This episode will make a great companion for a long drive.
A blueprint for choosing the right fish oil supplement — filled with specific recommendations, guidelines for interpreting testing data, and dosage protocols.
Insulin-like growth factor-1, or IGF-1, is a hormone that plays key roles in growth and neurogenesis but has also been implicated in aging and stimulating the growth of cancer. Therefore, it may be desirable to achieve higher IGF-1 levels in the brain, while maintaining lower levels in the rest of the body. Preclinical research suggests that this can be accomplished by feeding animals an IGF-1 promoting diet, in conjunction with antibodies against the IGF-1 receptor which are unable to cross the blood-brain barrier. In this clip, Dr. Peter Attia addresses the challenges of balancing IGF-1 levels in the brain and body to promote neurogenesis without stimulating cancer.
Peter: There are other things. There's subtle things going on, of course. IGF, of course, just to bring it back to where we were. IGF is really interesting because centrally and peripherally you may actually want them to be in opposite directions. You probably know this, but Amgen had a drug that was an IGF-receptor antibody. It went into clinical trials, phase two trials in pancreatic cancer, advanced pancreatic cancer, and it failed.
Now it failed despite reducing IGF levels at the receptor by 50%. You could argue that that failure implies that reducing IGF is irrelevant, reducing IGF is irrelevant once the tumor burden is established, reducing IGF to only 55% is irrelevant. You could argue 100 different things. What's most interesting is that antibody does not cross the blood-brain barrier. And so today, there is ongoing research, it's all in animals at this point in time, that's looking at giving a diet that actually increases IGF but giving it in the presence of this IGF-receptor antibody.
The point being is can we raise IGF levels totally, primarily centrally, and then block the receptor peripherally. So we ward off cancer and diabetes but we ward off dementia. And actually, there's even evidence, though I think this evidence isn't as strong, that elevated levels of central IGF also are protective against diabetes.
Rhonda: Really?
Peter: Yeah. But, again, the problem is these are animal data so you got to, sort of, take everything with, like, a lot of speculation.
A neurodegenerative disorder characterized by progressive memory loss, spatial disorientation, cognitive dysfunction, and behavioral changes. The pathological hallmarks of Alzheimer's disease include amyloid-beta plaques, tau tangles, and reduced brain glucose uptake. Most cases of Alzheimer's disease do not run in families and are described as "sporadic." The primary risk factor for sporadic Alzheimer's disease is aging, with prevalence roughly doubling every five years after age 65. Roughly one-third of people aged 85 and older have Alzheimer's. The major genetic risk factor for Alzheimer's is a variant in the apolipoprotein E (APOE) gene called APOE4.
A highly selective semi-permeable barrier in the brain made up of endothelial cells connected by tight junctions. The blood-brain barrier separates the circulating blood from the brain's extracellular fluid in the central nervous system. Whereas water, lipid-soluble molecules, and some gases can pass through the blood-brain barrier via passive diffusion, molecules such as glucose and amino acids that are crucial to neural function enter via selective transport. The barrier prevents the entry of lipophilic substances that may be neurotoxic via an active transport mechanism.
A general term referring to cognitive decline that interferes with normal daily living. Dementia commonly occurs in older age and is characterized by progressive loss of memory, executive function, and reasoning. Approximately 70 percent of all dementia cases are due to Alzheimer’s disease.
One of the most potent natural activators of the AKT signaling pathway. IGF-1 stimulates cell growth and proliferation, inhibits programmed cell death, mediates the effects of growth hormone, and may contribute to aging and enhancing the growth of cancer after it has been initiated. Similar in molecular structure to insulin, IGF-1 plays a role in growth during childhood and continues later in life to have anabolic, as well as neurotrophic effects. Protein intake increases IGF-1 levels in humans, independent of total caloric consumption.
A metabolic disorder characterized by high blood sugar and insulin resistance. Type 2 diabetes is a progressive condition and is typically associated with overweight and low physical activity. Common symptoms include increased thirst, frequent urination, unexplained weight loss, increased hunger, fatigue, and impaired healing. Long-term complications from poorly controlled type 2 diabetes include heart disease, stroke, diabetic retinopathy (and subsequent blindness), kidney failure, and diminished peripheral blood flow which may lead to amputations.
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