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Video Notes: Mast Cell Activation Syndrome - Making the Difficult Diagnosis with Dr. Tania Dempsey
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Mast Cell Activation Syndrome - Making the Difficult Diagnosis with Dr. Tania Dempsey (interviewed by Dr Michell, channel - The Smartest Doctor in the Room) uploaded 19 May 2022 18:00 breast implants & other surgical implants, dental implants as MCAS triggers 20:45 diagnostic testing for MCAS 21:38 blood markers - histamine, chromogranin A, tryptase, heparin 22:39 24-hour urine metabolites - N-methylhistamine, prostaglandin D2, leukotrienes, 2,3-Dinor-11beta-prostaglandin F2 alpha 23:01 CD117 marker staining of tissue biopsy samples (endoscopy or colonoscopy) ; mast cell count 26:00 eosinophilic esophagitis, comparison w/ recognition of disease; many EoE pts have MCAS {comment: it's my understanding that mast cells recruit eosinophils} 28:17 Bartonella, need to treat underlying causes of MCAS 29:24 vitamin D receptors on mast cells 30:12 problem of excipients in medications and supplements 31:08 improvement in neurologic symptoms
Video presentation notes: Role of the Heme Oxygenase 1 In Modulating Inflammation After Insect Bites
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Role of the Heme Oxygenase 1 In Modulating Inflammation After Insect Bites, uploaded 22 Sept. 2021 - presenter not identified 10:20 feral dogs as reservoirs for Leishmania 11:554 bite site microenvironment - vector gut microbiome, parasite derived exosomes 12:35 diagram of skin, immune cells 15:42 study aims 19:38 HO-1 production is a universal host skin response to blood feeding (hematophagous) arthropods 20:25 poking with needle does not provoke same response 22:51 Anophelese gambiae did not promote significant ischemic hemorrhage in tissue, but still increased HO-1 production in skin 31:01 inflammatory monocytes could be involved in erythrophagocytosis; in response to heat can differentiation into iron recycling macrophages 34:50 in situ confocal imaging of erythrophagocytosis in skin 36:16 HO-1 expressed both in cytopplasm and in nucleus 40:50 HO-1 promotes disease tolerance and reduces pathology, does not affect parasite replication or parasite load 41:37
cold exposure & breast cancer
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A recent flare up of fibrocystic breast symptoms had me wondering if use of cold packs has any effect on breast cancer (BC) risk. Cold packs are often recommended for mastalgia (breast pain) from fibrocystic breast disease, mastitis, engorgement due to breast feeding cessation, and post breast cancer surgery. Whole body cold exposure has been found to increase tumor growth and metastasis in mice: https://www.medicalnewstoday.com/articles/269266 T-cell function is diminished at colder temperature leading to reduced anti-tumor immune responses. The article notes implications for standard research practice of housing mice at relatively colder temperatures - another thing to add to the list of problems in current practices. (Could cold acclimation be used to promote tolerance in autoimmunity and atopy? Another topic for another day.) The mice were subjected to whole body cold exposure - not spot treatment. It is conceivable that reducing acute inflammation through localized cold exposure
I learned something about longevity from a cat video
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There are a number of research programs that study interventions for increasing lifespan and healthspan in animals (dogs, mice, flies, nematode worms) with the aim of finding successful interventions that could be translated to humans. The Dog Aging Project enrolls companion dogs in observational and interventional studies on aging; it seems a worthwhile endeavor even if treatments are not applicable to humans as improving the lifespan and healthspan of dogs is worthwhile for its own sake. To date, however, there has not been a similar project for cats - or has there? I watch a lot of cat videos and came upon one that reported ultra-longevity in a number of cats apparently achieved through diet and lifestyle interventions implemented by their human companion, Jake Perry. It seems strange that I learned about this from a cat video rather than through all the longevity-related media I consume. https://youtu.be/CXGCJeH4e-w?t=32 An article by Christina Couch published in Atlas Obscura
