LIFE EXTENSION
HEALTH CONCERNS
The impact of aging on the immune system is profound. As people age, a number of critical immune system components including cellular response, antibody production, and response to vaccines are reduced or slowed. At the same time, susceptibility to infection and cancer is increased. Some of this increased susceptibility to disease is linked to chronic inflammation, which is associated with many disorders of aging (Ershler 2000; Hamerman 1999; Taaffe 2000).
Age, however, is not the sole culprit in reduced immune function. There is no question that exercise, stress, and nutritional status play an important role in maintaining a healthy immune system. Consider the following research findings:
- Dietary deficiencies and malabsorption alter metabolism and exacerbate chronic disorders (Kaput 2004). An imbalance in the intake of dietary fat, carbohydrate, and protein can contribute to the development of disease(s) (Kaput 2004). On the other hand, there is overwhelming evidence of the benefits of a good diet on reducing the risk of many chronic diseases (Ames 2001; Kaput 2004).
- Malnutrition causes a decline in immune function and increases susceptibility to infection (Brussow 1995; Lotfy 1998; delaFuente 1998). Likewise, a vitamin or mineral deficiency can suppress immune system function (delaFuente 1998). Correct choices of supplements, vitamins, minerals, fatty acids, probiotics, and botanicals have been shown to boost immunity and may also reduce the risk of disease(s) in healthy Individuals (Kaminogawa 2004).
- Psychological health influences the immune system and the course of many diseases (Kiecolt-Glaser 2000). Depression, stress, and anxiety increase the production of pro-inflammatory chemicals in the blood, which in turn can compromise, depress, or suppress the immune system (Appels 2000; Dentino 1999; Maes 1997; Maes 1998; Maes 1999; Boscarino 1999; Lutgendorf 1999; Zhou 1993; Papanicolaou 1998).
- High levels of anxiety are associated with decreased immune function (Ironson 1990; Koh 1998; Boscarino 1999; Kiecolt-Glaser 2000).
- Chronic stress can provoke long-term increases in pro-inflammatory chemicals. For example, caregiving for a relative with a serious medical condition results in long-term immune suppression among women (Lutgendorf 1999).
- Chronic stress from persistent marital problems, burnout at work (Lerman 1999), and lengthy unemployment (Arnetz 1991) can lead to immune alterations that persist for years (Boscarino 1999; Kiecolt-Glaser 1987; Kiecolt-Glaser 1997; Kiecolt-Glaser 1988; Kiecolt-Glaser 1993).
Life Extension believes that all aging people should take action to bolster their immune systems. This includes reducing negative psychological stress; following a physician-approved, moderate, long-term exercise program; and following a diet as well as consuming nutrients that have been shown to enhance immune response and promote health.
The Immune System: How it Works
The immune system is an elegant and complex set of components that combine to fight disease, infection(s), and various pathogens. A healthy immune system distinguishes organisms in the body as “self” or “non-self.” An intact immune response identifies pathogens as “non-self” and rapidly destroys them. A depressed immune system, by contrast, will allow invading organisms to flourish.
When the immune system mistakenly recognizes a “self” cell as “non-self” and mounts an immune response, it can result in an autoimmune disorder (eg, rheumatoid arthritis).
In general, the body has two primary defense mechanisms: natural immunity and acquired immunity. Natural immunity is the “first responder” to attack. Natural immune response relies on various white blood cells and physical barriers to block or immediately attack any foreign invader and attempt to destroy it.
Acquired immunity, on the other hand, involves antibodies created in response to specific foreign antigens. This sort of response requires a few days for the body to recognize the invader and manufacture antibodies against it. Once the body has manufactured a particular antibody for a specific invader, the immune system response is faster and more effective the next time that invader appears (Janeway 1999; Beers 2004).
