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Did you know that around 40-70% of clinically used drugs are eliminated via glucuronidation?

Glucuronidation is a well-known phase II detoxification reaction that acts as a pathway for eliminating many drugs, endogenous substances (substances produced by the body) such as hormones, neurotransmitters, estrogens, mold toxins, and cancer-causing toxins. 

During the glucuronidation process, the glucuronic acid part of the UDP-glucuronic acid is transferred to the toxins to make them:

The process of glucuronidation occurs in the liver, and the compound UDP-glucuronic acid or Uridine Diphosphate glucuronic acid is an intermediary product formed in the liver. Glucuronidation is carried out by UDP-glucuronyltransferase enzymes or UGTs.

Importance of Glucuronidation

The primary role of any detoxification pathway is to neutralize any compound or molecule that can harm the body. When toxins are not efficiently eliminated, they build up in the body, causing  tissue and organ damage and giving rise to diseases like cancer. 

Glucuronidation, is an essential detoxification pathway in the elimination of a large number of drugs, hormones, bile acids, hydroxysteroids, tobacco products, and other endogenous and xenobiotic (compounds not produced by the body but found in it) toxic compounds.

Where Does Glucuronidation Take Place?

UGT or glucuronidation enzymes can be found throughout the body. Though these enzymes are primarily found in the liver, they may also be found in organs like the kidney, brain, pancreas, placenta, and intestines.

Since the liver is the primary organ of detoxification, most clinically used drugs, endogenous and xenobiotic compounds, are metabolized (or broken down into smaller components) here. 

Of the many UGTs found in the body, some UGT enzymes (UGT1B15 and UGT2B17) are found in the prostate gland and are responsible for controlling local testosterone production. In addition, some UGTs are located in the breast, where they work on inactivating estrogen and prevent prolonged exposure of breast cells to estrogen. 

The UGTs present in the brain protects the local tissues from harmful and toxic chemicals. 

UGTs - UGT1A6 And UGT1A1

UGTs or UDP-Glucuronyltransferases are phase II detoxification enzymes that actively participate in the glucuronidation of various drugs and endogenous compounds. There are 19 functional UGTs identified in humans and grouped into four families– UGT1, UGT2 including UGT2A and UGT2B sub-families, UGT3 and UGT8

These UGTs exist in multiple forms  that affect the functioning of the enzyme and its metabolic effect. Two forms that are of particular interest are in the  UGT1A6 and UGT1A1 genes.

UGT1A6

UGT1A6 or UDP-glucuronosyltransferase 1A6 is involved in the metabolism of salicylic acid via the process of glucuronidation. Salicylic acid is found in foods like broccoli, cauliflower, radish, spinach,  zucchini and night-shade plants like eggplants and peppers. Two variations (or single nucleotide polymorphisms - SNPs)  in this gene are rs2070959 and rs178637831.

rs2070959

Individuals having two alleles of the mutated gene have a higher metabolic activity than those with the wild type (the most commonly found allele in a population). Conversely, individuals having the wild-type allele have lower metabolic activity. Due to this, they are more likely to retain the active by-product of aspirin longer in their body, thereby deriving a protective or chemopreventive benefit.

AlleleEffect
AAMore likely to have a reduced risk of developing colon cancer when taking aspirin
AGNo reduction in risk of developing colon cancer when taking aspirin
GGNo reduction in risk of developing colon cancer when taking aspirin

rs178637831

The UGT1A6 gene plays a role in the glucuronidation of anthracycline metabolites used in cancer treatment. The T allele of rs178637831 variant (type)  contains a change that results in the production of a different amino acid, which affects the functioning of the enzyme. This type is also designated as UGT1A6*4 haplotype and has been shown to reduce glucuronidation by 30-100%. Therefore, the presence of this type indicates impaired drug metabolism. As a result of this, there is an accumulation of reactive oxygen species and toxic alcohol metabolites (or by-products) that have been linked to increased cardiotoxicity.

UGT1A1

This gene produces the bilirubin uridine diphosphate glucuronosyltransferase enzyme that metabolizes bilirubin (made when red blood cells break down). The UGT1A1  is the only gene that glucuronidated bilirubin. The enzyme converts the toxic form of bilirubin to its non-toxic form and enables its easy elimination from the body.

Many forms of the UGT1A1 gene are associated with conditions like Crigler-Najjar Syndrome, Gilbert syndrome, transient familial neonatal hyperbilirubinemia, etc. Some essential forms of this gene are UGT1A1*28 and *6. 

The *6 and *28, etc., are star alleles. Star alleles are used to name different haplotypes. A haplotype is a group of gene changes that are inherited together.

UGT1A1*28

This haplotype has been associated with neutropenia, diarrhea, and other side effects on taking irinotecan (an anti-cancer drug used to treat colon and rectal cancers). Therefore, according to the US FDA, individuals having *28/*28 should have a lower starting dose of the drug. Also, individuals with this genotype have an increased risk of neutropenia on irinotecan than individuals with other genotypes.

