Good review on the current evidence of Meningioma's. Good statistical discussion on the risk factors, associations, and pathophysiology of meniingioma's.
The anti-aging role of telomerase has been demonstrated to be largely mediated by its canonical role in elongating telomeres, which prevents the accumulation of critically short telomeres and loss of tissue homeostasis
Short telomeres, and subsequent DDR activation, could occur both in cancer and aging
increased abundance of short telomeres correlates with higher genomic instability and decreased longevity in various organisms, including mice, zebrafish, and yeast
mice deficient for telomerase or for telomere binding proteins are characterized by accelerated age-related defects
In humans, short telomeres are considered good indicators of an individual’s health status and correlate with both genetic and environmental factors
Although recent findings strongly support the idea that short telomeres drive several age-related diseases 38 we cannot exclude the possibility that in some situations short telomeres may be a consequence of the disease itself.
the current view is that telomerase deficiency may contribute to the early steps of cancer development by fueling chromosomal instability, while subsequent activation of telomerase may be necessary to allow tumor growth and tumor progression towards more malignant states
telomerase activation can be an early event in cancer, it is not necessary for cancer initiation
telomerase can stimulate tumor progression by ensuring maintenance of telomeres above a critically short length, thus preventing induction of cellular senescence or apoptosis
Almost all human cancers present activation of telomerase as a hallmark, most likely as a mechanism to allow unlimited cell proliferation of tumor cells
recent evidence demonstrated that short telomeres alone could lead to genomic instability and cancer
Getting rid of telomerase can also be problematic; the lack of telomerase could lead to increased chromosomal instability, which in turn could be at the basis for cancer initiation when tumor suppressor barriers are bypassed
telomerase activation is a potential therapeutic strategy for the treatment of age-related diseases
telomerase activation in adult or old mice by means of a gene therapy strategy was shown to be sufficient to improve metabolic fitness, neuromuscular capacity, and prevent bone loss, as well as significantly increase both median and maximum longevity, without increased cancer incidence
These studies suggest that telomerase expression could be considered a feasible approach to reverse tissue dysfunction and extend healthy lifespan without increasing cancer incidence
humans almost completely lose telomerase activity from somatic tissues in the adulthood
a change of paradigm seems to be occurring in telomerase biology, with a switch from viewing telomerase as fueling cancer to reversing aging
Telomerase expression in a background of high levels of tumor suppressors or in aged organisms seems to prevent its expected pro-cancer activity and yet it still functions as an anti-aging factor
Telomerase activity and longer telomere length is shown to correlated inversely with many chronic diseases of aging. In contrast, telomerase activity is found to be involved in carcinogenesis. Increased carcinogenic potential of telomerase activity has not borne out in studies. In addition, increased CD8 cell activity as a result of telomerase activation will actually decrease carcinogenic potential via NK activation.
Pregnancy-associated Th2 shift has been proposed as a mechanism underlying the improvement of Th1-mediated autoimmune diseases (as rheumatoid arthritis, multiple sclerosis (MS), autoimmune thyoriditis, uveitis, and psoriatic arthritis
review article of anti-inflammatory effects of Boswellia. Boswellia inhibits 5-LOX and resultant leukotrienes. 3-actyl-11-keto-Beta-boswellic acid is the most potent inhibitor of 5-LOX. As it relates to disease states and symptoms, Boswellia reduces pain in OA and RA. Boswellia also shown to inhibit NF-kappa B: a potent nuclear transcription factor for inflammation. In prostate cancer, Boswellia inhibits prostate tumor growth.
Eyebrow hair loss is rare. However, this does not make it less disturbing for the people who experience it. There are many factors, which can contribute to the eyebrow hair loss. Over-plucking, medication, eczema, alopecia areata, and lupus are some common triggers of eyebrow hair loss
NK cells have been the cells most extensively studied, primarily because they constitute the predominant
leukocyte population present in the endometrium at the time of implantation and in early pregnancy
In summary, in vivo animal experiments have shown an inhibitory role of estrogen on peripheral NK cell lytic activity, which is partly due to
suppression of NK cell output by the bone marrow and partly due to suppression of individual NK cell cytotoxicity. However,
in vitro studies so far have failed to show conclusively a direct effect of estrogen on NK cells.
At the progesterone
concentrations believed to be present in the uterus [up to 10−5 m at the maternal-fetal interface (35)], studies consistently show inhibition of lymphocyte proliferation (33) and inhibition of NK cytolytic activity in vitro
The exact role of prolactin in NK cell regulation is unknown.
The overall effects of estrogen on NK cells are likely multifactorial, therefore, and depend on the type of cell affected
as well as the kind of ER expressed by that cell.
