Inflammation Cancer Angiogenesis Biology and Therapeutics | Impact 0.1 (CiteScore) | Online ISSN  2207-872X
REVIEWS   (Open Access)

Traditional Persian Medicine and Autophagy: Integrating Ancient Health Principles with Modern Cellular Mechanisms

Reza Vaghebin1, Khatereh Akbarimashak2, Rasoul Pourhakimrezaei2, Mohammad Javad Mousavi3 Mohsen Naseri5,4,2 *, Seyedeh Fatemeh Jafari4,6*

+ Author Affiliations

Journal of Angiotherapy 8(7) 1-8 https://doi.org/10.25163/angiotherapy.879725

Submitted: 07 May 2024  Revised: 01 July 2024  Published: 03 July 2024 

Abstract

Autophagy, a cellular process responsible for maintaining cellular homeostasis through the degradation and recycling of intracellular components, has a complex relationship with various human diseases, including cancer, neurodegenerative disorders, and infections. Traditional Persian Medicine (TPM), with a 10,000-year history, emphasizes health preservation through six essential principles: physical activity, nutrition, sleep, psychological well-being, air quality, and the excretion of body waste. This review examines the intersection of these principles with autophagy, highlighting the potential of TPM in modern health practices. Recent studies have shown that physical activity induces autophagy, aiding in the prevention and treatment of diseases such as Alzheimer's and diabetes. Nutritional management, another key TPM principle, influences autophagy through practices like intermittent fasting, which can improve insulin sensitivity and prolong life. Sleep, critical for bodily functions and waste disposal, affects autophagy, with disruptions linked to conditions like sleep apnea and cardiovascular diseases. Excretion and retention of necessary materials are crucial for health, with autophagy playing a role in managing obesity, renal function, and gastrointestinal health. Clean air is essential for well-being, and studies indicate that air pollution can stimulate autophagy, potentially leading to liver steatosis. Psychological states also significantly impact autophagy, with stress and emotional well-being influencing cellular processes. This review suggests that the non-pharmacologic modulators of autophagy inherent in TPM's six essential principles could precede pharmaceutical interventions due to their simplicity, safety, and affordability. Health authorities are encouraged to consider these principles in policies for disease treatment and health improvement, leveraging the potential of autophagy modulation for better health outcomes.

Keywords: Autophagy, Traditional Persian Medicine, Health Preservation, Disease Treatment, Six Essential Principles, lifestyle medicine

References

Abivardi, C. (2001). Iranian Entomology-An Introduction: Volume 1: Faunal Studies. Volume 2: Applied Entomology (Vol. 2). Springer Science & Business Media.

Agarwal, A., & Venkat, A. (2009). Questionnaire study on menstrual disorders in adolescent girls in Singapore. Journal of pediatric and adolescent gynecology, 22(6), 365-371.

Aggarwal, S., Mannam, P., & Zhang, J. (2016). Differential regulation of autophagy and mitophagy in pulmonary diseases. American Journal of Physiology-Lung Cellular and Molecular Physiology, 311(2), L433-L452.

Alirezaei, M., Fox, H. S., Flynn, C. T., Moore, C. S., Hebb, A. L., Frausto, R. F., Bhan, V., Kiosses, W. B., Whitton, J. L., & Robertson, G. S. (2009). Elevated ATG5 expression in autoimmune demyelination and multiple sclerosis. Autophagy, 5(2), 152-158.

Arani MT, B. S., Tansaz M, Mokaberinejad R, Dehkordi EJ, Akhtari E, et al. . (2014). Uterus Complications of Amenorrhea and Oligomenorrhea (Ehteebas Tams) in Iranian Traditional Medicine. Medical History Journal., 4(12), 13.

Ardekani, M. R. S. M., Fariborz. (2005). A Research Conducted on the Life and Works of Hakim Sayyid Esmail Jurjani. J Int Soc Hist Islam Med., 4(7).

Avicenna, H. (2005). Al-Qanoon Fi al-Teb (the canon of medicine). Alaalami Beirut Library Press.

Babaeian, M., Naseri, M., Kamalinejad, M., Ghaffari, F., & Mazaheri, M. (2016). Air pollution: Avicenna's concept. International journal of preventive medicine, 7(1), 35.

Barth, J., Szabad, J., Hafen, E., & Köhler, K. (2011). Autophagy in Drosophila ovaries is induced by starvation and is required for oogenesis. Cell Death & Differentiation, 18(6), 915-924.

Bharucha, A. E., Fletcher, J. G., Seide, B., Riederer, S. J., & Zinsmeister, A. R. (2005). Phenotypic variation in functional disorders of defecation. Gastroenterology, 128(5), 1199-1210.

Bokhari, A. R. A. (1992). Hedayatol moteallemin felteb. Ferdowsi University of Mashhad.

Chu, Y.-L., Raghu, R., Lu, K.-H., Liu, C.-T., Lin, S.-H., Lai, Y.-S., Cheng, W.-C., Lin, S.-H., & Sheen, L.-Y. (2013). Autophagy therapeutic potential of garlic in human cancer therapy. Journal of traditional and complementary medicine, 3(3), 159-162.

de Cabo, R., Carmona-Gutierrez, D., Bernier, M., Hall, M. N., & Madeo, F. (2014). The search for antiaging interventions: from elixirs to fasting regimens. Cell, 157(7), 1515-1526.

