Mitochondria, Metabolism, and Metformin: Key Insights from a Podcast with Nav Chandell

TLDR Mitochondria are crucial for cell survival and energy production, releasing signaling molecules like hydrogen peroxide that impact cellular functions. The podcast explores the role of metformin in promoting autophagy, shutting down energy-consuming processes, and potentially benefiting conditions like fatty liver and cancer treatment.

Timestamped Summary

00:00 Nav Chandell, a professor of medicine and cell and molecular biology at Northwestern, discusses mitochondria, metabolism, and metformin in a podcast episode with Peter Attia.
07:27 Mitochondria play a crucial role in energy production and cell survival, with the release of cytochrome C into the cytoplasm signaling cell death in times of stress or duress.
15:41 Mitochondria play a crucial role in cell biology and function, controlling decisions of life and death through the release of signaling molecules like hydrogen peroxide, which can have beneficial effects on cellular functions such as immune response.
23:41 Cells can undergo apoptosis through various pathways, including a newly discovered form called ferroptosis involving hydrogen peroxide, iron, and lipids, with implications for cancer treatment.
31:33 Mitochondria hold a tiny number of critical genes, which are vulnerable due to lack of protection compared to nuclear DNA, raising questions about why they are retained and inherited only from the mother.
39:15 Mitochondrial DNA can be released during cellular apoptosis, potentially triggering an immune response, while metabolites like citrate can act as signaling molecules controlling gene expression.
46:53 Mitochondrial function declines with age, but it is not rate limiting for healthy individuals, and supplements to boost mitochondrial function may not be necessary.
54:51 Metformin has anti-inflammatory properties and activates AMPK, promoting autophagy and shutting down energy-consuming processes in the liver, which may benefit conditions like fatty liver.
01:02:52 Metformin's anti-cancer properties are linked to its inhibition of complex one, impacting the NAD to NADH ratio and TCA cycle activity.
01:11:12 Metformin's anti-cancer effects are linked to its inhibition of complex one, altering TCA cycle metabolites in human cancer cells.
01:19:02 Mitochondrial respiration is necessary for tumor genesis, as demonstrated by experiments showing that knocking out the respiratory chain led to smaller tumors, highlighting the importance of mitochondria in cancer metabolism.
01:26:40 Clinical drugs targeting glycolysis are scarce, but there are two potentially promising drugs targeting mitochondria, with one inhibiting complex one and another targeting TCA cycle enzymes, showing potential in cancer treatment.
01:34:09 Mitochondria are essential for cancer cell function, with most cancers relying on a robust mitochondrial function for tumor growth, although there are rare exceptions with TCA cycle mutations leading to benign tumors.
01:41:40 Metformin's potential benefits are being debated, particularly in individuals who are already active and healthy, with considerations including anti-cancer properties, anti-inflammatory effects, and its impact on reducing inflammation over time.
01:49:09 The discussion delves into the distribution and potential benefits of NAD and NAM in various tissues, particularly focusing on the role of inflammatory cells and the potential anti-inflammatory properties of supplements like NAD.
01:56:38 Metabolite toxicity, particularly the potential role of L2-AG, is explored as a factor in neurodegeneration and other pathologies, with a focus on the relationship between mitochondrial dysfunction and the production of specific metabolites.
02:04:28 The importance of cortisol in metabolic health and the challenges of managing stress in relation to overall well-being are discussed.
02:11:32 The Mediterranean diet and its potential benefits, along with the challenges and criticisms of the Prada Med Study, are discussed in relation to nutritional therapeutics and metabolic health.
02:18:33 The discussion touches on the physiological response of muscles to carbohydrate deprivation, fasting, and metabolic considerations related to diet.
Categories: Health & Fitness

Mitochondria, Metabolism, and Metformin: Key Insights from a Podcast with Nav Chandell

Navdeep Chandel, Ph.D.: metabolism, mitochondria, and metformin in health and disease
by The Peter Attia Drive

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