Muscle-building supplement β-hydroxy β-methylbutyrate [HMB] binds to PPARα to improve hippocampal functions in mice July 11, 2023; Paidi et al :

Mary

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https://www.cell.com/cell-reports/fulltext/S2211-1247(23)00728-3

https://studyfinds.org/bodybuilding-supplement-alzheimers/
"Bodybuilding supplement HMB may help prevent Alzheimer’s disease"

The study in cell.com is very technical I can't or won't try to decipher it. However, it talks about improving hippocampal plasticity in a few places in the mouse study and I couldn't help but think of ME/CFS and all our hippocampus problems. Supposedly HMB is very safe, used by body builders - who knows?
 

heapsreal

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https://www.cell.com/cell-reports/fulltext/S2211-1247(23)00728-3

https://studyfinds.org/bodybuilding-supplement-alzheimers/


The study in cell.com is very technical I can't or won't try to decipher it. However, it talks about improving hippocampal plasticity in a few places in the mouse study and I couldn't help but think of ME/CFS and all our hippocampus problems. Supposedly HMB is very safe, used by body builders - who knows?

Interesting. I found a cheap source on ebay. 1000mg tablets, usually they are 500mg tablets and the recommended dose is 1000mg 3 times a day, so less pills. I've been taking it for a few months. Not that I've been training much the last 2 months but prior to that I noticed it does help reduce that next day muscle soreness from exercise and suppose to be helpful in preserving muscle and reducing muscle lose which can be important in cfs especially during times of alot of inactivity 👍
 

hapl808

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The study in cell.com is very technical I can't or won't try to decipher it. However, it talks about improving hippocampal plasticity in a few places in the mouse study and I couldn't help but think of ME/CFS and all our hippocampus problems. Supposedly HMB is very safe, used by body builders - who knows?

I did see the study and sounds interesting - I've taken HMB in the past but not in many years. I also fed it through an AI to give some context since I don't have the brainpower these days to read it.


This study suggests that beta-hydroxy beta-methylbutyrate (HMB), a common muscle-building supplement, may have potential benefits for conditions like Alzheimer's disease and cognitive impairment. Some key findings:
• HMB increases plasticity and calcium currents in mouse hippocampal neurons in vitro, which are involved in memory and learning.
• Orally administered HMB improves spatial memory and reduces plaque burden in a mouse model of Alzheimer's disease.
• HMB interacts with the peroxisome proliferator-activated receptor alpha (PPARα), a nuclear receptor involved in fat metabolism. This interaction is necessary for HMB's effects on neuronal plasticity and cognition.
• HMB's effects on neuronal plasticity, cognition and plaque load require the presence of PPARα. In mice lacking PPARα, HMB was ineffective.
This suggests that HMB may exert its benefits through PPARα activation. The authors propose that HMB, which is safe and widely used as a supplement, could potentially be repurposed as an additive therapy for conditions like Alzheimer's and cognitive impairment. However, more research is needed to validate these findings and determine appropriate and safe doses for human use.
The key relevance to ME/CFS, brain fog, etc is that HMB's effects on neuronal plasticity, cognition and plaque load - which are impaired in these conditions - suggest it may potentially provide some benefit. However, further studies specifically targeting these patient populations would be needed to confirm any potential benefits.


What are PPARa and how does that translate to humans?

PPARα stands for peroxisome proliferator-activated receptor alpha. It is a type of nuclear receptor that regulates the expression of genes involved in lipid metabolism and energy homeostasis. Some key points about PPARα:
• PPARα is found in high levels in tissues that oxidize fatty acids, like the liver, muscle and kidney. It is involved in regulating fatty acid uptake, transport and oxidation in these tissues.
• PPARα acts as a "fat sensor" by binding to fatty acids and their derivatives. This binding activates PPARα, which then regulates the expression of genes involved in fatty acid metabolism.
• In humans, PPARα activation has been shown to lower triglycerides, LDL cholesterol and blood pressure. Drugs that activate PPARα, like fibrates, are used to treat dyslipidemia.
• PPARα is also expressed at lower levels in the brain, including in the hippocampus which is involved in memory and learning. Activation of neuronal PPARα has been linked to improvements in cognition.
• This study found that HMB activates PPARα in hippocampal neurons, which contributes to its effects on neuronal plasticity and cognition.
So in summary, PPARα is a nuclear receptor that regulates fatty acid metabolism and triglyceride levels. Drugs that activate PPARα are used to treat dyslipidemia in humans. This study suggests that activating neuronal PPARα, in addition to its metabolic effects, may also have benefits for cognition by promoting neuronal plasticity. HMB appears to exert some of its effects through activation of neuronal PPARα in mice.
However, more research is needed to determine if and how HMB may activate PPARα in humans, what doses may be appropriate, and if HMB supplementation could produce similar cognitive benefits for conditions like Alzheimer's disease and cognitive impairment.
 

