Unfortunately, we are seeing many young people with strong immunity ignore all the noise around social distancing. These people, who may be asymptomatic carriers of the virus, may cause grave harm to vulnerable individuals. Young asymptomatic individuals can expose others by shedding the virus, infecting the susceptible who accumulate higher viral loads, and even reducing the effectiveness of potential vaccines by causing repeated low dose exposure. See below:
University of Minnesota Center for Infectious Disease Research and Policy states and quotes “COVID-19 concentrates quickly, sheds efficiently…Led by researchers in Germany, the virologic study, which has not yet been peer-reviewed, found that the novel coronavirus quickly begins producing high viral loads, sheds efficiently, and grows well in the upper respiratory tract (nose, mouth, nasal cavity, and throat).”….”In SARS, it took 7 to 10 days after onset until peak RNA concentrations (of up to 5×105 copies per swab) were reached,” the researchers wrote. “In the present study, peak concentrations were reached before day 5, and were more than 1,000 times higher.”
Research on repeated exposure to low dose Influenza virus opines that “compared to a single high-dose infection, mice that received repeated low-dose challenges showed earlier morbidity and mortality and more severe disease. They developed higher viral loads, more severe lung pathology, and greater inflammatory responses and generated only limited influenza A virus-specific B and T cell responses.”
1.Study highlights ease of spread of COVID-19 viruses filed Under: COVID-19 Mary Van Beusekom- CIDRAP University of Minnesota
2. “Repeated Low-Dose Influenza Virus Infection Causes Severe Disease in Mice: a Model for Vaccine Evaluation” Yufeng Song, Xiang Wang, Hongbo Zhang, Xinying Tang, Min Li, Jufang Yao, Xia Jin, Hildegund C. J. Ertl, Dongming Zhou- Journal of Virology
All content is for educational/informational purposes only. Please follow expert guidance from authorities like CDC.
In this piece, I provide an overview of the human immune system and the Coronavirus (COVID-19). I then describe the Ayurvedic approach to boosting immunity and existing research that backs the Indian ministry of Ayurveda’s recommendations for herbal treatments that can potentially help people strengthen their immune systems and ability to fight viruses like the Coronavirus.
We need to adopt an integrative approach to build immunity and fight such outbreaks, now and in the future.
The contextual use of traditional medical systems such as Ayurveda, a sensible diet/lifestyle, and authentically sourced plants and herbs may help build immunity.
Resorting to the indiscriminate use of “Dr.Google” prescribed miracle remedies may lead to serious cytotoxic drug-herb, herb-herb, or food-drug interactions, especially for those already on medications.
Stick with precautions stipulated by CDC, without panic.
No single line of treatment exists, so listen to your doctor.
The Indian government’s recent Coronavirus advisory included Ayurvedic formulations for building immunity, which appears to have drawn considerable flak from the intelligentsia.
This is an opportune moment to take a closer look at how our immune systems work and dig deeper into the use of traditional medicines in managing infectious diseases.
In overly simplified terms, the human body has two types of immunity: innate and acquired. These mutually influence and reinforce each other. The innate system is non-specific; when it recognizes microbial invaders, it produces an inflammatory response. Our skin, salivary, respiratory and gastrointestinal secretions, and beneficial microbiota all work in harmony with the innate defense system. The inflammatory response increases blood flow to the site and is often associated with pain and fever. This blood brings in an array of different kinds of white blood cells which kill invaders, destroy compromised host cells, and eat and clean up the waste. Other cells ensure that the signatures (antigens) of invaders become clearly visible for easy detection by the second line of defense, orchestrated by the adaptive immune system.
The adaptive immune system, using B and T type memory cells, goes after the visible invader signatures. Upon replication, these cells memorize and remember the invader’s signature for future battles.
Our immune system does not function in isolation and interacts with the rest of the body. For example, it is impacted by the hormones secreted in the endocrine system, levels of Vitamin D, amount of sleep, and nutrition/diet.
Microbial invaders cause damage directly from their toxic potential and replication and indirectly from an excessive or inappropriate immune response. For respiratory viruses, this indirect impact, resulting from excessive inflammation, has been found to be the main driver of injury. Moreover, coronaviruses have also been found to evade the immune system, and the mechanism of this evasion is still not fully understood.
To add to this complexity, we all respond differently to microbes:
Human immune systems vary as a consequence of heritable and non-heritable influences, but non-heritable influences, like symbiotic and pathogenic microbes, explain most of this variation. Even the same individual’s immunity could vary significantly by circadian rhythms, seasons and age.
Compounding the problem is that the heritable (genetic) basis of individual susceptibility for even well studied viruses remains an active area of research.
As a general rule, immunocompromised individuals, like the very young and the old, are more susceptible to severe symptoms of flu.
What is this Coronavirus?
Coronaviruses in general are zoonotic, i.e., they spread between animals and humans. An original host like a bat infects an intermediate host like a pig, cow, or bird, and finally infect humans (known as the novel hosts). Other examples of zoonotic viruses include HIV, Ebola, influenza A, hantavirus and henipavirus. For reasons not entirely understood, while the reservoir host remains relatively healthy, the coronaviruses, which have high viral diversity, cause a variety of diseases in intermediate hosts and often lethal respiratory infections in the final human host. Different coronavirus types include alpha and beta, which are found in mammals, and gamma and delta, which infect mostly birds.
Source:”Reservoir Host Immune Responses to Emerging Zoonotic Viruses” Judith N. Mandel and others-study on NCBI
The COVID-19 is a betacoronavirus. Like MERS and SARs, it’s origin in bats.
According to genomic characterization for COVID-19 published by researchers on Lancet, it “is sufficiently divergent from SARS-CoV to be considered new type of human-infecting betacoronavirus”. Their phylogenetic analysis “suggests that bats may be the first host of this virus; an animal sold at the seafood market in Wuhan might represent an host facilitating the emergence of the virus in humans. Importantly, structural analysis suggests that 2019-nCoV may be able to bind to the angiotensin-converting enzyme (ACE) 2 receptor in humans”. ACE is secreted in human lungs and kidneys, whose endothelial cells get impacted by the invading virus.
Observable impact from virus:
Coronaviruses in general potentially impact the upper and lower respiratory as well as gastrointestinal systems. Thus, their impact includes common cold, cough, fever, shortness of breath, or pneumonia. In the case of MERS, kidney failures have also been reported.
To avoid exposure, doctors advise the usual common sense preventive steps for respiratory diseases. Besides disinfecting surroundings, these include properly washing hands, avoiding touching the face with dirty hands, and avoiding close contact with people who are sick. Researchers actively tracking COVID-19 say “Like other CoVs, … COVID-19 is …sensitive to ultraviolet rays and heat. Furthermore, these viruses can be effectively inactivated by lipid solvents including ether (75%), ethanol, chlorine-containing disinfectant, peroxyacetic acid and chloroform except for chlorhexidine.” Does it also mean that warmer temperatures in the Northern hemisphere will soon automatically reduce incidence?
