More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
David Perlmutter, M.D.

GET UPDATES FROM David Perlmutter, M.D.
 

Free Radicals: How They Speed the Aging Process

Posted: 01/25/11 08:38 AM ET

Turn on the television, open a magazine or listen to the radio and in short order you will no doubt be exposed to an advertisement extolling the virtues of some newly discovered exotic fruit juice that has the highest antioxidant content on the face of the earth. You may wonder -- why all the hype? What is the benefit of an antioxidant?

Antioxidants are chemicals that break down or neutralize the damaging effects of free radicals -- chemicals produced as a byproduct of normal cellular metabolism. Under normal circumstances, there is a balance between the rate at which free radicals are produced and the rate at which they are eliminated by the action of antioxidants. Free radicals are destructive in that they cause oxidative damage to tissues -- essentially causing tissues to rust like a piece of iron left outside in the weather. They damage proteins, fat and even our DNA. In fact, damage to our tissues by free radicals is thought to underlie the process of aging, a theory first described by Dr. Denham Harmon in his "free radical theory of aging" proposed in 1956. Indeed, Dr. Harmon laid the groundwork for the whole antioxidant industry when he demonstrated that free radicals are "quenched" by antioxidants.

The human brain is at particularly high risk for damage by free radicals because of its high degree of metabolism compared to other tissues, while lacking the levels of antioxidant protection found elsewhere in the body. Excessive free radical damage is now thought to represent a pivotal player not only in brain aging, but in degenerative conditions like Alzheimer's disease as well.

Researchers are seeking better antioxidants to protect the brain to stave off disease and perhaps enhance function as well. When a person begins to have one too many "senior moments," clinicians may apply a more scientific term, mild cognitive impairment, or MCI. Clearly there's a lot of interest in studying this phenomenon not only because of the loss of brain function that it implies, but in addition, because it generally presages Alzheimer's disease. The relationship between MCI and free radicals was well described in a report from Dr. William Markesbery of the University of Kentucky, published in the journal Archives of Neurology. In this report, Dr. Markesbery demonstrated that early on as cognitive function begins to decline, markers for free radical mediated damage correlate directly with the degree of mental impairment. He stated, "These studies establish [free radical mediated] damage as an early event in the pathogenesis of Alzheimer's disease that can serve as a therapeutic target to slow the progression or perhaps the onset of the disease." What a concept -- targeting free radicals in an attempt to prevent Alzheimer's disease!

So if in fact our brain tissue is being assaulted by free radicals does it make sense to load up with antioxidants? To answer the question consider the fact that your brain contains about 10 billion cells, each of which generates thousands of free radicals daily. So one might ask, how effectively would say a vitamin E capsule or a glass of some exotic juice perform when confronted by this onslaught of free radicals? Common antioxidants work by sacrificing themselves when confronted by free radicals. Thus, one molecule of vitamin C is destroyed when neutralizing one free radical molecule. This neutralizes the free radical but at the cost of the molecule of vitamin C. Can you imagine how much vitamin C or other oral antioxidant it would take to neutralize the astronomical number of free radicals generated by the body on a daily basis?

Fortunately, human physiology has developed its own biochemistry to deal with the free radical fire. Far from being entirely dependant on exogenous food sources of antioxidants, our cells have their own innate ability to generate antioxidants upon demand. We now understand that specific signals received by our DNA can actually turn on the production of protective antioxidants and that this innate antioxidant system is far more powerful than any nutritional supplement claiming to be "the best antioxidant." Whether it's the juice of some exotic berry, or an extract from a plant recently discovered in the jungle, antioxidant supplements are limited by "one to one chemistry." The golden key to enhancing antioxidant protection lies in our DNA, and we now understand how to activate the switch.

High levels of free radicals turn on a specific protein in the cell's nucleus called Nrf2. Activation of Nrf2 essentially opens the door for the production a vast array our body's most important antioxidants. It is clear that excessive free radicals induce better antioxidant production through this pathway, but the obvious question is, what else activates Nrf2?

