Energy contents of carbo-hydrates sucrose C12H22O11 glucose C6H12O6 starch C6H10O5)n triglycerides (fat, RCOOCH2CH(-OOCR')CH2-OOCR ) proteins (AA, H2NCHRCOOH ) • daily allowance: 2000 kCal MedBio, 2008 15-08-21 Madl 7 »Guter« treibstoff erfüllt diese aufgaben optimal, zeichnet sich dann durch eine hohe »ernährungsfysiologische« qualität aus. Um es klarzustellen: dieser standpunkt muss nicht falsch sein. Er könnte sich aber sehr wohl als unzureichend erweisen …. Wenn ein 75kg arbeiter einen 50kg zementsack 10m hochtragen will (PE [J] = mgh, m=75+30kg) …. dann muss er ca. 0.25 g fett verbrennen (1 kCal = 4187 J), oder zirka 1g proteine, oder ersatzweise 1g kohlehydrate. Die tägliche menge von zirka 2000 kCal, die der erwachsene benötigt, reicht immerhin aus, um …. vier klein-LKWs mit je rund 65 sack zement abzuladen und auf den 30m hohen turm zu tragen …. in einem tag (24h) hat er vergleichsweise nicht mehr geleistet als eine seiner 100W glühbirnen, die er möglicherweise abzuschalten vergessen hat (PE [J] = VIt, t=24h60min60s). Source: www.kuhf.org/cdprojects/steam/track8.html http://www.nndb.com/people/558/000096270/ http://www.medbio.info/Horn/Time%206/muscle_metabolism_march_2007.htm 7 Intro Food Epigenome Method Implication History (5/6) the missmatch b/w Calories & Excercise: • 5kg fat deposits (= 45·E3 kCal !) • Loss is difficult to achieve via mechanical work only; triathlete.com, 2008 15-08-21 Madl 8 Physics alone can't supply the answer without biology. If we just consider the work done against gravity it would take a 200 pound bench press to burn 1 food calorie (4187J). From here the issue comes down to efficiency, how much effort is wasted? (A human can expend calories in muscle tension without doing any work, saying nothing of our core bio functions that run all the time). Using a cardio-machine to measure ones heart rate yields the wattage of ones physical effort. Once you know that heart rate x leads to wattage y, just multiply the y of your average heartrate by the length of your workout (measured in seconds) and by 1/4187 to get a vague idea of your expended calories. Source: http://www.beginnertriathlete.com/ www.dna.caltech.edu/courses/cns187/references/brain.pdf 8 Intro Food Epigenome Method Implication History (6/6) the missmatch b/w Calories & Excercise: • 5kg fat deposits (= 45·E3 kCal !) • Loss is difficult to achieve via mechanical work only; • Brain uses 20% of total energy (20W) or 1kCal every 3.5 mins; • engaging in mental activity doubles / tripples energetic requirements! triathlete.com, 2008 15-08-21 Madl 9 The consensus is that a resting human brain uses energy at a rate of 20 Watts, that’s 20% of the overall energy budget of the human body. Hence, 20 W = 20 J/s = 1200 J/min = 28800 J/day, and with a kCal = 4187 J, one obtains: 4.8 Cal/s = 0.29kCal/min = 17.2 kCal/h = 412.7 kCal/day! Or in other words, the human brain uses 1 kCal of energy in about 3.5 min without performing any particular mental task! …. One could find menu cards in restaurants indicating, in addition to the price, the energy content of every dish …. Taken literally, this is just absurd. For an adult organism the energy content is as stationary as the material content. Since any calorie is worth as much as any other calorie, one cannot see how a mere exchange could help. What then is that precious something contained in our food which keeps us from death? …. Everything that is going on in Nature means an increase of the entropy …. What an organism feeds upon is negative entropy. p.35: erste schlussfolgerung koennte lauten: - lohnt es sich überhaupt, sein übergewicht ehrlich abzuarbeiten? 5kg zuviel zwingen uns, 6100 sack zement (zirka 93 klein-LKWs) abzuladen und jeden einzelnen sack 30m hochzuschleppen. Dafür müsste man vier wochen schweren arbeitsurlaub nehmen. - sollen wir uns nicht lieber freuen darüber, welche enormen arbeitsreserven schon mit einer spärlichen mahlzeit aufgenommen werden? - konnte es der sinn der biologischen evolution sein, uns als energiemaschinen zu gestalten, die es dann noch nicht einmal mit einer einfachen glühbirne aufnehmen können? Source: http://www.beginnertriathlete.com/ www.dna.caltech.edu/courses/cns187/references/brain.pdf Schrödinger E. (1948) What is Life? The Physical Aspect of the Living Cell. Cambridge: University Press. 9 Intro Food Epigenome Method Implication Food 15-08-21 Madl 10 10 Intro Food Epigenome Method Implication Production (1/7) Communicative Dynamics: Systems relies on matter, energy and information: EQM = h·ν0 ERT = m 0c2 dE + dm + dI = 0 (P.Manzelli, 2006) Energy: the potential for causing change. Information: a »bit« of information is definable as a difference that makes a difference (Bateson) - the content about Form & Gestalt in a message. Matter: the physical & objectifyable world. 15-08-21 Madl 11 Information-Energy-Matter Triad: With the quantum potential, its effect on a particle depends on its form rather than its magnitude. The effect is the same regardless of the strength of the wave. The wave may have larger effects even at long distances, for the wave does not carry energy; it is an information wave with mental & physical properties (see ship travelling on autopilot controlled by satellite: the information contained within the radio waves actually guides the enormous energy possessed by the ship). • Matter: is the substance of which physical objects are composed. It constitutes the observable (objectifyable) universe. According to the theory of relativity there is no distinction between matter and energy, because matter can be converted to energy, and vice versa. Source: Madl P., Yip M.; 2007; The Light of Life – Biophotonics; Proceedings of the 6th Gathering in Biosemiotics 2006, Umweb - Helsinki; Manzelli P. 2006. Evolution in "Bio–Quantum Physics“; General Science Journal; 11 Intro Food Epigenome Method Implication Production (2a/7) • Agro Revolution (~8kyrs ago) • Sessile Lifestyle & Population Growth (current) modified after Cunningham et al,. 2003; AAAS 2000; Bryant et al., 1998; 15-08-21 Madl 12 The explosive burst of highly developed urban civilizations - after millions of years without a face – and which spread over the whole world (so far known to them; e.g. Egypt, Sumer & Akkad in the Hindu valey, Xia dynasty at the HuangHo, the indigene cultures on the american continent among others) is remarkable. It must have been this development in which humans finally have left the line of animal ancestors. 12 Intro Food Epigenome Method Implication Production (2b/7) • Agro Revolution (~8kyrs ago) • Sessile Lifestyle & Population Growth (current) modified after Cunningham et al,. 2003; AAAS 2000; Bryant et al., 1998; 15-08-21 Madl 13 The agro-revolution made us sessile, thereby enabling communities to establish villages, cities, and ultimately larger urban aggregations 13 Intro Food Epigenome Method Implication Production (3/7) Liebig‘s Law Agro-Industrial Eutrophication (since 1840) 15-08-21 Madl animated, Reid et al., 2005 14 Agro-Industry: since the discovery of Liebig’s law (1850), agricultural productivity skyrocketed – so did the collateral effects of airborne relocation of essential minerals such as phosphorous and nitrogen. In 1840 Justus von Liebig proposed that the single factor in shortest supply relative to demand is the critical determinant in the distribution of that species (be it bacteria, plant, animal, fungi). 14 Intro Food Epigenome Method Implication Production (4/7) Food & Environment: • excess nitrogen & phosphate content in water and foods since the 1950s; • introduction of toxins into the food chain after WWII (e.g. DDT); • environmental movement kicked off in the early 1960s; • industry helped to cope with famine …. But at what price? CERPA 2009 15-08-21 Madl 15 In den 1950er jahren …. spielte das thema »chemie in der nahrung« keine oder nur eine untergeordnete rolle …. p.13: Heue aber gibt es kaum noch ein nahrungsmittel, vor dem nicht schon gewarnt worden wäre, wie fisch, fleisch, innereien, ja selbst brot, gemüse, obst, milch, nudeln, reis, gewürze, eier …. Der eigentliche kernpunkt …. ist die qualität der nahrung …. überhöhten stickstoff- und fosfatgehalt in den böden, im trinkwasser, in den lebensmitteln, durch schädlingsbekämpfungsmittel, konservierungsstoffe, reste von tierarzneimitteln, substitutionsstoffe und aufbesserungs-chemikalien, die qualität der nahrung keinen schaden erleidet …. p.15: »Die subventionierte naturzerstörung« (1990): »unsere tische sind reichlich gedeckt... aber der preis dafür ist hoch, wir bezahlen diese fülle mit einer zunehmenden zerstörung von natur und umwelt .... Das ist langfristig um so folgenschwerer, zumal es immer noch nicht ernst genommen und sogar durch agrarpolitische massnahmen weiter kräftig gefördert wird …. p.17: Die verdrängung wilder pflanzen und tierarten (stehen mit den kulturpflanzen in konkurrenz) ist kein betriebsunfall, sondern das erklärte ziel landwirtschaftlicher bodennutzung …. Fremdstoffe und rückstände bestimmten die gesundheit und qualität der nahrung weit weniger als ihre nährstoffe, dann bedeutet das im klartext, dass es immer noch günstiger sei, giftstoffe mit der nahrung aufzunehmen als zu verhungern …. p.123: Die aktuelle situation: …. Die moderne industrie hat die hungersnot …. beseitigt. aber bezahlen wir den heutigen überfluss …. mit einem unbekannten risiko? Chemikalien, die den ertrag der landwirtschaftlichen produktion in die höhe trieben, hinterlassen friedhofsruhe, verödung, vernichteten nicht nur die »schädlinge«, sondern auch die vögel am feldrain, bedrohen schon unsere eigene gesundheit mit latenten spätschäden …. An sich unschädliche und möglichst natürliche stoffe in die nahrungskette zu bringen oder »genetisch« zu manipulieren erscheint auf den ersten blick elegant …. jedoch ist dass lebensmittel aber mehr als die summe ihrer anteile …. Source; http://en.wikipedia.org/wiki/Silent_Spring Silent Spring is a book written by Rachel Carson and published by Houghton Mifflin in September 1962. The book is widely credited with helping launch the environmental movement. 15 Intro Food Epigenome Method Implication Production (5/7) Food & Environment: Biocides used in modern-style ago-industry: • Inorganic / Organochlorine Insecticides, • Herbicides, • Fungicides, etc. Uptake via • skin, (dermal applications); • lungs (inhalation); • intestinal tract (ingestion ); Kick-Raack., 2004 15-08-21 Madl 16 Modern food production employs large scale use of biocides that are introduced into the food chain. Areas of skin have different rates of absorption. Note that area around head absorbs well. Studies with farm applicators have shown absorption on back of neck. Certainly do not want pesticide contaminated hat etc to remain on head. Scrotum area is most sensitive. While palm and forearm not most sensitive, they are still where most exposure occurs for mixers/loaders and often applicators. (Lawn care applicators have exsposure on legs because the walk into their application. So potential for harm depends on sensitivity of the route of exposure, where exposure actually occurs, how long the exposure occurs, and the toxicity of the product. Acute Effects: Immediate “poisoning” or harm and are based on LD50 values. Most sensitive route determines Signal Word. Chronic Effects: Long-term effects from small doses over time. Not necessarily on label. Some information on MSDS (carcinogenicity, mutagenicity, teratogenicity = birth defects, oncogenicity, liver damage, Reproductive disorders-sperm count, sterility, miscarriage, nerve damage, allergenic sensitization). Source: Joanne Kick-Raack, 2004. Pesticide Poisoning Symptoms & Other Health Issues. Pesticide Education Programs, Ohio State Univ. The EXtension TOXicology NETwork: http://extoxnet.orst.edu/ http://hhs.sbo.hampton.k12.va.us/IB%20AP%20PowerPoints/APES%20pesticides.ppt Pesticides: •Algicides: Control algae in lakes, canals, swimming pools, water tanks, and other sites. •Antifouling agents: Kill or repel organisms that attach to underwater surfaces, such as boat bottoms. •Antimicrobials Antimicrobials: Kill microorganisms (such as bacteria and viruses). •Attractants: Attract pests (for example, to lure an insect or rodent to a trap). (However, food is not considered a pesticide when used as an attractant.) •Biopesticides: Biopesticides are certain types of pesticides derived from such natural materials as animals, plants, bacteria, and certain minerals. •Biocides: Kill microorganisms. •Disinfectants and sanitizers: Kill or inactivate disease-producing microorganisms on inanimate objects. •Fungicides: Kill fungi (including blights, mildews, molds, and rusts). •Fumigants: Produce gas or vapor intended to destroy pests in buildings or soil. •Biocides: Kill microorganisms. •Disinfectants and sanitizers: Kill or inactivate disease-producing microorganisms on inanimate objects. •Fungicides: Kill fungi (including blights, mildews, molds, and rusts). •Fumigants: Produce gas or vapor intended to destroy pests in buildings or soil. •Herbicides: Kill weeds and other plants that grow where they are not wanted. •Insecticides: Kill insects and other arthropods. •Miticides (also called acaricides): Kill mites that feed on plants and animals. •Microbial pesticides: Microorgs that kill, inhibit, or out compete pests, including insects or other microorgs. •Molluscicides: Kill snails and slugs. •Nematicides: Kill nematodes (microscopic, worm-like organisms that feed on plant roots). •Ovicides: Kill eggs of insects and mites. •Pheromones: Biochemicals used to disrupt the mating behavior of insects. •Repellents: Repel pests, including insects (such as mosquitoes) and birds. •Rodenticides: Control mice and other rodents. 16 Intro Food Epigenome Method Implication Production (6/7) Food & Environment: • excess nitrogen & phosphate content in water and foods since the 1950s; • introduction of toxins into the food chain after WWII (e.g. DDT); Mahaffy et al., 2000 15-08-21 Madl 17 It is 1948 Paul Muller receives a Nobel Prize for his discovery of the insecticidal properties of DDT (dichloro-dipheynl-tricholoethane) was first synthesized 1873. But at that time, it was just another molecule, with no notable qualities. In 1935, Muller, a researcher at Geigy (Basle, Switzerland), began looking for chemicals that might help control Colorado potato beetles. In 1939, he announced finding the insecticidal properties of DDT. Research on pesticides -- against typhus louse and mosquitoes -- had been underway since 1941 (by the medical branch of OSRD). Disease was no peripheral military issue: 2.5 million had died of typhus in World War I. Malaria was now a concern especially in the Pacific theater. The National Research Council had, since 1940, been organizing research among industries and foundations for an effective mosquito repellant. DDT research in focused on "military" effectiveness. By Feb 1943, DDT was shown to be one hundred times more toxic to mosquito larvae than any alternative. "In October of 1943 a heavy outbreak of typhus occurred in Naples and the customary relief measures proved totally inadequate. General Fox thereupon introduced DDT treatment with total exclusion of the old, slow methods of treatment. As a result, 1,300,000 people were treated in January 1944 and in a period of three weeks the typhus epidemic was completely mastered …. DDT … proved to be extremely valuable in the “fight” against malaria, this the most widespread of all contagious diseases which yearly affects about 300,000,000 people with a death rate of 1%. Source: http://www.tc.umn.edu/~allch001/1815/pestcide/sim/background.htm http://www.fws.gov/Pacific/ecoservices/envicon/pim/reports/Olympia/HoodCanalEagle.htm 17 Intro Food Epigenome Method Implication Production (7a/7) Food & Environment: • excess nitrogen & phosphate content in water and foods since the 1950s; • introduction of toxins into the food chain after WWII (e.g. DDT); • Endocrine Disruptors (ECD); Keith, 1997 15-08-21 Madl Florida alligators: pesticide spill in Lake Apopka in 1980 • ‘feminized’ males; • birth rates crashed; • population declined; 18 Endocrine Disruptors (ECDs): The physiological processes of the endocrine (hormonal) system can be disrupted by a number of artificially and naturally occurring chemicals. These compounds may potentially cause adverse effects on human health and wildlife by interfering with the function of endogenous hormones in the body (Kim et al.). The endocrine system include the pituitary, thyroid, adrenal glands, and the male and female reproductive systems, all of which release hormones into the bloodstream. In particular the sex hormones include estrogens in females and androgens in males. EDCs consist of synthetic and natural chemicals (Persistant Organic Pollutants, POP) that affect the balance of normal hormonal functions in animals. Depending on their activity they may be characterized as estrogen modulators or androgen modulators. They may mimic the sex hormones estrogen or androgen, thereby producing similar responses to them or they may block the activities of estrogen or androgen; i.e. anti-estrogens or anti-androgens (Keith, 1997). Source: Keith L.H. (1997). Environmental endocrine disruptors – A handbook of properties, John Wiley & Sons, Inc., New York - USA. Kim T.UK., Lee H.J., Lee S.Y., Cho J.W., Moon S.H. 2005. A Study on Analysis of EDCs by Mass Spectrometry and Removal of EDCs by Membranes. A UNU Pilot Programmme on Science and Technology for Sustainability. http://en.wikipedia.org/wiki/Lake_Apopka http://www.epa.gov/endocrine/ 18 Intro Food Food Method Implication Production (7b/7) 15-08-21 Madl 19 Unwanted Medications: • Don’t flush down toilets / drains • Properly dispose / recycle • Prudent usage Source: http://www.epa.gov/nerlesd1/chemistry/pharma/image/drawing.pdf Daughton C. 2004. Pharmaceuticals and Personal Care Products (PPCPs) as Environmental Pollutants. Environmental Sciences Division. National Exposure Research Laboratory. U.S. Environmental Protection Agency. 19 Intro Food Epigenome Method Implication Production (7b/7) Food & Environment: Estimated Chemicals in use (1990) • chemicals in commerce: 100·E3 • industrial chemicals 72·E3 • annual increase (new): 2·E3 • pesticides: 600 • food additives: 8.7·E3 • cosmetic ingredients.: 7.5·E3 • human pharmaceuticals: 3.3·E3 Keith, 1997 15-08-21 Madl 20 Environmental toxicology: science that examines the effects of poisonous chemicals and other agents on human and wildlife health. Toxicology is increasingly important: * production have expanded the number of new chemicals; * concentration of chemical contaminants in the environment have increased; but artificially produced chemicals give us the standard of living we enjoy today; * industrial agriculture; * medical advances; * modern materials and conveniences; Thousands of synthetic chemicals are toxicants that affect the health of wildlife and people; they are ubiquitous in the environment and can end up far from their source. Pesticides used to kill insects and weeds are some of the most widespread and toxic synthetic chemicals (e.g. source: lawns, farmlands, golf courses). Increased concern about environmental quality; deal specifically with those toxicants that come from or are discharged into the environment; e.g. Tyrone Hayes of University of California; illustrate battles where stakes are high, both in economics and human health; wasn't until 1960s that people began to learn about the risks of exposure to many synthetic pesticides. The key event was the publication of Rachel Carson's 1962 book, Silent Spring (DDT) Source: http://web.bryant.edu/~dlm1/sc372/readings/toxicology/toxicology.htm 20 Intro Food Epigenome Method Implication Production (7c/7) Food & Environment: Estimated Chemicals in use (1990) • chemicals in commerce: 100·E3 • industrial chemicals 72·E3 • annual increase (new): 2·E3 • pesticides: 600 • food additives: 8.7·E3 • cosmetic ingredients.: 7.5·E3 • human pharmaceuticals: 3.3·E3 e.g. Hg-exposure Stenstrup , 2003 15-08-21 Madl 21 Above is a schematic drawing of mercury cycling in an aquatic ecosystem. With the exception of isolated cases of known point sources, the source of most mercury to most aquatic ecosystems is deposition from the atmosphere, primarily associated with rainfall. Source: http://www.mercuryinschools.uwex.edu/curriculum/hg_in_env.htm http://www.mercuryinschools.uwex.edu/project/index.htm 21 Intro Food Epigenome Method Implication Distribution (1/1) Food Distribution - Globalization • globalization boosted focus on monetary value of production; • is reflected in the shift from bulk commodities towards processed foods; • encompasses organic foods as well; Regmi & Gehlhar, 2001, 2006 15-08-21 Madl 22 Area devoted to pear growing areas has increased sharply in Chile in the last 12 years, reaching in 1995 about 17.500 hectares (compared to 6.600 ha in 1985). Cultivation of this crop in Chile extends between the latitude 32° and 35° South, corresponding to Metropolitana, VIth and VIIth Regions. The main cultivated varieties are Packham's Triumph (37.4%), Beurré Bosc (23.7%), Anjou (4.9%) and Red Sensation (11.4%). The main problems in this specie are: inadequate zonification of varieties and lack of precocity in most of them. The profitability of the cultivation has been, however, seriously impacted by the increase of the volume produced and low fruit sales prices, obtaining returns between US$ 2.8–3.0 per box for the grower (this mean 17% of the final sales price at the port). The export volumes have surpassed 9 million boxes. The main Chilean pears importers are North America (25.0%) and Europe (25.5%). 