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A Functional Approach to Inflammation

What is Inflammation?

Inflammation – we know you’ve heard of it.
You probably know it is a root cause of countless health problems and is the only factor common to all chronic diseases – including Alzheimer’s & dementia due to an antimicrobial response to pathogens or other inflammatory causes. The word inflammation comes from the Latin word inflammatio; inflammare which means to set on fire. The best way to describe inflammation is to say the tissues of the body are “on fire.” Your body is creating this fire in response to damaged cells in your body.

What Causes Inflammation?

In functional medicine, we are very interested in the subject of #inflammation because until it is brought under control we simply cannot help people’s bodies restore function and therefore health. When your cells are damaged by anything, your body starts a fire. The purpose of this fire is to contain/limit the damage so it does not spread, break down damaged cells for removal and permit the development of new, healthy cells — just like controlled burns in nature!
So, while your body is not technically on fire, inflammation is like a fire in your body. But, what causes this body-fire? A lot of natural chemicals your body creates in a response to damaged cells.

Below are some of the chemicals your body makes to create this fire:

“Body-Fire Chemicals”

  • Histamine
  • Bradykinin
  • Serotonin
  • Prostaglandins
  • Complement system (a group of about 20 different proteins)
  • Cytokines including lymphokines and monokines
  • Etc.

As you can see from the list above, the process of inflammation is not caused by a single chemical; it is a complicated process, involving many different chemicals. This is why so few people understand what inflammation actually is… there is not a single cause. You just need to know that inflammation is like a fire in your body.

What Triggers an Inflammatory Response?

Inflammation is an immune response. Innate immune response is how your body recognizes and defends itself against bacteria, viruses, and substances that appear foreign and harmful. The inflammatory response (inflammation) occurs when tissues are injured by bacteria, trauma, toxins, heat, or any other cause that damages cells including microorganisms, physical agents, chemicals, inappropriate immunological responses, and tissue death.

Infectious agents such as viruses and bacteria are some of the most common stimuli of inflammation. Viruses give rise to inflammation by entering and destroying cells of the body; bacteria release substances called endotoxins that can initiate inflammation.

Physical trauma, burns, radiation injury, and frostbite can damage tissues and also bring about inflammation, as can corrosive chemicals such as acids, alkalis, and oxidizing agents. As mentioned above, malfunctioning immunological responses can incite an inappropriate and damaging inflammatory response. Inflammation can also result when tissues die from a lack of oxygen or nutrients, a situation that often is caused by loss of blood flow to the area.

The damaged cells release chemicals including histamine, bradykinin, and prostaglandins. These chemicals cause blood vessels to leak fluid into the tissues, causing swelling. This helps isolate the foreign substance from further contact with body tissues.

The chemicals also attract white blood cells called phagocytes that “eat” germs and dead or damaged cells. This process is called phagocytosis. Phagocytes eventually die. Pus is formed from a collection of dead tissue, dead bacteria, and live and dead phagocytes.

Most Common Causes of Inflammation That We See

  1. Chronic Infections – such as infections of the gut, Lyme’s Disease, Epstein–Barr virus, etc
  2. Food Sensitivities
  3. Genetic Issues – MTHFR, Catechol-O-methyltransferase (COMT)
  4. Heavy Metals

Healthy vs Chronic

When inflammation is short-term and controlled, it is a very good thing because it is a necessary part of the healing process. The “fire” of inflammation cleans out the useless and damaged cells and lets new healthy ones take their place. This is what we call “healthy inflammation.”  Every time we eat, we also consume a significant quantity of bacteria. The body is faced with the challenge of simultaneously distributing the ingested glucose and fighting these bacteria. This triggers an inflammatory response that activates the immune systems of healthy individuals and has a protective effect In healthy individuals, short-term inflammatory responses play an important role in sugar uptake and the activation of the immune system.

Supporting a balanced intestinal microbial community is essential for the integrity of the immune system, for the prevention and response to infections (inflammation), and for recovery from illness. The microbes and their metabolites influence physiological function (particularly metabolism), local mucosal homeostasis, inflammation, and interactions between multiple body systems. Therefore, an imbalanced intestinal microbiota may have system-wide effects and contribute to blunted immune reactivity. Gut microbiota alterations due to unhealthy lifestyle factors and dietary triggers may contribute to inflammation, intestinal permeability, immune system dysfunction, and the pathogenesis of a broad spectrum of chronic diseases. Healthy lifestyle factors, including a diversified diet, limited consumption of processed and refined foods, and consumption of adequate dietary fiber, may all promote a healthy microbiome and therefore a healthy immune response!

 

CHRONIC inflammation is BAD
Just like how fire is a cleansing process in forests; this process in nature is beneficial when it occurs periodically. It would be harmful if the forest was constantly burning or if it burned down every year. This is what happens in your body with chronic inflammation…the fire never dies out. The cells of your body cannot repair themselves and new, healthy cells can’t form. Your “forest” can’t rebuild and thrive and function as nature intended.
If the agent causing an inflammation cannot be eliminated, or if there is some interference with the healing process, an acute inflammatory response may progress to the chronic stage. Repeated episodes of acute inflammation also can give rise to chronic inflammation. The physical extent, duration, and effects of chronic inflammation vary with the cause of the injury and the body’s ability to ameliorate the damage.

Some of the most common and disabling human diseases, such as tuberculosis, rheumatoid arthritis, and chronic lung disease, are characterized by this type of inflammation. Chronic inflammation can be brought about by infectious organisms that are able to resist host defenses and persist in tissues for an extended period. These organisms include Mycobacterium tuberculosis (the causative agent of tuberculosis), fungi, protozoa, and metazoal parasites. Other inflammatory agents are materials foreign to the body that cannot be removed by phagocytosis or enzymatic breakdown. These include substances that can be inhaled, such as silica dust, and materials that can gain entry to wounds, such as metal or wood splinters.

 

In autoimmune reactions the stimulus to chronic inflammation is a normal component of the body to which the immune system has become sensitized. Autoimmune reactions give rise to chronic inflammatory diseases such as rheumatoid arthritis.

 

We could keep going, but we think you get the idea, chronic inflammation causes many problems for your body. Functional medicine providers specialize in connecting symptoms + health history to pinpoint the type of inflammatory response and finding the root cause/s of unhealthy inflammation by asking questions such as what is damaging the cells? what microorganisms, physical agents, or chemicals are prevalent? are the intestinal microbial communities balanced?

Now you have a more in-depth understanding of what inflammation is…the body on fire and this fire is your body’s response to damaged cells. Discover what is causing the damage to cells and you can reduce inflammation.

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Resources & Further Reading:

Britannica, The Editors of Encyclopaedia. “Inflammation”. Encyclopedia Britannica, 2 Nov. 2020, https://www.britannica.com/science/inflammation.

Cammarota G, Ianiro G. Gut microbiota and cancer patients: a broad-ranging relationship. Mayo Clin Proc. 2017;92(11):1605-1607. doi:1016/j.mayocp.2017.09.009

https://medlineplus.gov/ency/imagepages/9071.htm

Shanahan F, van Sinderen D, O’Toole PW, Stanton C. Feeding the microbiota: transducer of nutrient signals for the host. Gut. 2017;66(9):1709-1717. doi:1136/gutjnl-2017-313872

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