The natural immune system relies on a host of weapons to protect the body, including various kinds of white blood cells (see Table 1). These natural defenses include the following organs, chemicals, and processes:
Physical and chemical barriers. The body's first lines of defense are the skin and mucous membranes, which prevent the entrance of many pathogens. There are also many secondary barriers. For example, tears, sweat, and saliva combat some bacteria; also, the hydrochloric acid as well as protein-digesting enzymes secreted by the stomach are lethal to many, but not all pathogens (Janeway 1999; Beers 2004).
Inflammation and fever. Inflammation is a nonspecific response to infection or tissue injury. The four signs of inflammatory response are redness, swelling, heat, and pain. Inflammation begins when cells release certain cytokines, including interleukin (IL)-1, IL-6, and tumor necrosis factor-alpha (TNF-α) (Janeway 1999; Beers 2004).
Phagocytic cells. Phagocytic cells engulf and destroy foreign cells. Phagocytic cells are white blood cells and include neutrophils, eosinophils, and macrophages; they have short lives and must be continually replenished by the body. Neutrophils and macrophages are very important aspects of the innate defenses of the body (Janeway 1999; Beers 2004).
Natural killer cells. Natural killer cells destroy certain cancer cells and a variety of pathogens. Killer cells are active secretors of interferon, an important and potent protein. Natural killer cells attach directly to the surfaces of infected cells and cause them to burst. They can also kill a pathogen by making its outer membrane leak (Janeway 1999; Beers 2004).
Antimicrobial proteins. Infected immune cells produce interferon, which causes healthy cells to produce antiviral proteins. There are more than 30 distinct antiviral proteins. When an individual complement (immune system) protein is activated by infecting organisms, it triggers a cascade that activates other complement proteins. Activated proteins can destroy bacteria while sparing host cells or cause the infected cells to become engulfed by phagocytic cells (Janeway 1999; Beers 2004).
Cytokines. Cells use chemical messengers (ie, cytokines) to communicate and share information; each chemical sends a different message to other cells. Cytokines regulate immunity, inflammation, and the production of white blood cells. There are dozens of cytokines; each performs a specific set of activities against specific target cells. They can act in concert or in opposition. Cytokines are often produced in a cascade; in other words, a cytokine stimulates its target cells to make additional cytokines. TNF-α, IL-1, IL-6, and type I interferon are important cytokines in the regulation of natural immunity.
Acute-phase proteins. Acute-phase response is activated during critical illness. When phagocytic cells bind pathogens, they release pro-inflammatory cytokines. This response enables the body to recognize invaders before immune responses have been fully activated. Acute-phase proteins promote inflammation and stimulate phagocytes to move where they are needed.
Table 1. Major Cells of the Immune System (Janeway 1999; Nairm 2000)
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Cell
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Activity
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Lymphocytes
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Natural killer cells
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Destroy a variety of tumor cells and antibody-coated target cells; not antigen specific.
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Cytotoxic T (CD8+) cells
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Secrete cytokines that attract macrophages and increase their phagocytic activity; destroy target cells that display the same antigen that activated their progenitor cell; lyse infected cells by releasing toxins. Cytotoxic T cells fight foreign invaders by destroying cells that display the antigen that activated its progenitor cells (immunological surveillance).
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Helper T (T4+) cells
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Stimulate cellular immunity and inflammation; secrete cytokines that stimulate proliferation of B cells and other T cells; amplify antibody production by plasma cells.
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Suppressor T cells
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Suppress activity of naïve (un-stimulated) and effector T cells.
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Memory T cells
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Recognize antigens that have invaded in the past, which allows for a larger and more rapid response when there is a second encounter with that antigen.
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B lymphocytes (B cells)
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Differentiate into antibody-producing plasma cells; process and present antigen to helper T cells; display immunoglobulin and class II MHC antigens.
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Plasma cells
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Main antibody-secreting cells.
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Memory B cells
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Descendants of B cells that remain after an immune response.
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Phagocytes
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Macrophages
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Phagocytize antigens, then process and present them to T cells for destruction; attack dead and defective blood cells; secrete cytokines that induce proliferation of B and T cells.
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Neutrophils
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Major defense against bacteria; first on scene to fight infection.