It is known that progesterone can directly affect T cell differentiation in vitro, suppressing development of the Th1 pathway and enhancing differentiation along the Th2 pathway (44)
Th1 cells predominantly produce interferon-γ (IFN-γ), IL-2, and TNF-β and are involved in cell-mediated immunity. Th2 cells
produce IL-4, IL-5, IL-6, IL-10, and IL-13 and stimulate humoral immunity
Furthermore, in response to progesterone, γδ T cells produce progesterone-induced blocking factor (PIBF) (54
A defining characteristic of NK cells is their ability to lyse target cells without prior sensitization and without restriction
by HLA antigens.
NK cell function is mainly regulated by IL-2 and IFN-γ
IL-2 causes both NK cell proliferation and enhanced cytotoxicity.
IFN-γ augments NK cytolytic activity, but does not cause NK proliferation. The two cytokines act synergistically to augment
NK cytotoxicity (6).
The largest leukocyte population in the endometrium consists of NK cells named large granulated lymphocytes
there is a significant increase
in the number of uNK cells throughout the secretory phase, which peaks in early pregnancy when uNK cells comprise about 75%
of uterine leukocytes (62)
Second, uNK cell phenotype changes during the normal menstrual cycle and early pregnancy (68)
general proinflammatory effect of estrogen, causing an influx of macrophages and neutrophils, which is
antagonized by progesterone through its receptor (70, 71).
The mechanism of such a progesterone-induced local immunosuppression is unclear.
progesterone plays an important role in proliferation and differentiation of uNK cells (32).
Through promotion of a uterine Th2 environment, progesterone could indirectly affect uNK cell function
The mechanism of this increase in uNK cell numbers has been addressed
in both human and mouse models, and is likely the result of: 1) recruitment of peripheral NK cells to the uterus, and 2) proliferation
of existing uNK cells
prolactin system plays an important role in implantation and the maintenance of pregnancy
the exact pathways of hormonal regulation of NK cells remain to be delineated.
The exact function of uNK cells has not yet been unequivocally determined
uNK cells express a different cytokine profile, compared with resting peripheral NK cells. mRNAs for granulocyte
CSF, M-CSF, GM-CSF, TNF-α, IFN-γ, TGF-β, and leukemia inhibitory factor (LIF) have been found in decidual CD56+ cells
Their increased numbers in early pregnancy, their hormonal dependence, and their close proximity
to the infiltrating trophoblast all suggest that they play an important role in the regulation of the maternal immune response
to the fetal allograft and the control of trophoblast growth and invasion during human pregnancy
role of
uNK cell-derived cytokines on trophoblast growth and differentiation (114, 115, 116, 117).
Th1 immunity to trophoblast is associated with RPL, whereas Th2 immunity is associated
with a successful pregnancy
RPL is associated with Th1 immunity, for which NK cells are partly responsible.
We report here the first evidence that tumorous breast tissue exhibits
elevated 5α-reductase activity, which promotes significant increases
in 5α-pregnanes, especially
5αP,4
whereas the normal (nontumorous) breast tissue produces more
4-pregnenes, especially 3αHP
3αHP and other 4-pregnenes
inhibit, whereas 5αP and other 5α-pregnanes stimulate, breast cell
proliferation and detachment
it is evident that breast tissue can convert progesterone into two
classes of metabolites: the δ-4-pregnenes (which retain the
C4–5 double bond), and the 5α-reduced
21-carbon steroids (5α-pregnanes)
in normal (nontumorous) breast tissue, the 4-pregnene metabolites
of progesterone greatly exceeded the 5α-pregnanes, whereas in
tumorous tissue, 5α-pregnanes exceeded 4-pregnenes.
These
differences in 5α-pregnane and 4-pregnene amounts were largely
attributable to differences in 5αP and 3αHP production in tumorous
and nontumorous tissues
the metabolic
activities were in general similar, regardless of the age and ER state
of the patient or whether she was pre- or postmenopausal.
These findings suggest greatly elevated 5α-reductase activity in
tumorous, as compared with nontumorous, breast tissue.
progesterone metabolites that retain the C-4 double bond
(i.e., the 4-pregnenes) exert an antiproliferative effect in
the three cell lines that were tested, whereas the 5α-pregnanes
stimulate breast cell line proliferation.
the degree of
mitogenicity would be determined by the ratio of
5α-pregnanes:4-pregnenes. Tissues with a high
4-pregnene:5α-pregnane ratio would maintain a higher degree of
normalcy, whereas those with a high 5α-pregnane:4-pregnene ratio
would tend toward tumorigenicity
The observations that progesterone
metabolites affect both ER-positive and ER-negative cells as well as
tumorigenic (MCF-7) and nontumorigenic (MCF-10A) cells strengthen the
argument that these factors may be endocrinologically relevant for all
forms of breast cancer.
progesterone metabolites
as the active endocrine/paracrine/autocrine factors
Estrogen-based
therapies elicit responses in only one-third of all breast cancer
patients, and most of these show relapse.
the metabolic
activities were in general similar, regardless of the age and ER state
of the patient or whether she was pre- or postmenopausal.
