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			by David Perlmutter 
			
			November 4, 2010 
			
			from
			
			Pointer'sWeekly Website 
			
			  
			
			  
			
				
					
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						David Perlmutter, 
						MD, FACN, ABIHM is a Board-Certified Neurologist and 
						Fellow of the American College of Nutrition who received 
						his M.D. degree from the University of Miami School of 
						Medicine where he was awarded the Leonard G. Rowntree 
						Research Award. After completing residency training in 
						Neurology, also at the University of Miami, Dr. 
						Perlmutter entered private practice in Naples, Florida.  | 
					 
				 
				  
				  
				
			 
			
			  
			
				
					
						
						“In adult centers the nerve 
						paths are something fixed, ended, immutable. Everything 
						may die, nothing may be regenerated.” 
						– Santiago Ramon y 
						Cajal 
						
						“Degeneration and 
						Regeneration in the Nervous System,” 1928 
					 
				 
			 
			
			This long-held tenet, first proposed by 
			Professor Cajal, held that brain neurons were unique because 
			they lacked the ability to regenerate. 
			 
			In 1998, the journal Nature Medicine published a report indicating 
			that neurogenesis, the growth of new brain cells, does indeed occur 
			in humans.  
			
			  
			
			As Sharon Begley remarked in her book, “Train Your Mind, 
			Change Your Brain,”  
			
				
				“The discovery overturned 
				generations of conventional wisdom in neuroscience. The human 
				brain is not limited to the neurons it is born with, or even the 
				neurons that fill in after the explosion of brain development in 
				early childhood.” 
			 
			
			What the researchers discovered was that 
			within each of our brains there exists a population of neural stem 
			cells which are continually replenished and can differentiate into 
			brain neurons. Simply stated, we are all experiencing brain stem 
			cell therapy every moment of our lives. 
			
			 
			As one might expect, the process of 
			
			neurogenesis is controlled by 
			our DNA.  
			
			  
			
			A specific gene codes for the production 
			of a protein, brain-derived neurotrophic factor (BDNF) which plays a 
			key role in creating new neurons. Studies reveal decreased BDNF in 
			Alzheimer’s patients, as well as in a variety of neurological 
			conditions including epilepsy, depression, schizophrenia and 
			obsessive-compulsive disorder. 
			
			 
			Fortunately, many of the factors that influence our DNA to produce 
			BDNF factors are under our direct control. The gene that turns on 
			BDNF is activated by a variety of factors including physical 
			exercise, caloric restriction, curcumin and the omega-3 fat, DHA. 
			
			 
			This is a powerful message. These factors are all within our grasp 
			and represent choices we can make to turn on the gene for 
			neurogenesis. Thus, we can treat ourselves to stem cell therapy by 
			taking control of our gene expression. 
			
			  
			
			 
			 
			Physical 
			Exercise 
			
			 
			Laboratory rats that exercise have been shown to produce far more 
			BDNF in their brains compared to sedentary animals. And there is a 
			direct relationship between elevation of BDNF levels in these 
			animals and their ability to learn, as one might expect. 
			
			 
			With this understanding of the relationship of BDNF to exercise, 
			researchers in a report in the Journal of the American Medical 
			Association, entitled “Effect of Physical Activity in Cognitive 
			Function in Older Adults at Risk for Alzheimer’s Disease,” found 
			that elderly individuals engaged in regular physical exercise for a 
			24-week period had an improvement of an astounding 1,800 percent on 
			measures of memory, language ability, attention and other important 
			cognitive functions compared to an age-matched group not involved in 
			the exercise program. 
			
			 
			The mechanism by which exercise enhances brain performance is 
			described in these and other studies as sitting squarely with 
			increased production of BDNF.  
			
			  
			
			Just by engaging in regular physical 
			exercise, you open the door to the possibility of actively taking 
			control of your mental destiny. 
  
			
			  
			
			 
			Caloric 
			Restriction 
			
			 
			In January, 2009, the Proceedings of the National Academy of Science 
			published a study entitled “Caloric Restriction Improves Memory in 
			Elderly Humans.” 
			
			  
			
			In this study, German researchers 
			imposed a 30 percent calorie reduction on the diets of elderly 
			individuals and compared their memory function with a similar age 
			group who basically ate whatever they wanted.  
			
			  
			
			At the conclusion of 
			the three-month study, those who ate without restriction experienced 
			a small, but clearly defined decline in memory function, while 
			memory function in the group consuming the calorie-reduced diet 
			actually increased, and fairly profoundly.  
			
			  
			
			In recognition of the obvious 
			limitations of current pharmaceutical approaches to brain health, 
			the authors concluded,  
			
				
				“The present findings may help to 
				develop new prevention and treatment strategies for maintaining 
				cognitive health into old age.”  
			 
			
			What a concept. Preventive medicine for 
			the brain. 
			
			 
  
			
			  
			
			 
			Curcumin 
			
			 
			Because
			
			curcumin, the main active 
			ingredient in the spice 
			
			
			turmeric, increases BDNF, it has attracted 
			the interest of neuroscientists around the world.  
			
			  
			
			Interestingly, in evaluating villages in 
			India where turmeric is used in abundance in curried recipes, 
			epidemiological studies have found that Alzheimer’s disease is only 
			about 25 percent as common as in the U.S.  
			
			  
			
			There is little doubt that the positive 
			effects of enhanced BDNF production on brain neurons is at least 
			part of the reason why those consuming curcumin are so resistant to 
			this brain disorder. 
  
			
			  
			
			 
			DHA 
			
			 
			Like curcumin, 
			
			DHA enhances gene expression for the production of 
			BDNF.  
			
			  
			
			In a recently completed double-blind interventional trial, 485 
			healthy older individuals (average age 70 years) with mild memory 
			problems were given a supplement containing DHA from marine algae or 
			placebo for six months.  
			
			  
			
			Lead researcher of the study, Dr. 
			Karin Yurko-Mauro, commented,  
			
				
				“In our study, healthy people with 
				memory complaints who took algal DHA capsules for six months had 
				almost double the reduction in errors on a test that measures 
				learning and memory performance versus those who took a placebo… 
				 
				
				  
				
				The benefit is roughly equivalent to having the learning and 
				memory skills of someone three years younger.” 
			 
			
			Harnessing the expression of our DNA is 
			empowering, and the tools to better brain health are available to us 
			all - right now! 
			
			  
			
			  
			
			
			 
  
			
			Sources 
			
				
					- 
					
					Results of the MIDAS trial: 
					Effects of docosahexaenoic acid on physiological and safety 
					parameters in age-related cognitive decline. Karin Yurko-Mauro, 
					Deanna McCarthy, Eileen Bailey-Hall, Edward B. Nelson, 
					Andrew Blackwell, MIDAS Investigators  
					- 
					
					Alzheimer’s & Dementia: The 
					Journal of the Alzheimer’s Association, July 2009 (Vol. 5, 
					Issue 4, Supplement, Page P84).  
				 
			 
			
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