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Eosinophils
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Active against parasites and commonly elevated in allergies.
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Dendritic cells (interdigitating reticular cells)
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Process and present antigens to T and B cells; most potent stimulators of T cell responses.
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Antigen-presenting cells
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Engulf antigens, process them internally, and then display fragments of them on their surface; surface markers alert other immune cells that there is an invader. Identified antigen-presenting cells: dendritic cells, macrophages, and B lymphocytes.
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Inflammation, Free Radicals, and Cytokines
Although acute inflammation is an important immune system response, chronic inflammation has also been linked to many diseases, including heart disease. Besides being associated with pro-inflammatory cytokines, inflammation may be related to the overproduction of free radicals (Janeway 1999).
A free radical is an atom or group of atoms (ie, a molecule) with unpaired electrons. Free radicals are extremely unstable and react easily with other molecules, thereby changing their chemical composition. Oxygen is especially susceptible to free radical formation. Free radicals derived from oxygen are known as reactive oxygen species (ROS), or oxidants.
When the body has increased levels of ROS (ie, when it is experiencing oxidative stress), widespread damage may result. At high concentrations, free radicals can damage fats, proteins, and nucleic acids. They can also cause cell death, gene mutations, and cancer (Moslen 1994). Several diseases may be the result of cellular and genetic damage caused by free radicals, including several immune disorders (Moslen 1994).
In order to reduce the damage caused by elevated free radicals and cytokines (both part of the natural immune system), the body fights back by producing antioxidants and hormones (eg, cortisol) to suppress the immune system (Grimble 1996). Antioxidants are valuable because they pair with unstable free radicals, thereby limiting the damage free radicals can inflict on other cells.
What You Have Learned So Far...
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Researchers are just now beginning to understand how genes affect nutrition and overall immunity. It turns out that the overall risk of contracting many diseases is influenced by genetics (Mathew 2001). A new field of nutritional genomics explores the interaction of nutrition, genes, and environmental factors (including diet) (Kaput 2004).
This emerging field of science evolved from the Human Genome Project, which mapped the human genome and identified many genes that cause disease.
The association between diet and chronic diseases such as atherosclerosis, diabetes, obesity, and cancer is well known (Jenkins 1997; Jenkins 1999; Jenkins 2000; Kaput 2004). Nutrients supplied by food are an important variable in gene expression. Deficiency of some essential nutrients can alter metabolism and the structure of DNA (Kaput 2004). A well-studied example of the relationship between genetics and diet is type 2 diabetes. This condition is associated with a sedentary lifestyle, being overweight, and ethnicity. Although some individuals are genetically predisposed to this condition, many can control symptoms through exercise and a change in diet (Kaput 2004).
In the future, genetic testing might be able to help in the creation of nutritional programs tailored to each individual's genetic makeup; thus, may help people fight disease and stay healthy.
A healthy immune system grows ever more important as we age, and immune status is closely associated with nutrition, exercise, and stress reduction. Older people and people with compromised immune systems should talk to their physician about exercising, reducing stress, and designing an active, immune-boosting nutritional program.
Vitamin D. Adults (and children) with higher vitamin D levels contract substantially fewer cold, flu, and other viral infections (Ginde 2009; Karatekin 2007; Cannell 2006). Vitamin D downregulates the expression of pro-inflammatory cytokines while upregulating the expression of antimicrobial peptides in immune cells (Schauber 2007). This biological mechanism explains why Vitamin D confers such dramatic protection against common illnesses.
Glutathione boosters. Glutathione is probably the body's most important cellular defense against free radical damage. It is a free radical scavenger and major antioxidant.
Low levels of glutathione are linked to many diseases. Malnutrition and aging (Cai 2000) deplete glutathione. Glutathione is also involved in one of the major liver detoxification pathways.
Glutathione is produced in the body, but not easily absorbed when taken orally. Instead, glutathione precursors may be used by the body to increase glutathione (Bounous 2000). Glutathione precursors include glutamine, N-acetylcysteine (NAC), and S-adenosyl-L-methionine (SAMe) (Devlin 2002). It can also be upregulated by lipoic acid as well as vitamins C and E.
