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Sugar Can Impair Cell-Mediated Immunity

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General fitness, health and nutrition
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1 September 2005
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5 September 2005
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C.Health
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  1. http://www.second-opinions.co.uk/leukocytic_index.html

    In the constant fight against disease, our bodies have a sophisticated
    defense mechanism - our immune system. Part of this system are cells called
    neutrophils , a type of leucocyte or white blood cell, which circulate in
    our blood streams and mop up any bacteria or other foreign bodies they come
    across. This process is called phagocytosis . While phagocytosis is an
    energy requiring mechanism that needs an adequate supply of the blood sugar,
    glucose, (1) too much glucose has the effect of reducing the neutrophils'
    ability to ingest and kill off invading bacteria. (2) (3)

    The measure of how many organisms one leukocyte can eat in an hour is called
    the ' leukocytic index ' (LI). It is a simple measure: if a leukocyte eats
    10 organisms in an hour, its leukocytic index is 10.
    The neutrophils that we rely on to kill any invading bacteria and viruses
    form 60% - 70% of the white blood cells in our bodies. They are generally
    much more active than any other blood cell. It can be disastrous to our
    health, therefore, if their effectiveness is compromised in any way. But
    this is exactly what happens if we eat too much carbohydrate and too much
    sugar in particular.

    By 'sugar' I do not mean just the white, granulated stuff we serve from a
    bowl on the table; this is called 'sucrose' but the term sugar applies to
    glucose, fructose (fruit sugar), maltose (grain sugar), honey (a mixture of
    glucose, fructose, sucrose and dextrin).

    Test results

    In a 1973 study, after an overnight fast and after their leucocytes had been
    tested for phagocytosis activity and their leukocytic index (LI) had been
    recorded, subjects were fed 100 grams of a specific carbohydrate (a sugar or
    starch). The table below shows that all forms of carbohydrate - starch as
    well as sugars - reduced the neutrophils' effectiveness at destroying
    bacteria and other micro-organisms. (2)

    This study was confirmed in 1976 by Ringsdorf, et al. (3) They tested the
    effect of sugar (sucrose) by giving their subjects 24 ounces of sugar
    sweetened Cola. In this test the leucocytic index of all their subjects was
    reduced by 50%. In other words, the ability of their disease-fighting blood
    cells was halved.

  2. If this claim is true, Americans should be succumbing to infectious
    diseases all the time, but that doesn't happen, so something more is at
    work here. They have some evidence, but what it means requires
    interpretation by someone who has a grasp of a large body of studies
    that encompass all aspects of the phenomenon. They do not demonstrate
    such a grasp in the study, but instead appear to be fixated on "the
    horrors of sugar." I don't doubt that people who drink super-size
    sodas all day long are going to have all kinds of "abnormalities," but
    you have to correlate it to a disease and there has to be a known
    mechanism before you can start thinking of making a scientific
    hypothesis. Then again, there's so much shoddy papers pretending to be
    "science" these days that most "scientists" probably don't understand
    this point.

  3. C.Health wrote:

    [snipped]

    Thanks for the interesting posts.

    This is all consistent with the observations that animals (including
    humans) on calorie restriction (which greatly lowers average BG and
    usually FBG) do not get sick easily (and recover faster when they do)
    even though their white blood cell counts are generally always lower
    than normally fed animals.

    --Paul Wakfer

    MoreLife for the rational - http://morelife.org
    Reality based tools for more life in quantity and quality
    The Self-Sovereign Individual Project - http://selfsip.org
    Rational freedom by self-sovereignty & social contracting

  4. C.Health said:

    30% below that of the ten normals). A final point of considerable clinical
    interest in that paper was the recording of PI over a 60 hour fast by seven
    normal subjects. During this interval, the group's average BG fell from 90
    to 75 mg% and its PI rose by 60% (Sanchez 1973). Although neutrophils are
    not CMI effector cells, fasting results suggest that anorexia might be a
    host defense mechanism in cancer. In the second study, five male dental
    students drank 24 ounces of sucrose sweetened cola (66 grams of rCHO) on one
    occasion leading to an average PI decrease of 49.8% in 45 minutes as BG rose
    from 85 mg% (fasting) to 157 mg%, and 24 ounces of sugar free cola on
    another day resulting in no significant change in PI (Ringsdorf 1976).

