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- <strong>Protective CO2 and aging</strong>
- </p>The therapeutic effects of increasing carbon dioxide are being more widely recognized in recent years. Even
- Jane Brody, the NY Times writer on health topics, has favorably mentioned the use of the Buteyko method for
- asthma, and the idea of "permissive hypercapnia" during mechanical ventilation, to prevent lung damage from
- excess oxygen, has been discussed in medical journals. But still very few biologists recognize its role as a
- fundamental, universal protective factor. I think it will be helpful to consider some of the ways carbon dioxide
- might be controlling situations that otherwise are poorly understood. The brain has a high rate of oxidative
- metabolism, and so it forms a very large proportion of the carbon dioxide produced by an organism. It also
- governs, to a great extent, the metabolism of other tissues, including their consumption of oxygen and
- production of carbon dioxide or lactic acid. Within a particular species, the rate of oxygen consumption
- increases in proportion to brain size, rather than body weight. Between very different species, the role of the
- brain in metabolism is even more obvious, since the resting metabolic rate corresponds to the size of the brain.
- For example, a cat"s brain is about the size of a crocodile"s, and their oxygen consumption at rest is similar,
- despite their tremendous difference in body size.Stress has to be understood as a process that develops in time,
- and the brain (especially the neocortex and the frontal lobes) organizes the adaptive and developmental
- processes in both the spatial and temporal dimensions. The meaning of a situation influences the way the
- organism responds. For example, the stress of being restrained for a long time can cause major gastrointestinal
- bleeding and ulcerization, but if the animal has the opportunity to bite something during the stress (signifying
- its ability to fight back, and the possibility of escape) it can avoid the stress ulcers. The patterning of the
- nervous activity throughout the body governs the local ability to produce carbon dioxide. When the cortex of the
- brain is damaged or removed, an animal becomes rigid, so the cortex is considered to have a "tonic inhibitory
- action" on the body. But when the nerves are removed from a muscle (for example, by disease or accident), the
- muscle goes into a state of constant activity, and its ability to oxidize glucose and produce carbon dioxide is
- reduced, while its oxidation of fatty acids persists, increasing the production of toxic oxidative fragments of
- the fatty acids, which contributes to the muscle"s atrophy.The organism"s intentions, expectations, or plans,
- are represented in the nervous system as a greater readiness for action, and in the organs and tissues
- controlled by the nerves, as an increase or decrease of oxidative efficiency, analogous to the differences
- between innervated and denervated muscles. This pattern in the nervous system has been called "the acceptor of
- action," because it is continually being compared with the actual situation, and being refined as the situation
- is evaluated. The state of the organism, under the influence of a particular acceptor of action, is called a
- "functional system," including all the components of the organism that participate most directly in realizing
- the intended adaptive action.The actions of nerves can be considered anabolic, because during a stressful
- situation in which the catabolic hormones of adaption, e.g., cortisol, increase, the tissues of the functional
- system are protected, and while idle tissues may undergo autophagy or other form of involution, the needs of the
- active tissues are supplied with nutrients from their breakdown, allowing them to change and, when necessary,
- grow in size or complexity. The brain"s role in protecting against injury by stress, when it sees a course of
- action, has a parallel in the differences between concentric (positive, muscle shortening) and eccentric
- (negative, lengthening under tension) exercise, and also with the differences between innervated and denervated
- muscles. In eccentric exercise and denervation, less oxygen is used and less carbon dioxide is produced, while
- lactic acid increases, displacing carbon dioxide, and more fat is oxidized. Prolonged stress similarly decreases
- carbon dioxide and increases lactate, while increasing the use of fat.Darkness is stressful and catabolic. For
- example, in aging people, the morning urine contains nearly all of the calcium lost during the 24 hour period,
- and mitochondria are especially sensitive to the destructive effects of darkness. Sleep reduces the destructive