Glutamine. Glutamine is the most abundant amino acid in the body (Roth 2002). Glutamine depletion causes downregulation of glutathione levels in the body (Roth 2002), and dietary supplementation increases these levels (Roth 2002). Glutamine has immunoregulative activities (Roth 2002; Li 1995). Lymphocytes and macrophages use glutamine at a very high rate (Newsholme 1994). Glutamine stimulates lymphocyte production and killer immune cell activity (Rohde 1995, 1998, 1996; Jurectic 1994).
Glutamine depletion slows wound healing and increases the risk of organ failure under certain conditions (Wilmore 1991). Endurance athletes whose muscles do not fully recover between workouts have decreased glutamine levels (Shephard 1998; Castell 1998). Some scientists believe that intense physical exercise or stress due to trauma, burns, or sepsis (blood infection) forces the body into glutamine debt, which temporarily compromises immune function (Newsholme 1994).
S-adenosyl-L-methionine. S-adenosyl-L-methionine (SAMe) is a natural amino acid present throughout the body. It is crucially important because it is involved in dozens of chemical reactions, including the synthesis of DNA and RNA, proteins, melatonin, creatine, and many others. SAMe is an important energy source (Osman 1993) and intrinsically related to the synthesis of glutathione.
N-acetylcysteine. N-acetylcysteine (NAC) acts as an antioxidant and is recommended for conditions that increase oxidative stress or decrease glutathione levels (Burgunder 1989). NAC has a protective effect on DNA and is a powerful free radical scavenger. It increases the synthesis of glutathione only when there is a demand, and is thought to concentrate only in tissues where it is required (Burgunder 1989). NAC can modulate the concentrations of certain cytokines. In laboratory studies, it has increased IL-1 and IL-2 levels when they are at low concentrations and decreased these cytokines at higher concentrations (Baier 1996). It also demonstrated an ability to inhibit cell growth and proliferation in cancer cell lines (Chiao 2000), and prevent the transformation of carcinogens into more toxic compounds (De Flora 1984; Wilpart 1986).
Antioxidants and Coenzyme Q10
Because of their ability to scavenge free radicals, antioxidants are important immune-system boosters. Supplementation with antioxidants like vitamins C, E, and B vitamins may improve immune function (Grimble 1997), and supplementation with vitamin A stimulates antibody-mediated immune responses (Cantorna 1995).
Vitamin E is a powerful fat-soluble antioxidant. It protects cellular membranes of the immune system and other cells by trapping free radicals, and enhances the effectiveness of lymphocytes (Kaminogawa 2004).
Vitamin C (ascorbic acid) is a key component of the immune system and antioxidant defense (Kagan 1991, 1992; Peters 1993). It prevents the production of free radicals and reduces DNA damage in immune cells. Moreover, vitamin C downregulates the production of pro-inflammatory cytokines and participates in recycling vitamin E (Schwager 1998).
B vitamins indirectly contribute to antioxidant defenses and have considerable influence on immune function. Vitamins B12 and B6 are cofactors in the creation of cysteine, a key component in glutathione synthesis. Deficiencies in B vitamins and vitamin E create abnormalities in immune response (Murrary 2000).
Lipoic acid is a potent antioxidant with antiviral, free-radical-quenching, and immune-boosting qualities. It is unusual because it is soluble in both fat and water (Kagan 1992), and is active in both its oxidized and reduced forms (Bustamante 1998). Lipoic acid is able to regenerate other antioxidants (eg, vitamins C and E) and raise glutathione levels significantly (Packer 1995, 1997; Scholich 1989; Fuchs 1993).