datadragon

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Yes very interesting.

PPARα plays a central role in controlling the level of plaques in the brain. A protein called TFEB is considered the master regulator of waste removal and activation of PPARa stimulates TFEB. It also upregulated ADAM10 which inhibits the formation of amyloid plaques in neurons which has been shown before https://www.pnas.org/doi/full/10.1073/pnas.1504890112 These results also show a new receptor PPARa through which it may protect memory and learning.

I found that low-dose aspirin also improved hippocampal function in an animal model of Alzheimer’s disease via PPARα and up regulated hippocampal plasticity via transcription of CREB through which it may protect memory and learning. https://www.pnas.org/doi/10.1073/pnas.1802021115 and has similar effect on TFEB that may help remove plaques https://medicalxpress.com/news/2018-07-aspirin-alzheimer.html

Aspirin also inhibits the recruitment and activation of NLRP3 inflammasome https://www.researchgate.net/figure...-of-NLRP3-inflammasome-A-and-B_fig2_331419433 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664043/
Palmitoylethanolamide also inhibits NLRP3 inflammasome expression (such as mentioned here expressed by sars-cov-2 spike protein). Most of the anti-inflammatory properties of PEA arise from its ability to antagonize nuclear factor-κB (NF-κB) signalling pathway via the selective activation of the PPARα receptors. Acting at this site, PEA can downstream several genes involved in the inflammatory response, including cytokines (TNF-α, Il-1β) and other signal mediators, such as inducible nitric oxide synthase (iNOS) and COX2 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8472716

Alzheimer's disease is characterized by the presence of amyloid plaques in the patient's brain. These plaques sequester copper, and contain approximately five times as much as a healthy brain. A new molecule extracts the copper trapped in amyloid plaques, and reintroduces it in the brain's normal enzymatic circuit (which needs copper to function). Administered orally to an Alzheimer's mouse model, this molecule inhibits the memory loss among sick mice. https://medicalxpress.com/news/2020-12-copper-brain-memory-loss-mouse.html The other problem is the dysregulation of copper from inflammation and zinc deficiency leading to a buildup of unbound copper and iron and creates a deficiency at the same time. https://forums.phoenixrising.me/thr...lock-il-6-trans-signalling.90433/post-2438840

-David L (Aka DataDragon)
 
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heapsreal

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For what it's worth the blood pressure medications telmesartan and Candesartan, angiotensin 2 receptor blockers, are also ppar y agonists. So if you have hypertension and want some effects on ppar receptors than one could consider the above blood pressure medication.
Within the class of angiotensin 2 blockers particular drugs are often used for certain benefits eg telmesartan tends to have more direct effects on the heart. I'm not 100% up on it but it's worth resesrch further if it's of interest. Candesartan is used more for neurological conditions so chronic headaches, migraines etc and has some sort of neuroprotective qualities.
Again I'm not really up on the difference between PPARa and PPARy receptors. But anyone more knowledgeable, please chime in.
Maybe HMB with one of these blood pressure medications, especially Candesartan could help improve neurological function or atleast slow down deterioration??

Cheers 👍
 

CSMLSM

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Just thought I would share this as my treatment using FAAH inhibitors increases many of the mentioned molecules that act on the PPARa receptor and PPARy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882496/#:~:text=Activation of all isoforms, but primarily PPARα and,CB 2 receptors and the TRPV1 ion channel.