- catabolic effects of darkness. During the rapid-eye-movement (dreaming) phase of sleep, breathing is inhibited,
- and the level of carbon dioxide in the tissues accumulates. In restful sleep, the oxygen tension is frequently
- low enough, and the carbon dioxide tension high enough, to trigger the multiplication of stem cells and
- mitochondria.Dreams represent the "acceptor of action" operating independently of the sensory information that
- it normally interacts with. During dreams, the brain (using a system called the Ascending Reticular Activating
- System) disconnects itself from the sensory systems. I think this is the nervous equivalent of
- concentric/positive muscle activity, in the sense that the brain is in control of its actions. The active,
- dreaming phase of sleep occurs more frequently in the later part of the night, as morning approaches. This is
- the more stressful part of the night, with cortisol and some other stress hormones reaching a peak at dawn, so
- it would be reasonable for the brain"s defensive processes to be most active at that time. The dreaming process
- in the brain is associated with deep muscle relaxation, which is probably associated with the trophic
- (restorative) actions of the nerves.In ancient China the Taoists were concerned with longevity, and according to
- Joseph Needham (<em>Science and Civilization in China</em>) their methods included the use of herbs, minerals,
- and steroids extracted from the urine of children. Some of those who claimed extreme longevity practiced
- controlled breathing and tai chi (involving imagery, movement, and breating), typically in the early morning
- hours, when stress reduction is most important. As far as I know, there are no studies of carbon dioxide levels
- in practitioners of tai chi, but the sensation of warmth they typically report suggests that it involves
- hypoventilation.In the 1960s, a Russian researcher examined hospital records of measurements of newborn babies,
- and found that for several decades the size of their heads had been increasing. He suggested that it might be
- the result of increasing atmospheric carbon dioxide. The experiences and nutrition of a pregnant animal are
- known to affect the expression of genes in the offspring, affecting such things as allergies, metabolic rate,
- brain size, and intelligence. Miles Storfer (1999) has reviewed the evidence for epigenetic environmental
- control of brain size and intelligence. The main mechanisms of epigenetic effects or "imprinting" are now known
- to involve methylation and acetylation of the chromosomes (DNA and histones).Certain kinds of behavior, as well
- as nutrition and other environmental factors, increase the production and retention of carbon dioxide. The
- normal intrauterine level of carbon dioxide is high, and it can be increased or decreased by changes in the
- mother"s physiology. The effects of carbon dioxide on many biological processes involving methylation and
- acetylation of the genetic material suggest that the concentration of carbon dioxide during gestation might
- regulate the degree to which parental imprinting will persist in the developing fetus. There is some evidence of
- increased demethylation associated with the low level of oxygen in the uterus (Wellman, et al., 2008). A high
- metabolic rate and production of carbon dioxide would increase the adaptability of the new organism, by
- decreasing the limiting genetic imprints.A quick reduction of carbon dioxide caused by hyperventilation can
- provoke an epileptic seizure, and can increase muscle spasms and vascular leakiness, and (by releasing serotonin
- and histamine) contribute to inflammation and clotting disorders. On a slightly longer time scale, a reduction
- of carbon dioxide can increase the production of lactic acid, which is a promoter of inflammation and fibrosis.
- A prolonged decrease in carbon dioxide can increase the susceptibility of proteins to glycation (the addition of
- aldehydes, from polyunsaturated fat peroxidation or methylglyoxal from lactate metabolism, to amino groups), and
- a similar process is likely to contribute to the methylation of histones, a process that increases with aging.
- Histones regulate genetic activity.With aging, DNA methylation is increased (Bork, et al., 2009). <strong>I
- suggest that methylation stabilizes and protects cells when growth and regeneration aren"t possible (and
- that it"s likely to increase when CO2 isn"t available).
- </strong>Hibernation (Morin and Storey, 2009) and sporulation (Ruiz-Herrera, 1994; Clancy, et al., 2002) appear
- to use methylation protectively.Parental stress, prenatal stress, early life stress, and even stress in
- adulthood contribute to "imprinting of the genes," partly through methylation of DNA and the histones.