20 yrs ago, bulk commodities that consisted primarily of grains and oilseeds accounted for most agricultural trade; however, in recent years processed and semi-processed products have jointly accounted for 2/3 of total agricultural trade. Highvalue food products are nonbulk commodities that either require special handling, such as fresh produce, or are processed, which adds substantial value beyond the farm level. Processed foods are edible foodstuffs that have been transformed from their original post-harvest states to either semi-processed products (flour and meal) or final products (bread and breakfast cereal). Image: U.S. Bulk Commodities Export Share Dropped About 30 Percent During 1980-98 Source: Regmi A., Gehlhar M., 2001. Global Food Trade - Consumer Preferences and Concerns. Food Review. Vol. 24 (3): 2-8; Yuri, J.A. and Torres, C. 1998. PEAR PRODUCTION IN CHILE: GROWING AREAS, CULTIVARS, EXPORTS AND PROFITABILITY. Acta Hort. (ISHS); 475:27-34 (http://www.actahort.org/books/475/475_1.htm) 22 Intro Food Epigenome Method Implication Processing (1/8) Food Additives - E-numbers • number codes for food additives; • on food labels throughout the EU; Two examples i) Conservants i) Packaging i) Radiation i) GMO INDIAWO, 2006 15-08-21 Madl 23 Genuss ohne qualität: Seit gut 2000 jahren streiten die filosofen darüber, ob der wahre genuss darin besteht, ihn voll auszuschöpfen (hedonismus) oder auf ihn gänzlich zu verzichten (askese). Bis heute hat sich diese schaukelei zwischen schweinsbraten und fastenkur erhalten, ja sogar zu einer neuen genialen variante entfaltet, wobei der geschmack der lebensmittel mit verstärkersubstanzen, aromastoffen, färb- und konsistenzmitteln bis hin zu psychofarmaka »vollendet« oder ersetzt wurde. Der verbraucher weiss nicht mehr, ob er der völlerei verfallen ist oder in wirklichkeit zu den asketen gehört. Die industrie bedenkt sehr wohl auch die bedürfnisse des kunden, denn ziel ist es, - die »natürliche« frische soweit wie möglich zu erhalten, - den »natürlichen« geschmack täuschend ähnlich nachzuahmen oder gar zu übertreffen, - den »natürlichen« geruch auch dann noch aufrechtzuerhalten, wenn das system »lebensmittel« unter natürlichen bedingungen schon längst verfault und von verwesung befallen wäre, - das aussehen so appetitlich wie möglich zu gestalten, so dass man am liebsten sofort zubeissen möchte und es kaum noch ab warten kann .... Source: www.ksoe.ch/lernangebot/indiawo06/ 23 Intro Food Epigenome Method Implication Processing (2/8) Food Additives – Conserving Life: Consequences of improper processing, “western” diet & medical overdose: … we …. • consume over 3kg of chemicals/year; • live longer; • die slower; • become older – the older we are, the more “conserved” we become; Engel, 2004 & wikipedia, 2009, 15-08-21 Madl 24 p.xl: Die moderne westliche esskultur bringt uns um. Wir leben zwar länger, aber im grunde genommen leben wir nicht länger sondern wir werden konserviert. Wir sterben langsamer .... p.79: As if this is not bad enough, further strain is placed on the body by the assortment of chemicals needed to preserve colour, dry, flavour and tenderise processed food, in order to get people to eat it. By this stage, it is not really food but more a composition of reconstituted, chemical-laden organic matter. A recent study has shown that the average person now consumes about three kilograms of chemicals per year, in the form of food additives. The human body was never designed to be so constantly abused. It becomes overloaded and develops allergies to all the unnatural rubbish with which it has been constantly fed. It is again a matter of degree. A little processed food, now and again, is no problem for a healthy body. But, when it is eaten on a daily basis, year after year, as the main ingredients of the diet, the body will lose its capacity to cope, and an insidious form of ill health will result. Source: http://en.wikipedia.org/wiki/Parkinson%27s_disease Engel C.C. 2004. Stepwise Care for The Recently Deployed and Their Families - A Populationbased Model of Care. Uniformed Services University, Walter Reed Army Medical Center. Griffiths S. 1996. Allergy overload. HarperCollins (Australia) 24 24 Intro Food Epigenome Method Implication Processing (3/8) Food Additives - E-numbers • number codes for food additives; • on food labels throughout the EU; E100–E199 (colours) E200–E299 (preservatives) E300–E399 (antioxidants, acidity regulators) E400–E499 (thickeners, stabilizers, emulsifiers) E500–E599 (acidity regs, anti-caking agents) E600–E699 (flavour enhancers) E700–E799 (antibiotics) E900–E999 (miscellaneous) E1000–E1999 (additional chemicals) zusatzstoffe-online.de, 2009 15-08-21 Madl 25 Konservierungsstoffe sind zusatzstoff-stoffe, die die haltbarkeit von lebensmitteln verlängern, indem sie diese vor den schädlichen auswirkungen von mikroorganismen schützen. Sie müssen zugelassen werden und dürfen nur für bestimmte lebensmittel und in begrenzter dosierung verwendet werden; z.b. die schalen von orangen ist häufig mit wachsen behandelt, denen (außer im Ökolandbau) meist konservierungsstoffe zugesetzt werden (generell bedenklich da 12mg/kg koerpergewicht nicht ueberschritten werden duerfen): i) Thiabendazol (E 233), i) Orthofenylfenol (E 231), i) Natriumorthofenylfenol (E 232), i) Bifenyl (=Difenyl) (E 230) und i) Imazalil (0,03 mg/kg/tag) Wegen ihrer pilzabtötenden wirkung sind sie ausschliesslich für die oberflächen-behandlung von zitrusfrüchten zugelassen. Die konservierungsstoffe werden entweder direkt auf die schale der früchte aufgebracht oder im falle von bifenyl auch indirekt durch einwickelpapier, kartons oder zwischeneinlagen. Auch das fungizid thiabendazol (E 233) wird u.a. für die haltbarmachung von zitrusfrüchten eingesetzt und ist in verwendung und wirkungsweise in diesem fall mit einem konservierungsstoff vergleichbar. Source: http://www.landwirtschaft-mlr.baden-wuerttemberg.de/servlet/PB/menu/1104695_l1/index.html 25 Intro Food Epigenome Method Implication Processing (4/8) Food Additives - E-numbers • number codes for food additives; • on food labels throughout the EU; E100–E199 (colours) E200–E299 (preservatives) E300–E399 (antioxidants, acidity regulators) E400–E499 (thickeners, stabilizers, emulsifiers) E500–E599 (acidity regs, anti-caking agents) E600–E699 (flavour enhancers) E700–E799 (antibiotics) E900–E999 (miscellaneous) E1000–E1999 (additional chemicals) zusatzstoffe-online.de, 2009 15-08-21 Madl 26 p.31: …. Unfair erscheint aber schon, dass man als normalverbraucher heute mehr und mehr gezwungen ist, mit dem biochemie-lexikon oder der auflistung der basensequenzen der chromosomen unter dem arm einzukaufen, um sich richtig zu ernähren …. Wir müssen klarheit schaffen darüber, was wir eigentlich wollen …. Deshalb ist es notwendig, objektive und ganzheitliche massstäbe für die nahrungsqualität zu finden, die uns erklären können, - worin der unterschied zwischen einem natürlich frischen salat und dem auf künstliche weise frisch erhaltenen salat besteht, - welche konsequenzen die manipulation der natürlichen haltbarkeit, des natürlichen aussehens, der farbe und der sensorischen eigenschaften, wie geruch und geschmack, nach sich ziehen. Notwendig dafür ist es, nicht nur zu wissen, was lebensmittel sind, sondern vor allem, was »leben« selbst bedeutet. Source: http://www.zusatzstoffe-online.de/home/ http://www.minutella.ch/e/index.htm 26 Intro Food Epigenome Method Implication Processing (5/8) Food Additives - Packaging D (0 ie 0: 31 A :0 k 5 te – 00 A :3 lu 2: 10 ) • Aluminium i) Al as wrappers & containers i) Al-chlorohydrate: AlnCl(3n-m)(OH)m used in deodorants & antiperspirants i) as coagulant in water purification. i) Al-hydroxide, Al(OH)3 to induce inflammation in vaccines • see slide 43 ff Wikipedia, 2009 15-08-21 Madl 27 •Al-chlorohydrate-salt: AlnCl(3n-m)(OH)m is used in deodorants & antiperspirants and as a coagulant in water purification. •Al-hydroxide, Al(OH)3, (hydroxoaluminate: Al(OH)4− anion @ pH>8 of Al(OH)3 Timelog: dieaktealuminium.files.wordpress.com/2013/04/pressemappe.pdf 19:04: Philippa Dabre - investigations of toxic potential of minute traces of aluminium in antitranspirant comparative studies with women who suffer breast cancer and those who do not, higher traces of Al have been found in breast-liquids women who had breast cancer 21:05: breast cells degenerating into tumor cells when in contact w/ Al http://www.sciencedirect.com/science/article/pii/S0162013405001613 Darbre PD. (2005). Aluminium, antiperspirants and breast cancer. J.o.Inorg Biochem. Vol.99(9):1912-1919. 21:35: Al promotes transmigration across cells & formation of metastasis 23:27: 2/3 of all anti-transpirants contain Al-compounds - Al reacts w/ skins cells & blocks cysts - sweat doesn‘t form 23:50: pure Al does not exist .... Al occurs only in its oxidated form; e.g. bauxite @ Porta Trompetas 27:25: bauxite results from the weathering of Al-rich ores. 250 soccer fields/year of pristine tropical rainforest sacrifieced 31:05: commercial to promote the use of Al-products 32:15: University of Vienna - allergy trigger (asthma, seasonal rhinitis, neuro-dermitis, etc.) Isabella Pali-Schoell & Erika Jensen Jarolim: Al-hydroxide (AlOH) used to induce allergic reaction to boost immunisation response of vaccines; AlOH used to moderate pH during heart burn (sodbrennen); inducing allergic response in mice by feeding apples together with Al-hydroxide 34:30 kids are more likely to become allergic when mothers took Al-containig medicine during pregnancy (epigenetics) e.g. heart burn medication during pregnancy 35:40: Herwig Holzer - neurological disorders, speech problems, stroke-like symptoms in young individuals, Alzheimer-like symptoms have been observed in patients that underwent dialysis, these patients have been given Al-containing medications …. See Wawschinek O., Petek W., Lang J, Pogglitsch H, Holzer H (1982) The determination of aluminium in human plasma. Microchim. Acta, Vol.77(5-6): 335-339 http://link.springer.com/article/10.1007/BF01197113# 42.10: Al is the only compound in nature that is not used in organismic metabolism or may serve for a specific functions Christoopher Exley http://www.keele.ac.uk/aluminium/groupmembers/chrisexley/ Darbre PD, Mannello F and Exley C (2013) Aluminium and breast cancer: Sources of exposure, tissue measurements and mechanisms of toxicological actions on breast biology. Journal of Inorganic Biochemistry 128, 257-261. http://www.sciencedirect.com/science/article/pii/S0162013413001608 Minshall C, Nadal J and Exley C (2014) Aluminium in human sweat. Journal of Trace Elements in Medicine and Biology 28, 87-88. http://www.sciencedirect.com/science/article/pii/S0946672X13001612 Exley (2013). Human exposure to aluminium. Environ.Scie.Proc.& Impacts.15:1807-1816.http://pubs.rsc.org/en/Content/ArticleLanding/2013/EM/c3em00374d#!divAbstract House E, Polwart A, Darbre P, Barr L, Metaxas G, Exley C (2013) The aluminium content of breast tissue taken from women with breast cancer. Journal of Trace Elements in Medicine and Biology. 27, 257-266. http://www.sciencedirect.com/science/article/pii/S0946672X13000576 Chuchu N, Patel B, Sebastian B, Exley C (2013). The aluminium content of infant formulas remains too high. BMC Pediatrics. 13:162 http://www.biomedcentral.com/1471-2431/13/162 48:00 reddish NaOH-enriched sludge as far as the eye can see 48:30 http://en.wikipedia.org/wiki/Aluminium_hydroxide Al(OH)3 for the cosmetic & pharmaceutical industry, too boost immunological reaction 51:50 workers affected by Al-exposure .... brittle bones, sleeplessness, headaches, acid-burnt skin, 56:20 locals using the water on a daily basis .... skin ruptures, skin itches, water burns like pepper ..... dam ruptured and flooded land where locals live, dust contaminated their fields 59:10: http://wwf.panda.org/wwf_news/press_releases/special_coverage/hungary_mud_sludge_toxic_red/ 1:05:00: molten Al-meets water from the sprinkler during the collapse of the twin-tower in NY; Boing: 82,3t (Al-share: 30t) Christian Simensen: Al+H2O at 800C -> Al2 (OH) 3 + H2 http://www.sintef.no/home/Press-Room/Research-News/New-theory-explains-collapse-of-Twin-Towers/ 1:07.00 solid rocket boosters use Al-compounds as rocket fuel 1:10:00 Camelford (UK): using Al-compounds to cleanse water - dead fish, bluish water, odd taste .... flushing the drinking water pipeline. Al-sulfate has been erroneously into the wrong pipe people suffered from rheumatic, 10 out of 40 sheep who drank of it died, neurologial disfunction among several members of the village. Exley found traces of Al in deceased 1.2ug/g brain mass in most adults in Alzheimer patients even 4-6ug/g and 23ug/g in deceased victims of Camelford 1:19:00 Ruhrgebiert uses AlCl3 to cleanse water 1:20:20: Paris likewise .... there remains always a rest of Al-traces in the water; Andre Picot induces shift to Fe-oxide powder 1:22:30 Alzheimer patients 1:24:00 Exley claims that Al is a neurotoxin 1:28:26 Romain Gherardi macrophages filled with Al-particles introduced into vaccines redistributed throughout the body, i/o lymphatic system and into the CNS Al-hydroxide is used in vaccines since 1927; in some individuals it is never excreted; Gherardi RK, Coquet M, Cherin P, Belec L, Moretto P, Dreyfus PA, Pellissier JF, Chariot P, Authier FJ. Macrophagic myofasciitis lesions assess long-term persistence of vaccine-derived aluminium hydroxide in muscle. Brain. 2001 Sep;124(Pt 9):1821-31. http://brain.oxfordjournals.org/content/124/9/1821.long 1:31.30: 8th int. congress on autoimmunity 2012, Granada Spain). Yehuda Shoenfeld on the topic of Al-hydroxide and Mg-carbonate .... Al-particles can penetrate i/o the brain congress conclusion: pharmaceutical companies are urged to invest in Al-free vaccines 1:33:00 EU does not see the potential danger of it Shaw CA, Tomljenovic L. (2013) Aluminum in the central nervous system (CNS): Toxicity in humans and animals, vaccine adjuvants, and autoimmunity. Immunol Res. 2013 Jul;56(2-3):304-16. doi: 10.1007/s12026-013-8403-1. http://link.springer.com/article/10.1007%2Fs12026-013-8403-1 Tomljenovic L. (2011). Aluminum and Alzheimer's disease: after a century of controversy, is there a plausible link? J Alzheimers Dis. 2011;23(4):567-98. doi: 10.3233/JAD-2010101494. http://iospress.metapress.com/content/vq1p78553222661m/?genre=article&issn=1387-2877&volume=23&issue=4&spage=567 Source: http://en.wikipedia.org/wiki/ 27 Intro Food Epigenome Method Implication Processing (6a/8) Food Additives - Packaging nt im Pl o n as (1 tic :0 1: E 00 ra –1 :0 3: 2 …. Acetaldehyde-formation CH3CHO …. a question of dosage (determines toxicity) 3) • PolyEthylene Terephthalate; A Wikipedia, 2009 15-08-21 Madl 28 PolyEthylene Terephthalate (PET, PETE, or the obsolete PETP or PET-P), is a thermoplastic polymer of the polyester family and is used in synthetic fibers; beverage, food and other liquid containers. PET consists of polymerized units of the monomer ethylene terephthalate, with repeating C10H8O4 units. It contains the chemical elements carbon, hydrogen, and oxygen. If fully burned, it produces only carbon dioxide (CO2) and water (H2O). PET is commonly recycled, and has the number "1" as its recycling symbol. PET degradation: formation of acetaldehyde …. It is a colorless liquid with a fruity smell. When acetaldehyde is produced, some of it remains dissolved in the walls of a container and then diffuses into the product stored inside, altering the taste and aroma. This is not such a problem for non-consumables such as shampoo, for fruit juices, which already contain acetaldehyde or for strong-tasting drinks, such as soft drinks. For bottled water, low acetaldehyde content is quite important, because if nothing masks the aroma, even extremely low concentrations can be tasted (10-20 parts per billion parts of resin, by weight). Acetaldehyde (ethanal) is an organic chemical compound with the formula CH3CHO or MeCHO. Acetaldehyde occurs naturally in ripe fruit, coffee, and fresh bread, and is produced by plants as part of their normal metabolism. It is popularly known as a chemical that causes hangovers …. Most people of East Asian descent have a “mutation” in their alcohol dehydrogenase gene that makes this enzyme unusually effective at converting ethanol to acetaldehyde, and about half of such people also have a form of acetaldehyde dehydrogenase that is less effective at converting it to acetic acid. This combination causes them to suffer from the alcohol flush reaction, in which acetaldehyde accumulates after drinking, leading to severe and immediate hangover symptoms. Acetaldehyde is toxic when applied externally for prolonged periods, an irritant, and a probable carcinogen. In addition, acetaldehyde is damaging to DNA and causes abnormal muscle development as it binds to proteins. Source: http://en.wikipedia.org/wiki/PET_bottle http://en.wikipedia.org/wiki/Acetaldehyde 28 Intro Food Epigenome Method Implication So tre to (1 po :2 is 8: o 00 n –1 q :3 uo 2: 23 tid ) i en Processing (6b/8) Mammary gland of unborn mouse: untreated 15-08-21 vs. 250ng/kg treated Madl :N A na id eo Wikipedia, 2009 V • Bisphenol A (BPA); …. Endocrine disrupting activity C15H16O2 o Food Additives - Packaging Sonnenschein & Soto, 2010 29 There are seven classes of plastics used in packaging applications. Type 7 is the catch-all "other" class, and some type 7 plastics, such as polycarbonate (sometimes identified with the letters "PC" near the recycling symbol) and epoxy resins, are made from BPA monomer. When such plastics are exposed to hot liquids, BPA leaches out 55 times faster than it does under normal conditions, at up to 32 ng/hour (boiling for an hour: 29 parts per trillion) Type 3 (PVC) can also contain BPA as antioxidant in plasticizers. Types 1 (PET), 2 (HDPE), 4 (LDPE), 5 (polypropylene), and 6 (polystyrene) do not use BPA.[1] Bisphenol A (BPA), is an organic compound with two phenol functional groups. It is an important plastics and plastic additives. BPA has low acute toxicity, with an oral LD50 of 3250 mg/kg in rats, but it is an endocrine disruptor. Low doses of BPA can mimic the body's own hormones, possibly causing negative health effects. There is thus concern that long term low dose exposure to BPA may induce chronic toxicity in humans. 0.025 "Permanent changes to genital tract” 0.025 "Changes in breast tissue that predispose cells to hormones and carcinogens” 2 "increased prostate weight 30%” 2 “< bodyweight, >anogenital distance in both genders, early puberty and longer estrus.” 2.4 "Decline in testicular testosterone” 2.5 "Breast cells predisposed to cancer” 10 "Prostate cells more sensitive to hormones and cancer” 10 "Decreased maternal behaviors” 30 "Reversed the normal sex differences in brain structure and behavior” 50 U.S. human exposure limit (not a result from an animal study, but a guideline set by EPA); Lang and colleagues found that high BPA levels were significantly associated with heart disease, diabetes, and abnormally high levels of certain liver enzymes. [2] Perinatal exposure to low-doses of bisphenol-A (BPA) results in alterations in the ovary, uterus, and mammary glands and in a sexually dimorphic region of the brain known to be important for estrous cyclicity.[3] Source: http://en.wikipedia.org/wiki/Acetaldehyde [1] Saal F.S., Myers J.P., 2008. Bisphenol A and Risk of Metabolic Disorders. JAMA. 2008;300(11):1353-1355. Lang I.A., Galloway T.S., Scarlett A., Henley W.E., Depledge M., Wallace R.B., Melzer D. 2008. Association of Urinary [2]Bisphenol A Concentration With Medical Disorders and Laboratory Abnormalities in Adults. JAMA. 2008;300(11):1303-1310 [3] Cabaton N.J., Wadia P.R., Rubin B.S., Zalko D., Schaeberle C.M., Askenase M.H., Gadbois J.N., Tharp A.P., Whitt G.S., Sonnenschein C., Soto A.M. 2010. Perinatal Exposure to Environmentally Relevant Levels of Bisphenol-A Decreases Fertility and Fecundity in CD-1 Mice. Environmental Health Perspectives. doi: 10.1289/ehp.1002559 29 Intro Food Epigenome Method Implication Processing (7a/8) Food Additives - Radiation • Radura-logo …. indicates that a food has been treated with ionizing radiation; Food irradiation can - mask spoiled food, Wikipedia, 2009 - discourage to good manufacturing practices, - kill 'good‘ / encourage growth of 'bad' bacteria, - devitalise and denature irradiated food, - impair the flavour, - not destroy bacterial toxins already present, - cause harmful chemical changes, - unnecessary in today's food system. 15-08-21 Madl 30 Die lebensmittel-bestrahlung verfolgt eine reihe von zielen, die durch unterschiedlich hohe bestrahlungsdosen erreicht werden: a) hemmung der keimung und der reifung; b) bekämpfung von insekten und parasiten; c) erhöhung der haltbarkeit; d) eliminierung von mikroorganismen; e) sterilisierung; Die wirkung der bestrahlung beruht auf der zerstörung des genoms und damit der fortpflanzungsund ueberlebensfähigkeit der bestrahlten organismen. Aufgrund ihrer grösse ist die DNA bedeutend stärker empfindlich gegenüber ionisierenden strahlen als kleinere molekül. Zur verwendung kommen elektronenstrahlung und bremsstrahlung (röntgenstrahlung) aus teilchenbeschleunigern sowie gammastrahlen aus dem zerfall von 60Cobalt oder 137Cäsium. Die energie der fotonenstrahlung von 60Co (1,12 & 1,33 MeV) und von 137Cs (0,66 MeV) ist zu gering, um eine kernaktivierung auszulösen (radioaktiver zerfall). Seitens internationaler gremien (FAO, IAEA und WHO) wurde bestätigt, dass lebensmittel jeglicher art bis zu einer ‚mittleren scwellwert-dosis‘ von 10 kGy ohne bedenken bestrahlt werden können (Gray: ist der quotient aus der aufgenommenen energie und der masse des körpers. 1 Gy = 1 J/kg = 100 rd). Low Dose Applications (up to 1 kGy) * Sprout inhibition in bulbs and tubers 0.03-0.15 kGy * Delay in fruit ripening 0.25-0.75 kGy * Insect disinfestation (quarantine) elimination of food borne parasites 0.07-1.00 kGy Medium Dose Applications (1 kGy to 10 kGy) * Red. of spoilage microbes to prolong shelf-life (meat, poultry & frozen seafoods 1.50–3.00 kGy * Red.of pathogenic microbes in fresh and frozen meat, poultry & seafoods 3.00–7.00 kGy * Reducing the number of microorganisms in spices to improve hygienic quality 10.00 kGy High Dose Applications (above 10 kGy) * Sterilisation of packaged meat, poultry &their products which are shelf stable w/o refrigeration. 