Currently available treatments:
Painstaking as they are to get it right, it should be borne in mind that vaccines also represent some of the greatest medical achievements over the last two centuries- think of smallpox and polio.
Unfortunately, there is no specific vaccine for COVID-19. Medical care is really limited to an attempt to relieve symptoms while the disease runs its course. It is a daunting task to produce effective and approved vaccines, especially for highly mutant single strand RNA virus like the Coronavirus. The original virus can mutate (through antigenic drift or antigenic shift) in the interim, or even worse, it can become resistant upon use of the vaccine. For example, the vaccine for SARS virus was available only when the 2002-2003 epidemic ended and it has not yet been extensively tested on humans. Similarly, the vaccine for the 2012 MERS coronavirus has so far completed only Phase 1 trials in the approval process. Meanwhile, as a desperate measure, there are some press reports that antiretroviral HIV drugs like kaletra are being used as experimental remedies for the Coronavirus in China. Similarly doctors in Thailand are reported to have used a combination of flu and HIV medications. The efficacy of these combinations is yet to be firmly established.
It is worth mentioning that besides working on vaccine cures drugmakers Regeneron and Sanofi are also testing use of rheumatoid arthritis drug as a treatment modality which uses suppression of interleukin-6 (IL-6) proteins which are responsible for triggering the body’s immune and inflammatory response, which in overdrive is harmful. See further discussions on IL-6 below.
More recently on March 24th, 2020 it was reported in the press that New York state was planning experimental use of convalescent plasma from recovered patients. Interestingly this was discussed by CDC earlier with reference to MERS-COV in 2016.
How alarmed should we be?
To put it in perspective, as per CDC during this season in the US, there have so far been thirty four million cases of flu, resulting in 350,000 hospitalizations and 20,000 deaths, resulting in a death rate of <0.01%. In contrast, based on rapidly increasing ~809,000(Johns Hopkins numbers) infected( please note this does not represent active cases) worldwide( now stable China with unverifiable authenticity contributing ~82,000, Italy ~97,000, Spain ~85,000, US ~143,000 and counting), the death rate for the COVID-19 is estimated between 0.5% to 2% by mathematician Adam Kucharski( author of Rules of Contagion) and higher by others. For example, based on unadjusted Johns Hopkins reported global numbers this translates to ~4.5% case fatality rate(CFR=confirmed deaths/confirmed cases). These noisy numbers will vary greatly by age cohorts/geographies/underlying health conditions and could perhaps be significantly different as more substantiated data becomes available and the mild/unreported cases are factored in. It is critical that the infection/transmission rates are kept under control, and we can help. It appears that age/underlying condition based isolation may be prudent, even as the wheels of the economic engine start moving again. In the “free world” it will be interesting to watch how the traditional epidemiological transmission models need to be tweaked to include network effects/unique COVID-19 viral loads in order to get realistic transmission estimates. According to the CDC, the SARS Coronavirus death rate was around 10% (out of ~8100 infected) and the MERS coronavirus, which is located mostly around the Arabian peninsula, had a death rate of 35%(out of ~250 infected).
How Ayurveda approaches immunity and disease:
Ayurveda considers disease to result from the disturbance of homeostasis in the human body, meaning that our doshas (i.e. our primary and subtle vital energies/life forces which are responsible for all physiological and psychological functions like intake, assimilation and transformation) are out of balance and our immune systems are compromised.
“The three subtle doshas – prana, tejas and ojas – energize the immune system. Ojas is the basic endurance capacity of the immune system, or our potential ability to defend ourselves against external pathogens. Tejas is the immune system when activated, which burns and destroys toxins. It is responsible for the fever by converting ojas that the body produces to destroy pathogens that attack it. Prana is the long-term activated form of the immune function to project and develop life-energy, which manifests when we are dealing with a chronic disease.” Dr. David Frawley explains in his book on this subject Yoga & Ayurveda- Self-Healing and Self-Realization.
Ojas, results from a strong jathargani or digestion system/fire, from which healthy dhatus (materials) are produced. In an efficiently working system, the malas/ama (waste material) is eliminated regularly. Ojas is the reservoir of healing, whereas ama diminishes it.
As a result an individual’s response to microbial infection is immunity dependent. Disease generally begins at one point/body tissue and eventually manifests at another. It evolves through the stages of accumulation (sanchaya), aggravation (prakopa), overflow (prasara), relocation (sthana samsraya), manifestation (vyakti) and diversification (bheda). Therefore a dosha could evolve from a shakha (periphery or the tissue elements) and migrate to koshtha (central body) or the other way around. This merely reflects the underlying unitary nature or connectedness of the human body.
The Ayurvedic approach to resolving disease is holistic rather than reductionist. Prior to prescribing herbs or lifestyle changes, an Ayurvedic practitioner will consider a patient’s natural constitution, general state of metabolism/digestion, and other lifelong habits. Also considered are the patient’s season and age, since ritusandhi or change of seasons, stress, and age also affect an individual’s immune response. One’s natural constitution is most easily revealed by the fixed attributes of his/her physical body, like frame, weight and complexion. Also important are one’s general metabolic state, digestion, lifelong habits and proclivities, and disease tendencies.
Use of Herbs in Ayurveda
An Ayurvedic practitioner of Kaya Chikitsa (internal medicine) will determine (i) which diseases an herb treats and (ii) the constitution of the person. Seasoned practitioners will also account for interactions such as drug-herb, herb-herb, food-herb before undertaking a synergistic path to disease mitigation. It is important to source herbs and plants from authentic sources which procure ethically and test for heavy metals and other contaminants.
Once we have these, we can pinpoint an effective treatment and decide how to deliver the herb and when. Generally, a dosha will be treated with herbs of the opposite nature to its qualities. In exceptional cases we may use herbs that further aggravate a dosha for short term usage that may be balanced out with other herbs. Even though the disease could be provoked externally, its manifestation and intensity will be determined by associative internal conditions and causes.
In Ayurveda, all drugs (food/plants/herbs/concoctions) have multiple therapeutic actions, and the body’s response to them depends on one’s unique circumstances/ constitution. Thus the treatment approach targets elimination of intrinsic circumstances that may facilitate specific pathogenesis.
It would be appropriate to keep the foregoing distinction between a drug effect (phala) and drug effectiveness (siddhi) which comports Ayurvedic treatment of agantu (out of balance) dosha in mind as we adopt a reductionist active molecular study and testing mechanism to test the efficacy of an Ayurvedic drugs/formulations which be effective only in synergistic environments. It is important to maintain the chemical complexity of the original dry plant. Dose response relationships need to be also kept in mind so that we don’t go berserk binging on anything that is advertised to be a magical herb/drug.
Accumulating enough meta study data, per a modern scientific approach, employing the rigor of double blind placebo control, is a long process that faces funding and practical difficulties. It’s hard to replicate effects in simplified in vitro studies, particularly in rats/animals which have very different in metabolization rates, immune systems and nucleotide structures compared to humans. Dr. Azra Raza, professor of medicine/oncologist at Columbia University, has written about this in her book The First Cell.
