Microinflammation – More Information
Microinflammation Reinforces Itself
The signal initiated by the oxidizing cholesterol is an inflammatory
signal, in the same family as C-reactive protein. This signal
will reach the liver, which will pour out more C-reactive protein,
which will initiate further inflammatory signals.
Other cell signals, such as interleukin-1 and interleukin-6,
increase during inflammation both in the blood vessels and in
the brain.
Omega-3 fatty acids and other nutrients are involved in natural
damping of this microinflammation. As we age, such nutrients
and such natural inhibition of microinflammation decrease.
How Blood Clots
The blood flowing through the vessels remains in the liquid
state only as long as it stays within those vessels. If it escapes,
it turns into a solid, a clot, in order to prevent further loss
of blood from any torn blood vessel.
So why does it remain liquid within the blood vessel? One reason
is that the endothelial cells lining the blood vessels, like
Teflon, let the blood slip by with minimal friction and without
triggering coagulation. Let the blood come into contact with
any other tissue in the body and the clotting mechanism is triggered.
In the case of plaque rupture, the material inside the plaque
tissue meets the blood in the vessel, which causes a clot inside
the vessel.
Stress hormones such as adrenalin make the blood more likely
to clot, and aspirin makes it less likely, so you can guess what
the effect of each of those will be on our risk of stroke or
heart attack.
Stress, Microinflammation, and Aging
Our adrenal glands, in their response to stress, secrete cortisol.
This
- increases blood glucose, necessary if we are to outrun the
wooly mammoth. If, instead of facing the mammoth, we're stressed
because we're stuck in traffic, then all that elevated glucose
does is to lower intracellular magnesium and raise intracellular
calcium, both of which are aging processes.
- reduces growth hormone, something we need to create vital
proteins and build bone. Again, this is not a bad response
in an unusual and truly urgent situation, but not good on a
daily basis.
- increases cytokine levels, such as IL-1, IL-6, and TNFalpha,
which has the effect of causing the adrenal gland to put out
more cortisol. This is valuable as part of an integrated response
to imminent physical danger but, as a constant state of affairs,
serves only to increase microinflammation throughout our system.
Cigarettes
German researchers, in the journal Circulation (1996 Apr 1;93:1346-53),
found that cigarette smoking increased inflammation of the endothelium,
which may a major reason cigarette smoking dramatically increases
the risk of vascular disease.
Vitamin C
A German study published in Circulation (1996 Jul 1;94:6-9)
found that vitamin C reduced damage to the endothelium caused
by smoking.
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Medicine for People! is published by Douwe Rienstra,
MD at Port Townsend, Washington. Edited by Carolyn Latteier.
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