A few studies have also linked the *28 type with diarrhea during irinotecan treatment. For example, a 2010 study found that individuals with *28/*28 genotype, who were given medium (150-250 mg/m2) and high (≥ 250 mg/m2) doses of irinotecan, had severe diarrhea.

UGT1A1*6

The *6 haplotype has also been linked to neutropenia, diarrhea,  when on an irinotecan drug. This allele has also been associated with hyperbilirubinemia ( a condition characterized by excess bilirubin in the blood) when on indinavir (an antiretroviral drug used to treat HIV). In a study by Boyd et al., people with at least one *6 allele were at an increased risk for severe toxicity of bilirubin

Substances That Get Glucoronidated

Substances that get glucuronidated include:

Recommendations To Boost Glucuronidation (UGTs)

Many factors increase and decrease glucuronidation by the UGT enzymes. Factors that increase glucuronidation are:

Consumption Of Cruciferous Vegetables

Cruciferous vegetables (such as broccoli, Brussel sprouts, cauliflower, etc.)  are rich in the compound sulforaphane, with vegetables like broccoli sprouts having the highest levels. This compound increases glucuronidation. 

A study found that sulforaphane increased the glucuronidation of PhIP, a toxic, cancer-causing agent found in cooked meat. While PhIP increases the risk of colorectal cancer, consuming cruciferous vegetables reduces the risk.

So, you can eat cruciferous vegetables and apiaceous vegetables to increase glucuronidation in the body. 

Watercress Intake

Studies have shown that watercress is rich in phenethyl isothiocyanate, which prevents cancers of all types. It is also said to stimulate glucuronidation.

Consumption of Citrus Fruits

In a study conducted on non-smokers, consumption of citrus fruits increased the activity of UGT1A1 enzyme by 30% in women with two copies of the *28 type (this type has been linked with low UGT1A1 activity and Gilbert Syndrome.  

Others

Apart from the foods mentioned above, other foods that increase glucuronidation are:

Summary

  1.  Glucuronidation is an important phase II detoxification pathway for the elimination of drugs, endogenous and xenobiotic substances.
  2. This process is catalyzed by UGTs or Uridine Diphosphate (UDP) UDP-glucuronyltransferase enzymes.
  3. During glucuronidation, toxic compounds are made less toxic (or neutralized) and made more water-soluble to allow easy elimination from the body. Without this process, toxic products and by-products will accumulate in the body and lead to diseases like cancer.
  4. Glucuronidation occurs primarily in the liver, but the UGTs are present in other organs like the kidney, pancreas, gut, and brain.
  5. There are 19 known functional UGTs in the human body, with UGT1A6 and UGT1A1 being two important genes.
  6. Changes ( or mutations) in the UGT1A6 and UGT1A1 genes are associated with response to  certain drugs like aspirin, irinotecan, and anthracycline.
  7. Many factors increase and decrease glucuronidation in the body, thereby affecting the metabolism and elimination of drugs and other toxic substances from the body.
  8. Some substances that increase glucuronidation are cruciferous vegetables, citrus fruits, watercress, coffee, tannic acid, and herbs like rosemary.

References

Did you know that 60% of toxins excreted in the bile go through the glutathione conjugation process?

Glutathione is a peptide molecule (made up of amino acids) found in most tissues in the body but is found in high concentrations in the liver. It plays a vital role in protecting the liver cells (hepatocytes), red blood cells (or erythrocytes), and other cells from harmful toxins. Glutathione participates in many enzymatic and non-enzymatic reactions. For example, the enzyme glutathione-S-transferase induces reactions involving glutathione.

Glutathione conjugation is a crucial detoxification mechanism in the body. The glutathione-S-transferase enzymes allow the reaction between glutathione and other aromatic compounds and halides (compounds with halogens like chlorine) to form conjugates. 

These glutathione conjugates are formed in the liver and excreted intact via bile. Once these compounds reach the kidneys, they are converted to mercapturic acid (extremely water-soluble) and excreted via urine.

Since glutathione conjugation facilitates the excretion of xenobiotic compounds (toxic compounds found in the body but are not produced by it), deficiency of the glutathione-S-transferases can cause hepatotoxicity (toxin damage to the kidney) and increased risk of harmful mutations in the body cells.

Importance of Glutathione Conjugation

Glutathione is made up of three amino acids – L-cysteine, L-glutamine, and glycine. Glutathione conjugation is an essential step in phase II of the detoxification process. Glutathione conjugation is involved in the following:

Glutathione is required for the conjugation process and is produced and recycled by the body. Therefore, people with deficient glutathione can take it as a supplement or take supplements that can increase glutathione production. Unfortunately, since glutathione also affects the body’s ability to recycle vitamin C, it has been linked to carcinogenic intermediate metabolite  formation, increased risk of cancer development, and estrogen metabolism.