Can herbs boost immunity?
The short answer is yes, which should not be surprising, since newest drugs are sourced from active ingredients from natural sources. The food that we eat is the predominant source of our immune response. In a very recent CDC conference it was opined that “Epidemiologic and clinical data,….. experimental studies, suggest a bidirectional interaction between micronutrients and infectious pathogens.”
Most herbs are well-known to exhibit immunomodulatory responses, making them good vehicles for disease prevention/intervention. A number of the active phytochemical ingredients are terpenes, phenolics, glucosides, alkaloids, flavonoids, saikosaponins, tannins, polysaccharides, saponins, plant steroids, and essential oils. Anti-viral activity of natural products is also attributed to many mechanisms like inhibition of viral attachment/replication, protease inhibition, induction of type-1 interferon response, TNF-alpha/IFN inhibition, inhibition of virus entry through GAG protein competing properties of constituents like chebulagic acid (like in Triphala) and punicalagin (like in pomegranate).
According to Sloan Kettering,“An in vitrostudy investigated the activity of extracts from eight plants that are traditionally used as immunomodulators in Ayurveda medicine against HIV: Garlic(Allium sativum), Asparagus racemosus, Coleus forskohlii, Emblica officinalis, liquorice(Glycyrrhiza glabra), long pepper(Piper longum), Tinospora cordifolia and Withania somnifera. The extracts significantly reduced viral production in human lymphoid CEM-GFP cells infected with human immunodeficiency virus (HIV-INL4)” ( Please also note the cautionary statements listed on the web-site). Here, it’s worthwhile to notice that a group of researchers in an early non-peer reviewed COVID-19 report “found 4 insertions in the spike glycoprotein (S) which are unique to the 2019-nCoV and are not present in other coronaviruses. Importantly, amino acid residues in all the 4 inserts have identity or similarity to those in the HIV- 1 gp120 or HIV-1 Gag”. Gag proteins of HIV-1 are a sort of a retrovirus, which is important for the assembly of virus-like particles. Essentially a retrovirus is a type of RNA virus that inserts a copy of its genome into the DNA of a human host cell.
It appears that the Coronavirus attaches to angiotensin-converting enzyme(ACE) 2 receptor in humans. This may potentially disturb the “renin–angiotensin system (RAS) that regulates blood pressure and fluid/electrolyte balance, as well as systemic vascular resistance. Severe complications arise due to cytokine cascade.” As per researchers on Lancet “In most moribund patients, 2019-nCoV infection is also associated with a cytokine storm, which is characterised by increased plasma concentrations of interleukins 2, 7, and 10, granulocyte-colony stimulating factor, interferon-γ-inducible protein 10, monocyte chemoattractant protein 1, macrophage inflammatory protein 1 alpha, and tumour necrosis factor α(TNF-α)”. This subject remains an area of active research and further discussion is beyond the scope of this piece.
Indian Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) recommendations for boosting Immunity
Let’s now have a look at AYUSH recommendations*, which are meant for adoption only in consultation with Ayurvedic practitioners, to grasp and appreciate the rationale behind the suggested use of some of these herbs and formulations. A thorough discussion and analysis is best left to botanists, immunologist scientists and Ayurvedic experts.
This drink is a decoction of six (shadang) drugs in water and is employed to alleviate fever, burning sensation and thirst. While the mechanisms of action may not yet be fully understood, it’s worthwhile to examine the properties, mentioned in illustrative research, attributed to some of its underlying components.
Musta (Cyperus Rotundus/Motha/Nagarmotha)
According to some Indian researchers “The nutgrass, Cyperus rotundus L. (Family: Cyperaceae), is a colonial, perennial herb considered to have originated in India 2000 years ago and is widely used in Ayurveda to treat several ailments…..it is used in several systems of medicine for treating a variety of diseases. The synergistic actions of the Cyperus’ compounds have added advantage over that of a single constituent. In the past decade, numerous studies proved analgesic, anti-allergic, anti-arthritic, anti-candida, anti-cariogenic, anti-convulsant, anti-diarrheal, antiemetic, anti-helminthic, antihistamine, anti-hyperglycemic, anti-hypertensive, anti-inflammatory, anti-malarial, anti-obesity, antioxidant, anti-platelet, antipyretic, anti-ulcer, anti-viral, cardioprotective, cytoprotective, cytotoxic, gastroprotective, hepatoprotective, neuroprotective, ovicidal, and larvicidal, wound healing and inhibition of brain Na+ K+ ATPase activities of C. rotundus and its chemical constituents. However, the exact mechanism of action is not very clear and requires further evaluation. These properties strongly suggest an extensive use of C. Rotundus for clinical applications”.
Other researchers found that..“ the mechanism of action behind the antioxidant and anti-inflammatory properties of Cyperus rotundus is through gene modulation in pro-inflammatory cytokines, viz. IL-4, IL-6, IL-12, and IFN-γ”.
A pre-clinical study by Singh and others said: “Fumaria indica Linn. (Syn: Fumaria parviflora, Fumariaceae) is an herbaceous annual plant….claimed to possess various curative properties for ailments of the blood, skin, gastrointestinal system and central nervous system. Recently, we have reported Fumaria indica as safe during an acute and subchronic oral toxicity study in rodents and it displays central nervous system depressant activity”.
Another study on antimicrobial effects of Parpat says, “It was revealed that aqueous fraction of F. indica showed very good antibacterial activity against P. multocida with zone of inhibition 26mm and MIC of 98μg/mL. Its CHCl3 and n-BuOH fractions also displayed good results. Its CHCl3 fraction showed good antifungal activity against G. lucidum with zone of inhibition 24mm and MIC of 115μg/mL. Other polar fractions of F. indica showed good activity against some fungal strains”.
The anti-inflammatory effect of Parpat was studied by another group of researchers who said “F. parviflora demonstrated significant (p<0.001) decrease in paw edema in carrageenan-induced paw edema method. It diminished the serum tumour necrosis factor-α (TNF-α), IL-6 and IL-1 levels and also significantly attenuated the malondialdehyde (MDA) levels. Our study suggests that leaves of F. parviflora possess anti-inflammatory effect which might be attributed to the inhibition of various cytokines, their antioxidant effects due to increase in the activities of antioxidant enzymes and their free radical scavenging effect”.
Usheera (Vetiveria zizanioides/Khas-Khas)
A study on anti-microbial aspects of Usheera says: “Almost all parts of vetiver are exploited in traditional medicines: reported to be among other things carminative, diuretic, diaphoretic and emmenagogue, vetiver also constitutes a renowned parasitic and anthelmintic agent ….evaluated against twenty bacterial strains and two Candida species using the in vitro microbroth dilution method, vetiver oil demonstrated notably some outstanding activities against Gram-positive strains and against one Candida Glabrata strain”.