- Methionine and choline are the main dietary sources of methyl donors. Restriction of methionine has many
- protective effects, including increased average (42%) and maximum (44%) longevity in rats (Richie, et al.,
- 1994). Restriction of methyl donors causes demethylation of DNA (Epner, 2001). <strong></strong>The age
- accelerating effect of methionine might be related to disturbing the methylation balance, inappropriately
- suppressing cellular activity. Besides its effect on the methyl pool, methionine inhibits thyroid function and
- damages mitochondria. The local concentration of carbon dioxide in specific tissues and organs can be adjusted
- by nervous and hormonal activation or inhibition of the carbonic anhydrase enzymes, that accelerate the
- oonversion of CO2 to carbonic acid, H2CO3. The activity of carbonic anhydrase can determine the density and
- strength of the skeleton, the excitability of nerves, the accumulation of water, and can regulate the structure
- and function of the tissues and organs. Ordinarily, carbon dioxide and bicarbonate are thought of only in
- relation to the regulation of pH, and only in a very general way. Because of the importance of keeping the pH of
- the blood within a narrow range, carbon dioxide is commonly thought of as a toxin, because an excess can cause
- unconsciousness and acidosis. But increasing carbon dioxide doesn"t necessarily cause acidosis, and acidosis
- caused by carbon dioxide isn"t as harmful as lactic acidosis.Frogs and toads, being amphibians, are especially
- dependent on water, and in deserts or areas with a dry season they can survive a prolonged dry period by
- burrowing into mud or sand. Since they may be buried 10 or 11 inches below the surface, they are rarely found,
- and so haven"t been extensively studied. In species that live in the California desert, they have been known to
- survive 5 years of burial without rainfall, despite a moderately warm average temperature of their surroundings.
- One of their known adaptations is to produce a high level of urea, allowing them to osmotically absorb and
- retain water. (Very old people sometimes have extremely high urea and osmotic tension.)Some laboratory studies
- show that as a toad burrows into mud, the amount of carbon dioxide in its tissues increases. Their skin normally
- functions like a lung, exchanging oxygen for carbon dioxide. If the toad"s nostrils are at the surface of the
- mud, as dormancy begins its breathing will gradually slow, increasing the carbon dioxide even more. Despite the
- increasing carbon dioxide, the pH is kept stable by an increase of bicarbonate (Boutilier, et al., 1979). A
- similar increase of bicarbonate has been observed in hibernating hamsters and doormice.Thinking about the long
- dormancy of frogs reminded me of a newspaper story I read in the 1950s. Workers breaking up an old concrete
- structure found a dormant toad enclosed in the concrete, and it revived soon after being released. The concrete
- had been poured decades earlier. Although systematic study of frogs or toads during their natural buried
- estivation has been very limited, there have been many reports of accidental discoveries that suggest that the
- dormant state might be extended indefinitely if conditions are favorable. Carbon dioxide has antioxidant
- effects, and many other stabilizing actions, including protection against hypoxia and the excitatory effects of
- intracellular calcium and inflammation (Baev, et al., 1978, 1995; Bari, et al., 1996; Brzecka, 2007; Kogan, et
- al., 1994; Malyshev, et al., 1995).When mitochondria are "uncoupled," they produce more carbon dioxide than
- normal, and the mitochondria produce fewer free radicals. Animals with uncoupled mitochondria live longer than
- animals with the ordinary, more efficient mitochondria, that produce more reactive oxidative fragments. One
- effect of the high rate of oxidation of the uncoupled mitochondria is that they can eliminate polyunsatured
- fatty acids that might otherwise be integrated into tissue structures, or function as inappropriate regulatory
- signals.Birds have a higher metabolic rate than mammals of the same size, and live longer. Their tissues contain
- fewer of the highly unsaturated fatty acids. Queen bees, which live many times longer than worker bees, have
- mainly monounsaturated fats in their tissues, while the tissues of the short-lived worker bees, receiving a
- different diet, within a couple of weeks of hatching will contain highly unsaturated fats.Bats have a very high
- metabolic rate, and an extremely long lifespan for an animal of their size. While most animals of their small
- size live only a few years, many bats live a few decades. Bat caves usually have slightly more carbon dioxide
- than the outside atmosphere, but they usually contain a large amount of ammonia, and bats maintain a high serum
- level of carbon dioxide, which protects them from the otherwise toxic effects of the ammonia. The naked mole
- rat, another small animal with an extremely long lifespan (in captivity they have lived up to 30 years, 9 or 10
- times longer than mice of the same size) has a low basal metabolic rate, but I think measurements made in
- laboratories might not represent their metabolic rate in their natural habitat. They live in burrows that are
- kept closed, so the percentage of oxygen is lower than in the outside air, and the percentage of carbon dioxide
- ranges from 0.2% to 5% (atmospheric CO2 is about 0.038). The temperature and humidity in their burrows can be
- extremely high, and to be very meaningful their metabolic rate would have to be measured when their body
- temperature is raised by the heat in the burrow.When they have been studied in Europe and the US, there has been
- no investigation of the effect of altitude on their metabolism, and these animals are native to the high plains
- of Kenya and Ethiopia, where the low atmospheric pressure would be likely to increase the level of carbon
- dioxide in their tissues. Consequently, I doubt that the longevity seen in laboratory situations accurately
- reflects the longevity of the animals in their normal habitat.Besides living in a closed space with a high
- carbon dioxide content, mole rats have another similarity to bees. In each colony, there is only one female that
- reproduces, the queen, and, like a queen bee, she is the largest individual in the colony. In beehives, the
- workers carefully regulate the carbon dioxide concentration, which varies from about 0.2% to 6%, similar to that
- of the mole rat colony. A high carbon dioxide content activates the ovaries of a queen bee, increasing her
- fertility.Since queen bees and mole rats live in the dark, I think their high carbon dioxide compensates for the
- lack of light. (Both light and CO2 help to maintain oxidative metabolism and inhibit lactic acid formation.)