It turns out that a variety of foods are powerful activators of the Nrf2 pathway. While not necessarily rich in antioxidants, they directly and dramatically amplify our innate ability to produce vast antioxidant protection by signaling our DNA. In this way, specific molecules from Nrf2 activating foods can trigger the production of thousands of antioxidant molecules, providing far better protection against the brain-damaging effects of free radicals compared to standard antioxidant supplements. Some of nature's most powerful Nrf2 activators include broccoli, turmeric, green tea, coffee, and the now popular resveratrol, a chemical found in red wine.

It is noteworthy that epidemiological studies have shown significantly less risk for Alzheimer's disease in cultures regularly consuming Nrf2 activators like turmeric and red wine. Perhaps we should reflect on the words of Hippocrates when he advised, "The natural healing force within each one of us is the greatest force in getting well. Our food should be our medicine. Our medicine should be our food."

 
 
 

Follow David Perlmutter, M.D. on Twitter: www.twitter.com/DavidPerlmutter

Turn on the television, open a magazine or listen to the radio and in short order you will no doubt be exposed to an advertisement extolling the virtues of some newly discovered exotic fruit juice tha...
Turn on the television, open a magazine or listen to the radio and in short order you will no doubt be exposed to an advertisement extolling the virtues of some newly discovered exotic fruit juice tha...
 
 
  • Comments
  • 60
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Bloggers
Recency  | 
Popularity
Page: 1 2  Next ›  Last »  (2 total)
12:20 PM on 01/28/2011
Great article,lots of good comments but you need a "network" of antioxidants to protect you which is why JUST NAC or resveratrol or Vit C,etc is not enough. I take a supplement which is nanotechnology for better absorption and it has 60 (the most) anti-oxidants;and I can even get a non invasive measurement of my tissue level. Both I and my pts love this.KimCrawfordMD
01:38 AM on 01/30/2011
Hey doc,I don't think you read the whole article.It said your body manufactures the most potent antioxidants and what foods to eat to get your body to produce more of them.
12:56 PM on 02/10/2011
Hey,yes I did!
Your body does NOT manufacture everything you need. It manufactures glutathione;yes,very potent;but NOT unless you feed it the right building blocks.

In this society it is just plain impossible for MOST people to get away without a good supplement.
outnow
Ban the bomb
07:30 PM on 01/27/2011
I have been using Tumeric and green tea extract for years. I drink coffee and eat organic raspberries every morning.

I also eat garlic and broccoli.

The elagic acid in Meeker Raspberry seeds is a good cancer preventative.
This user has chosen to opt out of the Badges program
photo
11:53 PM on 01/26/2011
I guess this means we are supposed to invest in stuff with Nrf2 for the next 10 years.
03:50 PM on 01/26/2011
Great article that shows how the wonderful protective actions of whole plant foods is not just thru antioxidant action but also by activating protective Nrf2 (or deactivating pro-inflammatory NF-kb, which he doesn't go into). Besides turmeric, other SPICES that activate Nrf2 or inhibit NF-kb are cinnamon, ginger, basil, cloves, fennel, garlic and red chilies. Spice up your life and be healthier!
03:19 PM on 01/26/2011
I recently started drinking Tumeric http://sajenjamu.com/default.aspx I am happy to hear I made a good choice especially since I do not drink much red wine or coffee.
photo
HUFFPOST SUPER USER
Hank26
07:48 AM on 01/26/2011
Any excuse to drink wine is okay by me!
This user has chosen to opt out of the Badges program
09:18 AM on 01/26/2011
if only it didn't give me massive headaches. :(
HUFFPOST SUPER USER
melhol
11:30 AM on 01/26/2011
Try organic wine-no sulfite. I discovered I have an allergy to sulfite in most wines and always got a horrible headache with even small amounts of wine. I no longer have that problem since drinking sulfite free:)
photo
HUFFPOST SUPER USER
jgarma
12:30 PM on 01/26/2011
One glass of water per one glass of red wine should help.