Coenzyme Q10 (CoQ10), synthesized from the amino acid tyrosine, is present in high quantities in the heart muscle. CoQ10 has shown a wide range of benefits. It is an essential cofactor in the production of adenosine triphosphate (ATP), which is the primary source of energy for all the body's cells. Levels of CoQ10 decline naturally as humans age, which may be related to increased lipid peroxidation. CoQ10 is a powerful antioxidant and scavenger of free radicals. It inhibits lipid peroxidation and works synergistically with vitamin E (Alleva 1995). CoQ10 has an important role in the stimulation of the immune system and improves several parameters of immune function (Folkers 1985).
Whey protein. Whey protein is isolated from milk. Proteins in whey are highly available to the body, and whey protein contains potent antioxidants. Its antioxidant activity is due to its high concentrations of glutamate and cysteine, which are precursors to glutathione (Walzem 2002). Whey also contains several substances that enhance the immune system, including the following:
- Beta-lactoglobulin, which modulates lymphatic responses (Guimont 1997)
- Alpha-lactalbumin, which has a direct effect on B and T lymphocytes and has the ability to reduce oxidative stress
- Lactoperoxidase, which reduces toxic hydrogen peroxide (Sundberg 1991; Ha 2003)
Lactoferrin, a major component of whey protein, also acts as an antioxidant (Steijns 2000). It can inhibit the absorption of bacteria through the intestinal wall. Whey protein can activate natural killer cells (Nishiya 1982). In the laboratory, lactoferrin inhibited metastasis of cancer cells in mice (Marshall 2004) and increased IL-2 and natural killer activity (Watanabe 2000).
Minerals
Metallic micronutrients such as copper, zinc (Prasad 2000), and selenium influence the activity of antioxidant enzymes and can reduce oxidative stress. Among children, deficiencies of zinc, copper, and selenium have been linked to immune deficiency and infection (Cunningham-Rundles 2005).
Selenium is involved in several key metabolic pathways (Rotruck 1973; McKenzie 1998, 2000). Glutathione peroxidase, the enzyme that recycles glutathione, depends on the presence of selenium for its antioxidant activity (Arthur 2003). Although plant food is a major dietary source of selenium (eg, garlic is rich in selenium), the highest concentration of dietary selenium occurs in meat.
Zinc deficiency is linked to impaired immune function, partly because of decreased T lymphocyte and B lymphocyte function. Zinc has shown the ability to decrease inflammation and the production of IL-2 (Tanaka 2005). Copper and zinc together have been shown to stimulate internally produced antioxidants such as glutathione and superoxide dismutase (SOD) (Kuppusamy 2005).
DHEA and Immune Function
Dehydroepiandrosterone (DHEA) is produced by the adrenal glands. DHEA has over 100 metabolites and is used by the body for estrogen and testosterone production.
Blood levels of DHEA rise until they peak in the third decade of life, then rapidly decline. Endocrinologists and anti-aging researchers have been focusing on this decrease in DHEA, which in turn produces a decline in other steroidal hormones.
Animal experiments suggest that DHEA has many biological effects, including anticancer, immune-enhancing, neurotrophic, and general anti-aging effects (Bovenberg 2005). A recently published review article of DHEA supplementation in men found convincing research showing positive effects of DHEA on the cardiovascular system, body composition, skin, central nervous system, sexual function, and immune system (Saad 2005).
On the cellular level, DHEA exerts its actions on peripheral target tissues either indirectly (following its conversion to androgens, estrogens, or both) or directly, as a steroid hormone (Perrini 2005). Lower DHEA levels are associated with decreased production of IL-2 and an increase in the presence of IL-6, which is a pro-inflammatory cytokine (Hammer 2005). A study was performed on younger and older men to compare DHEA blood levels and peripheral blood mononuclear cells (PBMCs) in populations of varying ages. The results showed significant changes in sex steroid metabolism by human PBMCs with aging, which may represent a link to age-associated changes in the immune system (Hammer 2005).
Immunomodulatory effects of DHEA in various autoimmune diseases have been studied. Relative reductions in DHEA have been noted in patients with rheumatoid arthritis, systemic lupus erythematosus, HIV and AIDS, sepsis, and trauma (Chen 2004). Overall, DHEA blood levels have been used as diagnostic factors in evaluating the impact of aging on the immune system. Supplemental DHEA has been clinically valuable when used to restore youthful hormonal blood levels in aging, stressed, and immune-compromised individuals (Valenti 2004).