Eizadi, M., Behboudi, L., Zahedmanesh, F., & Afsharmand, Z. (2012). Effect of acute and chronic exercise on beta-cell function in diabetic patients.

Elgood, C. (2010). A Medical History of Persia and the Eastern Caliphate: from the earliest times until the year AD 1932. Cambridge University Press.

Endo, H. H. T., Nagasawa, K., Hayashi, T., Chida, M., Akutagawa, N., Iwasaki, M., Kitajima, Y., Kiya, T., Nishikawa, A., & Manase, K. (2001). Lysyl Oxidase and MMP-2 Expression in Dehydroepiandrosterone-Induced Polycystic Ovary in Rats1. Biology of reproduction, 64(1), 157-162.

Ghavami, S., Zamani, M., Ahmadi, M., Erfani, M., Dastghaib, S., Darbandi, M., Darbandi, S., Vakili, O., Siri, M., & Grabarek, B. O. (2022). Epigenetic regulation of autophagy in gastrointestinal cancers. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1868(11), 166512.

Golalipour, M., Maleki, Z., Farazmandfar, T., & Shahbazi, M. (2017). PER3 VNTR polymorphism in Multiple Sclerosis: A new insight to impact of sleep disturbances in MS. Multiple sclerosis and related disorders, 17, 84-86.

Gottlieb, R. A. (2012). Autophagy in health and disease. Academic Press.

He, C., Sumpter, J., Rhea, & Levine, B. (2012). Exercise induces autophagy in peripheral tissues and in the brain. Autophagy, 8(10), 1548-1551.

Ingeman, A., Andersen, G., Hundborg, H. H., Svendsen, M. L., & Johnsen, S. P. (2011). In-hospital medical complications, length of stay, and mortality among stroke unit patients. Stroke, 42(11), 3214-3218.

Jacques Jouanna, B., & Van der Eijk, P. (2012). Greek medicine from Hippocrates to Galen: selected papers. Brill.

Jamart, C., Benoit, N., Raymackers, J.-M., Kim, H. J., Kim, C. K., & Francaux, M. (2012). Autophagy-related and autophagy-regulatory genes are induced in human muscle after ultraendurance exercise. European journal of applied physiology, 112, 3173-3177.

Jia, J., & Le, W. (2015). Molecular network of neuronal autophagy in the pathophysiology and treatment of depression. Neuroscience bulletin, 31, 427-434.

Klionsky, D. (2004). Autophagy. Landes Bioscience. Georgetown, TX.

Kovsan, J., Blüher, M., Tarnovscki, T., Klöting, N., Kirshtein, B., Madar, L., Shai, I., Golan, R., Harman-Boehm, I., & Schön, M. R. (2011). Altered autophagy in human adipose tissues in obesity. The Journal of Clinical Endocrinology & Metabolism, 96(2), E268-E277.

Lam, C.-S., Tipoe, G. L., So, K.-F., & Fung, M.-L. (2015). Neuroprotective mechanism of Lycium barbarum polysaccharides against hippocampal-dependent spatial memory deficits in a rat model of obstructive sleep apnea. PLOS ONE, 10(2), e0117990.

Lavallard, V. J., Meijer, A. J., Codogno, P., & Gual, P. (2012). Autophagy, signaling and obesity. Pharmacological Research, 66(6), 513-525.

Lei, Y., & Klionsky, D. J. (2021). The Emerging Roles of Autophagy in Human Diseases. Biomedicines, 9(11), 1651. https://www.mdpi.com/2227-9059/9/11/1651

Levine, B., & Kroemer, G. (2008). Autophagy in the pathogenesis of disease. Cell, 132(1), 27-42.

Liu, C., Hao, S., Zhu, M., Wang, Y., Zhang, T., & Yang, Z. (2018). Maternal separation induces different autophagic responses in the hippocampus and prefrontal cortex of adult rats. Neuroscience, 374, 287-294.

Locke III, G. R., Pemberton, J. H., & Phillips, S. F. (2000). AGA technical review on constipation. Gastroenterology, 119(6), 1766-1778.

Maeda, H., Nagai, H., Takemura, G., Shintani-Ishida, K., Komatsu, M., Ogura, S., Aki, T., Shirai, M., Kuwahira, I., & Yoshida, K.-i. (2013). Intermittent-hypoxia induced autophagy attenuates contractile dysfunction and myocardial injury in rat heart. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1832(8), 1159-1166.

Miles, S. H. (2005). The Hippocratic Oath and the ethics of medicine. Oxford University Press.

Mônico-Neto, M., Antunes, H. K. M., Lee, K. S., Phillips, S. M., Giampá, S. Q. d. C., Souza, H. d. S., Dáttilo, M., Medeiros, A., de Moraes, W. M., & Tufik, S. (2015). Resistance training minimizes catabolic effects induced by sleep deprivation in rats. Applied Physiology, Nutrition, and Metabolism, 40(11), 1143-1150.