But note that the amount of resveratrol in even a 100 bottles of wine is insignificant, so to get its benefits, gotta supplement.
This user has chosen to opt out of the Badges program
photo
11:54 PM on 01/26/2011
Availability is always a sufficient excuse.
photo
HUFFPOST SUPER USER
Blaq Ninja
Analytical Chemist/musician/martial artist
07:41 AM on 01/26/2011
I'm an analytical Chemist and as long as we breath Oxygen our bodies will stay full of free radicals because oxygen in its natural state has an unpaired electron (free-radical) in it's outer most shell. So as our alveolar sacs (found in the lungs) absorb O2 into our blood stream we also absorb free radicals. Free radicals enter our bodies cell and destroy them like a deadly "ping pong". And since the basic unit of structure in our body is the Cell, we too will be destroyed aka dying.
photo
HUFFPOST SUPER USER
Margie Kronewitter
09:04 AM on 01/26/2011
Life's a _itch and then you die. LOL That's what the antiOXIDANTs are for. :~)
HUFFPOST SUPER USER
bacaja
10:03 AM on 01/26/2011
People used to think tomatoes were poisonous. Humans aren't made of metal. Deprive yourself of
oxygen and see what happens. Increase your oxygen intake and see what happens, your energy
levels will skyrocket, and if your injured you'll heal much more quickly.
photo
HUFFPOST SUPER USER
Blaq Ninja
Analytical Chemist/musician/martial artist
10:25 AM on 01/26/2011
I hope you dont think I was against oxygen! My best friend is named Oxygen. I can't live without it (pun intended). All I'm saying is trying to rid oursleves from the effects of free radicals is an excercise in futility.
photo
RubalKhali
Philosophy is the stray camel of the faithful
07:37 AM on 01/26/2011
Free radicals are created by oxygen, the very stuff of life is killing us
photo
HUFFPOST SUPER USER
Margie Kronewitter
06:57 AM on 01/26/2011
Dr Perlmutter is great, but what about ginko, melatonin, glutathione, alpha lipoic acid & acetyl l carnitine? Are Nrf2 activating molecules going to be patented into a new drug or continue in the natural venue?

What about new compounds in cannabis that promote neurogenesis?

Are they treating patients like Gabby Giffords with resveratrol, alpha lipoic acid, etc?????????????
photo
HUFFPOST BLOGGER
David Perlmutter, M.D.
Vanguard Neurologist
02:07 PM on 01/26/2011
Hi Margie,
These are good questions. There are a variety of nutritional supplements that are beneficial for the brain that work by other mechanisms aside from Nrf2 activation. These include NAC, alpha lipoic acid, acetyl L-carnitine, phosphatidyl serine, and clearly many others. These act in various ways that are good for the brain including as antioxidants, neuroprotectives, and upregulators of mitochondrial function (increases energy production in brain cells)
12:31 AM on 01/26/2011
What quanity of these Nrf2 activators would one have to consume or imbibe in order to realize a significant
free radical defense.

For example, I've read that in order to gain any "significant" benefit from resveratrol one would have to drink several gallons of red wine every day.
photo
HUFFPOST SUPER USER
StephenJK
All your consciousness are belong to us
02:57 AM on 01/26/2011
That is why they make pills or concentrated liquids with appropriately effective levels of "said antioxidant".
12:20 AM on 01/26/2011
Great article. However, recommending increased consumption of red wine to boost resveratrol intake could do more harm than good. Lets not forget that alcohol is a neurotoxin which means it can affect the brain directly. In spite of any beneficial aspects, red wine and other alcoholic beverages pose other health risks that include liver damage and physical addiction.
Occasional use of red wine seems far more sensible as long as you don't fool yourself by thinking you're doing something really healthy. Stick to your veggies if you want to do that :)
photo
HUFFPOST SUPER USER
ScapeGoat
Facts are stubborn things. Science Rocks!
09:26 AM on 01/26/2011
No one is saying to get drunk everyday. In Europe, wine is drunk with every meal except breakfast and they seem to be doing OK and are generally healthier then we are. The French dilemma is why they can eat so much fatty foods and not all drop dead from heart attacks. Red Wine is the answer.
outnow
Ban the bomb
07:40 PM on 01/27/2011
In Germany they water down the wine with water. To drink straight red wine to excess is considered to be a bad habit. The French dilemma may be a result of the idea that fats, rather than simple carbs, cause one to become fat and to have atherosclerosis.