An in-vitro study opined that: “The extract showed strong antioxidant activity in a dose dependent manner. The results obtained in the present study clearly indicates that V zizanioides scavenges free radicals, ameliorating damage imposed by oxidative stress in different disease conditions and serve as a potential source of natural antioxidant. The study provides proof for the ethnomedical claims and reported biological activities. The plant has, therefore, very good therapeutic and antioxidant potential”.
Chandan(Santalum album/Rakta chandan/Lalchandan)
A study on Wnt signal (that which is responsible for inter or intra cell communication of disease) compounds found “Upon screening compounds having Wnt signal inhibitory activity through evaluating TCF/β-catenin transcriptional (TOP) activity, eight cadinane sesquiterpenoids, including three new compounds (1-3), were isolated from wood extracts of Santalum album (Santalaceae)”.
Incidentally red sandalwood upon investigation revealed: “The present results indicate the efficacy of Pterocarpus santalinus methanolic wood extract as an efficient therapeutic agent in acute anti-inflammatory conditions. The extract showed strong analgesic action in mice, by inhibiting the acetic acid-induced writhing and by increasing the latency period in the hot-plate test. These findings seem to, in part, justify the folkloric uses of this plant. The methanolic wood extract was screened for various phytochemical tests and found to contain glycosides, essential oils, flavonoids and polyphenolic compounds. Further, Polyphenolic compounds, like flavonoids, tannins and phenolic acids, commonly found in plants have been reported to have multiple biological effects, including antioxidant activity”.
Udeechya( Pavonia odorata/Sugandbala/Netrabala)
An antimicrobial and cytotoxicity study said that: “Pavonia constitutes the largest genus of flowering plants in the mallow family, Malvaceae, which is represented by over 250 species, with 134 occurring in Brazil. Several species are used in traditional medicine in several countries including India, Tanzania, and Brazil. Some traditional applications of Pavonia include the treatment of gastrointestinal problems such as dysentery and gut hemorrhage, antimicrobial applications, and treatment of cancer”.
Prolific researcher C.P Khare has this to say about Udeechya: “Plant—anti-inflammatory and spasmolytic. Used in rheumatic affections. Root—stomachic, astringent, demulcent. Used in dysentery, haemorrhages from intestines; ulcers and bleeding disorders”.
A study of antimicrobial activity of essential oil opined that: “The essential oilfrom the rhizomes of Pavonia odorata Willd was extracted in an yield of 0.2% by hydrodistillation, and screened for antibacterial and antifungal activity against ten bacteria and thirteen fungi using paper disc agar diffusion technique. The oil was found to inhibit the growth of Staphylococcus aureus, Diplococcus pneumoniae, Escherichia coli and Klebsiella sp at 0.55 concentration. The oil was also found to inhibit the growth of keratinophilic fungi Trichophyton mentagrophytes and Chrysosporium indicum along with Aspergillus sp., Botryodiplodia sp. Fusarium solani etc”.
Nagara (Zingiber officinale/dried ginger/”Soonth”)
See discussion under Trikatu below*.
2*: “Agastya Harityaki “
Agastya Haritaki (Terminalia Chebula/Harad)
Agastya Haritaki is a very important Ayurvedic balancing herb mainly used in the formulaic form of Triphala.
Supporting clinical research says: “Terminalia chebula (T. chebula) Retz. (Combretaceae), which exhibited a number of medicinal activities due to the presence of a large number of different types of phytoconstituents. The fruit of the tree possesses diverse health benefits and has been used as traditional medicine for household remedy against various human ailments since antiquity. T. chebula has been extensively used in Ayurveda, Unani and Homoeopathic medicine and has become a cynosure of modern medicine. The observed health benefits may be credited to the presence of the various phytochemicals like polyphenols, terpenes, anthocyanins, flavonoids, alkaloids and glycosides”.
“The plant has been demonstrated to possess multiple pharmacological and medicinal activities, such as antioxidant, antimicrobial, antidiabetic, hepatoprotective, anti-inflammatory, antimutagenic, antiproliferative, radioprotective, cardioprotective, antiarthritic, anticaries, gastrointestinal motility and wound healing activity.”
“T. chebula exhibited antibacterial activity against a number of both Gram-positive and Gram-negative human pathogenic bacteria. Ethanedioic acid and ellagic acid isolated from butanol fraction of T. chebula fruit extract had strong antibacterial activity against intestinal bacteria, Clostridium perfringens and Escherichia coli. It is effective in inhibiting the urease activity of Helicobacter pylori.”
“T. chebula fruits afforded four immunodeficiency virus type 1 (HIV-1) integrase inhibitors, GA (I) and three galloyl glucoses (II-IV). Their galloyl moiety plays a major role for inhibition against the 3′-processing of HIV-1 integrase of the compounds. T. chebula has also retroviral reverse transcriptase inhibitory activity. It protects epithelial cells against influenza A virus, supporting its traditional use for aiding in recovery from acute respiratory infections. The methanol and aqueous extracts of T. chebula showed a significant inhibitory activity with IC50≤5 µg/mL on human immunodeficiency virus-1 reverse transcriptase. It also demonstrated the therapeutic activity against herpes simplex virus both in vitro and in vivo tests. These findings prompted a team of Japanese researchers to investigate T. chebulas’s effect on human cytomegalovirus (CMV). They found that T. chebula was effective in inhibiting the replication of human cytomegalovirus in vitro and in an AIDS model with immunosuppressed mice and concluded that it may be beneficial for the prevention of CMV diseases and immunocompromised patients. It is also helpful in sexually transmitted diseases and AIDS. Tannins from T. chebula are effective against potato virus x.”
A study on cytoprotective of Haritaki opines: “The ethanolic extract of T. chebula fruit exhibited a notable cytoprotective effect on the HEK-N/F cells”.
Guduchi is another balancing Ayurvedic herb which is employed for a range of conditions like as low grade fever, fever, convalescence, malaria, hepatitis, jaundice, diabetes, cardiovascular disease, tuberculosis, arthritis, gout, hemorrhoids.
A study on diverse roles of Guduchi says: “A myriad of biologically active compounds, including alkaloids, diterpenoid lactones, glycosides, steroids, sesquiterpenoid, phenolics, aliphatic compounds, and polysaccharides have been isolated from different parts of the plant body. These compounds have been reported to have different biological roles in disease conditions thus enabling potential application in clinical research”.
“Tinospora root extract (TCE) has been shown to demonstrate a decrease in the recurrent resistance of HIV virus thus improving the therapeutic outcome. Anti-HIV effects of TCE were revealed by reduction in eosinophil count, stimulation of B lymphocytes, macrophages and polymorphonuclear leukocytes and hemoglobin percentage thus, revealing its promising role of application in management of the disease”.
“The methanol extracts of Tinospora cordifolia have been reported to have potential against microbial infections. The anti-bacterial activity of Tinospora cordifolia extracts has been assayed against Escherichia coli, Staphylococcus aureus, Klebsiella pneumoniae, Proteus vulgaris, Salmonella typhi, Shigella flexneri, Salmonella paratyphi, Salmonella typhimurium, Pseudomonas aeruginosa, Enterobacter aerogenes, and Serratia marcescens (Gram-positive bacteria).”