25.00-70.00 kGy * Sterilisation of Hospital diets 25.00-70.00 kGy * Product improvement as increased juice yield or improved re-hydration It is important to note that these doses are above those currently permitted for these food items by the FDA and other regulators around the world. The Codex Alimentarius Standard on Irradiated Food does not specify any upper dose limit. NASA is authorized to sterilize frozen meat for astronauts at doses of 44 kGy as a notable exception. Source: http://en.wikipedia.org/wiki/Food_irradiation http://de.wikipedia.org/wiki/Lebensmittelbestrahlung 30 Intro Food Epigenome Method Implication Processing (7b/8) Community Science Action Guides, 2009 15-08-21 Madl 31 Food Irradiation: After the World War II, scientists looked for new ways to improve life utilizing applications of nuclear energy. One of these applications is that of food irradiation. This process is used to kill dangerous diseases associated with foods. The first use of food irradiation was used during the early 60's, this technique was applied to foods such as wheat, flour, and potatoes. As population grew, the need for new solutions for "cleaning food" also grew. So in the early 80's people started using food irradiation on spices, seasonings, fruits, vegetables and for meat such as pork to prevent trichinosis. Irradiation has become very popular among the growing community today. Today, over 40 nations have accepted the use of food irradiation. These countries include China, France, Germany, Great Britain, Israel, Japan, the Netherlands, South Africa, and the United States among others. Process: The process of food irradiation is to exposes food to gamma rays from radioactive 60Co. Food is passed through a small machine where 60Co is located. The food is exposed to the radioactive material for approximate 15 to 45 minutes depending on the type of food. The food is packaged before being introduced to the irradiator so the food does not contact other types of bacteria after being irradiated. When the process is completed, the rods of 60Co are retracted into a pool of water, which acts as a radiation barrier. This process has been used not only for food but also to sterilize medical devices, bandages, condoms, tampons, contact lens solution, and food for astronauts. Irradiation is used to extend the life period of food. This is advantageous in areas where food refrigeration is not available. The purpose of food irradiation is to clean food in the very best way possible. The radiation penetrates all parts of the food, killing harmful bacteria that cause diseases, such as salmonella in seafood, trichinosis in pork, and cholera from fish. Source: fi.edu/guide/wester/applications.html 31 Intro Food Epigenome Method Implication Processing (8a/8) Food Alteration - GMO: Genetically Modified Organisms (GMO) …. • to generate pest-resistant strains (gene-gun); • acc. to Epigenetics, genes play a subordinate, role, hence gene manipulation is hit-or-miss production of potential monstrosities (environmental incompatibility); • Many GM-DNAs are combinations of genes and genetic material that have never existed …. risk unknown …. • but are released into our environment and into the food chain and may be more invasive to natural habitats than their conventional counterparts; • GMO-foods: corn, tomato, potato, cotton, squash, papaya, rice, canola, Walker 2005 sugar beet, flax, soy, radish, cantaloupe, bananas, etc.; 15-08-21 Madl 32 Advocates of genetic engineering claim that it is no different from what evolution has done, and that it is in fact a new form of evolution. But genetically engineered crops are not analogous to products of normal evolution. If epigenetic causation is the motor of evolution as proposed, and genes play a subordinate, consolidating role, then going at the properties of an organism by manipulating its genes is not even really “engineering.” It is the hit-or-miss production of potentially useful monstrosities. This sharing of genetic information is not an accident. It is nature's method of enhancing the survival of the biosphere. As discussed earlier, genes are physical memories of an organism’s learned experiences. The recently recognized exchange of genes among individuals disperses those memories, thereby influencing the survival of all organisms that make up the community of life (GMO - shifting the nodes w/n the web of life). Source: Walker C., 2005: Epigenetics vs. Genetic Determinism - An Interview with Stuart Newman; Wild Duck Review, Vol.V, (2) Lipton B. (2005). Biology of Belief. Elite Books p.45 http://en.wikipedia.org/wiki/GMO_food 32 Intro Food Epigenome Method Implication Processing (8b/8) Food Alteration - GMO: Genetically Modified Organisms (GMO) …. • are illegitimate recombinations (DNA-scrambling): unspecific DNA-insertion (distinguishes GM from conventional methods) - not analogous to products of normal evolution; • horizontal gene transfer: GM-DNA fragments cross species boundaries; • ‘Growthfactor-like’ effects in the stomach and intestinal lining of young rats fed on GM-potato for just 10 days; • Horizontal transfer of GM-DNA to bacteria in the soil and into human gut has been found; • GM DNA of Lactobacillus in heat-treated fermented sausage could still be detected after 9 months of storage; I-SIS 2003 15-08-21 Madl 33 Making a GM plant or animal involves breaking and joining the DNA of the host genome at many unspecifiable locations, a process referred to as "illegitimate recombination", which distinguishes GM from all conventional methods. This process leads to substantial scrambling of both foreign and host DNA at the sites of integration. …. Topping the list of the direct evidence of hazard inherent to the technology is the study of Pusztai and co‐workers, who found dramatic ‘growthfactor-like’ effects in the stomach and intestinal lining of young rats fed GM potato for just 10 days, which were not present either in rats fed non‐GM potatoes or in rats fed non‐GM potatoes spiked with the transgene product. Source: http://www.i-sis.org.uk/GMSRDF.php THE GM SCIENCE REVIEW PANEL (2003) FIRST REPORT. An open review of the science relevant to GM crops and food based on interests and concerns of the public (very controversial). Pusztai A, Bardocz S, Ewen SWB (2003) Genetically Mofified Foods: Potential Human Health Effects. In: d’Mello JPF, (ed) Food Safety: Contaminants and Toxins. CAB International Straub AJ, Hertel C, Hammes P W (1999). The fate of recommbinat DNA in thermally treated fermented sausages. Eur. Food research.Techno.210: 62-67 33 Intro Food Epigenome Method Implication J G ou G Tr M rna M an O- l-p O di sge inv ap -M R P rty ni as er ou ro t c io (1 o nd m ric M n ( :0 ns up o-c ks ais 1:0 6:3 a -to lip (1 (1 8: 8 nt xi (1 :38 :32 38 –1: o ci :4 :0 :0 –1 0 ty 0: 0 0 : 8: (1 57 –1 –1 09 40 :4 – :4 :3 :2 ) 5: 1: 0 3: 0) 35 41 :2 55 –1 :36 5) ) :4 ) 7: 00 ) Processing (8c/8) Heritage, 2004 15-08-21 Madl 34 For example, tinkering with the genes of a tomato may not stop at that tomato, but could alter the entire biosphere in ways that we cannot foresee. Already there is a study that shows that when humans digest genetically modified foods, the artificially created genes transfer into and alter the character of the beneficial bacteria in the intestine [Heritage 2004; Netherwood, et al, 2004]. Similarly, gene transfer among genetically engineered agricultural crops and surrounding native species has given rise to highly resistant species deemed superweeds (for epigenetic modifications see Caulerpa taxifolia) [Milius 2003; Haygood, et al, 2003; Desplanque, et al, 2002; Spencer and Snow 2001] Image: possible route for transfer of DNA from plant cells in the human diet to intestinal bacteria. Some DNA in food is degraded during cooking and processing, but the remainder is ingested intact. Consumed DNA is largely hydrolyzed during digestion. Netherwood et al. provide evidence that intact transgenic DNA can be recovered in the human ileum and taken up by bacteria in this environment. Source: Lipton B. (2005). Biology of Belief. Elite Books p.45 Heritage, J. (2004). The fate of transgenes in the human gut. Nature Biotechnology 22, 170-172. Netherwood T., Martín-OrÚe S.M., O'Donnell A.G., Gockling S., Graham J., Mathers J.C., Gilbert H.J. (2004) Assessing the survival of transgenic plant DNA in the human gastrointestinal tract. Nature Biotechnology 22, 204-209. 34 Intro Food Epigenome Method Implication Microbiome (1/12) The gut-microbiome: • Eversion of outer environment to a culture microorganisms under controlled conditions (e.g. T, rH, pH, pO2, pCO2). • coordinated microbial activity (homeostasis) • sustained by gut mucosa • a downscaled Ecosystem of Endosymbionts Exchange of energy, matter and information (!) Norretranders, 1998 21-Aug-15 Madl 35 The person is rooted in the planet. The relationship between the /and the Me is also the relationship between the conscious person and the planet: How-ever vast the quantity of information we receive through the outer surface of the body and its senses, it is as nothing compared to the enormous flow of information constantly being exchanged across the inner surface: the lungs and the gastrointestinal system. We breathe and eat and thus exchange enormous quantities of matter, energy, and information with the earth as a living system …. Originally, the evolution of life led to the formation of microorganisms such as bacteria, which developed properties that ensured their survival. At first the bacteria tried to eat or infect each other. But instead of one bacteria emerging victorious, they ended up cooperating. Together, two such organisms influenced each other so much that they developed a symbiotic relationship and could not survive without each other. Symbiotic relationships are common in nature, but what made Margulis's idea special was that they could exist within the cells— i.e., inside the living organisms themselves. An organism could thus consist of an internal cooperation: an endosymbiosis, with endo mean-ing "inside." Image: The inner surface. A stream of matter flows through man from lips to the other end. A very big amount of information is exchanged across this inner surface to Gaia. Source: Norretranders T. 1998, The User Illusion. Penguin Books. Harmondsworth, Middlesex, England. 35 Intro Food Epigenome Method Implication Microbiome (2/12) Environmental influences on gutmicrobiome: • gut-microbiome is the interface b/w environment & body • mibrobiome releasea both beneficial a well as toxic products • Selective pressure via diatery preferences, drugs, and pollutants Zhao, 2013 21-Aug-15 Madl 36 The gut microbiota has been linked with chronic diseases such as obesity in humans. However, the demonstration of causality between constituents of the microbiota and specific diseases remains an important challenge in the field. In this Opinion article, using Koch痴 postulates as a conceptual framework, I explore the chain of causation from alterations in the gut microbiota, particularly of the endo- toxin-producing members, to the development of obesity in both rodents and humans. I then propose a strategy for identifying the causative agents of obesity in the human microbiota through a combination of microbiome-wide association studies, mechanistic analysis of host responses and the reproduction of diseases in gnotobiotic animals. Evans proposed a modified version as a unified concept for establishing causation of a putative cause (be it biotic or abiotic in nature) in infectious or non-infectious diseases. In this concept, three kinds of evidence are required to support causation: (i) an association between the disease phenotypes and the presence of the cells or genetic material of the putative cause, cross-sectionally and/or longitudinally; (ii) the reproduction or reduction of the disease phenotypes by experimental addition or removal of the putative cause in humans or animals; (iii) and the occurrence of host molecular responses that mechanistically connect the presence of the putative cause to the occurrence of the disease, for the whole concept to make biological or epidemiological sense. Image: Human health is influenced by interactions among the gut microbiota, the host and the environment. Humans are supraorganisms consisting of both human cells and microbial cells, particularly the gut microbiota. The gut microbiota interacts with host genetics and the environment (mainly diet) to influence the health of the human host. On the one hand, the gut microbiota releases toxins, such as lipopolysaccharides, and beneficial metabolites, such as vitamins and short-chain fatty acids, to damage or nourish humans, respectively. On the other hand, human genetics also imposes selective pressures on the gut microbiota through innate immunity or nutrient availability. The diet and particular drugs have a greater potential to shape the structure and function of the gut microbiota than host genetics, thus influencing the health state of the supraorganism. Source: Zhao L. (2013). The gut microbiota and obesity: from correlation to causality. Nat Rev Microbiol. Vol.11(9):639647. 36 Intro Food Epigenome Method Implication Microbiome (3/12) Ecotone of various bacterial species: (DNA extracted from fecal samples) • • • • • • 100·E12 microbial cells in the gut >1·E3 different strains in the gut responsible for gut homeostasis 99.1% of genes are of bacterial origin, 0.8% of archaeal origin 0.1% of eukaryotic and viral origins Any misbalance detunes gut-homeostasis & facilitates proliferation of pathogens Qin et al., 2010 21-Aug-15 Madl 37 To understand the impact of gut microbes on human health and well-being it is crucial to assess their genetic potential. Here we describe the Illumina-based metagenomic sequencing, assembly and characterization of 3.3 million nonredundant microbial genes, derived from 576.7 gigabases of sequence, from faecal samples of 124 European individuals. The gene set, approx. 150 times larger than the human gene complement, contains an overwhelming majority of the prevalent (more frequent) microbial genes of the cohort and probably includes a large proportion of the prevalent human intestinal microbial genes. The genes are largely shared among individuals of the cohort. Over 99% of the genes are bacterial, indicating that the entire cohort harbours between 1,000 and 1,150 prevalent bacterial species and each individual at least 160 such species, which are also largely shared. We define and describe the minimal gut metagenome and the minimal gut bacterial genome in terms of functions present in all individuals and most bacteria, respectively. Image: Relative abundance of 57 frequent microbial genomes among individuals of the cohort. See Fig. 2c for definition of box and whisker plot. Source: NZZ – die Macht der Bakterien (13. Sept. 2012) Qin J1, Li R, Raes J, Arumugam M, Burgdorf KS, Manichanh C, Nielsen T, Pons N, Levenez F, Yamada T, Mende DR, Li J, Xu J, Li S, Li D, Cao J, Wang B, Liang H, Zheng H, Xie Y, Tap J, Lepage P, Bertalan M, Batto JM, Hansen T, Le Paslier D, Linneberg A, Nielsen HB, Pelletier E, Renault P, Sicheritz-Ponten T, Turner K, Zhu H, Yu C, Li S, Jian M, Zhou Y, Li Y, Zhang X, Li S, Qin N, Yang H, Wang J, Brunak S, Doré J, Guarner F, Kristiansen K, Pedersen O, Parkhill J, Weissenbach J; MetaHIT Consortium, Bork P, Ehrlich SD, Wang J. (2010). A human gut microbial gene catalogue established by metagenomic sequencing. Nature, Vol.464(7285):59-65. 37 Intro Food Epigenome Method Implication Microbiome (4/12) Emotions: fermented milk product with probiotic properties affected • microbiome species composition • blood metabolite levels which in turn • affects amino-acid & polysaccharide m etabolism “ ed Effects on brain is seen in: nd -fu • various regions that control central E N processing of emotion and NOsensation DA fun c n tio al fo dy stu ” od Tillisch et al., 2013 21-Aug-15 Madl 38 Changes in gut microbiota have been reported to alte signaling mechanisms, emotional behavior, and visceral nociceptive reflexes in rodents. However, alteration of the intestinal microbiota with antibiotics or probiotics has not been shown to produce these changes in humans. We investigated whether consumption of a fermented milk product with probiotic r (FMPP) for 4 weeks by healthy women altered brain intrinsic connectivity or responses to emotional attention tasks. Several studies have demonstrated that the normal gut flora as well as the ingestion of probiotics can significantly alter blood metabolite levels, related to amino acids and to polysaccharide metabolism Image: Regions showing reduced activity in response to an emotional faces a ntion task after FMPP intervention are shown, with significant regions d arcated. Source: Tillisch K, Labus J, Kilpatrick L, Jiang Z, Stains J, Ebrat B, Guyonnet D, Legrain-Raspaud S, Trotin B, Naliboff B, Mayer EA. (2013) Consumption of fermented milk product with probiotic modulates brain activity. Gastroenterology, Vol.144(7):1394-401. 38 Intro Food Epigenome Method Implication Microbiome (5/12) Diet: and the innate immunity • modified gut microbiota Legend LF/PP: low-fat, plant polysaccharide-rich diet P: post-natal day Turnbach er al., 2009 15-08-21 Madl 39 Diet and nutritional status are among themost importantmodifiable determinants of human health. The nutritional value of food is influenced in part by a person’s gut microbial community (microbiota) and its component genes (microbiome). Unraveling the interrelations among diet, the structure and operations of the gut microbiota, and nutrient and energy harvest is confounded by variations in human environmental exposures, microbial ecology, and genotype. To help overcome these problems, we created a well-defined, representative animal model of the human gut ecosystem by transplanting fresh or frozen adult human fecal microbial communities into germ-free C57BL/6J mice. Culture-independent metagenomic analysis of the temporal, spatial, and intergenerational patterns of bacterial colonization showed that these humanized mice were stably and heritably colonized and reproduced much of the bacterial diversity of the donor’smicrobiota. Switching from a low-fat, plant polysaccharide–rich diet to a high-fat, highsugar “Western” diet shifted the structure of the microbiota within a single day, changed the representation of metabolic pathways in the microbiome, and altered microbiome gene expression. Reciprocal transplants involving various combinations of donor and recipient diets revealed that colonization history influences the initial structure of themicrobial community but that these effects can be rapidly altered by diet. Humanizedmice fed the Western diet have increased adiposity; this trait is transmissible via microbiota transplantation. Humanized gnotobioticmicewill be useful for conducting proof-of-principle “clinical trials” that test the effects of environmental and genetic factors on the gut microbiota and host physiology. Image: Postnatal assembly of the humanized gut microbiota. (A) Rarefaction curves measuring bacterial diversity in the fecal communities. (B) Taxonomic distribution [RDP level 3 (27)] of the gut microbiota sampled from mice from P14 to P85. Values rep- resent the average relative abun- dance across all samples within a given Source: Turnbaugh PJ, Ridaura VK, Faith JJ, Rey FE, Knight R, Gordon JI. (2009). The effect of diet on the human gut microbiome: a metagenomic analysis in humanized gnotobiotic mice. Sci Transl Med. Vol.1(6):6ra14. 39 Intro Food Epigenome Method Implication Microbiome (6/12) Health: and innate immunity • diet alters the gut microbiota • the signature of a ‘healthy gut‘ and changing the microbiota towards a healthy composition improves human health. Greiner & Bäckhed., 2011 15-08-21 Madl 40 The human gut is home to a vast number of bacteria, the microbiota, whose genomes complement our own set of genes. The gut microbiota functions at the intersection between host genotype and diet to modulate host phys- iology and metabolism, and recent data have revealed that the gut microbiota can affect obesity. The gut microbiota contributes to host metabolism by several mechanisms including increased energy harvest from the diet, modulation of lipid metabolism, altered endo- crine function, and increased inflammatory tone. The gut microbiota could thus be considered to be an environ- mental factor that modulates obesity and other meta- bolic diseases. Image: The gut microbiota suppresses enterocyte expression of Angptl4; this alleviates LPL inhibition and promotes LPL-mediated triglyceride storage in adipose tissue. In addition, reduced Angptl4 levels together with diminished activation of AMPK reduce fatty acid oxidation in skeletal muscle. The gut microbiota has also direct effects on enteroendocrine L-cells: microbially generated short-chain fatty acids (SCFAs) bind to the G-protein-coupled receptor (GPCR) Gpr41 which stimulates secretion of the gut hormone PYY. Secretion of PYY leads to reduced intestinal transit, increased energy harvest, and stimulates hepatic lipogenesis. The gut microbiota generates secondary bile acids that are the major ligands for the GPCR TGR5. Stimulation of TGR5 enhances GLP-1 secretion, and this promotes increased insulin secretion, satiety, and reduced gastric emptying. Source: Greiner T, Bäckhed F. (2011) Effects of the gut microbiota on obesity and glucose homeostasis. Trends Endocrinol Metab. Vol. 22(4):117-123. 