Different progesterone metabolites shown to have different tumor effects. Implications are that, just as estrogen metabolism effects cancer risk, so does progesterone metabolism.
Weight loss of just 5% reduced cardiovascular disease risk. Lifestyle interventions are still some of the best treatment options available for many chronic diseases of aging.
Recent studies have shown that, in subjects with chronic arsenic exposure, oxidative stress is increased and the expression of tumor necrosis factor α (TNFα) and interleukin-6 (IL-6) is upregulated
these two cytokines have been well known for their effect on the induction of insulin resistance
Oxidative stress has been suggested as a major pathogenic link to both insulin resistance and β cell dysfunction through mechanisms involving activation of nuclear factor-κB (NF-κB), which is also activated by low levels of arsenic
NF-KappaB plays a critical role in the development of cancer. NF-kappaB is a transcription factor that promotes inflammation. This reveals the important relationship between inflammation and cancer.
The chronic nature of obesity produces a tonic low-grade activation of the innate immune system that affects steady-state measures of metabolic homeostasis over time
It is clear that inflammation participates in the link between obesity and disease
Multiple inflammatory inputs contribute to metabolic dysfunction, including increases in circulating cytokines (10), decreases in protective factors (e.g., adiponectin; ref. 11), and communication between inflammatory and metabolic cells
adipose tissue macrophage (ATM)
Physiologic enhancement of the M2 pathways (e.g., eosinophil recruitment in parasitic infection) also appears to be capable of reducing metainflammation and improving insulin sensitivity (27).
increasing adiposity results in a shift in the inflammatory profile of ATMs as a whole from an M2 state to one in which classical M1 proinflammatory signals predominate (21–23).
The M2 activation state is intrinsically linked to the activity of PPARδ and PPARγ
well-known regulators of lipid metabolism and mitochondrial activity
Independent of obesity, hypothalamic inflammation can impair insulin release from β cells, impair peripheral insulin action, and potentiate hypertension (63–65).
inflammation in pancreatic islets can reduce insulin secretion and trigger β cell apoptosis leading to decreased islet mass, critical events in the progression to diabetes (33, 34)
Since an estimated excess of 20–30 million macrophages accumulate with each kilogram of excess fat in humans, one could argue that increased adipose tissue mass is de facto a state of increased inflammatory mass
JNK, TLR4, ER stress)
NAFLD is associated with an increase in M1/Th1 cytokines and quantitative increases in immune cells
Upon stimulation by LPS and IFN-γ, macrophages assume a classical proinflammatory activation state (M1) that generates bactericidal or Th1 responses typically associated with obesity
DIO, metabolites such as diacylglycerols and ceramides accumulate in the hypothalamus and induce leptin and insulin resistance in the CNS (58, 59)
saturated FAs, which activate neuronal JNK and NF-κB signaling pathways with direct effects on leptin and insulin signaling (60)
Lipid infusion and a high-fat diet (HFD) activate hypothalamic inflammatory signaling pathways, resulting in increased food intake and nutrient storage (57)
Maternal obesity is associated with endotoxemia and ATM accumulation that may affect the developing fetus (73)
Placental inflammation is a characteristic of maternal obesity
a risk factor for obesity in offspring, and involves inflammatory macrophage infiltration that can alter the maternal-fetal circulation (74
Of these PRRs, TLR4 has received the most attention, as this receptor can be activated by free FAs to generate proinflammatory signals and activate NF-κB
Nod-like receptor (NLR) family of PRRs
ceramides and sphingolipids
The adipokine adiponectin has long been recognized to have positive benefits on multiple cell types to promote insulin sensitivity and deactivate proinflammatory pathways.
adiponectin stimulates ceramidase activity and modulates the balance between ceramides and sphingosine-1-phosphate
Inhibition of ceramide production blocks the ability of saturated FAs to induce insulin resistance (101)
NF-κB, obesity also activates JNK in insulin-responsive tissues
3 year study finds improvement in classic menopausal symptoms for women in perimenopause and menopause with improvement in other parameters: fasting glucose, cholesterol, MMP-9, CRP, fibrinogen and other clotting factors. This study used bioidentical Bi-est, progesterone, and in some DHEA and Testosterone.