A clinical study on the analgesic activity of Guduchi says: “Commercially available extract of T. cordifolia “guduchi” was found to possess analgesic activity. As it showed analgesic activity in both the methods so its analgesic activity might involve central (opioid receptors) as well as peripheral (inhibition of PG synthesis) mechanisms”.
4*: “Trikatu (Pippali, Marich & Shunthi) and Tulasi leaves…“
Trikatu is comprised of long pepper, black pepper and dried ginger.
Supporting study on the anti-inflammatory, analgesic activity of Trikatu compound says: “Trikatu has also been found to exhibit significant analgesic and antipyretic effects with the absence of gastric damage. In conclusion, the present results clearly indicated that Trikatu exert a potent anti-inflammatory effect against monosodium urate crystal-induced inflammation in rats in association with analgesic and antipyretic effects in the absence of gastrointestinal damage”.
Underlying elements of Trikatu:
Pepper(Piper Nigrum/Kali mirch and Piper longum/Pippali)
A study on the anti-inflammatory activity of Pippali says: “Pippalı (Piper longum Linn.) fruit contains a number of constituents, including volatile oil, alkaloids, isobutylamides, lignans and esters. Piperine, which is the prime constituent of fruit, is reported to be having significant anti-inflammatory activity. In this study also, Piperine may be responsible for observed anti-inflammatory activity. This study shows that Chhoti (Small) variety of Pippali suppressed inflammation of both acute and sub acute phase while Badi(Long) variety of Pippali only of acute phase”.
Shunti Ginger* (Zingiber officinale)
Herbal text book authors Bode and Dong have this to say about mighty ginger: “Ginger (Zingiber officinale Roscoe, Zingiberaceae) is one of the most commonly consumed dietary condiments in the world. The oleoresin (i.e., oily resin) from the rhizomes (i.e., roots) of ginger contains many bioactive components, such as -gingerol (1-[4′-hydroxy-3′- methoxyphenyl]-5-hydroxy-3-decanone;… which is the primary pungent ingredient that is believed to exert a variety of remarkable pharmacological and physiological activities. Although ginger is generally considered to be safe, the lack of a complete understanding of its mechanisms of action suggests caution in its therapeutic use”.
A study on anti-inflammatory effects of ginger oil opines: “Ginger and its extracts have been used traditionally as anti-inflammatory remedies, with a particular focus on the medicinal properties of its phenolic secondary metabolites, the gingerols. Consistent with these uses, potent anti-arthritic effects of gingerol-containing extracts were previously demonstrated by our laboratory using an experimental model of rheumatoid arthritis, streptococcal cell wall (SCW)-induced arthritis”.
Tulasi (Ocimum sanctum)
Tulasi is plant grown in most homes in India. “Of all the herbs used within Ayurveda, tulsi (Ocimum sanctum Linn) is preeminent, and scientific research is now confirming its beneficial effects.There is mounting evidence that tulsi can address physical, chemical, metabolic and psychological stress through a unique combination of pharmacological actions. Tulsi has been found to protect organs and tissues against chemical stress from industrial pollutants and heavy metals, and physical stress from prolonged physical exertion, ischemia, physical restraint and exposure to cold and excessive noise. Tulsi has also been shown to counter metabolic stress through normalization of blood glucose, blood pressure and lipid levels, and psychological stress through positive effects on memory and cognitive function and through its anxiolytic and anti-depressant properties. Tulsi’s broad-spectrum antimicrobial activity, which includes activity against a range of human and animal pathogens, suggests it can be used as a hand sanitizer, mouthwash and water purifier as well as in animal rearing, wound healing, the preservation of food stuffs and herbal raw materials “
“Despite the lack of large-scale or long term clinical trials on the effect of tulsi in humans, the findings from 24 human studies published to date suggest that the tulsi is a safe herbal intervention that may assist in normalizing glucose, blood pressure and lipid profiles, and dealing with psychological and immunological stress.”
5*: “Pratimarsa Nasya, …. Anu taila/Sesame oil”
This is an Ayurvedic a medicated sesame based oil remedy used among other things for sinusitis and headaches.
Please note that AYUSH sent out an updated advisory which also contains an Ayurvedic anti-malarial (Vishama Jwara) drug formulation AYUSH-64, which was field tested and used particularly in drug resistant malaria cases in India. What makes this interesting is Elon Musk’s recent tweets on efficacy of anti-malarial quinine/hyroxychloroquine for COVID-19 following reports of use of this drug by some doctors across the world. Subsequently on March 19th in a press conference the US President mentioned potential use of hydroxychlorquine. A FDA COVID-19 update states “The FDA has been working closely with other government agencies and academic centers that are investigating the use of the drug chloroquine, which is already approved for treating malaria, lupus and rheumatoid arthritis, to determine whether it can be used to treat patients with mild-to-moderate COVID-19 to potentially reduce the duration of symptoms, as well as viral shedding, which can help prevent the spread of disease.” WSJ has also opined on the subject.
Other pertinent things:
Ayurvedic herbs should be taken only in consultation with an Ayurvedic practitioner. Likewise, herbs should be sourced from authentic sources which are testing for heavy metal contamination. The herbs discussed above are not an exhaustive list of Ayurvedic herbs/other herbs that may have a beneficial immunomodulatory response.
One should also look at all the studies with a sceptical view. In statistics and in any scientific or social science research one can often prove what you set out to prove. The sample size is pertinent, as also is the gold standard double blind placebo method of testing which also robustly accounts for confounding factors. However there is often a paucity of robust data sets to enable proper validation. In view of the above, we are essentially trying to connect the dots and letting the experts go about their business from here.
All content is for informational purposes only. Please consult your medical practitioner before attempting any therapeutic, nutritional/herbal, exercise or meditation related activity.
Nothing in my writing is original thought. It simply attempts to connect the dots. I owe my rudimentary understanding of Vedic philosophies/Ayurveda/nutrition to the writings of Dr. Govind Chandra Pande, Dr. David Frawley and Prof. Subhash Kak, and all the learned who have written about these topics in general, specifically all the authors whose research published on NCBI is referenced above . All errors in interpretation and lack of understanding are mine.
“The host immune response in respiratory virus infection: balancing virus clearance and immunopathology” (Amy H. Newton, Amber Cardani, and Thomas J. Braciale)
“Sars Coronavirus and innate Immunity”(MatthewFrieman,MarkHeise and RalphBaric)
“Human immune system variation”(Petter Brodin and Mark M. Davis)
“Reservoir Host Immune Responses to Emerging Zoonotic Viruses”(Judith N. Mandl, Rafi Ahmed, Luis B. Barreiro, Peter Daszak,Jonathan H. Epstein,Herbert W. Virgin,and Mark B. Feinberg)
“Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding” (Prof Roujian Lu, MSc ,Xiang Zhao, MD ,Juan Li, PhD,Peihua Niu, PhD,Bo Yang, MSc,Honglong Wu, MScet al.