40 Intro Food Epigenome Method Implication Microbiome (7/12) Health: and acquired (gut)immunity • Biocommunication of bacteria via pilus • exchange of drug-resistancy via plasmids (e.g. antibiotic resistance) Kruse & Sorum., 1994 15-08-21 Madl 41 Image: Scienceprofonline.com/microbiology/bacterial-genetics-plasmid-dnaconjugation-gene-transfer.html Source: Kruse H, Sorum H (1994). Transfer of Multiple FDrug Resistance Plasmids between Bacteria of Diverse Origins in Natural Microenvironments. Applied and Environ. Microbiology Vol.60(11): 4015-4021 41 Intro Food Epigenome Method Implication Microbiome (8/12) Asthma: and fiber-rich diet induces • boost in Bacteroidaceae & Bifidobacteria • yield short- fatty acids (sFA) • sFA migrate to bone marrow • suppress over-expression of immune cells Trompete et al., 2014 15-08-21 Madl 42 Metabolites from intestinal microbiota are key determinants of host-microbe mutualism and, consequently, the health or disease of the intestinal tract. However, whether such host-microbe crosstalk influences inflammation in peripheral tissues, such as the lung, is poorly understood. We found that dietary fermentable fiber content changed the composition of the gut and lung microbiota, in particular by altering the ratio of Firmicutes to Bacteroidetes. The gut microbiota metabolized the fiber, consequently increasing the concentration of circulating short-chain fatty acids (SCFAs). Mice fed a high-fiber diet had increased circulating levels of SCFAs and were protected against allergic inflammation in the lung, whereas a low-fiber diet decreased levels of SCFAs and increased allergic airway disease. Treatment of mice with the SCFA propionate led to alterations in bone marrow hematopoiesis that were characterized by enhanced generation of macrophage and dendritic cell (DC) precursors and subsequent seeding of the lungs by DCs with high phagocytic capacity but an impaired ability to promote T helper type 2 (TH2) cell effector function. The effects of propionate on allergic inflammation were dependent on G proteincoupled receptor 41 (GPR41, also called free fatty acid receptor 3 or FFAR3), but not GPR43 (also called free fatty acid receptor 2 or FFAR2). Our results show that dietary fermentable fiber and SCFAs can shape the immunological environment in the lung and influence the severity of allergic inflammation. Image: not yet accessible as file is not open access http://www.nature.com/nm/journal/v20/n2/images/nm.3472-F1.jpg …. Source: Trompette A, Gollwitzer ES, Yadava K, Sichelstiel AK, Sprenger N, Ngom-Bru C, Blanchard C, Junt T, Nicod TP, Harris NL, Marsland BJ (2014) Gut microbiota metabolism of dietary fiber influences allergic airway disease and hematopoiesis, Nature Medicine, doi:10.1038/nm.3444 42 Intro Food Epigenome Method Implication Microbiome (9/12) Obesity: and faecal transplantation in rhodents modify risk of obeisity • from lean donors to obese recipients • from obese donors to lean recipients . Ridaura et al., 2013 15-08-21 Madl 43 The role of specific gut microbes in shaping body composition remains unclear. We transplanted fecal microbiota from adult female twin pairs discordant for obesity into germ-free mice fed lowfat mouse chow, as well as diets representing different levels of saturated fat and fruit and vegetable consumption typical of the U.S. diet. Increased total body and fat mass, as well as obesity-associated metabolic phenotypes, were transmissible with uncultured fecal communities and with their corresponding fecal bacterial culture collections. Cohousing mice harboring an obese twin‘s microbiota (Ob) with mice containing the lean co-twin‘s microbiota (Ln) prevented the development of increased body mass and obesity-associated metabolic phenotypes in Ob cage mates. Rescue correlated with invasion of specific members of Bacteroidetes from the Ln microbiota into Ob microbiota and was diet-dependent. These findings reveal transmissible, rapid, and modifiable effects of diet-by-microbiota interactions Image: Reliable replication of human donor microbiota in gnotobiotic mice. (A) Features of the four discordant twin pairs. (B) Assembly of bacterial communities in mice that had received intact and uncultured fecal microbiota transplants from the obese and lean co-twins in DZ pair 1. (C) Body composition, defined by QMR, was performed 1 day and 15 dpc of each mouse in each recipient group. Mean values (T SEM) are plotted for the percent increase in fat mass and lean body mass at 15 dpc for all recipient mice of each of the four obese co-twins‘ or lean co-twins‘ fecal microbiota, normalized to the initial body mass of each recipient mouse. Driven by a significant difference in adiposity and total body mass between mice colonized with a lean or obese co-twin donor‘s fecal microbiota. (D) Mean values (T SEM) are plotted for the percent change in fat mass at 15 dpc for all recipient mice of each of the four obese co-twins‘ or lean cotwins‘ fecal microbiota. (E) More prolonged time course study for recipients of fecal microbiota from co-twins in discordant DZ pair 1. Source: Ridaura VK, Faith JJ, Rey FE, Cheng J, Duncan AE, Kau AL, Griffin NW, Lombard V, Henrissat B, Bain JR, Muehlbauer MJ, Ilkayeva O, Semenkovich CF, Funai K, Hayashi DK, Lyle BJ, Martini MC, Ursell LK, Clemente JC, Van Treuren W, Walters WA, Knight R, Newgard CB, Heath AC, Gordon JI. (2013) Gut microbiota from twins discordant for obesity modulate metabolism in mice. Science. Vol.341(6150): 1079-1089. 43 Intro Food Epigenome Method Implication Microbiome (10a/12) Obeisity: and a missing protein (Toll-like receptor-5) – a component of the innate immune system – it induces: • • • • highly irritated intestine obesity high blood pressure diabetes – type 2 Vijar-Kumar et al., 2010 15-08-21 Madl 44 Metabolic syndrome is a group of obesity-related metabolic abnormalities that increase an individual’s risk of developing type 2 diabetes and cardiovascular disease. Here, we show that mice genetically deficient in Toll-like receptor 5 (TLR5), a component of the innate immune system that is expressed in the gut mucosa and that helps defend against infection, exhibit hyperphagia and develop hallmark features of metabolic syndrome, including hyperlipidemia, hypertension, insulin resistance, and increased adiposity. These metabolic changes correlated with changes in the composition of the gut microbiota, and transfer of the gut microbiota from TLR5-deficient mice to wild-type germ-free mice conferred many features of metabolic syndrome to the recipients. Food restriction prevented obesity, but not insulin resistance, in the TLR5-deficient mice. These results support the emerging view that the gut microbiota contributes to metabolic disease and suggest that malfunction of the innate immune system may promote the development of metabolic syndrome Image: T5KO mice develop obesity. T5KO mice and WT littermates were monitored for 20 weeks. Abdominal photograph of representative 20-week-old male mice. Source: Vijay-Kumar M, Aitken JD, Carvalho FA, Cullender TC, Mwangi S, Srinivasan S, Sitaraman SV, Knight R, Ley RE, Gewirtz AT. (2010). Metabolic syndrome and altered gut microbiota in mice lacking Toll-like receptor 5. Science. Vol.328(5975):228-31. 44 Intro Food Epigenome Method Implication Microbiome (10b/12) Obeisity Epigenetic Imprinting (paramutation): Mothers treated w/ gastro-intestinal bypass (to loose weight) • Investigated 50 kids from 20 obese mothers • kids of obese mothers tend to be likewise obese • some received gastro-intestinal bypass (GIB) • these kids developed normally • approx. 5700 genes differently methylated among siblings (before & after mother underwent GIB) Ng et al., 2010 15-08-21 Madl 45 Obesity and overnutrition during pregnancy affect fetal programming of adult disease. Children born after maternal bariatric gastrointestinal bypass surgery (AMS) are less obese and exhibit improved cardiometabolic risk profiles carried into adulthood compared with siblings born before maternal surgery (BMS). This study was designed to analyze the impact of maternal weight loss surgery on methylation levels of genes involved in cardiometabolic pathways in BMS and AMS offspring. Differential methylation analysis between a sibling cohort of 25 BMS and 25 AMS (2–25 y-old) offspring from 20 mothers was conducted to identify biological functions and pathways potentially involved in the improved cardiometabolic profile found in AMS compared with BMS offspring. A total of 5,698 genes were differentially methylated between BMS and AMS siblings, exhibiting a preponderance of glucoregulatory, inflammatory, and vascular disease genes. The global prevalence of obesity is increasing across most ages in both sexes. This is contributing to the early emergence of type 2 diabetes and its related epidemic1, 2. Having either parent obese is an independent risk factor for childhood obesity3. Although the detrimental impacts of diet-induced maternal obesity on adiposity and metabolism in offspring are well established4, the extent of any contribution of obese fathers is unclear, particularly the role of non-genetic factors in the causal pathway. Here we show that paternal high-fat-diet (HFD) exposure programs β-cell ‘dysfunction’ in rat F female offspring. Chronic HFD consumption in Sprague–Dawley fathers induced increased body weight, adiposity, impaired glucose tolerance and insulin sensitivity. Relative to controls, their female offspring had an early onset of impaired insulin secretion and glucose tolerance that worsened with time, and normal adiposity. Paternal HFD altered the expression of 642 pancreatic islet genes in adult female offspring; genes belonged to 13 functional clusters, including cation and ATP binding, cytoskeleton and intracellular transport. Broader pathway analysis of 2,492 genes differentially expressed demonstrated involvement of calcium-, MAPK- and Wnt-signalling pathways, apoptosis and the cell cycle. Hypomethylation of the Il13ra2 gene, which showed the highest fold difference in expression (1.76-fold increase), was demonstrated. This is the first report in mammals of non-genetic, intergenerational transmission of metabolic sequelae of a HFD from father to offspring. Image: a, Body weight (control, HFD: n = 8 and 9, respectively). b, Specific growth rate (SGR, change in body weight/body weight; n = 8 and 9, respectively). c, Cumulative energy intake (n = 9 and 7, respectively). d–g Blood glucose (d) and plasma insulin (e) during a glucose tolerance test at 6 weeks (n = 8 and 8, respectively) and 12 weeks (f, g) (n = 5 and 7, respectively). h, Insulin resistance index (glucose (mM) × insulin (ng ml−1) × 0.0417/22.5) at 12 weeks. i, Blood glucose during an insulin tolerance test (0.5 U kg−1) at 11 weeks (n = 8 and 9, respectively). Source: Guénard F, Deshaiesb Y, Cianfloneb K, Krald JG, Marceauc P, Vohla MC (2012) Differential methylation in glucoregulatory genes of offspring born before vs. after maternal gastrointestinal bypass surgery. PNAS, vol.110(28) 11439 -11444. Ng SF, Ruby C, Lin Y, Laybutt DR, Barres R, Owens JA, Morris MJ (2010) Chronic high-fat diet in fathers programs β-cell dysfunction in female rat offspring. Nature Vol. 467: 963 -966 45 Intro Food Epigenome Method Implication Microbiome (11/12) Obesity: Epigenetic activation SNPs (single nucleotide polymorphisms) morphologically affect: • FTO-gene (an intron not coding a protein) • that controls IRX3-gene (active during embryo stage) • deactivated, it reduced the body’s ability to store fat (IRX3 KO) Ctrl: control (wild type) KO …. knock out variant Smeno et al., 2014 15-08-21 Madl 46 Genome-wide association studies (GWAS) have reproducibly associated variants within introns of FTO with increased risk for obesity and type 2 diabetes (T2D)1–3. Although the molecular mechanisms linking these noncoding variants with obesity are not immediately obvious, subsequent studies in mice demonstrated that FTO expression levels influence bodymass and composition phenotypes4–6.However, no direct connection between the obesity-associated variants and FTO expression or function has been made7–9. Here we show that the obesity-associated noncoding sequences within FTO are functionally connected, at megabase distances, with the homeobox gene IRX3. The obesity-associated FTO region directly interacts with the promoters of IRX3 as well as FTO in the human, mouse and zebrafish genomes. Furthermore, long-range enhancers within this region recapitulate aspects of IRX3 expression, suggesting that the obesityassociated interval belongs to the regulatory landscape of IRX3.Consistentwith this, obesity-associated single nucleotide polymorphisms are associated with expression ofIRX3, but not FTO, in human brains. A direct link between IRX3 expression and regulation of body mass and composition is demonstrated by a reduction in body weight of 25 to 30% in Irx3-deficientmice, primarily through the loss of fatmass and increase inb asal metabolic rate with browning of white adipose tissue. Finally, hypothalamic expression of a dominant negative form of Irx3 reproduces the metabolic phenotypes of Irx3-deficientmice. Our data suggest thatIRX3 is a functional long-range target of obesity-associated variants within FTO and represents a novel determinant of body mass and composition. Image: Figure 3 | Irx3-deficient mice are leaner and are protected against dietinduced obesity. Sections of inguinal white adipose tissue (IWAT; subcutaneous), perigonadal WAT (PWAT; visceral), brown adipose tissue (BAT), and liver from High Fat Diet mice. Source: Smemo S, Tena JJ, Kim KH, Gamazon ER, Sakabe NJ, Gómez-Marín C, Aneas I, Credidio FL, Sobreira DR, Wasserman NF, Lee JH, Puviindran V, Tam D, Shen M, Son JE, Vakili NA, Sung HK, Naranjo S, Acemel RD, Manzanares M, Nagy A, Cox NJ, Hui CC, Gomez-Skarmeta JL, Nóbrega MA. (2014) Obesity-associated variants within FTO form long-range functional connections with IRX3. Nature 507(7492): 371–375 46 Intro Food Epigenome Method Implication Microbiome (12a/12) Maternal transfer: From mother to infant to boost infant colonization • Limited transmigration of maternal microbes through placenta & amniotic fluid; • Substantial exposure during vaginal delivery; • Breastfeed as direct source of bacteria via skin & milk; Rautava et al., 2012 15-08-21 Madl 47 Interaction with colonizing intestinal bacteria is essential for healthy intestinal and immunological development in infancy. Advances in understanding early host–microbe interactions indicate that this early microbial programming begins in utero and is substantially modulated by mode of birth, perinatal antibiotics and breastfeeding. Furthermore, it has become evident that this stepwise microbial colonization process, as well as immune and metabolic programming by the microbiota, might have a long-lasting influence on the risk of not only gastrointestinal disease, but also allergic, autoimmune and metabolic disease, in later life. Modulating early host–microbe interaction by maternal probiotic intervention during pregnancy and breastfeeding offers a promising novel tool to reduce the risk of disease. In this Review, we describe the current body of knowledge regarding perinatal microbial contact, initial intestinal colonization and its association with human disease, as well as means of modulating early host–microbe interaction to reduce the risk of disease in the child. The fetus comes into contact with microbes originating in the maternal gut through the placenta and amniotic fluid. A massive inoculum of maternal bacteria is encountered during vaginal delivery, which is also associated with increased maternal intestinal permeability and translocation of gut bacteria into breast milk. Breastfeeding not only modulates neonatal bacterial colonization and immune maturation, but is a direct source of maternal bacteria. After birth, skin-to-skin contact and nursing ensures direct transfer of maternal bacteria to the infant to enhance healthy immune and metabolic maturation. Image: The gut microbiota programmes host health—from mother to infant. Source: Rautava S, Luoto R, Salminen S, Isolauri E (2012). Microbial contact during pregnancy, intestinal colonization and human disease. Nature Reviews Gastroenterology and Hepatology Vol.9, 565-576 47 Intro Food Epigenome Method Implication Microbiome (12b/12) Maternal transfer: From mother to infant • Intrauterine • Caesarean / vaginal • Breast or formula feeding • Medical treatment • Familial contamination Matamoros et al., 2013 15-08-21 Madl 48 Throughout the human lifetime, the intestinal microbiota performs vital functions, such as barrier function, metabolic reactions, trophic effects, and maturation of the host's innate and adaptive immune responses. Development of the intestinal microbiota in infants is characterized by rapid and large changes in microbial abundance, diversity, and composition. These changes are influenced by medical, cultural, and environmental factors such as mode of delivery, diet, familial environment, diseases, and therapies used. Thus, it is nearly impossible to define a universal standard for intestinal colonization and development of the intestinal microbiota. This review discusses recent data on the early colonization of the gut by microbial species, development of the intestinal microbiota, and its impact on health. Image: Impact of external factors on the intestinal microbiota of the infant. Green arrows show beneficial modification; red arrows show modification considered negative for healthy development. Source: Matamoros S, Gras-Leguen C, Le Vacon F, Potel G, de LaCochetiere MF. (2013) Development of intestinal microbiota in infants and its impact on health. Trends Microbiol. Vol.21(4): 167-173. 48 Intro Food Epigenome Method Implication Microbiome (12c/12) Maternal transfer: modulating the infants mibrobiome & future health • communities in natural borns resemble vaginal microbiota (Lactobacillus, Prevotella, or Sneathia spp. etc,), • communities among Csection babies resemble maternal skin surface (Staphylo-coccus, Corynebacterium, Propionibact. spp. etc.) 15-08-21 Dominguez-Bello et al., 2010 Madl bacterial community characterization via 16S rRNA gene pyrosequencing 49 Upon delivery, the neonate is exposed for the first time to a wide array of microbes from a variety of sources, including maternal bacteria. Although prior studies have suggested that delivery mode shapes the microbiota's establishment and, subsequently, its role in child health, most researchers have focused on specific bacterial taxa or on a single body habitat, the gut. Thus, the initiation stage of human microbiome development remains obscure. The goal of the present study was to obtain a community-wide perspective on the influence of delivery mode and body habitat on the neonate's first microbiota. We used multiplexed 16S rRNA gene pyrosequencing to characterize bacterial communities from mothers and their newborn babies, four born vaginally and six born via Cesarean section. Mothers’ skin, oral mucosa, and vagina were sampled 1 h before delivery, and neonates’ skin, oral mucosa, and nasopharyngeal aspirate were sampled <5 min, and meconium <24 h, after delivery. We found that in direct contrast to the highly differentiated communities of their mothers, neonates harbored bacterial communities that were undifferentiated across multiple body habitats, regardless of delivery mode. Our results also show that vaginally delivered infants acquired bacterial communities resembling their own mother's vaginal microbiota, dominated by Lactobacillus, Prevotella, or Sneathia spp., and C-section infants harbored bacterial communities similar to those found on the skin surface, dominated by Staphylococcus, Corynebacterium, and Propionibacterium spp. These findings establish an important baseline for studies tracking the human microbiome's successional development in different body habitats following different delivery modes, and their associated effects on infant health. Image: Bacterial 16S rRNA gene surveys reveal that the first microbiotas of human newborns are primarily structured by delivery mode. (A) Communities clustered using principal coordinates analysis of the unweighted UniFrac distance matrix. PC1 and PC2 are plotted on x- and y-axes. Each point corresponds to a community colored according to the mother's body habitat or the newborn's delivery mode. All newborn body habitats are shown. The percentage of variation explained by the plotted principal coordinates is indicated on the axes. The white arrow indicates a pair of superimposed points. Vaginal samples were not obtained from two of the mothers who delivered by C-section. (B) Average relative abundances of the dominant taxa found in this study in aggregated samples. (C) Relative abundances of the 20 most abundant taxa in mothers’ vaginal communities and in the babies they delivered vaginally. Sequences were classified to highest taxonomic level to which they could be confidently assigned. Source: Dominguez-Bello MG, Costello EK, Contreras M, Magris M, Hidalgo G, Fierer N, Knight R. (2010) Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns. PNAS Vol.107(26):11971-11975. 49 Intro cro Mi Food Epigenome Method Implication Microbiome (12d/12) VD -D h t bir Maternal transfer: modulating the infants mibrobiome & future health the mother’s vaginal bacterial community is more similar to her own baby’s microbiota than to the microbiota of other vaginally delivered babies. Skin bacterial communities of Caesarean-section mothers were no equal to their own babies than to the other Cbabies. Dominguez-Bello et al., 2010 15-08-21 Madl 50 Upon delivery, the neonate is exposed for the first time to a wide array of microbes from a variety of sources, including maternal bacteria. Although prior studies have suggested that delivery mode shapes the microbiota's establishment and, subsequently, its role in child health, most researchers have focused on specific bacterial taxa or on a single body habitat, the gut. Thus, the initiation stage of human microbiome development remains obscure. The goal of the present study was to obtain a community-wide perspective on the influence of delivery mode and body habitat on the neonate's first microbiota. We used multiplexed 16S rRNA gene pyrosequencing to characterize bacterial communities from mothers and their newborn babies, four born vaginally and six born via Cesarean section. Mothers’ skin, oral mucosa, and vagina were sampled 1 h before delivery, and neonates’ skin, oral mucosa, and nasopharyngeal aspirate were sampled <5 min, and meconium <24 h, after delivery. We found that in direct contrast to the highly differentiated communities of their mothers, neonates harbored bacterial communities that were undifferentiated across multiple body habitats, regardless of delivery mode. Our results also show that vaginally delivered infants acquired bacterial communities resembling their own mother's vaginal microbiota, dominated by Lactobacillus, Prevotella, or Sneathia spp., and C-section infants harbored bacterial communities similar to those found on the skin surface, dominated by Staphylococcus, Corynebacterium, and Propionibacterium spp. These findings establish an important baseline for studies tracking the human microbiome's successional development in different body habitats following different delivery modes, and their associated effects on infant health. Image: The effect of delivery mode on the direct transmission of bacteria from mother to newborn. Average (±SEM) weighted UniFrac distance for pairwise comparisons between (A) vaginal microbiota of mothers who delivered vaginally, or (B) the skin microbiota of mothers who delivered via C-section and the microbiotas of the newborn babies. The maternal microbiota (vagina or skin) was compared with the microbiota of her own baby, or babies of the same or different delivery mode. Baby samples were from the skin (arms and forehead), oral mucosa, nasopharyngeal aspirate, and meconium. The mothers’ skin samples were from both arms. Source: Dominguez-Bello MG, Costello EK, Contreras M, Magris M, Hidalgo G, Fierer N, Knight R. (2010) Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns. PNAS Vol.107(26):11971-11975. 