Diabetes and atherosclerosis as immune-inflammatory disorders: options for reversal of disease processes.
Hypothesis is presented to suggest that the present epidemic of DM and ACVD in Asian indians and possibly in other communities is iatrogenic resulting from what may be called modern malnutrition due to increased intake of total and n-6 fats and decreased intake of n-3 fat and antioxidants. Such a diet induces oxidative stress and activates the immune system. Imbalance between n-6 and n-3 fats result in inappropriate immune response. It also leads to increased and unbalanced biosynthesis of metabolites of n-6 fats. These are immune suppressive, proinflammatory and thrombogenic. They also contribute to insulin resistance and dyslipidemias. This makes DM and atherosclerosis as malnutrition related oxidative immune inflammatory disorders. Various risk factors are also the result of the same inappropriate response. Our intervention studies give considerable support to this hypothesis. It is suggested that simple correction of diet defects can reverse the disease process and thereby offer a simple, practical therapeutic option not only for the primary prevention of each of these disorders or their complications but also for the so called risk factors for these diseases. It is suggested that the real remedy for DM, ACVD and all the risk factors lies not in drugs or surgery but in the kitchen. However more studies are needed to precisely define various molecular mechanisms involved or the exact requirements of various nutrients.
Raheja
B S
BS
Department of Diabetes and Nutrition, Jaslok Hospital and Research Centre, Bombay.
D001161:Arteriosclerosis / Q000178:diet therapy / Q000209:etiology* / Q000276:immunology* / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000178:diet therapy / Q000209:etiology* / Q000276:immunology* / Q000517:prevention & control; D004032:Diet / Q000009:adverse effects; D004041:Dietary Fats / Q000009:adverse effects; D006801:Humans; D007194:India; D007333:Insulin Resistance; D009748:Nutrition Disorders / Q000150:complications; D016877:Oxidants / Q000009:adverse effects; D018384:Oxidative Stress; D012307:Risk Factors
D004041:Dietary Fats; D016877:Oxidants