Saturday, April 28, 2012

Exercise May Improve Immune Functions! How Can THAT Happen???


From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

Doctors harp on exercise.

Despite the harping – or in my case, perversely because of it – I avoid exercise like the plague.

Even so, as I read more and more sites promoting the “exercise makes you better if you have breast cancer” meme, I found that almost none of them give any kind of evidence as to WHY exercise fights cancer and promotes healing.

So I dug into the sites and finally found some evidence supporting this wild, “Do this one weird thing…” kind of meme. This week, it’s number:
5) Physical activity may decrease risk for various cancers by improving immune function

I was a biology major in college – not because I wanted to be a doctor when I grew up. Not because I loved animals. I was a bio major because I loved LIFE! (No, not THAT kind of life. I hated crazy parties with drunken young adults wandering around, trying to shout over obnoxiously loud music and the inevitable whiff of various and sundry “recreational substances” in use. Thanks, but no thanks…) I loved diatoms and dinosaurs; liver flukes and lilies; Euglena and elephantiasis...I didn’t have FUN with it always, but I loved it.

One of the “basic” classes I took was Immunology. I still have the text in my basement library. Published in 1978, it has absolutely NO mention of Acquired Immune Deficiency Syndrome – what we call AIDS. In fact, Immunology was an ELECTIVE class any bio major could take. No one HAD to take it because, after all, while interesting, the immune system wasn’t all THAT important in the broad sweep of things...

“The immune system is a system of biological structures and processes within an organism that protects against disease. In order to function properly, an immune system must detect a wide variety of agents, from viruses to parasitic worms, and distinguish them from the organism's own healthy tissue... [the system includes] enzymes, phagocytosis (cells that eat other cells – the white blood cell in particular), antimicrobial peptides (molecules that kill microscopic creatures), and the complement system (a biochemical cascade that attacks the surfaces of foreign cells – one you might know is “histamine” – most of you reading this have at some time or another taken Benadryl®, which is an ANTI-histamine) as well as the well-known antibodies that zap very particular body invaders and the ability to adapt over time to recognize specific pathogens more efficiently.”

So how does exercise “boost” the immune system?

“Moderate exercise has been linked to a positive immune system response and a temporary boost in the production of the cells that attack bacteria (like wbcs)...there are physiological changes in the immune system as a response to exercise...immune cells circulate through the body more quickly and are better able to kill bacteria and viruses...consistent, regular exercise seems to make these changes a bit more long-lasting...when moderate exercise is repeated on a near-daily basis there is a cumulative effect that leads to a long-term immune response...those who walk [vigorously] for 40 minutes per day had half as many sick days due to colds or sore throats as those who don't exercise.”

And how does this relate to breast cancer?

“Exercise pumps up the immune system and lowers estrogen levels. With as little as four hours of exercise per week, a woman can begin to lower her risk of breast cancer.”

“You’ll be able to maintain a healthy weight. Regular exercise can help you maintain a healthy weight by building muscle and burning fat... fat cells make estrogen; extra fat cells mean more estrogen in the body and estrogen can make hormone-receptor-positive breast cancers develop and grow.”

Lastly: “Compared with the other women in the study, the women in the exercise group also boosted their number of activated T cells, made more lymphocytes, and lowered their levels of an inflammatory marker (a kind of chemical that signals parts of the body to “swell and get warm”). That data came from blood tests done after chemotherapy and at the study's midpoint and end.”

“Improvements in T cells with post-chemo exercise were also recently reported by Canadian researchers. They say they saw the benefit in a small group of postmenopausal breast cancer survivors who worked out on stationary bikes three times per week for 15 weeks.”

What are T cells? “T lymphocytes belong to a group of white blood cells known as lymphocytes, and play a central role”…when the immune system uses CELLS to attack infections. Exercise stimulates the making of these cells in the thymus part of the brain.

So – exercise boosts the immune system in several ways: helps to circulate wbcs and T cells, lowers the chemicals that cause swelling, lowers the number of fat cells which make estrogen which strengthens breast cancer cells making them harder for the immune system to fight and regular exercise keeps the immune system working like this LONGER.

Hmmm – pretty good excuse to get on those treadmills, recliner bikes, ellipticals or just go out and WALK!

Resources: http://en.wikipedia.org/wiki/Immune_system, http://sportsmedicine.about.com/od/injuryprevention/a/Ex_Immunity.htm, http://www.foxnews.com/story/0,2933,159201,00.html

Image:
http://www.perfectafrica.com/img/galleries/110/sunset-walk.jpg

Saturday, April 21, 2012

Breast Cancer Blog “Guy’s Gotta Talk About Breast Cancer” – One Year Ago…

From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

I was getting ready to talk about how exercise can help in breast cancer recovery when I realized that this is my 52nd blog entry.

I realized that there are 52 weeks in a year.

I realized that I’ve been doing this for a YEAR…

How did that happen?

Hang on, let me focus here, because it doesn’t seem possible that a year has passed since my wife’s breast cancer diagnosis.

How did we get here?

Baby steps. Tiny steps. Setbacks. Leaps ahead. Nightmarishly hard work. Not by me. I was benched. Unable to do a single thing but cheer the team on. Hold my wife’s hand. Talk to doctors.

Be as useless as a third wheel on a unicycle.