50 Intro Food Epigenome Method Implication Microbiome (12e/12) Maternal transfer: modulating the infants mibrobiome & future health Maternal • lifestyle (smoking, drinking) • exposure to food, water & air • obeisity • hygiene (lack / excessive) • stress (psychodynamics) • medication & drug abuse Matamoros et al., 2013 15-08-21 Madl 51 More than 300 years after Antonie van Leeuwenhoek gave the first description of microbes that colonize human body surfaces, the re-discovery of this multifaceted microbial world within our bodies has challenged our principal view on microbes. Novel sequencing techniques provide a plethora of (meta)genomic data, which elucidate the unique properties of mircobiota in different subjects. Moreover, the variety of metabolic and immunologic interactions between the mircobiota and the host's epithelial surfaces has challenged the paradigm of a unidirectional interplay between a given pathogen and the host's immune defense. The newly discovered mechanisms that underlie the symbiosis between the host, specific colonizers, and the mircobiota as a whole indicate that this colonization is more than a friendly coexistence. In fact, it represents a complex ecosystem with implications for the human metabolic homeostasis and immune tolerance. The resilience of the mircobiota and the capability to maintain a well-established equilibrium between symbionts and potential pathogens seem to be determining factors in shaping health or disease. Maternal lifestyle factors such as dietary habits/obesity, smoking, a poor microbial environment (e.g. urban lifestyle), and chronic stress during pregnancy might lower the diversity of maternal mircobiota and decelerate the fetal immune development. Mode of delivery and immune maturation at birth might have an impact on the diversity and properties of the neo-/postnatal bacterial colonization. Neo-/postnatal nutrition, early chronic stressful events, and low microbial diversity of the living environment (e.g. exaggerated hygiene, frequent and early use of antibiotics) might hamper the development of a diverse and adaptive mircobiota, which favors a non-enriched mircobiota accompanied by proinflammatory conditions at the mucosal interfaces, a metabolic imbalance, and the loss of immune tolerance. This might result in a higher risk for chronic inflammatory and metabolic diseases in later life. Image: Pre- and postnatal environmental factors pave the way for later chronic inflammatory disease through the microbiome. Source: Pfefferle PI, Renz H. (2014). The mucosal microbiome in shaping health and disease. F1000Prime Rep. Vol.6: 1120 51 Intro Food Epigenome Method Implication Aluminium (1/10) 21st century - the Aluminium Age: • was biologically non-available to the biochemical evolution until 20th century • Al enters geochemical cycling - is deliberately introduced into biopshere • Al is not required for cellular metabolism • Al is toxic to life Exley, 2013 21-Aug-15 Madl 52 Human activities have circumvented the efficient geochemical cycling of aluminium within the lithosphere and therewith opened a door, which was previously only ajar, onto the biotic cycle to instigate and promote the accumulation of aluminium in biota and especially humans. Neither these relatively recent activities nor the entry of aluminium into the living cycle are showing any signs of abating and it is thus now imperative that we understand as fully as possible how humans are exposed to aluminium and the future consequences of a burgeoning exposure and body burden. The aluminium age is upon us and there is now an urgent need to understand how to live safely and effectively with aluminium. Image: Aluminium's exposome. A schematic which explores relationships between exposure, immediate targets mediating exposure, sinks and sources of biologically available aluminium with putative mechanisms of action and finally excretion of aluminium. Source: Exley C. (2013). Human exposure to aluminium. Environ. Sci. Processes Impacts, Vol.15:1807-1816. 52 Intro Food Epigenome Method Implication Aluminium (2/10) Al-compounds as food supplements: Walton, 2012 • 300 BCE, romans coloured wine with it (!) • Nowadays Al-sulfates used to teat water (> levels of monomeric Al3+) • Basic variants form precipitates; deprotonated (<pH 5 : Al3+) soluble and most toxic; pH of selected fluids • Stomach acid: pH 1 • Lemon juice: pH 2 • Vinegar: pH 3 15-08-21 Madl 53 Aluminum (Al) is a recognized neurotoxin causally linked to several neurodegenerative diseases with a dementia component. Al has long had a GRAS (Generally Recognized As Safe) rating by the US FDA, that allows Al salts to be used in food manufacture and clarification of urban drinking water supplies. Routine ingestion of Al salts throughout life causes bioavailable Al to accumulate in the brain where it specifically deposits in regions most vulnerable in Alzheimer’s disease (AD). The main source of Al exposure for humans is their total dietary Al intake from foods, water, other beverages, and Al additives. Animal studies provide a parallel in that their feed and water intakes can be rigorously controlled throughout the life span. Such a study revealed that a significant proportion of rats, particularly those that consumed Al in an equivalent amount to the high end of the human total dietary Al range, progressively accumulated Al in their brain, accompanied by AD-related neuropathology and cognitive deterioration in old age. •Aluminium chlorohydrate-salt: AlnCl(3n-m)(OH)m is used in deodorants and antiperspirants and as a coagulant in water purification. •Aluminium hydroxide, Al(OH)3, •Hydroxoaluminate: Al(OH)4− anion is known in high pH solutions of Al(OH)3 Inlet: The concentrations of soluble, mononuclear Al ion species, present in aqueous solutions, change as the pH is raised or lowered. Ionic or free Al3+ is an inorganic monomer and is regarded as the most bioavailable and toxic Al-species. Image:Use of Al-salts in processed foods and drinking water; Other uses: to strengthen dough; swell pastas; bleach flour and cheeses. Al is also included as an ingredient in reconstituted vegetable protein, as a stabilizer, thickener, acidifying agent, buffer, neutralizer and texturizer [15]. Calcium supplements, especially those based on oyster shells, provide about 12 mgAl/day . Source: Walton JR (2012). Evidence that Ingested Aluminum Additives Contained in Processed Foods and Alum-Treated Drinking Water are a Major Risk Factor for Alzheimer’s Disease. Current Inorganic Chemistry, Vol. 2: 000-000 53 Intro Food Epigenome Method Implication Aluminium (2/10) Al-compounds as food supplements: Walton, 2012 • 300 BCE, romans coloured wine with it (!) • Nowadays Al-sulfates used to teat water (> levels of monomeric Al3+) • Basic variants form precipitates; deprotonated (<pH 5 : Al3+) soluble and most toxic; 15-08-21 Madl 54 Aluminum (Al) is a recognized neurotoxin causally linked to several neurodegenerative diseases with a dementia component. Al has long had a GRAS (Generally Recognized As Safe) rating by the US FDA, that allows Al salts to be used in food manufacture and clarification of urban drinking water supplies. Routine ingestion of Al salts throughout life causes bioavailable Al to accumulate in the brain where it specifically deposits in regions most vulnerable in Alzheimer’s disease (AD). The main source of Al exposure for humans is their total dietary Al intake from foods, water, other beverages, and Al additives. Animal studies provide a parallel in that their feed and water intakes can be rigorously controlled throughout the life span. Such a study revealed that a significant proportion of rats, particularly those that consumed Al in an equivalent amount to the high end of the human total dietary Al range, progressively accumulated Al in their brain, accompanied by AD-related neuropathology and cognitive deterioration in old age. •Aluminium chlorohydrate-salt: AlnCl(3n-m)(OH)m is used in deodorants and antiperspirants and as a coagulant in water purification. •Aluminium hydroxide, Al(OH)3, •Hydroxoaluminate: Al(OH)4− anion is known in high pH solutions of Al(OH)3 Inlet: The concentrations of soluble, mononuclear Al ion species, present in aqueous solutions, change as the pH is raised or lowered. Ionic or free Al3+ is an inorganic monomer and is regarded as the most bioavailable and toxic Al-species. Image:Use of Al-salts in processed foods and drinking water; Other uses: to strengthen dough; swell pastas; bleach flour and cheeses. Al is also included as an ingredient in reconstituted vegetable protein, as a stabilizer, thickener, acidifying agent, buffer, neutralizer and texturizer [15]. Calcium supplements, especially those based on oyster shells, provide about 12 mgAl/day . Source: Walton JR (2012). Evidence that Ingested Aluminum Additives Contained in Processed Foods and Alum-Treated Drinking Water are a Major Risk Factor for Alzheimer’s Disease. Current Inorganic Chemistry, Vol. 2: 000-000 54 Intro Food Epigenome Method Implication Aluminium (3/10) Epigenetics of Al-exposure : • Heterochromatin: genetically inactive • Al inhibits eukaryotic gene transcription • Al acts as transcriptional repressor (of A+T-rich templates) • Found across species AT, Arabidopsis thaliana (cress); LU, Linum usitatissimum (flax); CE, Caenorhabditis elegans (nematode); MS, Mus musculus (mouse); HS, Homo sapiens (human); (L) liver; (B) brain. 15-08-21 Madl Lukiw, 2010 55 Averaging 8.1% (w/w) of the earth's crust, aluminum is the most highly abundant metal in our biosphere, yet has long been thought to serve no essential biological function. In aqueous solutions, aluminum salts and hydroxides are exceptionally potent aggregators of biological molecules, often coalescing molecular species to the point that they precipitate out of solution. A biological function for aluminum is proposed in which this abundant, high charge density metal cation has a significant role in biomolecular compaction. Sometimes, molecules ectopically aggregated by aluminum are associated with pathological conditions. The data further suggests that a specific consequence of ‚aluminum biocompaction‘ may be particularly important in the condensation of A + T-rich chromatin domains, and in silencing the expression of specific kinds of genetic information. Image: Aluminum content and genetic activity are inversely correlated. Correlation of interphase heterochromatin status and aluminum content of chromatin in select eukaryotic nuclei. Eukaryotic nuclei contain complex arrangements of heterochromatic and euchromatic domains: ‘inactive, constitutive‘ heterochromatin is associated with the absence of gene expression. Mean constitutive heterochromatin was assayed for A+T-rich heterochromatic regions, and heterochromatin was expressed as a percent of total nuclear area; aluminum content, expressed as μg/g total chromatin. Source: Lukiw WJ (2010). Evidence supporting a biological role for aluminum in chromatin compaction and epigenetics. Journal of Inorganic Biochemistry Vol.104: 1010-1012. 55 Intro Food Epigenome Method Implication Aluminium (4a/10) Average personal Al-exposure : pregnant women suffer often from gastroesophageal reflux: • Al-hydroxide is also often used as antiacids (heartburn, gastro-esophageal reflux disease) • Al-hydroxide is a known neurotoxin & contraindicated in pregnancy Wikipedia 2014 15-08-21 Madl 56 Antacids either directly neutralize acidity, increasing the pH, or reversibly reduce or block the secretion of acid by gastric cells to reduce acidity in the stomach. When gastric hydrochloric acid reaches the nerves in the gastrointestinal mucosa, they signal pain to the central nervous system. This happens when these nerves are exposed. In addition to the reduction of gastric acidity, antacids also alter the profile of prostaglandins produced by gastroduodenal mucosa and this may promote mucosal healing and be related to its therapeutic effect Antacids are taken by mouth to relieve heartburn, the major symptom of gastroesophageal reflux disease, or acid indigestion. Treatment with antacids alone is symptomatic and only justified for minor symptoms. The treatment of ulcers resulting from excessive acidity may require H2-receptor antagonists or proton pump inhibitors, and eradication of H. pylori. Aluminum hydroxide: may lead to the formation of insoluble aluminiumphosphate-complexes, with a risk for hypophosphatemia and osteomalacia. Although aluminium has a low gastrointestinal absorption, accumulation may occur mainly in the presence of renal insufficiency. Aluminium-containing drugs often cause constipation and are neurotoxic. Aluminium-containing drugs are contraindicated in pregnancy. Image: Wyeth amphojel tablets of aluminum hydroxide. Source: http://en.wikipedia.org/wiki/Antacid 56 Intro Food Epigenome Method Implication Aluminium (4b/10) Average personal Al-exposure : • Inhalation: 1.4 µg/day • Ingestion: 1-20 mg/day • Epidermal: 2 g/day Franz-cell exposure system to test transmigration of Aluminium chlorohydrate (ACH) via dermal layer Pineau et al., 2012 15-08-21 Madl 57 Aluminum salts such as aluminum chlorohydrate (ACH) are known for use as an active antiperspirant agent that blocks the secretion of sweat. A local case report of hyperaluminemia in a woman using an aluminum-containing antiperspirant for 4 years raises the problem of transdermal absorption of aluminum (Al). Only a very limited number of studies have shown that the skin is an effective barrier to transdermal uptake of Al. In accordance with our analytical procedure, the aim of this study with an in vitro Franz™ diffusion cell was to measure aluminum uptake from three cosmetic formulations of antiperspirant: the base for an "aerosol" (38.5% of ACH), a "roll-on" emulsion (14.5% ACH), and a "stick" (21.2%), by samples of intact and stripped human skin (5 donors). The Al assays were performed by Zeeman Electrothermal Atomic Absorption Spectrophotometry (ZEAAS). Following contacts lasting 6, 12 and 24h, the Al assays showed only insignificant transdermal absorption of Al (≤0.07% of the quantity of Al deposited) and particularly low cutaneous quantities that varied according to the formulations (1.8 μg/cm² for "aerosol base" and "stick" - 0.5 μg/cm² for the "roll-on"). On stripped skin, for which only the "stick" formulation was tested, the measured uptake was significantly higher (11.50 μg/cm² versus 1.81 μg/cm² for normal skin). These results offer reassurance as regards to the use of antiperspirants for topical application of ACH-containing cosmetic formulations on healthy skin over a limited time span (24h). On the other hand, high transdermal Al uptake on stripped skin should compel antiperspirant manufacturers to proceed with the utmost caution. Image: Franz™ diffusion cell (static type) to test transmigration of chlorohydrate-salt: AlnCl(3n-m)(OH)m across skin. Aluminium Source: Pineau A, Guillard O, Favreau F, Marrauld A, Fauconneau B. (2012) In vitro study of percutaneous absorption of aluminum from antiperspirants through human skin in the Franz™ diffusion cell. J. o. Inorg. Biochem., Vol.110: 21-26. 57 Intro Food Epigenome Method Implication Aluminium (4c/10) Average personal Al-exposure : • Inhalation: 1.4 µg/day • Ingestion: 1-20 mg/day • Epidermal: 2 g/day Exley, 2013 15-08-21 Madl 58 While the evidence to-date is that only a very small proportion of aluminium in topically-applied antiperspirant enters the bloodstream to ultimately be excreted via the kidney this observation does not preclude the persistence of such aluminium within the structures of the skin and neither does it preclude the entry of this aluminium into the lymphatic system. The nature of the aluminium compounds which are present in topical applications, the amount of aluminium which is often applied and the regularity of many such applications must mean that skin is a significant sink for aluminium and a persistent source of biologically available aluminium both locally and systemically. Image: The skin is a sink for topically applied aluminium and will act as a source of biologically reactive aluminium both to structures within the skin and to the systemic circulation. Source: Exley C. (2013). Human exposure to aluminium. Environ. Sci. Processes Impacts, Vol.15:1807-1816. 58 Intro Food Epigenome Method Implication Aluminium (5/10) Hormone Mimicry induced by Xenobiotics via: • high concentrations of a chemical w/ low binding affinity to oestrogen receptors (OR) • Cocktail of several compounds w/ low affinity to OR - acting synergistically! Dabre & Fernandez, 2013 15-08-21 Madl 59 Although diet, alcohol, radiation and inherited loss of BRCA1/2 genes have all been associated with increased incidence, the main identified risk factors are life exposure to hormones including physiological variations associated with puberty/pregnancy/menopause, personal choice of use of hormonal contraceptives and/or hormone replacement therapy. On this basis, exposure of the human breast to the many environmental pollutant chemicals capable of mimicking or interfering with oestrogen action should also be of concern. Hundreds of such environmental chemicals have now been measured in human breast tissue from a range of dietary and domestic exposure sources including persistent organo-chlorine pollutants (POPs), polybromi- nated diphenylethers and polybromobiphenyls, polychlorinated biphenyls, dioxins, alkyl phenols, bisphenol-A and chlorinated derivatives, as well as other less lipophilic compounds such as parabens (alkyl esters of p-hydroxybenzoic acid), but studies investigating any association between raised levels of such compounds and the development of breast cancer remain inconclusive. Image: The many ways in which different environmental chemicals may induce an oestrogenic stimulus to the human breast through a receptor-mediated mechanism. Colour gradient from black to grey to white indicates a decreasing contribution to oestrogenic load. Compounds with higher relative binding affinity (RBA) for the oestrogen receptor only need to be present at lower concentrations. Source: Darbre PD, Fernandez MF (2013). Environmental oestrogens and breast cancer: long-term low-dose effects of mixtures of various chemical combinations. J Epidemiol Community Health March Vol.67(3): 203-205. 59 Intro Food Epigenome Method Implication Aluminium (6/10) Hormone Mimicry induced by Xenobiotics via: • high concentrations of a chemical w/ low binding affinity to oestrogen receptors (OR) • Cocktail of several compounds w/ low affinity to OR - acting synergistically! Dabre, 2011 15-08-21 Madl 60 Although epidemiological studies conclude that the majority of breast cancers are environmental in origin, the main underlying environmental causes remain to be identified. Loss of function of the deoxyribonucleic acid (DNA) repair tumor suppressor genes breast cancer susceptibility gene 1/2 (BRCA1/2), exposure to excess prolactin, smoking, diet, alcohol, and radiation have all been identified as risk factors, but lifetime exposure to estrogen remains the main influence in the development of breast cancer. Epidemiological studies have linked estrogen exposure to breast cancer incidence through studies of the effects of age of me- narche/menopause, nulliparity, age of first pregnancy, practices of breastfeeding, and use of the oral contra- ceptive pill or hormone replacement therapy (HRT). However, the role of estrogen is also well documented in studies of the growth of tumors in animals and of human breast cancer cells in culture, and the established in- volvement of estrogen in clinical studies has formed the basis for the successful use of endocrine therapy as a targeted approach to treatment for breast cancer. Image: Chemical components of personal care products that have been shown to possess estrogenic activity using assay systems in vitro and in vivo. Estrogenic chemicals are grouped according to their function in the product. Insert: The molecular basis of estrogen action. Physiological estrogen or estrogenmimicking compound (E) enters a cell and binds to an intracellular receptor protein (R), resulting in the release of receptor-interacting proteins (RIP). The estrogen-receptor complexes dimerize and bind to specific nucleotide sequences in the DNA in the vicinity of estrogen-regulated genes. RNA polymerase binds to the DNA (POL), as do several other coactivators of transcription (CO), and this results in regulation of gene expression. Source: Darbre PD (2011). Personal Care Products and Breast Cancer. Elsevier Science, UK 60 Intro Food Epigenome Method Implication Aluminium (7a/10) Al-compounds in nipple aspirate found to induce breast tumors, as Al is: • is a metalloestrogen (enabling oestrogenic effects) • transmigrates across cells • known to interfere with DNA (micronucleus asssays) • dermal absorption (e.g. via anti-transpirants); • accumulates in biological fluid (nipple aspirate) Darbre et al. 2011 15-08-21 Madl 61 The human breast is exposed to aluminium from many sources including diet and personal care products, but dermal application of aluminium-based antiperspirant salts provides a local longterm source of exposure. Recent measurements have shown that aluminium is present in both tissue and fat of the human breast but at levels which vary both between breasts and between tissue samples from the same breast. We have recently found increased levels of aluminium in noninvasively collected nipple aspirate fluids taken from breast cancer patients (mean 268 +/-28 μg/l) compared with control healthy subjects (mean 131 +/-10 μg/l) providing evidence of raised aluminium levels in the breast microenvironment when cancer is present. The measurement of higher levels of aluminium in type I human breast cyst fluids (median 150 μg/l) compared with human serum (median 6 μg/l) or human milk (median 25 μg/l) warrants further investigation into any possible role of aluminium in development of this benign breast disease. Emerging evidence for aluminium in several breast structures now requires biomarkers of aluminium action in order to ascertain whether the presence of aluminium has any biological impact. To this end, we report raised levels of proteins that modulate iron homeostasis (ferritin, transferrin) in parallel with raised aluminium in nipple aspirate fluids in vivo, and we report overexpression of mRNA for several S100 calcium binding proteins following long-term exposure of MCF-7 human breast cancer cells in vitro to aluminium chlorhydrate. It is possible that if levels of iron binding proteins are found to correlate with raised aluminium in larger repeat studies, that measurement of ferritin and/or transferrin might provide useful biomarkers in human breast tissue for the existing link between aluminium and iron suggested as pathogenetically impor- tant for human neurodegenerative disorders. Image: Mean levels of aluminium, ferritin and transferrin in nipple aspirate fluid samples obtained from women with (Cancer) or without breast cancer and as compared to levels in blood serum or breast milk. Source: Darbre PD, Pugazhendhi D, Mannello F. (2011) Aluminium and human breast diseases. Journal of Inorganic Biochemistry Vol.105:1484-1488 61 Intro Food Epigenome Aluminium Al-compounds in nipple aspirate found to induce breast tumors, as Al is: Method Implication (7b/10) approx. 