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Can Intermittent Fasting improve longevity and health span? Can Metformin act as an anti-ageing agent?

Metabolic-Health@outlook.com

Caloric restriction (CR) and intermittent fasting (IF) are dietary strategies that have gained significant interest due to their potential benefits on health and longevity, particularly concerning the #autophagy cellular pathway.  This is in addition to their benefits #weightloss. Autophagy, a critical cellular process, involves the degradation and recycling of damaged cellular components, thereby contributing to cellular homeostasis, stress response, and the maintenance of cell health.



Caloric Restriction and Autophagy

Caloric restriction refers to reducing caloric intake without malnutrition. Research indicates that CR can activate autophagy, leading to enhanced cellular repair mechanisms. During periods of reduced caloric intake, the body transitions from a fed state to a fasting state, which triggers autophagy. This process is regulated by several signalling pathways involved in nutrient sensing, particularly the target of rapamycin (mTOR) pathway and the AMP-activated protein kinase (AMPK). My research group have studied these signalling proteins under many different conditions and it appears they are very important in the bodies response to nutrient overload. 

When caloric intake decreases, mTOR, which promotes growth and cellular proliferation, is inhibited. This inhibition results in the activation of autophagy. In contrast, during well-fed states, mTOR activity increases, and cellular maintenance processes like autophagy are downregulated. Studies in various cell types and models (mice), have shown that CR enhances lifespan and healthspan, partially through increased autophagic activity. Enhanced autophagy allows for the removal of damaged proteins, reducing cellular stress and preventing age-related diseases.


Intermittent Fasting and Autophagy

#Intermittentfasting, which involves cycling between periods of eating and fasting, has similarly been shown to promote autophagy. IF approaches can vary widely, including methods like the 16/8 method (16 hours of fasting and 8 hours of eating) or the 5:2 approach (normal eating for 5 days of the week and reduced caloric intake for 2 days). During fasting periods, the lack of nutrients triggers metabolic responses that encourage autophagy while also improving #insulinresistance

Like CR, IF leads to the inhibition of mTOR and the activation of AMPK. As the body adjusts to fasting, it undergoes metabolic shifts that enhance autophagic processes. These mechanisms protect cells from stress and are believed to contribute to the health benefits associated with fasting, including improved insulin sensitivity, reduced inflammation, and enhanced brain health. Animal studies have shown that IF can lead to improved cognitive function and a reduction in neurodegenerative disease markers, which is partially attributable to increased autophagic activity.


Synergistic Effects on Cellular Health

Both CR and IF enhance autophagy, but their mechanisms can have unique advantages. CR tends to cause a more consistent activation of autophagic processes due to prolonged periods of reduced caloric intake. In contrast, IF may provide a more flexible approach that can fit into various lifestyles while still conveying significant benefits. The fluctuation between fed and fasting states in IF may allow for a cycle of nutrient stimulation followed by periods of cellular cleansing, potentially maximising the benefits of autophagy while minimising the pitfalls of continuous caloric restriction.


Moreover, these dietary strategies may help counteract aging and combat age-related diseases, such as neurodegenerative disorders, diabetes, and certain cancers. By enhancing autophagy, CR and IF can modulate cellular responses to stress and improve overall cellular resilience. Research continues to explore the depth of these mechanisms and how they might be applied to promote health and longevity in humans.


One research area I am interested in is the use of #metformin and its potential impact on autophagy. Metformin is a widely prescribed medication for type 2 diabetes, known for its ability to lower blood sugar levels by improving insulin sensitivity. Recent studies suggest that metformin may also influence autophagy, a vital cellular process that removes damaged components, thus promoting cellular health and longevity. By activating pathways like AMPK, metformin enhances autophagy, which could contribute to its potential benefits beyond diabetes management, including anti-ageing effects and reduced risk of age-related diseases. Understanding the relationship between metformin and autophagy may pave the way for new therapeutic strategies in metabolic disorders and ageing, highlighting the drug's multifaceted role in health.


In conclusion, both caloric restriction and intermittent fasting present powerful strategies to enhance autophagy, offering promising potential for improving cellular health and longevity. Through their ability to modulate key metabolic pathways, these dietary practices may serve as effective tools in combatting age-related decline and promoting overall well-being.

 
 
 

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