collagen peptides, prolyl-hydroxyproline, aspartate transaminase (AST) - brief notes
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Marine collagen peptides have antioxidant properties. Characterization and Antioxidant Activity of Collagen, Gelatin, and the Derived Peptides from Yellowfin Tuna (Thunnus albacares) Skin [2020] - https://pubmed.ncbi.nlm.nih.gov/32023998/ Functional and bioactive properties of collagen and gelatin from alternative sources: A review [2011] - https://www.sciencedirect.com/science/article/pii/S0268005X11000427 "The exact mechanism underlying the antioxidant activity of peptides is not fully understood, but various studies have shown that they are lipid peroxidation inhibitors, free radical scavengers and transition metal ion chelators. According to some studies, gelatin peptides could inhibit lipid peroxidation more efficiently than antioxidative peptides derived from many other protein sources ... .. peptides isolated from hoki skin gelatin were capable of enhancing the expression of antioxidative enzymes such as glutathione peroxidase, catalase and superoxide dismutas
Two proteasome videos
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Yesterday I watched two introductory videos on the ubiquitin-proteasome system - very important in autoimmunity, aging, cancer and neurodegeneration. Alfred Goldberg, Functions of the proteasome, R&D Systems, recorded February 4, 2016: Index: 9:30 start of presentation 13:20 ubiquitin-proteasome pathway summary slide - ATP required 15:22 antigen presentation - 1% of product peptides are taken up by ER and displayed in cell surface by MHC class I molecules - proteasome allows immune system to screen intracellular space for abnormal proteins (pathogen or cancer) 23:16 multiple ATP dependent steps in proteasome function 38:00 Bortezmib - proteasome inhibitor, inhibits NF-kB, does not cross BBB, induces apoptosis 40:33 Endoplasmic-reticulum-associated protein degradation (ERAD) pathway is unusually activated in multiple myeloma cells ; proteasome inhibition results in increased ER stress and triggers UPR, further UPR activation triggers apoptosis 42:30 proteasome inhib
what happens in the gonads does not stay in the gonads - brief notes
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Protein aggregates in nematode worm gonads set off the mitochondrial unfolded protein response (UPRmt) that propagates throughout the organism via Wnt signalling, causing changes in mitochondrial function and potentially increasing protein aggregation in distal tissues. It is not known if this happens in mammals. advances.sciencemag.org/con... This news might not be such a big deal as it has already been reported that Wnt signalling is altered in post-menopausal women due to loss of estrogen and rates of neurodegeneration increase after menopause. However, it would be interesting to know whether in mammals insults (possibly caused by infection) to the ovaries earlier in life (and testes?) may propagate the UPRmt throughout the body. ~ If UPRmt is meant to counter stress and clean up misfolded proteins, then why would increasing it be bad? It may actually be good, but there have been conflicting findings, which are reviewed here: The mitochondrial unfolded protein response
nausea / vomiting, uremia, arginine - brief notes
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Returning to my quest to understand the mechanisms of chronic nausea and vomiting, I revisited mirtazapine for cats. The main reason cats are prescribed Mirtz is for nausea and vomiting (NV) from azotemia or uremia due to chronic kidney disease, which older cats are prone to suffer. So which uremic toxins are implicated in NV? Asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA). ~ SDMA has been found to be lower in women with ME/CFS: https://www.frontiersin.org/articles/10.3389/fmed.2021.642710/full hmmm ... so I guess this is not a cause of nausea in ME/CFS ... more on related metabolic pathways in ME/CFS: http://followmeindenmark.blogspot.com/2019/03/polyamines-5-methylthioadenosine-and.html ~ database entry on SDMA: https://hmdb.ca/metabolites/HMDB0003334 "Uremic syndrome may affect any part of the body and can cause nausea, vomiting, loss of appetite, and weight loss. This seems to be mediated by the direct binding or inhibition by uremic toxins of