“Uncanny similarity of unique inserts in the 2019-nCoV spike protein to HIV-1 gp120” and Gag, ResearchGate: (Prashant Pradhan, Ashutosh Kumar Pandey, Akhilesh Mishra, Parul Gupta, Praveen Kumar Tripathi, Manoj Balakrishnan Menon, James Gomes, Perumal Vivekanandan and Bishwajit Kundu)
“Human Coronavirus Types”, CDC
“Angiotensin-converting enzyme 2”, Wiki
“Influenza Virus: Dealing with a Drifting and Shifting Pathogen.”(Kim H1,Webster RG, WebbyRJ)
“Developing Therapeutics and Vaccines for Coronaviruses”, NIH
“Combining the medications improved conditions in patients with severe 2019-nCoV infections, say doctors in Thailand”. Catherine Offord at
“A review of immunomodulators in the Indian traditional health care system”(Dinesh Kumara,Vikrant Aryab, Ranjeet Kaur, Zulfiqar Ali, Bhata Vivek Kumar Gupta, Vijender Kumar-Science Direct
“Antiviral Natural Products and Herbal Medicines”(Liang-Tzung Lin,Wen-Chan Hsu,and Chun-Ching Lin)
“Ayurveda” General information, Memorial Sloan Kettering Cancer Center
“Renin–angiotensin system”, Wiki
“Reducing mortality from 2019-nCoV: host-directed therapies should be an option”(Alimuddin Zumla, David S Hui, Esam I Azhar, Ziad A Memish, Markus Maeurer)
“AYUSH Advisory for Coronavirus Homoeopathy for Prevention of Coronavirus Infections Unani Medicines useful in symptomatic management of CoronaVirus infection”. PIB Delhi
“Plants in traditional medicine with special reference to Cyperus rotundusL.: a review” (Arunagiri Kamala,Sushil Kumar Middha,and Chandrakant S. Karigar)
“Effect of Cyperus Rotundus on Cytokine Gene Expression in Experimental Inflammatory Bowel Disease”(Sarika Johari, MPharm, PhD, Chaitanya Joshi, PhD and Tejal Gandhi, MPharm, PhD)
“Fumaria indica is safe during chronic toxicity and cytotoxicity: A preclinical study” (Gireesh Kumar Singh, Sudhir Kumar Chauhan,Geeta Rai, and Vikas Kumar)
“Report: Assessment of Fumaria indica, Dicliptera bupleuroides and Curcuma zedoaria for their antimicrobial and hemolytic effects.”(Riaz T, et al. Pak J Pharm Sci. 2019.)
“Anti-inflammatory effect of Fumaria parviflora leaves based on TNF-α, IL-1, IL-6 and antioxidant potential” (Waseem Rizvi,Mohammad Fayazuddin,Ompal Singh, Shariq Naeem Syed,Shagufta Moin,Kafil Akhtar,and Anil Kumar)
“Vetiver Essential Oil in Cosmetics: What Is New?”(Pauline Burger,Anne Landreau,Marie Watson,Laurent Janci,Viviane Cassisa,Marie Kempf, Stéphane Azoulay, and Xavier Fernandez)
“In vitro antioxidant activity of Vetiveria Zizanioides root extract”.(Subhadradevi V, Asokkumar K, Umamaheswari M, Sivashanmugam A, Sankaranand R)
“Cadinane sesquiterpenoids isolated from Santalum album using a screening program for Wnt signal inhibitory activity.”(Sato T, et al. J Nat Med. 2020.)
“Anti-inflammatory, analgesic, and antioxidant activities of methanolic wood extract of Pterocarpus santalinus L”(Dinesh Kumar)
“The Pavonia xanthophloea (Ekman, Malvaceae): Phenolic compounds quantification, anti-oxidant and cytotoxic effect on human lymphocytes cells”(Clarice Pinheiro Mostardeiro, Marco Aurélio Mostardeiro,Ademir Farias Morel,Raul Moreira Oliveira, Alencar Kolinski Machado,Pauline Ledur,Francine Carla Cadoná,Ubiratan Flores da Silva,and Ivana Beatrice Mânica da Cruz)
“Antimicrobial activity of the essential oil of Pavonia Odorata willd” (Seems Nakhare and S.C. Garg)
“The development of Terminalia chebula Retz. (Combretaceae) in clinical research”(Anwesa Bag, Subir Kumar Bhattacharyya, and Rabi Ranjan Chattopadhyay)
“Cytoprotective effect on oxidative stress and inhibitory effect on cellular aging of Terminalia chebula fruit.”(Na M, Bae K, Kang SS, Min BS, Yoo JK, Kamiryo Y, Senoo Y, Yokoo S, Miwa N.)
“Tinospora cordifolia: One plant, many roles” ( Soham Saha and Shyamasree Ghosh)
“Clinical Evaluation of Analgesic Activity of Guduchi (Tinospora Cordifolia) Using Animal Model”( Bhomik Goel,1 Nishant Pathak,Dwividendra Kumar Nim, Sanjay Kumar Singh,Rakesh Kumar Dixit,and Rakesh Chaurasia)
“Trikatu, a herbal compound that suppresses monosodium urate crystal-induced inflammation in rats, an experimental model for acute gouty arthritis.”(Murunikkara V1, Rasool M.)
“Anti-inflammatory activity of two varieties of Pippali (Piper longum Linn.)”(Mamta Kumari, B. K. Ashok,B. Ravishankar, Tarulata N. Pandya, and Rabinarayan Acharya)
“The Amazing and Mighty Ginger”, Herbal Medicine: Biomolecular and Clinical Aspects. 2nd edition.(Ann M. Bode and Zigang Dong.)
“Anti-Inflammatory Effects of the Essential Oils of Ginger (Zingiber officinale Roscoe) in Experimental Rheumatoid Arthritis”(Janet L. Funk,Jennifer B. Frye,Janice N. Oyarzo,Jianling Chen,Huaping Zhang, and Barbara N. Timmermannb)
“Efficacy of Ayurvedic medicine in the treatment of uncomplicated chronic sinusitis.” (Dr. Hemanta Kumar Panigrahi M.D(Ay.) Ph.D(Ay.)
“Workshop on Micronutrients and Infectious Diseases: Cellular and Molecular Immunomodulatory Mechanisms.” CDC Emerging Infectious Diseases Journal Volume 6, Number 1—February 2000
“Tulsi-Ocimum Sanctum: A herb for all seasons.” Marc Maurice Cohen
“The clinical efficacy and safety of Tulsi in humans: a systematic review of the literature”. Negar Jamshidi, Marc M. Cohen
“Features, evaluation and treatment Coronavirus(COVID-19)”, Marco Cascella; Michael Rajnik; Arturo Cuomo; Scott C. Dulebohn; Raffaela Di Napoli.