    Interesting article. To bad most of the studies cited in it are pretty
    old and are not available on pubmed. Contradictory to the article, in
    the study below (the full text of PMID: 4117287) there was no
    significant difference between the phagocytic activity of the 100mg/100
    ml and the 50mg/100 ml glucose concentrations. Only at very high
    glucose concentrations (200mg/100 ml and higher) a decrease in
    phagocytic activity was found.

    Influence of Glucose Levels on the In Vitro Phagocytosis of Bacteria by
    Human Neutrophils

    Carel J. van Oss
    Department of Microbiology, School of Medicine, State University of New
    York at Buffalo, Buffalo, New York

    Abstract

    A previously developed in vitro method for studying the phagocytosis of
    bacteria and particles by human neutrophils was used to investigate the
    influence of different glucose levels on phagocytosis. It was found
    that high glucose levels (200, 400, and 800 mg of glucose/100 ml)
    significantly depressed the phagocytosis of Staphylococcus epidermidis,
    S. aureus, and Escherichia coli. At very low glucose levels, a somewhat
    decreased phagocytic activity was noted. The strongest phagocytic
    activity occurred at glucose concentrations of 50 and 100 mg/100 ml. A
    second effect noted at the higher (200, 400 and 800 mg/100 ml) glucose
    concentrations was a decreased adhesiveness of the neutrophils to solid
    surfaces. The mechanism of the decrease in phagocytosis and in
    neutrophil adhesiveness at higher glucose levels is unknown, but it is
    not linked to increased osmotic pressures due to the presence of
    glucose, as ethanol, at the same and even higher osmolal
    concentrations, had no effect on the phagocytosis. These results show
    that not only the phagocytic activity of those neutrophils that do
    adhere to a solid surface is diminished at higher glucose
    concentrations but also that fewer neutrophils adhere to solid surfaces
    at higher glucose levels. These two phenomena combined may provide at
    least part of the explanation for the well-known decrease in resistance
    to bacterial infections of diabetics.

    http://www.pubmedcentral.gov/articlerender.fcgi?tool=pubmed&pubmedid=4117287

  5. "Olafur Pall Olafsson" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    C.Health said:

    30% below that of the ten normals). A final point of considerable


    clinical

    Quoted message said:
    Quoted message said:

    interest in that paper was the recording of PI over a 60 hour fast by


    seven

    Quoted message said:
    Quoted message said:

    normal subjects. During this interval, the group's average BG fell from


    90

    Quoted message said:
    Quoted message said:

    to 75 mg% and its PI rose by 60% (Sanchez 1973). Although neutrophils


    are

    Quoted message said:
    Quoted message said:

    not CMI effector cells, fasting results suggest that anorexia might be a
    host defense mechanism in cancer. In the second study, five male dental
    students drank 24 ounces of sucrose sweetened cola (66 grams of rCHO) on


    one

    Quoted message said:
    Quoted message said:

    occasion leading to an average PI decrease of 49.8% in 45 minutes as BG


    rose

    Quoted message said:
    Quoted message said:

    from 85 mg% (fasting) to 157 mg%, and 24 ounces of sugar free cola on
    another day resulting in no significant change in PI (Ringsdorf 1976).

    Interesting article. To bad most of the studies cited in it are pretty
    old and are not available on pubmed. Contradictory to the article, in
    the study below (the full text of PMID: 4117287) there was no
    significant difference between the phagocytic activity of the 100mg/100
    ml and the 50mg/100 ml glucose concentrations. Only at very high
    glucose concentrations (200mg/100 ml and higher) a decrease in
    phagocytic activity was found.