10 μL • is a metalloestrogen (enabling oestrogenic effects) • transmigrates across cells • known to interfere with DNA (micronucleus asssays) • dermal absorption (e.g. via anti-transpirants); • accumulates in biological fluid (nipple aspirate) Egartner et al. 2013 15-08-21 Madl 62 Source: Ehgartner B, Roth C., Ripper T., Freingruber A., Hohl T. (2013) – die Akte Aluminium. ARTE, ORF, SRF 62 Intro Food Epigenome Aluminium Method Implication (7c/10) Al-compounds in nipple aspirate found to induce GCBD: • GCBD: Gross cystic breast disease most common benign breast disorder, (7% of Western women) • antiperspirant formulations are designed to block apocrine sweat ducts of the axilla Fluid obtained from human sweat glands • apocrine type I • transudative type II Manello et al. 2009 15-08-21 Madl 63 Gross cystic breast disease (GCBD) is the most common benign breast disorder, but the molecular basis of cyst formation remains to be identified. If the use of aluminium-based antiperspirant salts is involved in the etiology of gross breast cyst formation, it might be expected that aluminium would be at elevated levels in human breast cyst fluid (BCF). Aluminium was measured by ICPMS in 48 samples of BCF, 30 samples of human blood serum and 45 samples of human breast milk at different stages of lactation (colostrum, intermediate, mature). The median level of aluminium in apocrine type I BCF (n = 27, 150 microg l(-1)) was significantly higher than in transudative type II BCF (n = 21, 32 microg l(-1); P < 0.0001). By comparison, aluminium measurements gave a median concentration of 6 microg l(-1) in human serum and 25 microg l(-1) in human breast milk, with no difference between colostrum, intermediate and mature milk. Levels of aluminium were significantly higher in both types of BCF than in human serum (P < 0.0001). However when compared with human breast milk, aluminium levels were only significantly higher in apocrine type I BCF (P < 0.0001) and not in transudative type II BCF (P = 0.152). It remains to be identified why such high levels of aluminium were found in the apocrine type I BCF and from where the aluminium originated. However, if aluminium-based antiperspirants are found to be the source and to play any causal role in development of breast cysts, then it might become possible to prevent this common breast disorder. Image: Median levels of aluminium in human breast gross cyst fluids according to breast gross cyst subtypes (*P < 0.0001). Source: Mannello F, Tonti GA, Darbre PD. (2009). Concentration of aluminium in breast cyst fluids collected from women affected by gross cystic breast disease. J Appl Toxicol. Vol.29(1):1-6. 63 Intro Food Epigenome Method Implication Aluminium (8/10) Al-induced Neurodegenerative Diseases: Al & Blood-Brain-Barrier (BBB) • Dialysis Encephalopathy Syndrome (DES) • Amyotrophic Lateral Sclerosis (ALS) • Parkinsonism Dementia (PD) • Alzheimer‘s Disease (AD) Exley & House, 2011 15-08-21 Madl 64 The brain must expend energy in its ‘unconscious‘ response to an exposure to biologically available aluminium. There are many examples where ‚biological effect‘ has resulted in aluminium-induced neurotoxicity and most potently in conditions that have resulted in an aluminium-associated encephalopathy. However, since aluminium is non-essential and not required by the brain, its biological availability will only rarely achieve such levels of acuity, and it is more pertinent to consider and investigate the brain‘s response to much lower though sustained levels of biologically reactive aluminium. This is the level of exposure that defines the putative role of aluminium in chronic neurodegenerative disease and, though thoroughly investigated in numerous animal models, the chronic toxicity of aluminium has yet to be addressed experimentally in humans. The simplest way reduce the Al-burden is by facilitating the urinary excretion of aluminium through the regular drinking of a silicic acid-rich mineral water over an extended time period. This will lower the body and brain burden of aluminium, and by doing so will test whether brain aluminium contributes significantly to chronic neurodegenerative diseases such as Alzheimer‘s and Parkinson‘s. AD: The main clinical feature of AD is a slowly-developing, relentless dementia characterized by memory deficit, confusion, inability to focus attention, incontinence, and per- severative behaviors. Neuropathological hallmarks of AD include cerebral NFTs, amyloid plaques, and granulo- vacuolar degeneration. Many studies have shown that NFTs correlate better with disease severity than amyloid plaques. DES: Al increase in neural cells stimulates Ca2+ uptake, leading to seizures and death ALS is characterized by progressive motor weakness affecting the limbs and premature death. PD dementia is a severe and progressive dementia accompanied by extrapyramidal disease. ALS and parkinsonism dementia often occur together in the same individuals of these populations. Spinal neurons of ALS/PD-affected Guamanians contain NFTs rich in Al, silicon and Ca2+. Granulovacuolar degeneration (GVD) occurs in the ALS/PD cortex, substantia nigra, and other subcortical nuclear. There is evidence that Al induces both NFT formation and GVD, which are also prominent in AD. Image: A schematic of the possible distribution of aluminium in plasma, the blood- brain barrier (BBB), the cerebrospinal fluid (CSF), the brain interstitial fluid (BIF), and the cellular and pathological compartments of the human brain. Source: Exley C, House ER (2011). Aluminium in the human brain. Monatsh Chem Vol.142: 357-363 Walton JR (2012). Evidence that Ingested Aluminum Additives Contained in Processed Foods and Alum-Treated Drinking Water are a Major Risk Factor for Alzheimer’s Disease. Current Inorganic Chemistry, Vol. 2: 000-000 64 Intro Food Epigenome Method Implication Aluminium (9/10) Al-compounds & Alzheimer's Disease (AD): Walton, 2012 • dietary patterns are akin to a grand-scale experiment whereby some individuals are consuming large quantities of Al • selective accumulation over lifetime selective w/n neurons of the brain • Al shows affinity to specific neuronal transporter proteins • small amounts needed to promote AD Tomljenovic, 2011 15-08-21 Madl 65 The brain is a highly compartmentalized organ exceptionally susceptible to accumulation of metabolic errors. Alzheimer痴 disease (AD) is the most prevalent neurodegenerative disease of the elderly and is characterized by regional specificity of neural aberrations associated with higher cognitive functions. Aluminum (Al) is the most abundant neurotoxic metal on earth, widely bioavailable to humans and repeatedly shown to accumulate in AD-susceptible neuronal foci. In spite of this, the role of Al in AD has been heavily disputed based on the following claims: 1) bioavailable Al cannot enter the brain in sufficient amounts to cause damage, 2) excess Al is efficiently excreted from the body, and 3) Al accumulation in neurons is a consequence rather than a cause of neuronal loss. Research, however, reveals that: 1) very small amounts of Al are needed to produce neurotoxicity and this criterion is satisfied through dietary Al intake, 2) Al sequesters different transport mechanisms to actively traverse brain barriers, 3) incremental acquisition of small amounts of Al over a lifetime favors its selective accumulation in brain tissues, and 4) since 1911, experimental evidence has repeatedly demonstrated that chronic Al intoxication reproduces neuropathological hallmarks of AD. Misconceptions about Al bioavailability may have misled scientists regarding the significance of Al in the pathogenesis of AD. The hypothesis that Al significantly contributes to AD is built upon very solid experimental evidence and should not be dismissed. Immediate steps should be taken to lessen human exposure to Al, which may be the single most aggravating and avoidable factor related to AD. Image: Major routes of Al transport in and out of the brain: from the blood, Al enters the brain extracellular fluid (ECF) primarily through the blood brain barrier (BBB) via transferrin-mediated uptake. Some Al in the brain is rapidly effluxed as Al-citrate by the MCT-transporter. A significant portion of Al is retained in the cellular compartments (nucleus, ER, bound to ATP or membrane phospholipids). Inlet: Staging of aged rat (upper row) and aged human (lower row) of hippocampal CA1neurons stained; Stage 0: the entire cell appears Al-negative and has normal morphology; Stage I: magentanucleolus, no other staining for Al. Stage II: magenta nucleolus in pink nucleoplasm with visible chromatin; the cytoplasm is blue. Stage III: magenta nucleolus in an elongated or irregularly shaped purple nucleus.The cytoplasm is blue. Many apical dendrites from this stage onwards have a serpentine appearance. Stage IV: the magenta staining appears in the elongated nucleus which now shows less structural detail; the shrunken cytoplasm is still blue. Stage V: purple to magenta staining appears throughout the nucleus and cytoplasm. Cell shape is distorted and the axon and dendrites are disrupted. Source: Tomljenovic L. (2011). Aluminum and Alzheimer‘s Disease: After a Century of Controversy, Is there a Plausible Link? Journal of Alzheimer‘s Disease Vol.23: 567-598. Walton JR (2012). Cognitive Deterioration and Associated Pathology Induced by Chronic Low-Level Aluminum Ingestion in a Translational Rat Model Provides an Explanation of Alzheimer‘s Disease, Tests for Susceptibility and Avenues for Treatment. Journal of Alzheimer‘s Disease Vol.194947: 1-17. Walton JR (2006). Aluminum in hippocampal neurons from humans with Alzheimer“s disease. NeuroToxicology Vol.27:385-394 65 Intro Food Epigenome Method Implication Aluminium (10/10) Al-compounds & Macrophagic Myofascitis (MMF): • Al(OH)3 used to induce immune response • Present in most vaccines such as Engerix, Hevac, Tetavax, Tetracoq, Havrix, Twinrix, etc. Gherardi er al., 2001 21-Aug-15 Madl 66 Macrophagic myofasciitis (MMF) is an emerging condition of unknown cause, detected in patients with diffuse arthromyalgias and fatigue, and characterized by muscle infiltration by granular periodic acid-Schiff's reagent-positive macrophages and lymphocytes. Intracytoplasmic inclusions have been observed in macrophages of some patients. To assess their significance, electron microscopy was performed in 40 consecutive cases and chemical analysis was done by microanalysis and atomic absorption spectrometry. Inclusions were constantly detected and corresponded to aluminium hydroxide, an immunostimulatory compound frequently used as a vaccine adjuvant. A lymphocytic component was constantly observed in MMF lesions. Serological tests were compatible with exposure to aluminium hydroxide-containing vaccines. Image: Deltoid muscle biopsy (A) tighly packed macrophages intermingled with lymphocytes (x100); (B) adjacent section of the same showing immuno-localization of macrophage marker CD68 (x100); (C) adjacent section of the same showing immuno-localization of T-cell marker CD3 (x100); (D) nodular aggregation of lymphocytes with microvascular neo-angio-genesis (x70); (E) HLA antigen expression in macrophages & muscle fibers; (F) lzmphocytes stuck to a granular macrophage (x600). Insert: Microanalytic Spectral Analysis showing an abnormal presence of Al in muscle tissue strictly restricted to the area of macrophage infiltration (53 mg Al/g MF) Source: Gherardi RK, Coquet M, Cherin P, Belec L, Moretto P, Dreyfus PA, Pellissier JF, Chariot P, Authier FJ.(2001). Macrophagic myofasciitis lesions assess long-term persistence of vaccine-derived aluminium hydroxide in muscle. Brain, Vol.124(Pt 9): 1821-1831. 66 Intro Food Epigenome Method Implication Epigenome - Epigenetics 15-08-21 Madl 67 67 Intro Food Epigenome Method Implication Epigenetics (1/7) Memory in planarian flatworms Thompson & McConnell: • flatworms conditioned to light; • using electroshocks to induce learning & • feeding samples of parental flatworm to offspring. Block & McConnell, 1967 15-08-21 Madl 68 In 1955, Thompson & McConnell conditioned flatworms by pairing a bright light with an electric shock. After repeating this several times they took away the electric shock, and only exposed them to the bright light. The flatworms would react to the bright light as if they had been shocked (conditioning). They found that if they cut the worm in two, and allowed both worms to regenerate each half would develop the light-shock reaction. In 1962, McConnell extended the experiment by feeding the trained and ground flatworms to other flatworms. Incredibly these flatworms learned to associate the bright light with a shock much faster than flatworms who had not been fed trained worms (epigenetics). p.54: Ungar wiederholte McConnells experiment. Auch diese lernten die reaktion auf licht bedeutend schneller als andere würmer, die man mit teilchen nicht trainierter artgenossen gefüttert hatte. Ein deutlicher zusammenhang zwischen nahrung und information (epigenetik) …. Bei einigen afrikanischen stämmen soll noch heute der glaube vorherrschen, dass man über die kraft eines löwen verfügt, wenn man löwenfleisch verzehrt …. Ostertag …. schlägt vor, »lebende makromoleküle« (DNA) als lebenselixier zu betrachten. Komplexe biopolymere weisen eine extrem hohe informationsdichte auf (1·E9-mal höher als die technische) – hier koennte das geheimnis der »informativen« funktion des lebensmittel liegen …. Regeneration capabilities of flatworms: Planarian has very simple organ systems. It has small brain and perceptual organs and digestive system which consists of a mouth, pharynx, and an intestine. However, its morphogenesis is somewhat complicated and mysterious. Planaria has highly robust regeneration system. When its part of body is cut, each piece of the part regenerates itself. Source: Ungar G. (1974): Der molekulare Code des Gedächtnisses. In: Mannheimer Forum. Studienreihe Boehringer Mannheim; 141-192, p.163 Ostertag W. (1981): Lebende Makromoleküle als Lebens-Elixier. Humata Verlag Harold S. Blume, Bern. Block R.A. McConnell J.V. (1967): Classically Conditioned Discrimination in the Planarian, Dugesia dorotocephala. Nature 215, 1465-1466 http://en.wikipedia.org/wiki/Planaria 68 Intro Food Epigenome Method Implication Epigenetics (2/7) A phenotypic variation (paramutation): • same parents; • same age; • no mutation in pigmentation; Image: Jirtle, 2007 …. all mice are genetically IDENTICAL …. …. but they are epigenetically different ! 15-08-21 Madl 69 A study found that an enriched environment can even override genetic mutations in mice [Waterland & Jirtle 2003]. The scientists looked at the effect of dietary supplements on pregnant mice with the abnormal "agouti" gene. Agouti mice have yellow coats and are extremely obese, which predisposes them to cardiovascular disease, diabetes and cancer …. Methyl groups also inactivate remnants of past viral infections, called transposons. 45% of the human genome is made up of parasitic transposons. Methylation is nature's way of allowing environmental factors to tweak gene expression without making permanent mutations, Dr. Jirtle said. Methyl groups are entirely derived from the foods people eat. And the effect may be good or bad. Maternal diet during pregnancy is consequently very important, but in ways that are not yet fully understood. For his experiment Jirtle chose a mouse that happens to have a transposon right next to the gene that codes for coat color. The transposon induces the gene to overproduce a protein that turns the mice pure yellow or mottled yellow and brown. The protein also blocks a feeding control center in the brain. Yellow mice therefore overeat and tend to develop diabetes and cancer. To see if extra methylation would affect the mice, the researchers fed the animals a rich supply of methyl groups in supplements of vitamin B12, folic acid, choline and betaine from sugar beets just before they got pregnant and through the time of weaning their pups. The methyl groups silenced the transposon, which in turn affected the adjacent coat color gene. The babies, born a normal brownish color, had an inherited predisposition to obesity, diabetes and cancer negated by maternal diet. Source: http://blog.plantpoisonsandrottenstuff.info/category/vitamins/ Waterland R.A. & Jirtle R.L.(2003). "Transposable Elements: Targets for Early Nutritional Effects on Epigenetic Gene Regulation." Molectilar and Cell Biology 23(15): 5293-5300. Randy L. Jirtle & Michael K. Skinner (2007) Environmental epigenomics and disease susceptibility. Nature Reviews Genetics 8, 253-262 69 Intro Food Epigenome Method Implication Epigenetics (3/7) These transgenic Mice: • yellow pups develop obese, cancer & diabetes; • brown pups are healthy; Wong, et al. Hum Mol Genet 14:R11, 2005 IJirtle R. 2007 15-08-21 Madl 70 Gene expression is conditioned by environment: developmental interactions occur from conception till death - Depends on what environments and what sequence the organism encounters them. Epigentic signals can be transmitted to the next generation i.e. display meiotic stability. Not all epigenetic signals are erased and reprogrammed during gametogenesis. This partly explains incomplete penetrance and variable expressivity – not all offsprings are affected (see phenotypic expression of agouti mice mutants). Example: mouse agouti locus Isogenic Avy/a mice range in colour from yellow to black (pseudoagouti) Darkness proportional to amount of DNA methylation in agouti gene (complete methylation black). Transplants’ colour influenced by genetic mother not surrogate. Source: http://www.pbs.org/wgbh/nova/sciencenow/3411/02.html Waterland R.A. & Jirtle R.L.(2003). "Transposable Elements: Targets for Early Nutritional Effects on Epigenetic Gene Regulation." Molectilar and Cell Biology 23(15): 5293-5300. Albert H.C. Wong, Irving I. Gottesman and Arturas Petronis (2005) Phenotypic differences in genetically identical organisms: the epigenetic perspective. Human Molecular Genetics 14:R11R18 70 Intro Food Epigenome Method Implication These transgenic Mice: • yellow pups develop obese, cancer & diabetes; • brown pups are healthy; • Ep ig en et ic N sv O id VA eo (0 3: 26 -0 5: 00 ) Epigenetics (4/7) Jirtle R, 2007 15-08-21 Madl 71 Agouti mothers received methyl-group-rich supplements …. When methyl groups attach to a gene's DNA, it changes the binding characteristics of regulatory chromosomal proteins. If the proteins bind too tightly to the gene, the protein sleeve cannot be removed and the gene cannot be read. Methylating DNA can silence or modify gene activity …. The mothers who got the methyl group supplements produced standard, lean, brown mice, even though their offspring had the same agouti gene as their mothers. The agouti mothers who didn't get the supplements produced yellow pups, which ate much more than the brown pups. The yellow pups wound up weighing almost twice as much as their lean, "pseudo-agouti" counterparts …. Source: Lipton B. (2005) Biology of Belief. Elite Books, p.70-71 Waterland R.A. & Jirtle R.L.(2003). "Transposable Elements: Targets for Early Nutritional Effects on Epigenetic Gene Regulation." Molectilar and Cell Biology 23(15): 5293-5300. Video: http://www.pbs.org/wgbh/nova/sciencenow/3411/02.html 71 Intro Food Epigenome Method Implication These transgenic Mice: • yellow pups develop obese, cancer & diabetes • brown pups are healthy • cause: maternal diet (!) Ep ig en et ic N sv O id VA eo (0 5: 00 -0 6: 45 ) Epigenetics (5/7) Jirtle R, 2007 15-08-21 Madl 72 Feeding the mother with methyl-enriched food supplements …. one can see that how dramatically the mice shifted the coat color and we get many, many more brown animals And that matters because your coat color is a tracer, is an indicator…. of the fact that you have turned off that gene. This epigenetic fix was also inherited by the next generation of mice, regardless of what their mothers ate. And when an environmental toxin was added to the diet instead of nutrients, more yellow babies were born, doomed to grow fat and sick like their mothers. Basically, what we eat (our mother / our grandparents ate) affects/ed our gene expression! Source: Video: http://www.pbs.org/wgbh/nova/sciencenow/3411/02.html Waterland R.A. & Jirtle R.L.