WSJ March 11,2020 ” Regeneron, Sanofi to Test Arthritis Drug as Coronavirus Treatment”
“Yoga & Ayurveda- Self-Healing and Self-Realization”, David Frawley
“COVID-19 Drug Therapy – Potential Options” Elsevier: Tim Smith, PharmD, BCPS and Tony Prosser, PharmD
Coronavirus (COVID-19) Update: FDA Continues to Facilitate Development of Treatments
“An effective Treatment for Coronavirus(COVID-19):Presented by: James M. Todaro, MD (Columbia MD, email@example.com) and Gregory J. Rigano, Esq (firstname.lastname@example.org)
Gautret et al. (2020) Hydroxychloroquine and azithromycin as a treatment of COVID‐19: results of an open‐label non‐randomized clinical trial. International Journal of Antimicrobial Agents – In Press 17 March 2020 – DOI : 10.1016/j.ijantimicag.2020.105949
“Viral dynamics in mild and severe cases of COVID-19”: Lancet
“Viral shedding and clinical illness in naturally acquired influenza virus infections”:Lincoln L. H. Lau, Benjamin J. Cowling, Vicky J. Fang, Kwok-Hung Chan, Eric H. Y. Lau, Marc Lipsitch,Calvin K. Y. Cheng, Peter M. Houck, Timothy M. Uyeki,J. S. Malik Peiris, and Gabriel M. Leung
“Feasibility of Using Convalescent Plasma Immunotherapy for MERS-CoV Infection, Saudi Arabia. Emerg Infect Dis.: Arabi YM, Hajeer AH, Luke T, Raviprakash K, Balkhy H, Johani S, et al. 2016;22(9):1554-1561. https://dx.doi.org/10.3201/eid2209.151164
FDA:”Investigational COVID-19 Convalescent Plasma – Emergency INDs”, March 24, 2020
We keep reading and hearing about conflicting research and fantastic remedy cures. This needs a healthy dose of skepticism. At the very least we need to keep in mind that relationships between food/herbs and health/disease are not linear( see below). For example, the in vogue “magic” spice Turmeric in sensible amounts may be great thing, but in excess it can be a poison as well. How much more you need depends on how much do you consume currently as well as your physiological constitution.
Alas, to find the right amount ( also known as recommended daily allowance) for optimal health one needs to listen to their own bodies! Slow and steady does it.
Regarding the quality nutritional research here are some excerpts from experts, some of who are less liked than others. Loannidis, a professor of medicine and health research and policy at Stanford University School of Medicine in California opines:
Nonstop barrage of associations reported between various foods and chronic diseases inappropriately implies causation and potentially causes more harm than good to the public
The noise is much stronger than the signal, even under the best circumstances
The field’s reliance on epidemiology to answer questions far too complex for epidemiological methods to address
The number and types of confounding (factors) are so intricately related to so many dimensions of lifestyle, social environment, economic status, education, personal experiences, social connectedness, our whereabouts and local circumstances, our personal circumstances…. What and how we eat is dictated by zillions of things, and there’s no way we can measure them. (Confounding is concluding that A causes B when, in reality, some other factor Z causes B. Often times A and Z are related, leading to wrong interpretations.)
We have 250,000 different foods and 300,000 edible plants alone, and each time we eat something, it’s different. Our genome is very complex and has many variants, but it’s fixed in our whole lifetime. Nutrition changes from one meal to the next.
(We need) …”large-scale, long-term, randomized trials on nutrition…especially for assessing diet patterns”
In a counter argument Walter Willet from Harvard’s School of Public Health says:
We agree that we have measurement error, but it’s not to a degree that would make the information not useful, Of course we understand that we cannot measure anything perfectly, but your study doesn’t depend on perfect measurement.
The key to meaningful epidemiological nutrition studies, is reducing measurement error through correction and repeating measurement over time with replication, thereby dampening or averaging out measurement error.
There’s a lot of bad meta-analyses floating around, and part of it is that anyone with an Internet connection can do a meta-analysis,”.. But high-quality pooled data analyses reveal highly consistent, reproducible results across studies,
According to Prof. Loannidis we should keep in mind the following when we look at biomedical or any research for that matter:
The smaller the studies conducted in a scientific field, the less likely the research findings are to be true.
The smaller the effect sizes in a scientific field, the less likely the research findings are to be true.
The greater the number and the lesser the selection of tested relationships in a scientific field, the less likely the research findings are to be true.
The greater the flexibility in designs, definitions, outcomes, and analytical modes in a scientific field, the less likely the research findings are to be true.
The greater the financial and other interests and prejudices in a scientific field, the less likely the research findings are to be true.
The hotter a scientific field (with more scientific teams involved), the less likely the research findings are to be true.
Unfortunately the controversies in nutrition are not limited to just specific foods but apply to entire food classes and the food pyramid itself. To name a few: Low fat-high fat; low carb- high carb; low protein-high protein; sugar yes-sugar no; plant-animal, GMO-organic. You can pick any side and come out with supposedly convincing arguments.
-John P. A. Ioannidis. “The Challenge of Reforming Nutritional Epidemiologic Research” JAMA. Published online: August 23, 2018. DOI: 10.1001/jama.2018.11025.
Isn’t it strange that there is a global deficiency of Vitamin D? Even if your doctors tested it and found the levels too low, they simply suggest a supplement. Have we ever bothered to find out why? Is there something deeper, a macro factor, lurking in our food supply?
Prevalence of low vitamin D status in adults worldwide:
Institute of Medicine considers Calcidiol or 25 (OH)D level <50 nmol/l to be deficient while others consider deficiency level below 75 nmol/l (Source: NCBI “Is vitamin D deficiency a major global public health problem?” by Cristina Palacious and Lilliana Gonzalez
Vitamin D is fat soluble and in its inactive form, comes from dietary vitamin D2 (of plant origin-yeast, fungi) and D3 (of animal origin-fish, egg yolk). However, the primary source is exposure to the sun’s UVB rays which convert one form of body cholesterol into D3.
Subsequently, both D2 and D3 are first activated through P450 class of enzymes in the liver and converted into Calcidiol or 25(OH)D which is the storage form of vitamin D with a half life of two to six months. Our blood reports track the level of Calcidiol in the body. Calcidiol is further converted by the kidneys by P450 enzymes into Calcitriol or 1,25(OH)D which has a half life of four to six hours. The conversion into Calcitriol is controlled by complex hormonal regulation in the body which among other things is triggered by inflammation present in the body. Inflammation accompanies every single disease and existence of chronic diseases would imply that body’s Calcitriol stores get rapidly depleted.
Deficient vitamin D levels are associated, among other problems, with calcium and potassium deficiency, rheumatoid arthritis, inflammation, osteoporosis, increase in parathyroid hormone, type 2 diabetes, depression and cancer. There are number of factors that can influence vitamin D levels, such as exposure to sunlight which in turn depends on the latitude, clothing type, excess use of sunscreen, fat malabsorption, toxic liver, parathyroid disease, low calcium intake and a poor gut health.