Glutathione S-transferases (GSTs) - GSTM1, GSTM3, GSTP1, GSTA1

Glutathione S-transferases (GSTs) are a family of enzymes that catalyze the conjugation reaction in phase II of detoxification. During the conjugation process, the GSTs help in the transfer of glutathione, a cellular antioxidant, to the xenobiotic compounds and other toxins to neutralize and eliminate them. 

Besides metabolizing xenobiotics (or breaking down foreign compounds into smaller, less toxic compounds), GSTs also protect the body cells from oxidative stress. Oxidative stress is characterized by increased free radicals in the body that can damage cells and tissues causing diseases like cancer. Many of these free radicals are formed as a result of phase I of detoxification.

GSTs also bind to and transport lipophilic compounds (compounds that have an affinity to combine with fats) like bilirubin, prostaglandins, glucocorticoids, thyroid, and steroid hormones.

Several variations (changes) or polymorphisms of the GST genes have been linked to increased risk of some types of cancers, especially when other genetic and environmental factors coexist.

Multiple types of GSTs exist and can be broadly grouped under the following families:

Five GSTs that are a tad bit more important include GSTM1, GSTM3, GSTP1, GSTT1, and GSTA1.

GSTM1

GSTM1 is a µ (or mu) class of glutathione S-transferase. This class of enzymes is responsible for the detoxification of electrophilic (or charged) compounds such as carcinogens, therapeutic and prescription drugs, environmental toxins, and other products that form due to oxidative stresses by conjugating them with glutathione. 

GSTM1 enzyme is primarily located in the liver. It has been found that around 50% of people lack the GSTM1.due to GSTM1 gene deletion depending upon the population. This deletion was found in 53% of whites, 40-60% Asians, and 21% African Americans.

Changes or variations in the GSTM1 gene can affect a person’s ability to metabolize carcinogens, toxins, and drugs. This gene is said to have multiple polymorphisms (variations), with over 50% of Caucasians missing both copies of it. Missing both copies of the gene results in no enzyme activity. Also, individuals with one copy of the GSTM1 gene are more prone to allergies, asthma, and certain types of cancer, especially if they are also missing copies of other genes of the GST family such as the GSTP1 and GSTT1.

Some SNPs associated with the GSTM1 gene that affect the enzyme’s function are rs4147567, rs9642880, and rs366631.

The GT genotype in rs9642880 and TT genotype in rs366631 are called the null alleles and show decreased GSTM1 enzyme activity. Low GSTM1 enzyme activity would mean poor vitamin C recycling and a slightly increased risk for certain cancers, and sensitivity to chemical carcinogens. Therefore, individuals with these variations in the GSTM1 gene may benefit from consuming more cruciferous vegetables.

GSTP1

The GSTP1 enzymes are located primarily in the brain and lungs. The polymorphisms (or variations) of the GSTP1 gene have been linked to both high and low enzyme activity based on the factors that they are exposed to. Some GSTP1 polymorphisms are associated with an increased risk of various cancers, and this risk rises on exposure to cigarette smoke.

The GSTP1 is the most abundant glutathione S-transferase subtype found in the lung. 

GSTP1 gene variations can cause: 

Mutations (abnormal changes) in the GSTP1 gene have been linked to prostate cancer. People who are carriers of the *C haplotype, which is represented by GSTP1*Val (rs1138272) allele and GSTP1*Val(rs1695) allele, had a 5.4 times higher risk of prostate cancer development.

When GSTP1 enzyme activity reduces due to abnormal changes in the rs1695 SNP, one can increase their antioxidant consumption to reduce oxidative stresses and inflammation in the body. In addition, glutathione supplements are also helpful to restore normal glutathione levels in the body.

GSTT1

This gene is another member of the GST family that catalyzes (increases the speed of the reaction) reactions where conjugation of reduced glutathione takes place to a variety of hydrophobic (water-repelling) compounds. Thus, a proper functioning GSTT1 gene is associated with good recycling of vitamin C.

Glutathione S-transferases in Cancer Research

Since glutathione S-transferases play a significant role in protecting the body from endogenous and exogenous chemicals and toxins of carcinogenic potential, it is evident that improper functioning of these enzymes can increase the risk of cancer development. 

The null type of GSTM1 and GSTT1 have been associated with an increased risk of lung, bladder, and colon cancers. Polymorphisms of GST genes have also been linked to skin cancers like basal cell carcinoma suggesting that these genes may be playing a role in detoxifying free radicals formed as a result of UV radiation.

Another essential aspect of GST in cancer development and treatment is the development of drug resistance. Drug resistance is one of the main reasons why chemotherapy treatment fails. Glutathione S-transferases have been linked to the development of resistance towards chemotherapy agents, insecticides, pesticides, herbicides, and antibiotics. 