One of DHEA's metabolites, 7-keto DHEA, has also been studied for its ability to support the immune system. A study found that four weeks of 7-keto DHEA supplementation improved immune function in elderly men and women (Zenk 2004). In this randomized, double-blind, placebo-controlled study, 22 women and 20 men over the age of 65 took either 100 mg of 7-keto twice daily or a placebo. The 7-keto group had a significant decrease in immune suppressor cells and a significant increase in immune helper cells. The 7-keto group also saw reductions in diastolic blood pressure and an increase in neutrophils, the first white blood cells to respond to infection.
Polyunsaturated Fatty Acids
Polyunsaturated fatty acids, such as the omega-3 fatty acids found in fish oil and flaxseed oil, have been studied for their anti-inflammatory action (Kaminogawa 2004). Polyunsaturated fatty acid reduces the inflammatory response caused by TNF-α (Johnson 1993; Pedersen 2000).
Most people in the United States have an imbalance in the ratio of omega-3 to omega-6 fatty acids because of diets high in animal fat and vegetable oils high in omega-6 (eg, corn oil). This imbalance has been associated with inflammation (Calder 1997). The ratio can be improved by taking supplemental omega-3 fatty acids. Omega-3 fatty acids have also been shown to:
- Counteract suppression of the cellular immune system (Pedersen 2000)
- Suppress TNF-α production and have an anti-inflammatory effect (Grimble 2002)
Probiotics
The gastrointestinal tract relies on live bacteria (microflora) to help support a robust immune response. These probiotic bacteria help prevent foreign bacteria and allergens from passing through the intestinal wall and are important to the overall health of the intestinal immune system (Marteau 2001; Conway 1987; Robins-Brown 1981). Probiotics are found in foods such as yogurt and kefir, which enhance the microflora in the gut by providing additional probiotic bacteria (Fuller 1991; Isolauri 2001). The most commonly used probiotic bacteria are lactobacillus and bifidobacterium, found in yogurts.
Probiotics also strengthen the intestinal immunological barrier. Lactobacillus stimulates natural immunity by improving phagocytic and natural killer immune cell activity (Kaminogawa 2004).
Grape Seed Extract
Chemicals in grape seeds known as proanthocyanidins have potent antioxidant and immune-boosting properties (Ashraf-Khorassani 2004; Bagchi 1997; Bagchi 1998). They increase the activity of internal antioxidants such as glutathione and SOD (Peng 2000).
The antioxidants in grape seed extract are twice as potent as vitamin E and four times as potent as vitamin C (Bagchi 1997; Bagchi 1998). In laboratory studies, proanthocyanidins increased the power of natural killer cells, enhanced the production of IL-2, and decreased production of IL-6 (Cheshier 1996).
Green Tea Extract
Green tea extract, which contains a class of compounds known as catechins, has become increasingly popular as scientists learn more about its antioxidant and free radical–scavenging abilities. One of the most potent catechins in green tea is epigallocatechin-3-gallate (Chen 2002). Green tea extract is also rich in vitamins C and B (Hasegawa 2002; Hasegawa 1998).
Green tea has a positive influence on lipid metabolism and exerts anticancer effects. Green tea modulates the inflammatory processes and protects against DNA damage (Lin 1998). The catechins from green tea demonstrate considerable antioxidant activity (Chen 2002) and are potent free radical scavengers (Zhong 2003; Jimenez-Lopez 2004).
Hyperimmune Egg Extract
Hyperimmune egg extracts provide unique immune protection. Long ago, agricultural scientists discovered that they could immunize hens against germs that threaten humans. This immunity was then passed on by the hen to her egg (Dias da Silva 2010; Dean 2000; Cama 1991). Concentrated protein extracts from those so-called “hyperimmune eggs” confer some immunity to humans who consume them (Fujibayashi 2009; Sarker 2001).