This has been a year of standing aside. That sense of being sidelined is what started me writing this blog. I wasn’t necessary for any of the procedures, the administration of meds, the planning – and it certainly wasn’t necessary for me to “endure” or “be strong”. All of those things were required of my wife, the doctors, nurses, the hospital staff, oncology researchers, drug manufacturers, health clinics, insurance companies, companies that pay the health insurance premiums, God the Father, Son and Holy Spirit, prayer warriors. These were all essential things in my wife’s struggle against breast cancer.

I was not.

In all my life, this was perhaps the hardest thing I have ever experienced.

I know, you WEEP for me, right? The sarcastic and entirely justified reply – is “Oh, poor you!”

I feel like a little four-year-old standing in a corner, stomping his foot in frustration and crying out, “What about ME?”

Lest you see me in any worse of a third-wheel light, let me say that this blog, talking with others and living a humble, invisible life has grown me into a new person. A better person.

Someone I would never had become had it not been for the past 52 weeks.

I’m going to leave it at that right now, but as I begin to come out of my closet and look at the “new me”, I’ll be writing a few entries about it. So stay tuned. The next 52 weeks should prove to be interesting, too.

Image: http://www.profimedia.com/photo/a-four-year-old-boy-cries-as-he-sits/profimedia-0051866598.jpg


Saturday, April 14, 2012

Exercise Reduces Metabolic Hormones and Inflammation! (HUH?)

From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

Doctors harp on exercise.

Despite the harping – or in my case, perversely because of it – I avoid exercise like the plague.

Even so, as I read more and more sites promoting the “exercise makes you better if you have breast cancer” meme, I found that almost none of them give any kind of evidence as to WHY exercise fights cancer and promotes healing.

So I dug into the sites and finally found some evidence supporting this wild, “Do this one weird thing…” kind of meme. This week, it’s number:

4) Physical activity may decrease risk for various cancers by several mechanisms including reducing metabolic hormones and inflammation

First of all, what are metabolic hormones?

Let’s back up and start fresh. What is metabolism?

Metabolism is the collection of chemical reactions that happen in the cells of the body that sustain life – things like growth, reproduction, structure maintenance, and response to the body’s environment. These reactions are controlled by things inside the cells and things outside of the cells.

Hormones come from outside the cell and are “messengers” that travel through the blood and attach themselves to specific landing sites on the outside of a cell then pass their “message” into the cell.

Among the hormones that control the metabolism of cells are Insulin (controls glucose or sugar uptake); Thyroxine and Triiodothyroxin (controls the basal metabolism rate [BMR] – what we’d call the “resting state” of the body);Growth Hormone (obvious); Cortisol (stimulates the making of sugars and causes a decrease in sugar uptake); Estradiol (has a complex job in that it controls female body structure, protein synthesis, blood coagulation, and the amount of LDL and HDL fat in the blood).

“…exercise is one of the major links between the hormonal modulators of energy intake and output. [These hormones] directly affect adipose metabolism and metabolic hormones that influence adipose metabolism. Acute low- and moderate-intensity exercise causes hormonal changes that facilitate lipolytic activity. Exercise training reduces these hormonal responses, but the sensitivity to these hormones increases so that lipolysis may be facilitated.”

In other words, the more you exercise, the more fat is metabolized (duh!); but the more you exercise, the LESS these hormones work (huh?); but because of exercise, you don’t need as MUCH of the hormone to do the work of fat destruction (“lipolytic activity”); therefore, there are fewer hormones to drive cancer cell growth. (The last sentence is a layman’s interpretation of everything I’ve read. I’m NOT a doctor. I am a biology major and I’ve read constantly and regularly both popular and scientific articles. None of the articles says this outright – but I believe that it is implied.)

How about the inflammation?

Inflammation is part of an extremely complex reaction in the human body basically aimed at removing some sort of damaging event so it can start healing. In the human body, inflammation is caused by vasoactive amines, eicosinoids, cytokines (antiviral, immunoregulatory, and anti-tumor properties), growth factors, reactive oxygen species and hydrolytic enzymes.

“Inflammation orchestrates the microenvironment around tumors, contributing to proliferation, survival and migration. Cancer cells use selectins, chemokines and their receptors for invasion, migration and metastasis. On the other hand, many cells of the immune system contribute to cancer immunology, suppressing cancer.”

Regular physical activity is reported to decrease markers of inflammation although the correlation is imperfect and seems to reveal differing results contingent upon training intensity…long-term chronic training may help reduce chronic low-grade inflammation…low-intensity training can reduce resting pro-inflammatory markers (CRP, IL-6), while moderate-intensity training has milder and less-established anti-inflammatory benefits.”

Therefore exercise, while it is NOT a miraculous cure for breast cancer CERTAINLY has the following positive effects on lowering metabolic hormones and inflammation:

• more fat is metabolized

• you don’t need as MUCH of the hormone to do the work of fat destruction

• fewer hormones to drive cancer cell growth

• decrease markers of inflammation
Resources: http://en.wikipedia.org/wiki/List_of_human_hormones, http://www.ncbi.nlm.nih.gov/pubmed/15896089 , http://en.wikipedia.org/wiki/Inflammation
Image: http://i.usatoday.net/tech/_photos/2010/03/08/fat-cellx.jpg