(2003). "Transposable Elements: Targets for Early Nutritional Effects on Epigenetic Gene Regulation." Molectilar and Cell Biology 23(15): 5293-5300. 72 Intro Food Epigenome Method Implication Epigenetics (6/7) Rats & ECD (Paramutation): • Epigenetic transgenerational actions of endocrine disruptors through the male germ line; • Reduced sperm motility – up to the 4th generation (F4); Skinner, 2006 15-08-21 Madl 73 Michael Skinner von der Washington State University in Pullman, USA setzte schwangere Ratten Giftstoffen aus, welche ihren Geschlechtshormonhaushalt durcheinanderbrachten. Zusätzlich verursachten die Giftstoffe in den Keimzellen des männlichen Nachwuchses DNAMethylierungen an verschiedenen Genen und eine verminderte Schwimmfähigkeit der Spermien. Kreuzte man die männlichen Nachkommen dieser Mütter in der Folge mit unbehandelten Weibchen, wurde zum Erstaunen der Forscher sowohl das Methylierungsprofil als auch die reduzierte Spermienmobilität bis in die vierte Generation weitervererbt. Die Bedingungen im Mutterleib der ersten Generation prägten den Nachwuchs also noch über mehrere Generationen hinweg. Wie mehrere Studien von Emma Whitelaw von der University of Sydney in Australien zudem zeigen, ist so eine generationenübergreifende Vererbung epigenetischer Veränderungen nicht nur auf die männlichen Keimzellen beschränkt, sondern kann auch über Eizellen stattfinden. Endocrine disruptors have recently been shown to promote an epigenetic transgenerational phenotype involving a number of disease states (e.g. male infertility). The anti-androgenic fungicide vinclozolin was found to act transiently at the time of embryonic sex determination to promote in the F1 generation a spermatogenic cell defect and subfertility in the male. When the animals were allowed to age up to 1 yr, a number of other disease states developed. This phenotype was transferred through the male germ line to all subsequent generations analyzed (F1–F4). The ability of an environmental factor (i.e. endocrine disruptor) to promote an epigenetic transgenerational phenotype impacts the potential hazards of environmental toxins, mechanisms of disease etiology, and evolutionary biology. The biological importance of the epigenetic actions of environmental agents is reviewed in the context of the primordial germ cell and development of epigenetic transgenerational phenotype Source: Anway D.M. & Skinner M.K. (2006) Epigenetic Transgenerational Actions of Endocrine Disruptors. Endocrinology Vol. 147, No. 6 s43-s49 73 Intro Food Epigenome Method Implication Epigenetics (7a/7) Emotion – the limbic cell (Bookmarking)…. quality of life in womb bookmarks our susceptibility to diseases later in life; • newborns “download” huge volumes of information for their personal development; • information programmed into the subconscious mind is defined as "truth“ (incl. abuses); • social world hugely influencing expression of genes (determines neuronal connections); 15-08-21 Madl 74 p.156: The fetal and infant nervous system has vast sensory and learning capabilities and a kind of memory that neuroscientists call implicit memory …. Small creatures with unexpectedly large thoughts" [Chamberlain 1998] …. p.158: "For the growing brain the social world supplies the most important experiences influencing the expression of genes, which determines how neurons connect to one another, which give rise to mental activity" [Siegel 1999] …. p.163: The newborn faces a huge challenge – a new environment to cope with, an extremely stressy situation. Hence, b/w birth and age 6, children “download" an incredible amounts of information they need to thrive in their environment, thereby establishing the neuronal connections b/w the cortex and the limbic system ….They do so by carefully observing their environment and download the worldly wisdom offered by parents directly into their subconscious memory. As a result, their parents' behavior and beliefs become their own. p.164: Once programmed i/o the subconscious mind it becomes defined as "truths" (incl. eating habits, verbal abuses, traumas) that unconsciously shape the behavior and potential of the child through life (reprogramming via hypnotic state?) …. As we get older, we become less susceptible to outside programming (however, under extremely emotional events and in an effort to cope with that challenge, one can relapse into this stage thereby establishing the required connections (emotional) b/w the limbic system & the cortex, see Sacks p.26-27) …. While most of our senses, such as eyes, ears and nose, observe the outer world, consciousness resembles a "sense organ" that behaves like a mirror reflecting back the inner workings of the body's own cellular community; it is an awareness of "self". p.166: The subconscious mind is like a programmable "hard drive" into which our life experiences are downloaded and become hardwired stimulus-response behaviors …. When a stimulus is perceived, it will automatically engage the behavioral response that was learned when the signal was first experienced (later on our sensors are needed only to evoke an emotional response to environmental stimuli). In fact, people who realize the automated nature of this playback response frequently admit to the fact that their "buttons have been pushed" …. Source: Lipton B. (2005) Biology of Belief. Elite Books Sacks O. (2008) Musicophilia – Tales of Music and the Brain, 5th ed.. A.A.Knopf, Toronto - CDN Siegel, D. J. (1999). The Developing Mind: How Relationships and the Brain Interact to Shape Mo We Are. New York, Guilford - USA Chamberlain, D. (1998). The Mind of Your Newborn Baby. N.Atlantic Books. Berkeley – USA 74 74 Intro Food Epigenome Method Implication Epigenetics (7b/7) Emotion – the limbic cell (Bookmarking) • newborns “download” huge volumes of information for their personal development • information programmed into the subconscious mind is defined as "truth“ (incl. abuses); • social world hugely influencing expression of genes (determines neuronal connections); • generates emotions – via controlled release of regulatory signals (nervous-, endocrine system); • conscious mind reads the flow of cellular signals (which comprises the mind of the body); 15-08-21 Madl 75 p.131: The evolution of the limbic system …. converted the chemical communication signals into sensations that could be experienced by all of the cells in the community. Our conscious mind experiences these signals as emotions. The conscious mind not only "reads" the flow of the cellular coordinating signals that comprise the body's "mind", it can also generate emotions, which are manifest through the controlled release of regulatory signals by the nervous system (unfolding EXformation)…. p.132: Candace Pert …. established that the "mind" was not focused in the head, but was distributed via signal molecules to the whole body (s. also M.W.Ho) …. While proper use of consciousness can bring health to an ailing body, inappropriate unconscious control of emotions can easily make a healthy body diseased …. [Pert 1997] …. p.135: Our responses to environmental stimuli are indeed controlled by perceptions, but not all of our learned perceptions are accurate. Not all snakes are dangerous! Yes, perception "controls" biology, but …. perceptions can be true or false. Therefore, it is more accurate to refer to these perceptions as beliefs. Beliefs control biology p.167: e.g., if a ball flies t/w your eye …. the subconscious mind, which processes some 20·E6 environmental stimuli per second vs. 40 environmental stimuli interpreted by the conscious mind in the same second, will cause the eye to blink [Norretranders 1998] …. Reflex behaviors …. e.g. driving a car at 65km/h on a highway while your conscious mind is fully engaged in conversation with a passenger …. Through the conditioned learning process, neural pathways between eliciting stimuli and behavioral responses become hardwired to ensure a repetitive pattern ("habits") …. Image: Overview of the information flow through a human being. A so-called organogram. shows that more information goes in and out of humans than consciousness perceives. Source: Lipton B. (2005) Biology of Belief. Elite Books Pert, Candace (1997). Molecules of Emotion: The Science Behind Mind-Body Medicine, New York Norretranders T. (1998) The User Illusion Cutting Consciousness Down to Size. Penguin Books, NY – USA S. Lehrl and B. Fischer (1985). "Der maximale zentrale Informationsfluss" Grundlagenstudien aus Kybernetik und Geistenswissenschaji/Humankybernetik 26: 147-154 According to Hans Kuhn (1988), chemist ….biological evolution consists of a series of choices where an organism relates to its surroundings. These surroundings subject it to pressure, and i h i d i A i ’ i i i i l 75 75 Intro Food Epigenome Method Implication Epigenetics (7c/7) Emotion – the language of the cell • the “upper-I” (regime of morality); 5) • the “I” (regime of reality); Ps yc ho Liu, 2009 lo SH gy IN (0 E 5: 00 -0 6: 4 • the “IT” (regime of lust); 15-08-21 Madl 76 Engaging the subconscious in battle is as pointless as kicking the jukebox in the hope that it will reprogram its play list …. p.171: Tensions between conscious will power and subconscious programs can result in serious neurological disorders (movie “Shine”: why we should not challenge the subconscious) …. Most of us engage in less dramatic battles with our subconscious mind as we try to undo the programming we received as children …. i) jede entscheidung bewegt sich im emotionalen rahmen d.h. jede entscheidung muss emotional ertraeglich sein – nur auf dieser basis kommt der Intellekt zum einsatz; i) gr. veraenderungen (denk- & verhaltensmuster) muessen sich auf emotionaler Basis entwickeln; i) dramatische veraenderungen – tiefe betroffenheit – bedeutet grundlegende veraenderung; i) intellektueller Impuls (z.b. du sollst nicht rauchen) reicht nicht; erst wenn man die emotionalen, tieferen bereiche anspricht kann eine veraenderung induziert werden. Das Über-Ich kann im Freud'schen 3-Instanzen-modell vereinfacht als die moralische instanz / gewissen angesehen werden und stellt den gegenspieler für die elementaren lusttriebe des ES dar. Es wird in der frühen kindheit (bis zum 6. LJ) gebildet und enthält die (moralischen) normen und verinnerlichten wertvorstellungen der kulturellen umgebung, in der das individuum aufwächst (insbes. die der eltern!). Das Über-Ich entsteht durch angleichen der eigenen person an andere, mit denen sich dieser mensch identifiziert (introjektion durch die gemeinschaft, gllgemeinheit). Wenn ein mensch zu denken beginnt, geschieht dies bereits unter dem einfluss des Über-Ichs, und der darin enthaltenen grundsätzlichen wertvorstellungen. Das Über-Ich fungiert in der menschlichen psyche als eine kontrollinstanz, deren ziel es ist, durch selbstbeobachtung das eigene verhalten in uebereinstimmung mit dem idealbild zu bringen. Bei ES-bedingten abweichungen von diesem ideal wirkt sich das Über-Ich auf den menschen in form des verspürens von schuldgefühlen aus. Source: Klussmann R. (2000) Psychotherapie, 3te Auflage. Springer, p.5 & 20-28 Source: Lipton B. (2005) Biology of Belief. Elite Books http://en.wikipedia.org/wiki/Id,_ego,_and_super-ego 76 76 Intro Food Epigenome Method Implication Diet (1a/10) Eastern versus Western Diet • Local eating habits evolved over centuries / fast food over one decade; Oldways, 2008 15-08-21 Madl 77 F.A.Popp lebte einige zeit in China .... Hat dort gelebt wie “gott in Frankreich“ .... und hat in dieser zeit 5kg abgenommen …. Wie geht das? Weil die nahrung gesund war und weil er wusste was ihm gut bzw. nicht gut tat .... p.xl: Das gegenteil passiert wenn jemand in die USA reist und keine zeit für esskultur hat .... Diese esskultur bringt uns um. Wir leben zwar länger, aber im grunde genommen leben wir nicht länger sondern wir werden konserviert. Wir sterben langsamer .... p.14: Amerikaner leben fast ausschliesslich von konserven, chinesen konnten sich das bisher nicht leisten. sie sind auf frischkost angewiesen …. Es scheint so, als ob konservierungsstoffe nicht nur die lebensmittel, sondern auch den verbraucher mitkonservieren …. Ein chinese wird im durchschnitt etwa gleich alt wie ein amerikaner. dennoch haben die chinesen ein deutlich geringeres risiko, nach dem 50sten lebensjahr unter »zivilisationskrankheiten« wie kreislaufversagen, krebs, rheuma zu leiden als die gleichaltrigen us-bewohner …. p.52: So unpraktisch dieser weg zur beurteilung der lebensmittelqualität auch erscheinen mag …. wir lernen aber daraus erneut, dass »subjektive« komponenten die entscheidende rolle spielen. so dürfte es vermutlich besser sein, den chinesen im allgemeinen mit reis, den europäer aber mit weizen zu ernähren, als umgekehrt mit fatalen folgen missionierungsversuche zu unternehmen. Source: http://www.oldwayspt.org/store/index.php/cPath/5 www.momskitchen.in/articles.php http://www.isrealli.org/another-reason-to-trash-junk-food/ 77 Intro Food Epigenome Method Implication Diet (1b/10) Western Diet – Olestra • inhibits absorption of some vitamins (A, D, E, & K); H el p CSPI, 2009, Wikipedia, 2009 O Li les ne tr (fu a ll cl ip • sometimes causes underwear staining associated with "anal leakage“; ) • may cause abdominal cramping; Personal enquiry confirmed that Olestra is currently being used in deep fried products in a FFR (Salzburg, Getreidegasse 15-08-21 Madl 78 Olestra (brand name Olean) is a fat substitute that adds no fat, calories, or cholesterol to products; used in the preparation of high-fat foods such as potato chips, thereby lowering or eliminating their fat content. The irony is that it encourage consumers to eat more of the "top of the pyramid" foods due to the perception of it being more healthy, a paradox resulting in over-consumption thinking that Olestra allows that without consequence. The FDA was particularly hesitant to approve the product due to the side effects such as diarrhea and concern for the loss of fat-soluble vitamins. Chemistry: Normal fats consist of a glycerol molecule with three fatty acid tails attached. Olestra is synthesized using a sucrose molecule, which can support from six to eight fatty acid chains arranged radially like an octopus, and is too large to move through the intestinal wall and be absorbed. Olestra has the same taste and mouthfeel as fat, but since it does not contain glycerol and the fatty acid tails can not be removed from the sucrose molecule for digestion, it passes through the digestive system without being absorbed and adds no calories or nutritive value to the diet. Since it contains fatty acid functional groups, Olestra is able to dissolve lipid-soluble vitamins such as vitamin D, E, K, & A, along with carotenoids. Fat soluble nutrients consumed along with Olestra products are excreted along with the undigested Olestra molecules. To counteract this loss of nutrient, products made with Olestra are fortified with oil soluble vitamins to compensate for this loss to fecal matter. In 1999, researchers discovered that Olestra helps facilitate the removal of dioxins from the body, as it apparently binds to dioxins in a manner similar to that of normal fats. This unexpected side effect may make the substance useful in treating victims of dioxin poisoning. Source: http://www.cspinet.org/olestra/11cons.html & http://en.wikipedia.org/wiki/Olestra Virginia M. (1993) Food – A Source Book, 1st ed. OSU Department of Chemistry College of New Rochelle New Rochelle, NY – USA JA Weststrate , KH van het Hof (1994). Sucrose polyester and plasma carotenoid concentrations in healthy subjects. Am J Clin Nutr 1995 62: 591-597 Seddon J.M.; Ajani U.A.; Sperduto R.D.; Hiller R.; Blair N.; Burton T.C.; Farber M.D.; Gragoudas E.S.; Haller E.; Miller D.T. (1994). Dietary carotenoids, vitamins A, C, and E, and advanced age-related macular degeneration. Eye Disease Case-Control Study Group. JAMA 272:1413-1420. 78 Intro Food Epigenome Method Implication Diet (1c/10) Western Diet – Nutrasweet (Aspartame) • C14H18N2O5 • health hazard to those born w/ phenylketonuria (PKU; • acute & chronic toxicity studies in mice, rats, hamsters & dogs have found no adverse up to at least 4000 mg/kg BW/day; • synergistic effects? • long-term studies? Hodgson, 2001 15-08-21 Madl 79 In 1985, Monsanto bought G.D. Searle and the aspartame business became a separate Monsanto subsidiary, the NutraSweet Company. Chemistry: Aspartame is the methyl ester of the dipeptide of the natural amino acids L-aspartic acid and L-phenylalanine. Under strongly acidic or alkaline conditions, aspartame may generate methanol by hydrolysis. Under more severe conditions, the peptide bonds are also hydrolyzed, resulting in the free amino acids. In certain markets aspartame is manufactured using a genetically modified variation of E. coli. Upon ingestion, aspartame breaks down into natural residual components, including aspartic acid, phenylalanine, methanol, and further breakdown products including formaldehyde, formic acid, and a diketopiperazine. High levels of the naturally-occurring essential amino acid phenylalanine are a health hazard to those born with phenylketonuria (PKU), a rare inherited disease that prevents phenylalanine from being properly metabolized. Source: http://en.wikipedia.org/wiki/Aspartame Hodgson A.S. (2001). Falsifications and Facts about Aspartame. Cooperative Extension Service, CTAHR, Hawaii – USA. Magnuson BA, Burdock GA, Doull J, et al (2007). "Aspartame: a safety evaluation based on current use levels, regulations, and toxicological and epidemiological studies". Crit. Rev. Toxicol. 37 (8): 629–727 79 Intro Food Epigenome Method Implication Diet (2/10) Bioaccumulation in the Food Chain Eastern versus Western Diet The so-called, four basic foods are • Grains and cereals; • Milk and dairy products; • Meat, fish and poultry; • Fruit and vegetables; An industry-oriented approach! Example: Hg (s.a. slide 20) 15-08-21 Madl 80 i) 'Feed the man meat!' (ecologically unsustainable) i) 'Milk is good for you!' (overload of protein) i) 'Bread is the stuff of life!' (is not a vegetable, just a filler) p.146: We are encapsulated by the 'four-foods philosophy'. Yet, many people are allergic to at least two of these four foods (e.g. milk, dairy products, & grains, cereals). Intolerance and allergy comes about because of the body's inability to process certain foods properly .... Undigested food particles enter the bloodstream and wreak havoc throughout the body. These toxins continue to accumulate in the body, lowering tolerance, wrecking the immune system and finally evolving into specific disease. p.148: Grains and cereals …. Symptoms can range from overweight, tiredness, mental illness, to chronic disease …. Grains are acid-forming in the body. Even when cooked, they are, comparatively, difficult to digest and can produce abdominal swelling and flatulence. Because they are a seed, they contain an enzyme inhibitor, which is not easily broken down, even by cooking …. Wheat in particular, cause deposits of calcium salts in the tissues, leading to degeneration and hardening of the arteries …. White flour …. can't keep laboratory animals alive …. p.151: Milk and dairy products …. Pasteurization destroys the natural enzymes present in raw milk. Without them milk cannot be properly digested …. Effects to infants (<12 months of age): gastrointestinal blood loss due to the baby's underdeveloped GIT. Cow's milk is too high in protein, Na, and K for a baby's immature kidneys - places them under great strain. Anaemia may develop …. Cow's milk, fed too early …. can damage their digestive systems and render them allergic, or sensitive, to milk for life …. p.154: Meat, fish and poultry …. A lot of meat in the diet is particularly bad for allergy sufferers because it places a greater strain on bodily functions, already overstressed by constant allergic reactions (bioaccumulation of environmental toxins) …. p.157: Fruit and vegetables …. the ultimate diet for the onward maintenance of good health, is one that consists mainly of fresh fruit and vegetables …. For food/chemical allergy sufferers, a largely vegetarian diet is often the best answer, perhaps supplemented, if tolerance allows, by a small, irregular quantity of the other basic foods. Source: Griffiths S. 1996. Allergy overload. HarperCollins (Australia) 80 Intro Food Epigenome Method Implication Diet (3/10) Bookmarking & sudden change of diet during the Bengali famine 1943: • emergency procedures to feed the needy; • 110·E6 free meals; • intolerance to novel food (e.g. wheat); • result: still 3·E6 people died; Wikepedia, 2009 15-08-21 Madl 81 Das beispiel ist nicht weltfremd: 1943 starben in bengalen drei millionen menschen, weil man versucht hatte, ihnen ihre gewohnten, aber knapp gewordenen reisvorräte durch weizen zu ersetzen …. Auch der verbraucher strebt keineswegs einheitliche kost an .