    Influence of Glucose Levels on the In Vitro Phagocytosis of Bacteria by
    Human Neutrophils

    Carel J. van Oss
    Department of Microbiology, School of Medicine, State University of New
    York at Buffalo, Buffalo, New York

    Abstract

    A previously developed in vitro method for studying the phagocytosis of
    bacteria and particles by human neutrophils was used to investigate the
    influence of different glucose levels on phagocytosis. It was found
    that high glucose levels (200, 400, and 800 mg of glucose/100 ml)
    significantly depressed the phagocytosis of Staphylococcus epidermidis,
    S. aureus, and Escherichia coli. At very low glucose levels, a somewhat
    decreased phagocytic activity was noted. The strongest phagocytic
    activity occurred at glucose concentrations of 50 and 100 mg/100 ml. A
    second effect noted at the higher (200, 400 and 800 mg/100 ml) glucose
    concentrations was a decreased adhesiveness of the neutrophils to solid
    surfaces. The mechanism of the decrease in phagocytosis and in
    neutrophil adhesiveness at higher glucose levels is unknown, but it is
    not linked to increased osmotic pressures due to the presence of
    glucose, as ethanol, at the same and even higher osmolal
    concentrations, had no effect on the phagocytosis. These results show
    that not only the phagocytic activity of those neutrophils that do
    adhere to a solid surface is diminished at higher glucose
    concentrations but also that fewer neutrophils adhere to solid surfaces
    at higher glucose levels. These two phenomena combined may provide at
    least part of the explanation for the well-known decrease in resistance
    to bacterial infections of diabetics.


    http://www.pubmedcentral.gov/articlerender.fcgi?tool=pubmed&pubmedid=4117287

    Quoted message said:

    Correct me if I'm wrong, but the first study that I posted was referring to
    the ingestion of 100 gm of different sugars. Your study is referring to
    glucose concentrations which means that 100mg/100ml is not the same as
    ingesting 100 gram portions of glucose. Therefore it isn't contradicting my
    first post. The study I posted was in vivo and the other is referring to
    neutriphil adhesiveness to glass. These are very different studies. I still
    found your post quite interesting.

  6. C.Health said:

    Correct me if I'm wrong, but the first study that I posted was referring to
    the ingestion of 100 gm of different sugars. Your study is referring to
    glucose concentrations which means that 100mg/100ml is not the same as
    ingesting 100 gram portions of glucose. Therefore it isn't contradicting my
    first post. The study I posted was in vivo and the other is referring to
    neutriphil adhesiveness to glass. These are very different studies. I still
    found your post quite interesting.

    Hi,

    You're right, these are very different studies and not fully
    comparable. What I was comparing the study I posted to was this
    particular quote from the article you posted:

    "A final point of considerable clinical interest in that paper was the
    recording of PI over a 60 hour fast by seven normal subjects. During
    this interval, the group's average BG fell from 90 to 75 mg% and its PI
    rose by 60% (Sanchez 1973). Although neutrophils are not CMI effector
    cells, fasting results suggest that anorexia might be a host defense
    mechanism in cancer. In the second study, five male dental students
    drank 24 ounces of sucrose sweetened cola (66 grams of rCHO) on one
    occasion leading to an average PI decrease of 49.8% in 45 minutes as BG
    rose from 85 mg% (fasting) to 157 mg%, and 24 ounces of sugar free cola
    on another day resulting in no significant change in PI (Ringsdorf
    1976)."

    Notice the blood glucose levels reported above f.ex. 90 mg% and 75 mg%.
    Assuming that by mg% they mean mg/dl this would equal 90mg/dL and
    75mg/dL which are typical blood glucose numbers seen in a healthy
    human. Since a dL equals 100ml the numbers can be further converted to
    90mg/100ml and 75mg/100ml. These numbers can than be compared to the
    concentration used in the study I posted. In that study phagocytic
    activity was highest at 50 and 100 mg/100ml glucose concentration but
    it was lower at 200, 400 and 800 mg/100 ml. What I found interesting
    is that in this study the phagocytic activity was not found to be any
    lower at 100mg/100ml than at 50mg/100ml, while the article you posted
    reported a lower phagocytosis index at 90mg/dL than at 75mg/dL and
    lower at 157mg/dL than at 85mg/dL. There are two things that might
    explain why the study I posted reported no difference between the 50
    and 100mg/100ml concentrations:

    1)The study is not comparable to the studies refered to in the article
    you posted.
    2)The inverse relationship between glucose concentration and phagocytic
    activity does not hold at very low glucose concentrations.