The heart vessels may be relaxed by any form of alcohol but I would not rely on the red wine nor the French Paradox until the fats vs. carbs debate is done.

Drunks may not have a coronary event while drinking. That doesn't necessarily mean that when they stop, they are not worse off, despite the French Paradox.

The present state of the evidence does not justify the use of red wine as therapy for coronary heart disease IMHO.
llyd wlsh
bio hazard
07:46 PM on 01/25/2011
one question: are these age speeding "free radicals" right wing or left wing? i would guess they are right wing "free radicals" since ANTI-oxidants are effective to stifle their effect.
photo
HUFFPOST SUPER USER
jgarma
07:27 PM on 01/25/2011
Completely in agreement that food is medicine.... well, the "right" food. The Web has many sources of superfoods rich in antioxidants. Here are two:

An 86 Year-old Billionaire’s Recipe for Longevity http://www.garmaonhealth.com/2009/09/an-86-year-old-billionaires-recipe-for-longevity/ and

The 40 Best Age-Erasing Superfoods http://www.garmaonhealth.com/2010/07/age-erasing-superfoods/

That said, Dr. Perlmutter's example of resveratrol as an powerful antioxidant found in red wine undscores my believe that supplements are an important part of achieving health and encouraing longevity.

In the case of resveratrol, studies show that you'd have to drink hundreds (thousands?) of bottles of wine to get enough of resveratrol to maximize its health benefits. Or, you could use resveratrol supplements and other antioxidants such as alpha lipoic acid combined with acetyl-l-carnitine, and many others.

(More on that here: http://www.garmaonhealth.com/2009/08/antioxidants-kill-free-radicals/ )

So, keep refining your diet so that it's the best you're willing to have, and get an assist from some supplements.
photo
HUFFPOST SUPER USER
Margie Kronewitter
09:08 AM on 01/26/2011
Garma, u r such a good "Friend". Mahalo for your knowledge sharing, links & website. Aloha
photo
HUFFPOST SUPER USER
jgarma
12:33 PM on 01/26/2011
I blush.
This user has chosen to opt out of the Badges program
09:21 AM on 01/26/2011
yea but when researching different part s of the globe wehre red wine is part of every day diet there is positive proof that it has benefits. the proof is in the puddin
photo
HUFFPOST SUPER USER
jgarma
12:36 PM on 01/26/2011
Sure, but we're talking resveratrol here and that can not come from drinking red wine in beneficial quantities even if you drink 100 bottles.

A glass or two of red wine offers other benefits, such as helping to lower blood pressure. Beware though of drinking too much such that the alcohol damage exceeds the benefits.
photo
HUFFPOST SUPER USER
RaceCondition
Nerd. Liberal. Girl.
06:57 PM on 01/25/2011
Alton Brown made a great example of this on his show "Good Eats". Take a table of eight people. Hand out a piece of pie to everyone - eight in total. This is a balanced molecule. But when you take away a piece from someone, the molecule is now unbalanced and will tend to grab on to "pie" from another table. This ends up cascading.

Antioxidants donate "pie" to make the molecules balanced again. They're not the elixir of eternal youth, but they're still beneficial.
photo
HUFFPOST SUPER USER
oxygen
love is like oxygen
06:36 PM on 01/25/2011
here's some really good info on free radicals and health information most doctors don't understand and especially don't want you to know about - this man is a scientist, very respectable, very intelligent, very honest :

http://www.youtube.com/watch?v=lXlIwnt0VgE