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Enzyme Therapy: Back to the Beginnings

Enzyme Breakdown

The Science Of Enzymes

Systemic Enzymes - Moving Beyond The traditional Concepts

Enzymes: What Can and Cannot be Supplemented

Enzyme Toxin Flush


Systemic Enzymes


Systemic Enzymes - Moving Beyond The traditional Concepts
By Aftab J. Ahmed, PH.D.

Enzymes play a critical role in nearly every metabolic and physiological response in the body. They ensure that the cellular processes take place at the right time, to the right extent and in the correct context. As such, enzymes are cellular workhorses that carry out their function rapidly and efficiently. With advancing years, failing health, poor nutrition or otherwise complicating circumstances, however, enzymes are either quickly depleted or lose their potency. When one enzyme is even partially functional, a ripple effect on other bodily reactions and in fact, overall function becomes readily discernible. It is for a reason then that over the decades systemic enzymes have been pivotal in the emergence of integrated health care.

Enzymes are characterized as systemic that when ingested orally, are delivered intact to the bloodstream over the gastrointestinal (GI) tract. Routinely composed of proteases, they break down proteins in circulating blood and as a result, exert their many beneficial effects. This property of systemic enzymes has significant implications for human health and disease. Traditionally, by virtue of the fact that they work throughout the body, systemic enzymes help maintain the bodily homeostasis, which is critical in the maintenance of good health.

The peripheral circulatory system is impressive in its structural complexity and fluid mechanics.1 In the first instance its function is to transport nutrients and oxygen to tissues and organs and to whisk away metabolic waste products. The marvel of the vascular architecture is its flexibility that allows the blood to remain at the requisite viscosity—a balance actually between thickness and fluidity—in order for the bodily functions to proceed unfettered. Thus the equilibrium between the yin of blood thickening and the yang of its fluidity, or liquefaction, is a prerequisite in maintaining the circulating blood at a certain viscosity to prevent uncontrolled bleeding and conversely, clotting.

At the center of this equilibrium between normal thickness and liquefaction is the protein fibrin, which is the “glue” that helps maintain blood at optimal viscosity. Fibrin is present in nearly all types of cells in its inactive, precursor form, called fibrinogen. Upon proper stimulus, a proteolytic enzyme clips fibrinogen to its biologically active form fibrin.

In fact, there is a series of protein precursors that are sequentially activated prior to fibrin activation (Fig. 1). The reason for this convoluted cascade in fibrin activation is to ensure that it does not spin out of control.

Excessive fibrin release is as deleterious to human health as its production in less than required amounts. How so? Fibrin facilitates a number of metabolic processes. Whereas on the one hand it is beneficial in wound healing, on the other, its out-of-context production over time could precipitate lifethreatening occlusion of the arteries.

Accordingly, over-production of fibrin, or insufficient rate of its breakdown, is emerging as an important mechanism in chronic diseases.

Under normal physiological conditions, controlled release of fibrin coats the rather fragile inner walls of the blood vessels to protect them from sustaining injuries from (ab)errant particles in the bloodstream and smooths any unevenness in the vascular wall to promote unhindered blood flow. Importantly, in case of an injury, fibrin is released to initiate blood thickening, which effectively seals off the injury site by forming a fibrin plug. In wound healing, transforming growth factor-b (TGF-b) is produced along with fibrin release to complete the healing process.2 This sequence of events is regulated such that, after the repair process is complete, the blood is liquefied to prevent excessive fibrin production and therefore, minimize scarring of the tissue. Under some circumstances, however, if liquefaction is not initiated and fibrin release continues unabated, it could cause fibrosis or hardening of the tissue. The hardened tissue progressively loses its function. Fibrosis can occur just as easily in the internal organs as it does on the skin surface. Among the internal organs susceptible to fibrosis are the liver, lungs and the kidneys. Likewise excessive fibrin release could cause keloids, fibrous growths resulting from unbridled production of TGF-b. Simultaneous overproduction of fibrin and TGF-b desensitizes the tissue to register the signals to stop the repair process. Repetitive injuries to one tissue also results in this desensitization. Of course advanced age, disease, poor nutrition and other compromising factors contribute to over-repair as well.

Aside from over-repair, excessive amounts of fibrin in the circulating blood increase its viscosity, which could form clots that are sticky enough to adhere to the vessel walls. Such clots serve as seeds for progressive accumulation not only of fibrin but also cholesterol and cellular debris in the blood. As the clots increase in size, the blood is forced to circumnavigate these obstructions, causing the blood vessels to bulge. This constriction is the root cause of venous insufficiency, as in the so-called “economy class” syndrome and varicose veins. It takes considerable time for these clots to develop into mature plaques that are responsible for coronary artery disease (CAD). The path to maturity is fraught with danger, however. The younger plaques can easily erupt, leaving literally millions of micro-clots in their wake.3 As such they could precipitate a potentially fatal coronary episode, even in the absence of symptoms traditionally associated with CAD. Recent clinical data establish that such coronary events are almost invariably caused by chronic inflammation.