… Die diversität ist es, die er sucht, ebenso wie er in einem konzert eben nicht nur die ständige wiederholung des kammertons a geniessen könnte …. Source; http://en.wikipedia.org/wiki/Bengal_famine_of_1943 http://farm4.static.flickr.com/3022/2599462069_3983e36cfd.jpg?v=0 81 Intro Food Epigenome Method Implication Diet (4/10) Paramutation - Oeverkalix study 15-08-21 :0 7) A N Wut E ri PI tio G n EN (0 ET 7: 24 I – 09 K •exposure to cigarette smoke can lead to a transgenerational effect but is restricted to boys; •poor food supply of paternal grandparents was followed by reduced mortality in grandchildren; •rich food supply of paternal grandparents was followed by increased mortality in grandchildren; •effects last over 2 generations; Madl 82 Oeverkalix-studie (unkonventionelle epigenetic): detaillierte aufstellung der lebensgewohnheiten und todesursachen der grosseltern-generation; i) systematische langzeitstudie mit 14·E3 kindern vor der pubertaet: i) einfluss der ernaehrung auf koerpergewicht und gesundheit der nachkommen; i) grosses nahrungsangebot bei den grossvaetern verkuerzte die lebenserwartung der enkel (diabetesrisiko stieg an) i) knappes nahrungsangebot bei den vaetern verrringerte das kardio-vaskulaere und diabetes-risiko bei den kindern; i) es hat sich gezeigt das epigenetische praegungen mindestens ueber 2 generationen anhalten koennen; Source: Bygren, Lars Olov; Kaati, Gunnar; Edvinsson, Sören (2001) Longevity Determined by Paternal Ancestors' Nutrition during Their Slow Growth Period. Acta Biotheoretica, 49:53-59. Marcus E Pembrey, Lars Olov Bygren, Gunnar Kaati, Sören Edvinsson, Kate Northstone, Michael Sjöström, Jean Golding and The ALSPAC Study Team (2006) Sex-specific, male-line transgenerational responses in humans. Eur J Hum Genet 14: 159-166 82 Intro Food Epigenome Method Implication Diet (5/10) Bookmarking – Fetal diet & adult health: • Rich fetal diet: i) adjusted to a high level of nutrition in adult life develop a large phenotype – better adult conditions = better health (except at very high levels of nutrition). • Poor fetal diet: i) adjusted to poor adult nutrition in adult life develop a small phenotype i) in very poor adult conditions they are expected to be healthier than those with large phenotypes. Bateson, et al., 2004 15-08-21 Madl 83 The adult health and likelihood of survival of two groups of individuals with extreme phenotypes are given for a variety of nutritional environments. For individuals whose early environment has predicted a high level of nutrition in adult life and who consequently develop a large phenotype, the better the conditions, the better will be their health except perhaps at very high levels of nutrition. For individuals whose conditions in fetal life predicted poor adult nutrition and who develop a small phenotype, the expected outcome is less clear. In very poor conditions they are expected to be healthier than those with large phenotypes. It seems plausible that their health would be benefited by some improvements in their nutritional environment in later life, but these improvements would diminish with further increases in the nutritional environment. Whether such individuals would be worse off in absolute terms than in a low nutritional environment, and the slope of the graph eventually becomes negative, is difficult to assess, but relative to the large phenotype individuals they are expected to be much less healthy. Image: The hypothetical relationship between adult health and nutritional level during later development for two extreme human phenotypes that were initiated by cues received by the fetus. Source: Bateson P., Barker D., Clutton-Brock T., Deb D., D’Udine B., Foley R.A, Gluckman P., Godfrey K., Kirkwood T., Lahr M.M., McNamara J., Metcalfe N.B., Monaghan P., Spencer H.G. & Sul1 S.E. 2004. Developmental plasticity and human health. Nature 430: 420-421. 83 Intro Food Epigenome Method Implication Diet (6/10) Paramutation - Maternal undernutrition & low birth weight: • increased risk of obesity; • increased risk of diabetes; • increased risk of cardiovascular disease during adult life; • increased risk of colon cancer; Jimenez–Chillaron et al.,2008 15-08-21 Madl 84 "The quality of life in the womb, our temporary home before we were born, programs our susceptibility to coronary artery disease, stroke, diabetes, obesity and a multitude of other conditions in later life," …. [Nathanielsz 1999] …. An expectant mother might well logically reason that what she eats will affect her unborn child. But the evidence is mounting that not only her children, but her grandchildren and subsequent generations will be affected by her nutrition. What she eats may not only affect her descendants as they develop, but potentially throughout their adult lives. A study published Jimenez–Chillaron et al., indicate that low birth weight is associated with increased risk of obesity, diabetes and cardiovascular disease during adult life, the team wanted to know whether such disease risks might be passed on to future generations. Maternal exposure to glucocorticoids in pregnancy induces hypertension and/or evidence of insulin resistance, obesity and altered muscle mass as well as alterations in the hypothalamic–pituitary–adrenal axis in the adult progeny of several experimental species. When pregnant rats are given restricted diets, their offspring are smaller at birth; but when the offspring are subsequently given plenty of food they become more obese than the offspring of mothers given an unrestricted diet; moreover, for mice that were malnourished in utero, the richer the post-natal diet, the shorter is the lifespan. The modern western diet, so full of fats and sugars, could be exerting epigenetic effects on future generations, positive or negative. Abnormal methylation patterns are a hallmark of most cancers, including colon, lung, prostate and breast cancer …. The anticancer properties attributed to many foods can be linked …. to the distinct methylation patterns of people who eat those foods. Source: Nathanielsz 1999, Life in the Womb: The Origin of Health and Disease. Ithaca, NY http://epigenome.eu/en/1,63,0 & http://blog.plantpoisonsandrottenstuff.info/category/vitamins/ Josep C. Jimenez-Chillaron, Elvira Isganaitis, Marika Charalambous, Stephane Gesta, Thais Pentinat-Pelegrin, Ryan R. Faucette, Jessica P. Otis, Alice Chow, Ruben Diaz, Anne Ferguson-Smith & Mary-Elizabeth Patti (2008) Intergenerational Transmission of Glucose Intolerance and Obesity by In Utero Undernutrition in Mice. Diabetes 58:460-468. Melissa Woo1 and Mary-Elizabeth Patti (2008). Diabetes Risk Begins In Utero. Cell Metabolism, Volume 8, Issue 1: 5-7. 84 Intro Food Epigenome Method Implication Diet (7/10) Paramutation - Obese Babies: • • • • • obese mothers give birth to obese babies; 20 genes seem to be involved; overstimulation of fetal insulin prodctn.; however, only 1-3% is gene-related; metabolic related diseases in later life; e.g.: hormonal disbalance of leptin, neuropeptides (orexin, etc). Jimenez–Chillaron et al.,2008 15-08-21 Madl 85 Nach neuen arbeiten spielt neben einer bestehenden stoffwechsel-störung der mutter (z.b. diabetes) auch ihr gewicht vor und während der schwangerschaft eine wichtige rolle. Dicke mütter bekommen demnach viel häufiger dicke kinder als normalgewichtige frauen .... Für das übergewicht der mütter sind verschiedene faktoren ausschlaggebend. Man kennt heutzutage ca. 20 gene, von denen manche varianten zu einer anfälligkeit für übergewicht führen. Doch höchstens 1-3% aller personen seien aufgrund eines gendefekts fettleibig .... Bei übergewichtigen müttern gelange nämlich – wie bei diabetikerinnen – deutlich mehr zucker via nabelschnur in den blutkreislauf des ungeborenen. Dadurch werde die fötale bauchspeicheldrüse ständig angeregt insulin herzustellen. Dieses insulin wird mit dem blut ins gehirn des kindes transportiert. Dort wirkt es über spezielle Rezeptoren, vor allem im hypothalamus. Diese ist unter anderem auch für die regulation der nahrungsaufnahme zuständig. Wenn nun ständig zu viel insulin im sich entwickelnden hypothalamus ankommt, wird der sättigungs-sollwert höher eingestellt. Die einstellung des sollwerts erfolgt im mutterleib. Dies führt zusammen mit der wachstumsfördernden wirkung des insulins dazu, dass beim fötus einer übergewichtigen frau zu viele fettdepots angelegt werden. In den fettzellen wird aber das hormon leptin produziert. Dieses signalisiert im normalfall dem gehirn, wann ausreichend depots angelegt sind. Wenn ein fötus aber bereits zu viele fettzellen besitzt, produziert er mehr leptin als schlanke ungeborene. Somit verfügt das sich entwickelnde gehirn sowohl zu viel insulin als auch leptin. Tierversuche deuteten darauf hin, dass es bei übergewichtigen föten und neugeborenen zu einer gewissen leptinunempfindlichkeit kommt. Dies führe im späteren leben dazu, dass die leptin-signale vom gehirn weniger gut wahrgenommen und beachtet würden. So könnten sich mehr unnötige fettdepots ansammeln. Und da insulin und leptin im zusammenspiel mit anderen hormonen wie orexin oder neuropeptid Y die nahrungsaufnahme und -verwertung regulierten, gerate durch ein überangebot der beiden erstgenannten hormone das komplexe regulationssystem aus dem gleichgewicht. Source: übergewichtige babys – mit schwerer hypothek ins leben NZZ 70: 25.3.09 85 Intro Food Epigenome Method Implication Diet (8/10) Paramutation - Starvation in Holland 1944 (compare obesity in Africans) People exposed to severe undernutrition in utero – 2nd gen. offspring had …. • more diabetes; • 3-fold increase in coronary heart; disease prevalence; • more pulmonary disease; • increased levels of microalbuminuria; 15-08-21 People conceived in famine had …. • F1-babies w / normal birth weights; F2-babies weighed 200-300g less; • higher LDL/HDL cholesterol ratios; • more likely to be obese; • suffer from altered coagulation; • consider th/s psychologically less fit; • aggerated response to stress - higher blood pressure rise under stress; • increased risk of stroke; Madl 86 The Dutch famine near the end of World War II led to an increased incidence of schizophrenia in adults who had been food-deprived during the first trimester of their mothers' pregnancy. Malnourishment among pregnant women in the South during the Civil War and the Depression has been proposed as an explanation for the high incidence of stroke among subsequent generations. Microalbuminuria occurs when the kidney leaks small amounts of albumin into the urine. In other words, when there is an abnormally high permeability for albumin in the renal glomerulus. Weitere beispiele epigenetischer effekte i) hungerwinter in Holland 1944 (NS-embargo): muetter mit mangelernaehrung (400-800kcal tagesration) gebaren kinder mit niedrigem geburtsgewicht, diese gebaren ihrerseits (trotz normaler ernaehrung) wieder untergewichtige kinder; i) zum zeitpunkt der untersuchung () litten doppelt so oft an herz-kreislauferkrankungen wie ihre altersgenossen; i) hauefiger brustkrebs und uebergewicht Source: http://www.hongerwinter.nl/index.php?lang=english RC Painter, TJ Roseboom, OP Bleker . Prenatal Exposure to the Dutch Famine and disease in later life: an overview. Reprod Toxicol. 2005 Sep-Oct; 20 (3): 345-352. http://linkinghub.elsevier.com/retrieve/pii/S0890623805000882 86 Intro Food Epigenome Method Implication Diet (9/10) Bookmarking – BSE & CJD: • BSE (bovine spongiform encephalopathy; • CJD (Creutzfeldt-Jakob disease); • Scrapie (sheep); All prions-transmissible infectious protein complexes and induce brain cell degeneration introduced via food uptake (epigenetic bookmarking); Aguzzi et al, 2007 15-08-21 Madl 87 Epigenetic Epidemiology: There is an association of CJD (Creutzfeldt-Jakob disease) and BSE (bovine spongiform encephalopathy), as well as scrapie in sheep. All are caused by prionstransmissible infectious protein complexes, whose reproduction and reconstruction involve some type of three-dimensional structural templating.,30 It is thought that BSE is a result of cannibalism in which faulty industrial practices produced prion-contaminated feed for cattle. There is now considerable concern that bovine prions may have been passed to humans, resulting in a new form of CJD. 29 Dementia: It’s an umbrella term for diseases typified by brain cell degeneration beyond what is expected for a certain age group, due to damage or disease. Dementias that affect the cortex region of the brain – the outer region that is densely packed with nerve cells, or neurons – include Alzheimer’s, Parkinson’s, Huntingdon’s and Creutzfeldt-Jakob Disease …. Memory loss and learning difficulties are the major consequences of these diseases, characterized by abnormal protein deposits, brain cells dying, and a reduction in new cell growth, which all contribute to brain circuit damage. Parkinson’s and Huntingdon’s disease affect the regions of the brain just below the outer cortex, and cause motor symptoms such as involuntary movements. Image: Reported bovine spongiform encephalopathy (BSE) cases in the UK (blue) and in countries excluding the UK (orange). Non-UK BSE cases include cases from countries of the European Union (EU) and outside the EU (CDN, Israel, Liechtenstein, JPN, CH & USA). b) Reported cases of variant Creutzfeldt–Jakob disease (vCJD) in the UK (blue) and in countries outside the UK (orange). Non-UK vCJD cases include cases reported in FRA, IRL, ITA, USA, CDN, Saudi Arabia, JPN, NL, P and ESP. (see the National Creutzfeldt–Jakob Disease Surveillance Unit web site for vCJD data). Source: http://epigenome.eu/en/2,58,1112 http://www.cjd.ed.ac.uk/vcjdworld.htm http://www.rdg.ac.uk/progspecs/pdf06/PFTFTQASSM06.pdf Jablonka E., Lamb M.J. 2002. The Changing Concept of Epigenetics. Ann. N.Y. Acad. Sci. 981: 82–96 29 Prusiner, S.B. 1998. Prions. Proc. Natl. Acad. Sci. USA 95: 13363–13383. 30 Chernoff, Y.O. 2001. Mutation processes at the protein level: is Lamarckback? Mutat. Res. 488: 39–64. 87 Intro Food Epigenome Method Implication Diet (10a/10) Bookmarking – Food intolerance: • DNA-methyl. & histone modifs.; • Hypothalamus-Pituitary-AdrenalAxis (HPA-axis); • Conditioning; Garcia et al., 2007 15-08-21 Madl 88 At present, research focuses on the modulation of epigenetic factors regulating the immune system conditioning…. Such modulators are antisense oligonucleotides, ribozymes and siRNA. Johansen conducted a study on mice to determine the long-term effects of antihistamines …. 50 mice have been injected with bee venom, a substance to which almost all organisms develop an allergy upon exposure. Half of the mice were also given 100 micrograms of the antihistamine Clemastine just before they were given venom, and 100μg on each of the two days afterwards. After six weeks, the researchers injected the mice with another dosage of bee venom, and monitored the allergic reactions. They found that mice given antihistamines reacted more violently to the second venom injection. The findings suggest that the mice on allergy medication had not developed tolerance to the allergen. Effects of Conditioning: p.100: By repeatedly injecting rats with cyclo-phosphamide (a drug that induces nausea & suppressed the immune system) whenever they drank sweetened water, Ader and Cohen trained rats to avoid sweet water …. The rats responded by suppressing their immune systems themselves when faced with what they thought was the same situation again (sweet water & injection, cyclophosphamide had been replaced by a saline solution) …. p.102: …. All sorts of immune activity can be conditioned, including activation of the inflammatory response (placebo &) …. (& conditioning) Since the phenomenon of immune conditioning is already well defined, while the placebo response is not, it would seem preferable to keep the two terms separate, rather than having two words for the same thing …. Guinea pigs could be conditioned to associate gentle scratching and inflammation …. Inflammation is …. a symptom of immune activation, so it seems that immune enhancement can be conditioned as well as immune suppression. p.107: Some biologists have suggested that the immune system also functions as a sensory organ in higher animals, including humans.10 Just as the eyes allow us to detect light waves, so the immune system, like a sixth sense, enables us to detect the presence of the tiny invaders that constantly assail us from both within and without. Source: Isidoro-García M, Dávila-González I, Pascual de Pedro M, Sanz-Lozano C, LorenteToledano F (2007): Interactions between genes and the environment. Epigenetics in allergy. Allergol Immunopathol (Madr). 35(6):254-8 Evans D. (2004). PLACEBO - Mind Over Matter in Modern Medicine; Harper Collins Publishers; London - UK 88 Intro Food Epigenome Method Implication Diet (10b/10) Bookmarking – Food intolerance: • DNA-methylation & histone modifications; • HPA-axis; Griffiths, 1996 15-08-21 Epigenetic conditioning Madl 89 The alarming number of people who are now suffering from this problem, in varying degrees, indicates that it is widespread due to the following reasons (incomplete list): i) Conserved foods: The excessive consumption of refined, pre-packed, tinned, frozen and artificially-preserved foods, in our Western civilization. The over-consumption of refined carbohydrates and the almost daily intake of 'fast foods', are aggravating factors. i) Toxins: Increasing pollution of the environment with chemicals such as fertilizers, insecticides and hydrocarbons. i) Overmedication: The vast array of drugs and medication being prescribed daily by doctors for every conceivable complaint. The study of ecological illness in the United Kingdom, Europe and the United States, has shown that food and chemical sensitivities are often multiple. This can make diagnosis complex and difficult. Most doctors are not generally conversant with the concept that ecological illness can produce allergies with non-specific symptoms. A wide range of recurring symptoms, resulting in serious general malaise is often misunderstood. Source: Griffiths S. 1996. Allergy overload. HarperCollins (Australia) 89 Intro Food Epigenome Method Implication Weightloss (1/1) Yo-Yo-effect: diet-induced weight loss and rebounce effect • there are alterations in the postprandial release of amylin and pancreatic polypeptide and, • changes in levels of leptin, ghrelin, peptide YY, gastric inhibitory polypeptide, pancreatic poly-peptide, amylin, and cholecystokinin, Mechanistic solution: • appetite-regulating medications will probably be required. Sumithran et al., 2011 21-Aug-15 Madl 90 After weight loss, changes in the circulating levels of several peripheral hormones involved in the homeostatic regulation of body weight occur. Whether these changes are transient or persist over time may be important for an understanding of the reasons behind the high rate of weight regain after diet-induced weight loss. One year after initial weight reduction, levels of the circulating mediators of appetite that encourage weight regain after diet-induced weight loss do not revert to the levels recorded before weight loss. Long-term strategies to counteract this change may be needed to prevent obesity relapse. A multitude of hormones, pep- tides, and nutrients are involved in the homeostatic regulation of body weight, many of which are perturbed after weight loss. Leptin, an adipocyte hormone, is an indicator of energy stores and acts in the hypothalamus to reduce food intake and increase energy expenditure Ghrelin, peptide YY, gastric inhibitory polypeptide, GLP-1, cholecystokinin, pancreatic polypeptide, and amylin are released from the gastrointestinal tract and pancreas in response to nutrient intake; all but two inhibit intake. The exceptions are ghrelin, which stimulates hunger, and gastric inhibitory polypeptide, which may promote energy storage. Our study shows that after diet-induced weight loss, there are alterations in the postprandial release of amylin and pancreatic polypeptide and, more important, that changes in levels of leptin, ghrelin, peptide YY, gastric inhibitory polypeptide, pancreatic poly-peptide, amylin, and cholecystokinin, Given the number of alterations in appetite-regulating mechanisms that have been described so far, a combination of medications will probably be required. Image: Mean (+/-SE) Changes in Weight from Baseline to Week 62. The weight-loss program was started at week 0 and completed at week 10. ITT denotes intention to treat. Source: Sumithran P, Prendergast LA, Delbridge E, Purcell K, Shulkes A, Kriketos A, Proietto J. (2011). Long-term persistence of hormonal adaptations to weight loss. N Engl J Med. Vol.365(17):1597-1604. 90 Intro Food Epigenome Method Implicaion Preliminary Conclusion (1/1) ti l le nd ) – (1 :1 9: 40 Q Fo i in od T C n eat only when hungry; eat slowly and relax; don’t eat too many foods at once; do not mix raw fruits and vegetables; always eat protein foods last; undereat whenever possible; don’t drink with meals; A sia • • • • • • • M Eating habits to promote good health: Griffiths, 1996 15-08-21 Madl 91 Eating habits to promote good health Eat only when hungry: Hunger should be a comfortable feeling, resulting from the body needing food for energy, rather than from the ravenous cravings, caused by food allergy. Eat slowly and relax: Remember, saliva contains digestive enzymes. Thorough chewing considerably aids digestion and assimilation of food. Food broken down into fine particles by plenty of chewing, places much less strain on the digestive system. Eat small meals: It is better to eat five, or six, small meals per day, than three larger ones. If you eat smaller meals, your digestive system is not overloaded and, thus, operates more efficiently, nutrient absorption is much better and fat assimilation is less. Do not eat too many foods at once The fewer foods you eat at one meal, the better. Digestion and nutrient absorption is far more efficient. Do not mix raw fruits and vegetables: Both raw fruits and raw vegetables should be eaten separately. The reason is that totally different enzymes are needed to digest each one. Always eat protein foods last: Proteins require a generous amount of hydrochloric acid, in the stomach, to enable the enzymes to break them down effectively. This process takes about twice as long as that of carbohydrates. When these are eaten, little hydrochloric acid is secreted, as carbohydrates do not need much for digestion. Accordingly, they tend to pass much quicker into the duodenum. If carbohydrates are eaten after protein, they are held back in the stomach, by the protein, and fermentation commences. Undereat whenever possible: Systematic undereating is the greatest single aid to good health. Even the best possible diet, eaten to excess, will lead to food intolerances and degenerative disease. Over indulgence in high protein foods is especially harmful. Light meals lead to better digestion, greater utilisation of nutrients and, believe it or not, fewer hunger pangs. Do not drink with meals Although a glass of wine occasionally is harmless, generally, drinking with meals, or immediately before or after meals, should be avoided. The dilution of essential hydrochloric acid in the stomach, can have a detrimental effect on efficient digestion and absorption. Source: Griffiths S. 1996. Allergy overload. HarperCollins (Australia) 91