Monday, February 03, 2025

Synchronicity and the origins of Protons

Amber O'Hearn has a podcast conversation up on Spotify with LowCarbLogic here. Very early on in the discussion she mentions this particular study from Mark Friedman. He has championed the concept that obesity is a result of the sequestration of lipid in to adipocytes, fat trapping. This is mediated by insulin, hence the role of low carbohydrate diets, ie low insulin diets, in the management of obesity.

This idea, promoted by Gary Taubes, has profoundly shaped my thoughts on obesity, in common with those of Amber. It is difficult to over emphasise how important this is to any sort of understanding. It's that mind-bending concept that obesity is *causal* to over eating.

Your adipocytes steal your calories, so you have to eat extra calories to have adequate substrate for energy generation to run your metabolism. 

Getting fat makes you hungry.

Of course there are a number of major problems with this simple but incomplete hypothesis. The two most spectacular of which are the observation that countries such as Japan and China, whose populations ate the vast majority of their caloric intake as rice, historically had no obesity and, conversely, that of rodents fed on an high fat, low carbohydrate diet become grossly, grossly obese. D12942 supplies only 20% of calories as carbohydrate but is the gold standard for generating diet induced obesity in rats and mice.

What separates fat trapping from obesity is the failure to limit insulin signalling to the appropriate physiological level. Correctly functioning insulin signalling does not cause obesity.

You cannot talk about what controls obesity without talking about what controls insulin signalling. Oddly enough there is more to insulin signalling than the level of insulin in the plasma.

Understanding insulin signalling is impossible without appreciating that the system is intrinsically related to the actions of reactive oxygen species, as elegantly demonstrated by Czech back in 1974. You can activate all of the functions of insulin on adipocytes in cell culture by exposure to hydrogen peroxide. Low concentrations activate the insulin signalling cascade, higher concentrations inhibit it.

Of course there is no point in talking about the generation of ROS without understanding the work of David Speijer. There is a comprehensive description of his ideas, from 2019, and his thinking goes back to 2011. Probably further. I would also say that Skulachev's work on ROS and membrane potential is fairly essential too.

All I have done in the Protons thread is to throw together the ideas from Czech and Speijer and spend nearly 14 years thinking about them. With a few other inputs from evolutionary biology and the origin of life, largely from Nick Lane. And especially thinking about the paradoxes.

Oh, the trigger for this post was that I have already written a separate post about that study published by Mark Friedman in his early days, back in 1984. It's the same study which Amber cited at the start of the podcast. Having her discuss the same study which I'd already written about but not quite published struck me as profound synchronicity. Got me thinking. Anyway, this post is too long and philosophical to go on to doodle lines all over graphs so I'll update the original post to include Amber's mention and get it published separately fairly soon.

Peter

Addendum. There has been some posting recently on X about the role of the Randle cycle by which the conversion of glucose to malonyl-CoA inhibits the uptake of long chain fatty acids in to mitochondria, leading to failure of fatty acid oxidation and preferential oxidation of glucose derivatives. This is absolutely correct. The massive hole in citing the "Randle cycle" to explain obesity is in failing to ask what limits this from happening. Obviously it is limited by limiting insulin signalling. What limits insulin signalling? Well duh, ROS limit insulin signalling. Presenting a cell with a mix of glucose and long chain saturated fats means that the oxidation of these fatty acids correctly limits insulin's ability to activate both the PDH complex and the ACC complex. So the concentration of malonyl-CoA is kept at a functional level.

Saturated fats limit insulin signalling to allow co-oxidation, in the same cell, of both glucose and lipid substrates. Hence the generation of whole organism respiratory exchange ratios that indicate both fatty acid and glucose oxidation are occurring concurrently. As they do.

Unless that fatty acid FAILS to generate adequate ROS to apply this essential limitation system.

Linoleic acid's low ROS signal (compared to stearate) allows excess insulin signalling to facilitate malonyl-CoA generation and the immediate inhibition of fat oxidation, even within the first hour of ingestion of D12451 (kid brother of D12942). I hope you have all read Matsui et al's paper where an oral dose of metformin 300mg/kg, 30 minutes before food access after an overnight fast, completely normalised caloric intake of D12451 when it is eventually re-supplied. And Chung et al's paper where they tracked the RER daily during the three day transition from low fat to D12451. This 45% fat diet *raises* the RER, despite increasing fat provision and decreasing carbohydrate provision. All just Protons.

It's quite straight forward.

Of course, without Protons, you're lost.

I'll stop now.

P.

15 comments:

Jonathan said...

Great summary!

Passthecream said...

P++

I enjoy this type of philosophising. Seems nicely clear to me.

karl said...

I think the proton switch via ROS is an evolutionarily ancient system, most likely has a role in the T2D pandemic, causing over storage. But there are a couple of puzzles that need to get fleshed out.

One, does the proton switch dominate in causing obesity vs liver damage from the combo of fructose and LA?

Two, the obesity data has large geographical variance that PUFA consumption does not easily explain. We also know that the West has exported T2D and the associated obesity around the world. The records for T2D and trade data exist - some epidemiologist could dig here and get some award.