Andrographis
Healers in Asia and India have long prescribed the bitter herb Andrographis paniculata for the treatment of ailments ranging from infections and inflammation to colds and fevers (Ji 2005). Researchers have isolated a number of the herb’s active ingredients. Chief among these are andrographolides, which are phytochemicals believed to exert their effects, in part, on tissues of the blood cell-producing bone marrow and/or spleen. One such compound, andrographanin, enhances the ability of certain white blood cells to recognize and neutralize foreign cells (eg, tumor cells and viruses) (Ji 2005).
Beta Glucan
Beta glucans can naturally boost the immune system by optimizing its response to diseases and infections. Because the body does not produce beta glucans naturally, the only way to get them is through outside sources. Studies have shown that beta glucans act as immunomodulator agents, meaning they trigger a cascade of events that help regulate the immune system, making it more efficient. Specifically, beta glucans stimulate the activity of macrophages, which are versatile immune cells that ingest and demolish invading pathogens and stimulate other immune cells to attack (National Institute of Allergy and Infectious Diseases 2012). Macrophages also release cytokines, chemicals that when secreted enable immune cells to communicate with one another. In addition, beta glucans stimulate lethal white blood cells (lymphocytes) that bind to tumors or viruses, and release chemicals to destroy it.
- Comprehensive multivitamin: Per label instructions
- Selenium: 200 – 400 mcg daily
- Zinc: 30 – 90 mg daily
- Vitamin D: 5000 – 8000 IU daily (depending upon blood levels of 25-OH-vitamin D)
- Vitamin C: 1000 – 5000 mg daily
- Garlic extract: 1200 mg daily
- Andrographis Extract: 25 – 150 mg daily 30 minutes before a meal
- Beta Glucan: (highly purified Beta 1,3/1,6 Glucan): 100 – 600 mg daily 30 minutes before a meal
- Whey protein isolate: 20 – 40 grams daily
- DHEA: 15 – 25 mg daily for women; 25 to 75 mg daily for men (depending on blood test results)
- L-Carnitine: 1 – 2 g daily
- CoQ10: 100 – 200 mg daily (Ubiquinol form of CoQ10)
- Lactoferrin (apolactoferrin): 300 mg daily
- Probiotics: Per label instructions
- Fish oil (with olive polyphenols): providing 1400 mg EPA and 1000 mg DHA daily
- Thymus Extract: Per label instructions
- Grape extract (containing seed and skin extracts): 150 mg daily
- Green tea extract (standardized to 98% polyphenols): 725 mg daily
- NAC: 600 – 1800 mg daily
- R-lipoic acid: 300 – 600 mg daily
- Hyperimmune egg extracts: Per label instructions
In addition, the following blood tests may provide helpful in formation:
Disclaimer and Safety Information
This information (and any accompanying material) is not intended to replace the attention or advice of a physician or other qualified health care professional. Anyone who wishes to embark on any dietary, drug, exercise, or other lifestyle change intended to prevent or treat a specific disease or condition should first consult with and seek clearance from a physician or other qualified health care professional. Pregnant women in particular should seek the advice of a physician before using any protocol listed on this website. The protocols described on this website are for adults only, unless otherwise specified. Product labels may contain important safety information and the most recent product information provided by the product manufacturers should be carefully reviewed prior to use to verify the dose, administration, and contraindications. National, state, and local laws may vary regarding the use and application of many of the treatments discussed. The reader assumes the risk of any injuries. The authors and publishers, their affiliates and assigns are not liable for any injury and/or damage to persons arising from this protocol and expressly disclaim responsibility for any adverse effects resulting from the use of the information contained herein.
The protocols raise many issues that are subject to change as new data emerge. None of our suggested protocol regimens can guarantee health benefits. The publisher has not performed independent verification of the data contained herein, and expressly disclaim responsibility for any error in literature.
For References, see: http://www.lifeextension.com/protocols/immune-connective-joint/immune-system/page-refs
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