Detox Genomics
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Various media have recently declared that detox treatments are a waste of time, because all you need is a liver and kidney. Well, yes and no. Yes, it’s clear that there are all sorts of products sold over-the-counter that are worthless, and that most detox diets amount simply to stopping taking toxins in for a while, not to actually removing them. But no, we do all have liver and kidneys, but they are not all the same because of variations (“polymorphisms”) in the genes, and thus in the enzymes. The detox system is amazing, but not perfect. Nowadays we are all exposed to far more toxins than the system developed to handle, and it is possible to overload our detox capacity - particularly if we have genetic polymorphisms.
A very quick introduction to genomicsRemember that we each have, in every cell, 2 copies of each of the 23,000+ genes that determine our heredity, one from each parent. The old genetics was about being able to say, for example, “Your child has a 25% chance of having Down’s Syndrome”; the new genomics enables us to say “Untreated, you have 3 times the population-average risk of developing Alzheimer’s, but there are things you can do about it”. We can do this because since the Human Genome Project we have been learning to identify the SNiPs ( Single Nucleotide Polymorphisms) on our genes. These small changes in our DNA can have large effects on our chemistry. |
You can have both copies of the gene normal, both copies abnormal (with the SNiP) or one of each. Having both the same is termed homozygous, having one of each heterozygous.
For instance, if you receive a report that you have a variation/polymorphism called MTHFR (C677T) this means that in the MTHFR gene (which codes for Methyl-Tetra-Hydro-Folate Reductase, the key enzyme that activates folic acid), at position 677 counting from the start of the chromosome, the base Cytosine is replaced with Thymine. That one-base alteration will reduce the activity of the enzyme that is produced, especially if you are homozygous for the change. In real life that change is associated with an increased risk of autism, and of heart disease because of a molecule called homocysteine.
A quick guide to hepatic detoxDetoxification is one of the most-studied areas in genomics; while the whole subject is complicated, with at least 30 main enzymes (not counting the variations possible in each of them), sometimes a clear pattern emerges from the report.The detox process splits into two successive phases.
Phase 1 DetoxAll the Phase 1 enzymes are members of a large family called Cytochrome P450 (which is why the genes for these enzymes are all called CYP-something, and we now tend to use that abbreviation for the enzyme as well as for the gene). |