That being said, if the liver gets damage from LA - and there is. lets say, some agriculture chemical that also damages the liver, both effects may matter.

My biggest complaint is it looks like these puzzles will outlive me..
,.,.
Also thinking about HSL(Hormone Sensitive Lipase) levels in adipose and liver tissues.

Peter said...

Hi karl,

At the moment my thinking is that fructose at levels of intake which are limited to the GIT tract, its wall and the liver is harmless in the absence of linoleic acid. Given pathological insulin sensitivity then the lipid is stored and not released in quantities adequate to normalise liver lipid levels. Just Protons. What happens if you over distend an hepatocyte? That I don't know but it is very clear that if you over distend an adipocyte the lipid droplet ruptures and releases free trigycerides in to the tissues, which provoke a massive inflammatory response, classically seen in the most insulin sensitive adipocytes, those in the visceral adipose tissue. I'm willing to bet the same happens in the liver. That we might call NAFLD converting to NASH.

Ref VAT and "crown like structures" https://pubmed.ncbi.nlm.nih.gov/24356782/

"Accumulation of lymphocytes, macrophages, and other immune cells around dying adipocytes forms the so-called "crown-like structure", a histological hallmark of VAT in obesity."

Re geographical distribution of obesity I am fully open to your ideas that there is a regionally distributed trigger. I think we talked past each other in emails. All that your trigger needs to do is to generate ROS in the region equivalent to applying 0.1 to 1.0 mM of H2O2 to adipocytes and you have a trigger for obesity. Bisphenyl A is not regionally distributed but does do this. All you need is a regionally distributed exogenous ROS generator which works in the same way as BPA and concentrates in adipocytes and then you have your trigger... Agrochemicals look like prime candidates.

Peter

Passthecream said...

These two items are topical:

Single-nucleus transcriptomics identifies separate classes of UCP1 and futile cycle adipocytes: Cell Metabolism

https://www.cell.com/cell-metabolism/fulltext/S1550-4131(24)00276-6?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1550413124002766%3Fshowall%3Dtrue


Implantation of engineered adipocytes suppresses tumor progression in cancer models | Nature Biotechnology

https://www.nature.com/articles/s41587-024-02551-2

Implantation of 'beige' adipocytes - what could possibly go wrong???

Passthecream said...

Slightly off topic but also topical, it's the crazy temperature season here atm, hottest and driest time of the year which is the antipodean version of Norfolk where you have the coldest time. On average temps start heading up during December into the low 30s finally getting to late Jan. when temps unbearable of low to mid 40s. The adaptation is interesting. When the mercury first hits 40 you just have to lay low and stay as cool as possible. Air like a furnace, steering wheel too hot to handle etc As it keeps going you adapt to such an extent that when the temp goes down to eg 25C, you start to shiver and throw extra blankets on.

I imagine something similar but opposite happens in cold places. What is it that adapts? - I feel that this is related to adipocytes and uncoupling states.

mct4health said...

Interesting, cancer seems to be about intercellular communication via ion channels, see Dr. Michael Levin work. Boundaries of "self" identification are important. And DNA damage seems to be important driver of cell senescence and overall aging. Quality of DNA repair mechanisms plays crucial role here and all that starts with momentary NADPH deficiency I predict.
Jaromir

Peter said...

Pass, re adaptation to temps, yes, certainly uncoupling related...

Re futile cycling: It doesn't exist. Futile cycling generates heat. If that heat is essential then there is nothing futile about the process. If the futile cycle is wasting energy to protect against high delta psi and ROS damage to both mitochondrial and cellular structures, it not futile. It's an adaptive response to the pathology of your consuming fat sources which are unable to limit insulin signalling. To lower your cholesterol dontchaknow. Under these pathological circumstances it's a matter of uncouple or die. So these folks are looking at an evolutionarily conserved adaptation to the problem triggered by cardiological idiocity

Essential or "correct" expenditure of energy is used for heat when that process improves reproductive success. Excess energy should make babies, not heat. Otherwise the genes would be out-competed by more parsimonious genes.

P

altavista said...

Protons this
https://scitechdaily.com/scientists-just-found-a-way-to-starve-cancer-using-fat-cells/

Peter said...

Yes, as Pass says "What could possibly go wrong?"...

mct4health said...

Aging, neurodegenerative and other age related diseases explained as transcription stalling by DNA damage. It easily explain why aldehydes from LA oxidation are dangerous.
The last presentation in this block at time 4:50.
https://www.youtube.com/live/azoDkb6OLQo?si=KOLOaKuhgGBSNpnc

Peter said...

Looks interesting, will have a listen

Passthecream said...

And as always, it is much easier to have expensive indivually targeted invasive surgery for poor people than to just eat less crap. Ya gotta keep the crapmills rolling.

I suppose there will be an after-market for liposuction to remove these bijou fat cells when they turn out to have cancer-like properties.

Gyan said...

Could you expand upon the claim that obesity doesn't correlate with PUFA consumption?
Where low obesity/diabetes found with high PUFA and vive-versa?

Peter said...

Where does that happen?