Endocannabinoids and their derivatives​

Strong evidence now exists that the endocannabinoid‐like compounds oleoylethanolamide (OEA) and palmitoylethanolamide (PEA) activate PPARα, as shown through binding studies, reporter gene assays, the use of antagonists and also the absence of responses to these compounds in PPARα knockout mice (see Table 1 for references). Anandamide, 2‐arachidonoyl‐glycerol (2‐AG), noladin ether, virodhamine and oleamide have also been shown to activate PPARα, although there is less evidence for this (Table 1). Several studies have shown that anandamide and 2‐AG also activate PPARγ (Table 1), and although less investigated, there is evidence that N‐arachidonoyl‐dopamine, PEA and oleamide also activate PPARγ, although studies are contradictory in this area. In addition, studies have shown that some of the metabolites of endocannabinoid degradation are PPAR activators.
This full paper is available if anyone wishes to read further about this. I have come across alot of this before but have not read the whole of this paper yet, which I will be doing as soon as I have time. This is from 2016 some much more upto date stuff will be available to search for if anyone is interested in finding out more I am sure.

Just found this when looking for something to share about this on the thread.
 
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Rufous McKinney

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I am a tad confused by the various HMB products out there....some come with additional additives...like Calcium.

The price of this stuff seems all over the map.... (very expensive, to very cheap)
 

CSMLSM

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What are PPARa and how does that translate to humans?

PPARα stands for peroxisome proliferator-activated receptor alpha. It is a type of nuclear receptor that regulates the expression of genes involved in lipid metabolism and energy homeostasis. Some key points about PPARα:
• PPARα is found in high levels in tissues that oxidize fatty acids, like the liver, muscle and kidney. It is involved in regulating fatty acid uptake, transport and oxidation in these tissues.
• PPARα acts as a "fat sensor" by binding to fatty acids and their derivatives. This binding activates PPARα, which then regulates the expression of genes involved in fatty acid metabolism.
• In humans, PPARα activation has been shown to lower triglycerides, LDL cholesterol and blood pressure. Drugs that activate PPARα, like fibrates, are used to treat dyslipidemia.
• PPARα is also expressed at lower levels in the brain, including in the hippocampus which is involved in memory and learning. Activation of neuronal PPARα has been linked to improvements in cognition.
• This study found that HMB activates PPARα in hippocampal neurons, which contributes to its effects on neuronal plasticity and cognition.
So in summary, PPARα is a nuclear receptor that regulates fatty acid metabolism and triglyceride levels. Drugs that activate PPARα are used to treat dyslipidemia in humans. This study suggests that activating neuronal PPARα, in addition to its metabolic effects, may also have benefits for cognition by promoting neuronal plasticity. HMB appears to exert some of its effects through activation of neuronal PPARα in mice.
However, more research is needed to determine if and how HMB may activate PPARα in humans, what doses may be appropriate, and if HMB supplementation could produce similar cognitive benefits for conditions like Alzheimer's disease and cognitive impairment.
Nice overview!
 

datadragon

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This also drew my attention because of BCAAs which are used a lot by
athletes, etc., and they've helped me so much. (increased my energy and cut my PEM recovery time by more than half)

Excellent :thumbsup: Some quick possibilities so far include that BCAA reduced brain tryptophan and tyrosine concentrations, and serotonin and catecholamine synthesis. Exercise raises brain serotonin release and is postulated to cause fatigue in athletes; ingestion of branched-chain amino acids (BCAA), by competitively inhibiting tryptophan transport into brain, lowers brain tryptophan uptake and serotonin synthesis and release in rats, and reputedly in humans prevents exercise-induced increases in serotonin and fatigue. https://pubmed.ncbi.nlm.nih.gov/23904096/

orexins are also activated by high protein diets (and have interaction with serotonin 5-ht1a that lowers it. https://forums.phoenixrising.me/thr...nfa-itaconate-shunt-part-2.89388/post-2438998 Increased synthesis of 5-HT was reported regarding fatigue after exercise. In addition, there is evidence demonstrating that during the development of exercise, levels of TRP hydroxylase and 5-HT elevates https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5552521/
 

almost

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Thanks for the great overview @hapl808 ! Laying it out in your question/answer format is very clever.

I'm going to give this a try, as I have markers for brain inflammation that concern me. Something like Alzheimer's could be in my future if I don't address it. I happen to have some powder I bought but haven't encapsulated yet. One 00 cap is usually around 750mg, so I think I'll start with one a day and go from there.
 
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