My focus here is on the gut microbiome which supposedly results in suppression of the P450 enzymes which are critical for Vitamin D availability to the body. Unfortunately, glycophosphate, the active ingredient in Monsanto’s Roundup, has been found to be associated with this suppression of these P450 enzymes. In fact a host of non-communicable diseases, including obesity, celiac disease, leaky gut, anemia, thyroid disorders, Parkinson’s, Alzheimer’s and cancer (non-Hodgkin lymphoma, breast and counting) have all been associated with the global presence of this herbicide in the food chains. And yes, the honey bees are also dying due to this very reason!
While Monsanto denies any disease causation and experts still debate the implied causation/validity of some studies, global use of Roundup has been steadily going up. Global use is up about fifteen times since 1996. In fact, EPA has increased the allowed glycophosphate tolerance levels (in ppm) to go up. For example, during the period 1993 to 2015, for soy grain it went from 20 to 40, in corn grain from 0.1 to 5, for oat grain from 0.1 to 30, and for wheat also from 0.1 to 30. As a consumer your total intake would obviously be the sum total of all glycophosphate contained in food that you eat.
Source: Springeropen.com, National Agriculture Statistical Service
Incidentally, this increased use of glycophosphate has been predominantly applied to genetically engineered herbicide tolerant crops. Yet even organic and non-GMO crops are subjected to glycophosphate because of water run-off as well as overground and underground seepage, which finally goes into our oceans. In addition to being used as a weed killer, glycophosphate is also being directly sprayed on crops as a pre-harvest desiccant to help dry the grain. The extent of this practice has not yet been fully quantified.
Where does this leave us? Unfortunately there are no simple solutions to be found by just looking at one piece of the puzzle. This is NOT a scientific paper or an in-depth analysis. We are simply trying to connect the dots and it doesn’t paint a nice picture. We started with vitamin D and ended up with glycophosphate. Any disease is a systems problem. There are multiple factors in both the internal and the external environment that are responsible. As consumers of sugar, corn, soy and wheat, let us at least stay tuned because this involves our entire food ecosystem.
Cancer is associated with multiple iterations of detrimental mutation variations, of both activating and suppressor kinds, in the genome over time. We all react differently to nutrition and the end result is a function of gene diet interaction along with our genetic susceptibility to cancer. During normal cell division the code of the DNA genes is transcribed ( or expressed!) into RNA, a copy of which is translated into proteins that do the work of signaling, communication and controlling metabolism. Over the course of a few billion iterations a handful of errant mutations do happen, but they usually are taken care of by the body’s regulatory mechanisms like suppressor genes. It is epigenetic ( i.e in addition to the changes in genetic sequence) regulation that ensures which genes are transcribed to RNA in each cell. One such more researched epigenetic process involves methylation which stems from either addition or removal of methyl group (CH3) to the the DNA’s genetic base.
Epigenetic regulation is impacted by multiple factors which include nutrition, behavior and environment. This for instance, can lead to either hyper-methylation or hypo-methylation, both of which are associated with adverse epigenetic regulation which in turn is associated with cancer and a host of other non-communicable diseases. Besides, these epigenetic changes could endure at least four subsequent generations.
Here are some observations from recent and ongoing vitamin related nutrition research on the topic:
B Vitamins ( folate, folic acid, B2, B6 B12 and especially folate), according to a growing body of evidence, modulate epigenetic mechanisms, disturbance in which is associated with cancer and other diseases.
Vitamin C or ascorbate can be epigenetically involved in cancer and other diseases.
Vitamin D is central to many body processes. It plays a central role in hormone physiology and the maintenance of a normal epigenetic landscape.
While the above discussion is only illustrative and certainly not exhaustive , as a takeaway please request your doctor to track Vitamin D and and other micronutrient levels on an annual basis. Your insurance may not cover these tests because they are deemed investigational, but you owe it to yourself and future generations don’t you?
Remember that gulping the alphabet vitamin soup is not a magical way to be healthy. Excess and deficiency of nutrients could be both harmful and it is important to maintain a diverse nutritional intake which ensures a normal level of micronutrients in the body. Alas, the body is a complex system which needs to be in harmony both internally and with external stimuli for proper functioning. There are just no shortcuts!
References: “Epigenetics and Lifestyle” by Jorge Alexjandro-Torres and others ( NCBI), ” The Epigenetic Role of Vitamin C in Health and Disease” by Vladimir Camarena and others (NCBI); “Vitamin D and the epigenome” by Irfete S. Fetahu and others (NCBI)
All content is for educational purposes only. Please consult your medical practitioner before attempting any therapeutic, nutritional, exercise or meditation related activity.
“This 2017 Nobel Prize winning research work is based on the circadian rhythm, which refers to biochemical oscillators that respond to solar cycles. Laureates Jeffrey Hall and Michael Rosbash discovered that PER, the protein encoded by period, accumulated during the night and was degraded during the day. Thus, PER protein levels oscillate over a 24-hour cycle, in synchrony with the circadian rhythm.
It is striking to note how Ayurveda establishes the link between the revolution-rotation of the earth and human health. According to Ayurveda, the different tridoshas (the three humors: Vata, Pitta and Kapha, in the body that need to be balanced for perfect health), are predominant during different times of the day. For instance, Pitta Dosha which controls digestion, metabolism and energy production is high between 10am and 2pm. Pitta ensures the availability of energy to perform various activities. This very well correlates with the high alertness, best co-ordination and fastest reaction times shown in the illustration below. Research works on circadian rhythm from the perspective of Ayurveda correlate the time of the day and hormonal activity, very similar to the degeneration of protein with the day as discovered by the laureates. For example, Kapha dosha is predominant in early phase of the day. Most of the hormones are at the peak level in the morning and they decline with the time and are lowest at the evening time.”
From Nobel Prize summary:
“Keeping time on our human physiology
The biological clock is involved in many aspects of our complex physiology. We now know that all multicellular organisms, including humans, utilize a similar mechanism to control circadian rhythms. A large proportion of our genes are regulated by the biological clock and, consequently, a carefully calibrated circadian rhythm adapts our physiology to the different phases of the day (below). Since the seminal discoveries by the three laureates, circadian biology has developed into a vast and highly dynamic research field, with implications for our health and wellbeing.
The circadian clock anticipates and adapts our physiology to the different phases of the day. Our biological clock helps to regulate sleep patterns, feeding behavior, hormone release, blood pressure, and body temperature.”
A simplified illustration of the feedback regulation of the periodgene. The figure shows the sequence of events during a 24h oscillation. When the period gene is active, period mRNA is made. The mRNA is transported to the cell’s cytoplasm and serves as template for the production of PER protein. The PER protein accumulates in the cell’s nucleus, where the period gene activity is blocked. This gives rise to the inhibitory feedback mechanism that underlies a circadian rhythm.”
Source: Swarajyamag.com; Nobelprize.org
All content is for educational purposes only. Please consult your medical practitioner before attempting any therapeutic, nutritional, exercise or meditation related activity.