Substances that undergo Glutathione Conjugation

Glutathione S-transferases detoxify  of the following substances during the conjugation process:

Recommendations To Boost GSTs

Having lower glutathione S-transferase activity increases the accumulation of toxins in the body and increases the chances of cancer and other diseases. Therefore, we must ensure optimum glutathione activity in the body at all times. Here are some ways to boost GST activity:

While it is essential to eat an antioxidant-rich diet, some nutrients that have been associated with an increase in GST activity that you must include in your daily diet include: 

Apart from these factors that boost GST activity, one must also reduce their exposure to carcinogenic environment factors such as:

Summary

  1. Glutathione conjugation is an integral part of phase II of detoxification in the body.
  2. The reaction is catalyzed by glutathione S-transferase enzymes (or GSTs) that bring about a reaction between glutathione and toxic endogenous and exogenous substances to eliminate them from the body.
  3. Glutathione conjugation results in the formation of glutathione conjugates which are eliminated from the liver via bile to reach the kidneys, to be excreted via urine.
  4. Glutathione conjugation is responsible for detoxifying around 60% of therapeutic drugs, carcinogens, industrial toxins, water-soluble mercaptan products, fungal toxins, and heavy metals.
  5. During the conjugation process, glutathione is recycled and reused.
  6. Glutathione S-transferases are of different types but grouped into membrane-bound microsomal GSTs and cytosolic GSTs.
  7. Some important GSTs that play an essential role in the glutathione conjugation process are GSTM1, GSTP1, GSTM3, GSTA1, and GSTT1.
  8. The normal functioning of GST enzymes is vital in cancer prevention and treatment.
  9. Many foods with nutrients like vitamin B6, magnesium, selenium, folic acid, and antioxidants like curcuminoids are known to boost GST activity in the body.

References

What Is Acetylation?

Acetylation is a part of the phase 2 detoxification pathway and helps eliminate various harmful substances from the body. The N-acetyltransferase (NAT) enzymes are responsible for acetylation. The NAT enzymes are also called arylamine N-acetyltransferases. 

The NATs transfer a molecule called acetyl CoA to the toxins to make them less harmful and to eliminate them easily from the body. In some cases, the NATs can also convert substances into their more active (toxic) forms and send them to the next detoxification stage. Such active forms have to be quickly eliminated from the body.

Importance of Acetylation

Acetylation is majorly associated with the detoxification of xenobiotics (foreign substances found in the body). They help transform xenobiotics that enter the body by either making them less harmful or more harmful. 

For certain xenobiotic substances, acetylation is the only available detoxification pathway. Problems with acetylation will cause an excess accumulation of these substances in the body and lead to an increased risk of cancers and other health conditions. 

Melatonin is a hormone produced in the body by the pineal glands. The hormone controls the sleep-wake cycle and helps prevent sleep disorders. Acetylation converts serotonin into melatonin and hence is essential to improve your sleep. 

Some studies suggest that NATs may play a role in folate metabolism (the process of converting folate into a form usable by the body). There seems to be an inverse relationship between folate levels in the body and NAT activity. 

N-alpha-acetyltransferases - NAT1 and NAT2

There are two major types of NATs produced in the body - NAT1 and NAT2.

The NAT1 gene produces the NAT1 enzyme. The NAT1 enzyme is primarily found in the extrahepatic tissues (tissues found outside the liver). This enzyme is essential for folate metabolism and in the biotransformation of the following.

The NAT2 gene produces the NAT2 enzyme. The NAT2 enzyme is primarily found in the gut and the liver. This enzyme activates and deactivates a variety of substances, including hydrazines and arylamines.

Some compounds like 2-aminofluorene need to be eliminated with the help of both NAT1 and NAT2.

Changes in the functioning of the NAT1 and NAT2 genes (genetic polymorphisms) can affect the body’s capacity to add an acetyl group to the above toxins. Based on how an acetyl group is added to xenobiotics, there are three types of NAT metabolizers identified.

Slow metabolizers cannot quickly eliminate toxins from the body, which leads to toxic buildup and an increased risk of different types of cancer.

Fast metabolizers quickly process prescription drugs and eliminate them before they can do their job. As a result, fast metabolizers may need extra dosages of medications for treatment. 

A particular population study suggests that 8% of people may be slow NAT1 metabolizers

40-70% of Africans and Caucasians and  10-30% of Asians may be slow NAT2 metabolizers.  

Effects of fast NAT metabolism

Studies suggest that fast NAT2 metabolism may increase a person’s risk for developing Alzheimer’s disease.

Fast NAT2 metabolism also increases the risk of colorectal cancer in those exposed to an excess of tobacco smoke in their lifetime. 

N-acetyltransferase deficiency

N acetyltransferase deficiency occurs as a result of low levels of NAT enzymes in the body. This decreases the acetylation process of xenobiotics and leads to increased levels of toxicity of foreign substances. NAT deficiency can lead to the following problems.