In fact inflammation is the major culprit in many chronic diseases, including arthritis, CAD, Alzheimer’s disease and a host of other agerelated afflictions. To wit, fibrin is central in inflammatory conditions. While inflammation is the healing response of the body to recover

Systemic
Figure 2: Effect of Oral Nattobinase on Plasma tissue Plasmacinogen Activator (each data point represents the mean ±sd)
from an injury, if unresolved, it can over-activate the immune system. Considerable evidence suggests that repeated activation of the body’s defensive arsenal may keep the immune system activated constantly, which could potentially induce autoimmunity. To an extent the epidemiological data corroborate the contention that spuriously activated immune system underlies autoimmune diseases. As the immune system gears into action, antibodies are produced, as in arthritis, which then form aggregates known as circulating immune complexes (CICs). Circulating ICs clutter the blood traffic that, in turn, not only increases blood viscosity but also may give rise to secondary antibody production, which further aggravates autoimmunity.

How does fibrin fit in this jigsaw puzzle? If excessive amounts of fibrin are present, a protective coat is laid on the surface of CICs making them “invisible” to the immune system. Each CIC carries an ID tag, in a manner of speaking, which makes it vulnerable to detection and elimination by macrophages, the foot soldiers of the immune system. Fibrin coating, however, masks the telltale ID tag and therefore prevents their clearance from the body.

The foregoing underscores the fact that diverse mechanisms are involved in the onset of chronic diseases. This is precisely the reason why chronic diseases progress slowly over long periods of time. Since the human body has a wide repertoire of self-healing processes, a process gone awry is relatively quickly corrected. If metabolic attrition persists, however, the ripple effect mentioned initially takes hold. In essence, it could be likened to the molecular road rage in which the many different mechanisms become hopelessly tangled, as in the wreckage of a roadside pile-up. As a consequence, when a chronic disease is clinically presented, it may be too late already to undo the damage. While intuitively obvious, it demonstrates how the convergence of numerous pathways makes chronic diseases less amenable to therapeutic intervention. This convergence creates its own dynamics. Each of the contributing mechanisms brings about a different composite. In a sense, it is not unlike the pieces viewed through the lens of a kaleidoscope. With each turn, while the pieces are the same, a different configuration ensues. This analogy is recapitulated in the onset and presentation of chronic diseases. Several mechanisms, some of which might be otherwise perfectly innocuous, morph into abnormal physiology. This complexity is reflected in chronic diseases and should underscore the necessity of preventive regimens. Therefore, a preventive regimen may be a more expedient approach in its management.

Notably second-generation systemic enzymes are instrumental in keeping the diverse biochemical pathways well within the normal range. The example of out-of-context release of activated fibrin makes the point poignantly. Excessive fibrin could blunt the immune response over time. By the same token, it may encourage fibrosis, which may cause hypertension and thus affect overall function of the cardiovascular tree. In turn, this may result in less than optimal blood flow, triggering a domino effect that could encompass the entire body (for a detailed review, see Ref. 4). Again the second-generation systemic enzymes provide an effective regimen to nudge the underlying mechanisms to retain, and in some cases restore, homeostasis. Furthermore, the benefits of systemic enzymes can be augmented by bioflavonoids, which modulate the immune system by mitigating the function of those chemical messengers that stoke the inflammatory fires.

A protelolytic enzyme activity in fermented soybeans effectively optimizes blood viscosity. Thanks to this activity, fermented soybeans have been used for centuries in Japan to promote heart health and normalize blood flow. This enzymatic activity regulates excess fibrin by primarily mobilizing tissue plasminogen activator native to the body (Fig. 2). Accordingly, this proteolytic activity primes the latent health-promoting potential in the body. In combination with other plant-derived systemic enzymes, it also helps slake the inflammatory response.5 Powerful as this activity is, it can be further bolstered by bioflavonoids, since different roads lead to the proverbial Rome of inflammation. Thus, a proprietary Rutobioflavonoid mix (RBE) is designed to regulate pro-inflammatory chemical messengers in favor of those that can help still the fires raging in the joint.6 Importantly, robust flow of blood to various tissues is indispensable for health. For example, joints ravaged by arthritis may have blocked arteries in close proximity. Therefore, unplugging of arteries should promote better delivery of nutrients and oxygen to the joint to heal itself. In short, in the management of chronic diseases a nutraceutical approach should discourage the entanglement of biochemical pathways detailed above. While metabolic pile-up depends on numerous factors, nutritional intervention directed at the underlying cause helps alleviate pain and suffering, if not checkmate the molecular road rage over the long run.

 

 

Annotated references*
  1. Ahmed, A. J. The Cycle of Life: Circulation and The Lymphatic System, Manuscript in Preparation (2002).
  2. Letterio, J. and Roberts, A. “Regulation of Immune Responses by TGF-b,” Ann. Rev. Immunol. (1998). Vol. 16 p. 137.
  3. Fuster, V. The Vulnerable Plaque: Understanding, Identification and Modification, (1999). Futura Publishing Co., Inc., Armonk, New York.
  4. Ahmed, A. J. “C-Reactive Protein: A Coronary Trojan Horse,” totalhealth (1999). Vol. 22, No. 2.
  5. Sumi, H., Hamada, H., Nakanishi, K. and Hiratani, H. “Enhancement of the Fibrinolytic Activity in Plasma by Oral Administration of Nattokinase: Natto VR 501,” Acta Haematologica (1994). Vol. 84 p. 139.
  6. Salvemini, D, Wang, Z., Zweier, J., Samouilov, A., Macarthur, H., Misko, T., Currie, M., Cuzzosrea, J. Sikorski, J. and Riley, D., “A Nonpeptidyl Mimic of Superoxide Dismutase with Therapeutic Activity in Rats,” Science (1999). Vol. 286 p. 304.

 

 

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