- Mole rats are believed to sleep very little. During the night, normal people tolerate more CO2, and so breathe
- less, especially near morning, with increased active dreaming sleep. A mole rat has never been known to develop
- cancer. Their serum C-reactive protein is extremely low, indicating that they are resistant to inflammation. In
- humans and other animals that are susceptible to cancer, one of the genes that is likely to be silenced by
- stress, aging, and methylation is p53, a tumor-suppressor gene. If the intrauterine experience, with low oxygen
- and high carbon dioxide, serves to "reprogram" cells to remove the accumulated effects of age and stress, and so
- to maximize the developmental potential of the new organism, a life that"s lived with nearly those levels of
- oxygen and carbon dioxide might be able to avoid the progressive silencing of genes and loss of function that
- cause aging and degenerative diseases.Several diseases and syndromes are now thought to involve abnormal
- methylation of genes. Prader-Willi sydrome, Angelman"s syndrome, and various "autistic spectrum disorders," as
- well as post-traumatic stress disorder and several kinds of cancer seem to involve excess methylation. Moderate
- methionine restriction (for example, using gelatin regularly in the diet) might be practical, but if increased
- carbon dioxide can activate the demethylase enzymes in a controlled way, it might be a useful treatment for the
- degenerative diseases and for aging itself. The low carbon dioxide production of hypothyroidism (e.g., Lee and
- Levine, 1999), and the respiratory alkalosis of estrogen excess, are often overlooked. An adequate supply of
- calcium, and sometimes supplementation of salt and baking soda, can increase the tissue content of CO2.<span
- style="white-space: pre-wrap"
- >
- </span>
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- increased perioperative risks. Overall, they display increased sensitivity to anesthetics, higher incidence of
- perioperative cardiovascular morbidity, increased risks for postoperative ventilatory failure and other
- physiological derangements. The previously described physiological basis for the increased incidence of
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- carbon dioxide (CO2) retention. The purpose of this clinical report is to discuss an interesting and unique
- anesthetic presentation of a patient with severe hypothyroidism. CLINICAL FEATURES: We describe an unique
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- studied epigenetic phenomena are DNA methylation and histone-tail modifications. Although a large body of
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- cancer, recently epigenetic mechanisms have also gained much attention in the neuroscientific community. In
- fact, a new field of research is rapidly emerging and there is now accumulating evidence that the molecular
- machinery that regulates histone acetylation and DNA methylation is intimately involved in synaptic plasticity
- and is essential for learning and memory. Importantly, dysfunction of epigenetic gene expression in the brain
- might be involved in neurodegenerative and psychiatric diseases. In particular, it was found that inhibition of
- histone deacetylases attenuates synaptic and neuronal loss in animal models for various neurodegenerative
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- by neuronal activity and may promote adult neurogenesis through dynamic DNA demethylation of specific gene
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- reduced dialysate pH, and a further acidification was observed when NH4+ was discontinued. Perfusion of NMDA
- after NH4+ application evoked smaller depolarizations (56 % of the corresponding control, 5 min after NH4+
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- </strong>Vannucci RC, Brucklacher RM, Vannucci SJSci. Signal., 31 March 2009 Vol. 2, Issue 64, p. pe17, <strong
- >Reversing DNA Methylation: New Insights from Neuronal Activity-Induced Gadd45b in Adult Neurogenesis</strong>
- Wu H, Sun YI<p>
- © Ray Peat Ph.D. 2012. All Rights Reserved. www.RayPeat.com
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