  1. Isoniazid toxicity - Isoniazid (INH) is a very common antibiotic used in treating various bacterial infections. Studies show that INH may entirely depend on NATs to get eliminated from the body. NAT deficiency can lead to INH hepatotoxicity (liver toxicity). 
  2. Sulfonamide toxicity - Sulfonamides contain sulfa drugs. These are also commonly prescribed antibiotics. People with NAT deficiency (slow metabolizers) are at a higher risk for developing sulfonamide toxicity.
  3. Occupational bladder cancer - Occupational bladder cancer is a result of excessive exposure to arylamines in the workplace. Smoking also increases arylamine exposure. Slow NAT metabolism or N acetyltransferase deficiency can increase the risk of occupational bladder cancer
  4. Breast cancer - Studies suggest that in postmenopausal women who were current and past smokers, slow acetylators had an increased risk of breast cancer

According to MalaCards, an integrated database of human maladies, NAT deficiency can increase the risk of the following health conditions.

  1. Mucopolysaccharidosis type iii C (An inherited condition with the inability to breakdown monosaccharides, a kind of sugar molecule)
  2. Schizophrenia
  3. Papillomatosis (presence of multiple benign lumps in the skin)

Genetic Variations of the NAT1 and NAT2 genes

Genetic variations (genetic polymorphisms) of the NAT1 and NAT2 genes can increase or decrease NAT1 and NAT2 enzyme activities.

HaplotypeEffectsImplications
NAT1*10Increased enzyme activityProtection against various xenobiotic toxicities 
NAT1*11Increased enzyme activityProtection against various xenobiotic toxicities 
NAT2*6BDecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer
NAT2*5DDecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer
NAT2*7ADecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer
NAT2*11ADecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer
NAT2*12ADecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer
NAT2*13ADecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer
NAT2*14ADecreased enzyme activityIncreased risk of drug and chemical toxicity and cancer

Cholangiocarcinoma is cancer in the bile duct. Studies show that people with NAT2*13, NAT2*6B, and NAT2*7A haplotypes had a decreased risk for cholangiocarcinoma while people with the NAT2*4, *5, *6A, and *7B haplotypes did not have such a protective effect.

Substances that undergo Acetylation

  1. Arylamines - Arylamines are organic chemicals used to produce polymers, fungicides, pesticides, rubber, and cosmetics. Arylamines are also present in tobacco smoke, house fumes, and automobile exhaust.
  2. Hydrazine - Hydrazine is an inorganic chemical that is used majorly as a space vehicle propellant. It can reach the body through ingestion, inhalation, and absorption through the skin cells. This chemical is also found in small quantities in cigarette smoke. According to the U.S. Environmental Protection Agency (EPA), hydrazine is a possible human carcinogen (cancer-causing agent).
  3. Heterocyclic Aromatic Amines (HAAs) - These are chemicals found in foods, especially meat, that are burnt or charred while cooking. HAAs are considered possible carcinogens. 
  4. Carcinogens from cigarette smoke - Acetylation helps eliminate various other cancer-causing agents inhaled through cigarette smoke.
  5. Environmental carcinogens - Acetylation transforms various other environmental toxins that can cause harm to the body into a more inactive form and helps in their elimination. 
  6. Common drugs - Many common drugs go through acetylation. Few common ones are listed below.

Recommendations To Boost NATs

Quit Smoking

Smoking is harmful in many ways. Smoking increases the risk of developing lung cancer in people who are slow NAT metabolizers. Both occasional smoking and second-hand smoking equally increases the risk. 

Consider Vitamin C supplements

Vitamin C, when orally consumed, can increase NAT activity in the body. This can help nullify the effects of carcinogenic xenobiotics that enter the body. Vitamin C supplements can hence decrease the risk of cancers.

Change to a Mediterranean diet

A Mediterranean diet is a diet rich in fresh fruits and vegetables, fresh seafood, whole grains, extra virgin olive oil, and minimally processed foods, sugar, refined grains, and red meat. This is an antioxidant-rich diet.

Chemoprotective nutrients like antioxidants can induce NAT enzymes in the body and can bring down the risk of developing cancers. 

Stay away from substances that inhibit NATs

Certain natural substances can inhibit NAT activity in the body. Therefore, if you are a slow NAT metabolizer, you should stay away from these substances.

Genetic testing

Genetic testing will tell you if you are a slow, normal, or fast NAT metabolizer. The genetic testing results will help your doctor recommend ways to improve the acetylation process and bring down the risk of cancers. 