    I actually think number 2 might be the case here. Phagocytes use
    glucose as energy and 50mg/dL glucose is probably a low enough
    concentration to cause them to have sub optimal energy resulting in
    reduced phagocitic activity.

  7. "C.Health" <[email hidden]> wrote in message
    news:d0LRe.28236$FL1.24810@trnddc09...

    Quoted message said:

    http://www.second-opinions.co.uk/leukocytic_index.html

    I would suggest you try reading about the complications of diabetes and the
    dangers of sepsis with ketoacidosis and poor wound healing infections of
    wounds in diabetes.

    Basic stuff but I guess it's news for some people.

  8. "Robert" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:


    "C.Health" <[email hidden]> wrote in message
    news:d0LRe.28236$FL1.24810@trnddc09...

    Quoted message said:

    http://www.second-opinions.co.uk/leukocytic_index.html

    I would suggest you try reading about the complications of diabetes and


    the

    Quoted message said:

    dangers of sepsis with ketoacidosis and poor wound healing infections of
    wounds in diabetes.

    Basic stuff but I guess it's news for some people.

    You must be referring to his post, not mine, and I agree with you:

    From: "montygram" <[email hidden]>
    Newsgroups: misc.health.alternative,sci.med.nutrition,sci.life-extension
    Sent: Thursday, September 01, 2005 5:40 PM
    Subject: Re: Sugar Can Impair Cell-Mediated Immunity

    Quoted message said:

    If this claim is true, Americans should be succumbing to infectious
    diseases all the time, but that doesn't happen, so something more is at
    work here. They have some evidence, but what it means requires
    interpretation by someone who has a grasp of a large body of studies
    that encompass all aspects of the phenomenon. They do not demonstrate
    such a grasp in the study, but instead appear to be fixated on "the
    horrors of sugar." I don't doubt that people who drink super-size
    sodas all day long are going to have all kinds of "abnormalities," but
    you have to correlate it to a disease and there has to be a known
    mechanism before you can start thinking of making a scientific
    hypothesis. Then again, there's so much shoddy papers pretending to be
    "science" these days that most "scientists" probably don't understand
    this point.

  9. montygram said:

    If this claim is true, Americans should be succumbing to infectious
    diseases all the time, but that doesn't happen, so something more is at
    work here.

    Actually they are "succumbing to infectious diseases all the time", in
    greater numbers than they need to. What infectious diseases? Colds,
    flus, west nile, HIV, infected cuts, ear infections, etc. They may not
    all be "succumbing" to them but they suffer more symptoms for longer
    periods. Those who have a better nutritional status, especially with
    vit C, get fewer infectious diseases or suffer fewer and lesser
    symptoms than those who are nutritionally deficient.

    TC

    Quoted message said:

    They have some evidence, but what it means requires
    interpretation by someone who has a grasp of a large body of studies
    that encompass all aspects of the phenomenon. They do not demonstrate
    such a grasp in the study, but instead appear to be fixated on "the
    horrors of sugar." I don't doubt that people who drink super-size
    sodas all day long are going to have all kinds of "abnormalities," but
    you have to correlate it to a disease and there has to be a known
    mechanism before you can start thinking of making a scientific
    hypothesis. Then again, there's so much shoddy papers pretending to be
    "science" these days that most "scientists" probably don't understand
    this point.

  10. Vit C does work to prevent cold (and other illnesses)
    if you take 8-15 grams aday. but after you got a cold you need much
    larger doses, typically 30-50 grams a day in order to lessen the
    symptoms and shorten the duration of the cold.
    of course the dtudies dont follow thid protocol, therefore this debate
    will continue until a proper trial will be conducted.
    I tried it on myself a lot of time and it works every time.
    see also Dr. klenner and Cathcart articles.
    beni.

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