Summary

  1. Acetylation is a part of phase 2 detoxification. The N-acetyltransferase (NAT) enzymes are responsible for acetylation.
  2. In acetylation, an acetyl Co-A molecule is added to toxins to either make them less active or to convert them into a more active intermediate form. 
  3. NAT1 and NAT2 are the two major NAT enzymes in the body. Changes in the NAT1 and NAT2 genes can lead to increased or decreased enzyme activities.
  4. Depending on how effectively acetylation happens, people can be slow metabolizers, normal metabolizers, or fast metabolizers.
  5. Increased enzyme activity may protect against cancers but can prevent prescription drugs from working effectively. Decreased enzyme activity may lead to an increased risk of different types of cancers.
  6. N-acetyltransferase deficiency causes drug toxicity, occupational bladder cancer, and breast cancer.
  7. Smoking increases the risk of developing cancer in slow NAT metabolizers. Vitamin C supplements may help increase NAT activity in the body and are beneficial. A Mediterranean diet may also help bring down the risk of breast cancer in slow metabolizers.

References: 

About DNAfit Review

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In 2018, genetic testing startup Prenetics acquired DNAfit for 10 million dollars. 

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What Is Methylation?

Around 60% of Americans have a genetic mutation that makes it difficult for their bodies to produce sufficient amounts of 5-MTHF. If enough 5-MTHF is present, the body's methylation cycle will work well. 5-MTHF is a direct source of active folate required for methylation.

Methylation is a type of detoxification process and is fundamental to the functioning of the body. It is required for processes like cell division, synthesis of genetic material (DNA and RNA), development of the central nervous system, expression of some genes, immune functioning, synthesis of neurotransmitters (chemical substances that relay information between nerve cells), clearance of many endogenous compounds (those produced by the body) such as hormones and phospholipids, and formation of protective covering around nerves.

During methylation, active methyl groups (consisting of one carbon atom and three hydrogen atoms) are transferred between molecules. Methylation and its reverse process, called demethylation, act as biological switches to regulate the various systems in the body. So, optimum methylation ensures all body systems are functioning well. 

Importance Of Methylation

The methyl group in methylation is provided by S-adenosylmethionine or SAMe, called the universal methyl donor. This compound gives methyl groups to substances that need to undergo methylation. So, methylation relies on SAMe, which in turn is reliant on vitamin B and 5-MTHF (the active form of folate called methyl folate).

Methylation determines which genes are turned on and which are turned off. In most cases, when there is less methylation, genes are turned ‘ON,’ and more methylation turns the genes ‘OFF.’  Methylation is influenced by genetic, dietary, and environmental factors.

Since methylation forms such a vital part of our body’s biochemical processes, any deficits in the process can give rise to a wide range of conditions. For example, impaired methylation can lead to conditions like depression, anxiety, histamine intolerance, hormonal imbalance, poor detox ability, birth defects, increased risk for cancer, fatigue, and low energy.

Summing it up, methylation is vital to the body because:

Methyltransferases (MT) - COMT, TPMT, BHMT, PEMT,  Other Methylation Genes: MTHFR, MTR, MTRR, CBS

Methyltransferases are enzymes that enable methyl group transfers from S-adenosylmethionine (SAMe) to other molecules. DNA methyltransferases are specific transferases that alter DNA by adding a methyl group to cytosine (part of DNA). DNA methylation is essential in the development of most cancer types. Apart from DNA, other methyltransferases also modify proteins. Moreover, different methylation reactions can exert varying gene expressions.

Multiple genes influence the process of methylation and form the methyltransferase family. The most commonly studied ones include – COMT, TPMT, BHMT, PEMT, MTHFR, MTR, MTRR, and CBS genes.

COMT Gene

The COMT gene gives instructions for forming Catechol-O-methyltransferase and is one of the most studied genes of the methyltransferase family.  The catechol-O-methyltransferase enzyme brings about the detoxification of catecholamine transmitters like epinephrine, norepinephrine, and dopamine. The metabolism of these substances regulates the mood, behavior, cognition, pain tolerance, and normal functioning of organ systems in the body. The COMT gene is responsible for the elimination of dopamine. Therefore, some mutations (abnormal changes) in the COMT gene can result in high dopamine levels due to slower metabolism or breakdown of these substances, resulting in anxiety and insomnia. 

It has been found that individuals without any COMT gene mutations tend to be more even-tempered and do not suffer from mood swings. However, a particular variant of the COMT gene Val158Met has been associated with poorer cognitive performance and increased susceptibility to develop psychiatric disorders, particularly schizophrenia

In addition, the Val158Met variant is believed to influence aspirin and vitamin E’s effect on lowering cardiovascular diseases by almost 40%. This variation is also said to be a possible risk factor for bipolar disorder, panic disorder, anxiety, OCD (obsessive-compulsive disorder), eating disorders, ADHD (Attention Deficit Hyperactivity Disorder), and others.  

Genotype COMT Enzyme Activity
AALow 
AGMedium 
GGHigh 

Alleles and their risks:

AlleleRisks
A alleleIncreased the risk of coronary artery disease compared to the G allele. Increases the chances of alcohol addiction, increased stress intolerance, neuroticism, and postoperative pain.Associated with a 3-4 fold reduction in COMT’s methylation activity and an  increased risk for breast cancer. However, this condition can be managed by increasing insoluble fiber intake, managing fat intake, weight loss and management, and increasing physical activity during the day. All of these restore healthy estrogen metabolism.
G alleleIncreases the risk of ADD/ADHD, anxiety, aggressiveness, OCD, gaming addiction, panic disorder, and an increased risk of substance addiction

Read More: How Does The COMT Gene Influence Your Personality?

MTHFR Gene

MTHFR or Methylenetetrahydrofolate is a gene that gives instructions for the production of the Methylenetetrahydrofolate reductase enzyme. This enzyme is a rate-limiting enzyme (an enzyme that enables the slowest part of a chemical reaction) of the methylation cycle. It is responsible for activating folate for its subsequent reduction to homocysteine and then methionine.

Polymorphisms ( or changes) in the MTHFR gene can alter (or decrease) the activity of the MTHFR reductase enzyme, which can cause an increase in homocysteine levels in the blood. This condition is called hyperhomocysteinemia. There are two polymorphisms of particular interest 677C>T and 1298A>C. These polymorphisms can increase the risk of high blood pressure, blood clots, pregnancy loss, psychiatric conditions, and cancer types.

Individuals with 677C>T polymorphism on both copies of the MTHFR gene are at a greater risk of vascular diseases like heart diseases and stroke. In addition, this polymorphism is also a risk factor for cleft lip and palate.

Read More: How To Interpret Your 23andMe MTHFR Results?

Consequences of Poor Methylation

Methylation is vital to our body’s normal functioning, lacking which, the following conditions can occur:

Hormonal Imbalance

Methylation is essential for metabolism (breaking down the substance into a smaller size for ease of elimination from the body) and estrogen detoxification. So, poor methylation can result in heavy and painful periods, PCOS (Polycystic Ovarian Syndrome), PMS (Pre-MenstrualSyndrome), fibroids, and endometriosis. In addition, these individuals may need to consume more iron, folate, and vitamin B12 to stimulate blood production.

Infertility

Poor methylation can cause infertility in men and women, increased risk of miscarriage, and other pregnancy-related complications like pre-eclampsia. This happens because methylation is critical for the growth of new tissues, fertility, a healthy pregnancy, and fetal development. 

Heart and Vascular Diseases

Poor methylation has been associated with cardiovascular diseases, high blood pressure (hypertension), and poor blood circulation in the body. When methylation in the body is insufficient, homocysteine levels increase, which leads to inflammation and free radical damage. These free radicals can damage your blood vessels, leading to many cardiovascular diseases.

Mental Health Issues

Methylation is responsible for the production and metabolism of many neurotransmitters such as dopamine, serotonin, noradrenaline, and adrenaline. Therefore, fluctuations in the methylation cycle in the body can affect the levels of these neurotransmitters and impact your mood and precipitate mental health illnesses like depression, anxiety, bipolar disorder, OCD, etc.

Autoimmune Conditions

Poor methylation has been linked to autoimmune disorders like multiple sclerosis, rheumatoid arthritis, autoimmune thyroid condition, etc. This is because methylation has a role to play in the development and strengthening of the immune system. 

Problems with Memory

When the body cannot methylate properly, it can lead to memory problems like insomnia, dementia, Alzheimer’s disease, among others. Poor methylation results in increased homocysteine. Homocysteine is harmful not just to the blood vessels but also to the nerve cells in the brain and where they cause inflammation. Also, for a healthy mind, we need to sleep properly. Hormones like melatonin and neurotransmitters are all produced via methylation.

Digestive Issues

Bile plays a vital role in the body’s detoxification process. It has many other functions such as cleansing the bowel, absorption of fat-soluble vitamins, and antimicrobial properties, etc. Poor methylation results in an insufficient quantity of phosphatidylcholine (a key component of bile), resulting in inadequate bile production, which can cause digestive troubles, gallbladder problems, and malabsorption of fat.

Allergies

During an allergy, your body makes increased amounts of histamine, the chemical that is responsible for all your allergy symptoms like sneezing, itching, hives, runny nose, and watery eyes. The excessive amounts of histamine are eliminated from the body by adding a methyl group to it, inactivating it and making it easy to be excreted.

Inflammatory Systemic Conditions

Constant inflammation in the body is harmful to it. It also reduces the availability of methylated molecules in the body, thereby impacting the body’s ability to repair tissue and produce neurotransmitters. Poor methylation can result in inflammatory body conditions like Inflammatory Bowel Disease (IBD), arthritis, etc.

Methylation also plays a role in tumor formation. Hypermethylation and hypomethylation are both known to cause an increase in the enzyme DNA methyltransferase. Hypomethylation can cause increased mutations and instability of chromosomes, resulting in cancer. The following substances are not produced when there is inefficient methylation:

Recommendations To Boost Methylation (and also MT enzymes)

When the methylation cycle is disrupted, it needs to be brought on track to ensure the body’s smooth functioning and relieve any conditions that you may have developed due to irregular methylation. Here’s how you can boost the methylation cycle naturally and support the process:

  1. Including methyl folate-rich foods in your diet like dark leafy greens (spinach, collard greens, mustard greens, etc), avocados, citrus fruits like oranges, papaya, grapefruit, etc.
  2. Eat folate-rich foods like leafy greens, asparagus, broccoli, Brussel sprouts , cauliflower, okra, beetroot, and bell peppers.
  3. Clean your home and surroundings, particularly mold.
  4. Effectively manage stress with exercise, yoga, and meditation.
  5. Focus on gut health by taking probiotics.
  6. Discuss with your doctor about folate-increasing supplements that are best for you.
  7. Genetic Testing– It can help determine which of the gene mutations is deranging your methylation cycle so that your doctor can prescribe the necessary treatment plan.

Summary

  1. Methylation is an integral part of the detoxification process and vital to the functioning of the body. It is carried out by a group of enzymes called the methyltransferases.
  2. During methylation, active methyl (CH3) groups are transferred from one molecule to another to bring about their metabolism and elimination.
  3. The methyl group is provided by S-adenosylmethionine or SAMe, called the universal methyl group donor.
  4. Methylation is essential for the body because it promotes detoxification, enables glutathione production, maintains DNA, keeps your mood and hormones balanced, and produces neurotransmitters.
  5. The COMT gene is the most studied methyltransferase. Some changes in this gene can increase the risk of cardiovascular diseases, mental health disorders, different types of addictions, and breast cancer.
  6. Another gene that affects methylation is the MTHFR gene, which is also the rate-limiting enzyme in the reaction. 
  7. Changes in the MTHFR gene can alter or decrease the activity of the MTHFR enzyme. This can result in a rise in the homocysteine levels in the blood, which is a high-risk factor for high blood pressure,  blood clots, pregnancy loss, among others.
  8. Poor methylation can result in hormonal imbalance, infertility, cardiovascular diseases, mental health conditions, autoimmune diseases, memory trouble, allergies, and digestive issues.
  9. A deranged methylation cycle can disrupt body functions and so, it is essential to restore it. You can do so by eating foods that are rich in methyl folate and folate, avoiding toxins, keeping your surroundings clean and hygienic, improving gut health, and consuming folate supplements.

References:

What is Fiber?

Fiber is well-known for its ability to promote healthy digestion. It helps move the contents in the large intestine more quickly.

Soluble fiber, found in oats, barley, nuts, and seeds, also reduces the absorption of cholesterol, thereby lowering cholesterol levels in the blood. It’s no surprise that this wonder nutrient can aid weight loss too!

Did you know that fiber has 0 calories? Most foods rich in fiber, like broccoli, zucchini, turnip greens, and carrots, are super-low in calories as well!

Fiber Keeps You Full For Long!

Despite being calorie-free, fiber helps you feel full for a much longer time.

How does it do that?

Fiber swells in the stomach, and in that process, provides bulk to foods, thus keeping you full. This makes the stomach expand, which releases the cholecystokinin hormone, more commonly known as the satiety hormone. This hormone signals to the brain that you’re full.

daily fiber intake and satiety

What’s more?

Fiber also gives a nice boost to your metabolism! Fiber cannot be digested by the body. But the body puts in all the work to try and digest it anyway. This process results in burning off those excess calories. 

Despite having such a range of benefits, a lot of people do not meet their fiber needs!

daily fiber intake

Decreased fiber intake has been associated with health conditions like obesity, diabetes, heart disease, stroke, and cancer. A fiber-rich diet has been shown to decrease the risk of all these conditions! Weight loss on fiber is moderated by several factors, like your body weight, lifestyle, other health conditions, and genetics.

Daily Fiber Intake & Weight Loss: The Genetic Angle

FTO is a gene that has been studied to influence weight loss upon fiber consumption. This gene contains instructions to produce Fat mass and obesity-associated protein and has been implicated in conditions like obesity.

People carrying a certain variant of this gene tend to lose more weight on a high-fiber diet than others. Such individuals may benefit more from a fiber-rich diet in terms of weight loss.

Getting a Genetic Test

A simple genetic test can be used to find out what variant of the FTO gene you carry.

Most genetic tests provide your DNA information in the form of a text file called the raw DNA data. This data may seem like Greek and Latin to you.

We, at Xcode Life, can help you interpret this data. All you have to do is upload your raw data and order a nutrition report. Xcode Life then analyzes your raw data in detail to provide you with comprehensive nutrition analysis, including information on your weight loss and weight gain tendencies on different diets.

Video

How Much Fiber Should You Consume For Weight Loss? Genetics Has A Say!
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