Mostafavi Kashani SJ, P. A. ( 1979.). Comparison of Iranian Ancient Medicine and Modern Medicine. Tehran University Publication.

Naseri, M. (2004). Traditional Iranian Medicine (Tim) and it's promotion with guidelines of world health organization.

Naseri, M., & Ardakani, M. R. S. (2004). The school of traditional Iranian medicine: The definition, origin and advantages. J Int Soc History Islamic Med, 3, 17-21.

Nouri, F., Naseri, M., Esfahani, M., Mohammadi Farsani, G., Abdi, S., Faghihzadeh, S., Ansaripour, M., & Zali, M. (2020). Presentation of specific dietary intervention based on Traditional Persian Medicine for the treatment of cold and wet mal-temperament. Daneshvar Medicine, 25(5), 63-70.

Nozad, A., Naseri, M., Safari, M. B., Abd Al Ahadi, A., & Ghaffari, F. (2016). Food reduction in Avicenna’s view and related principles in classical medicine. Iranian Red Crescent Medical Journal, 18(6).

Qiu, Y., Zheng, Z., Kim, H., Yang, Z., Zhang, G., Shi, X., Sun, F., Peng, C., Ding, Y., & Wang, A. (2017). Inhalation exposure to PM2. 5 counteracts hepatic steatosis in mice fed high-fat diet by stimulating hepatic autophagy. Scientific Reports, 7(1), 16286.

Razi M. . (1430 AH.). Al-Teb al-Muluki: Al-Manhaj. Beirut Printing; .

Rezaeizadeh, H., Alizadeh, M., Naseri, M., & Shams, A. M. (2009). The traditional Iranian medicine point of view on health and disease.

Sajedeh Ghasempour, M. N., Fatemeh Alijaniha, Yasin Karimi, Anoushirvan Kazemnezhad, Shahrzad Hadavand, Seyedeh Fatemeh Jafari. (2024). A Doubleblind, Randomized Clinical Trial study of Plantago major L. Syrup on Menorrhagia, . Journal of Angiotherapy, 8(2), 8.

Sarmah, D. T., Bairagi, N., & Chatterjee, S. (2021). Tracing the footsteps of autophagy in computational biology. Briefings in Bioinformatics, 22(4), bbaa286.

Schneider, J. L., Miller, A. M., & Woesner, M. E. (2016). Autophagy and schizophrenia: a closer look at how dysregulation of neuronal cell homeostasis influences the pathogenesis of schizophrenia. The Einstein journal of biology and medicine: EJBM, 31(1-2), 34.

Shayesteh, M., Kamalinejad, M., Shams, J., & Vaez Mahdavi, M. R. (2020). Insomnia and related disorders from the perspective of Persian medicine. Daneshvar Medicine, 26(5), 35-42.

Wu, Y., Xu, B., He, X., Wu, B., Li, Y., Yu, G., Tan, C., & Wang, H. (2018). Correlation between autophagy levels in peripheral blood mononuclear cells and clinical parameters in patients with chronic obstructive pulmonary disease. Molecular medicine reports, 17(6), 8003-8009.

Yaghoubi, Z., Sarrafzadeh, J., Ansaripour, M., Naseri, M., & Hedayati, R. (2017). A Brief review of the advantage and disadvantage of squat and sitting toilets on fecal defection in Traditional Persian and Conventional Medicine perspectives. Journal of Islamic and Iranian Traditional Medicine, 8(3), 335-345.

Yang, Z., & Klionsky, D. J. (2010). Eaten alive: a history of macroautophagy. Nature cell biology, 12(9), 814-822.

Yook, J.-S., & Cho, J.-Y. (2017). Treadmill exercise ameliorates the regulation of energy metabolism in skeletal muscle of NSE/PS2mtransgenic mice with Alzheimer’s disease. Journal of exercise nutrition & biochemistry, 21(1), 40.

Zarifi, S. H. (2018). Restricted calorie Intake and Autophagy: is there a link? Clinical Nutrition, 37, S307-S308.

Zhang, D., Jia, S., Wang, H., Huang, S., Xiao, L., Ma, L., Liu, G., Gong, K., & Xu, L. (2018). Effect of sustained hypoxia on autophagy of genioglossus muscle-derived stem cells. Medical Science Monitor: international medical journal of experimental and clinical research, 24, 2218.

Zhang, H., Shang, Y., Xiao, X., Yu, M., & Zhang, T. (2017). Prenatal stress-induced impairments of cognitive flexibility and bidirectional synaptic plasticity are possibly associated with autophagy in adolescent male-offspring. Experimental Neurology, 298, 68-78.

Zhang, Y.-L., Zhang, J., Cui, L.-Y., & Yang, S. (2015). Autophagy activation attenuates renal ischemia-reperfusion injury in rats. Experimental Biology and Medicine, 240(12), 1590-1598.

Zhang, Y., Sowers, J. R., & Ren, J. (2018). Targeting autophagy in obesity: from pathophysiology to management. Nature Reviews Endocrinology, 14(6), 356-376.

Zhao, N., Zhang, X., Song, C., Yang, Y., He, B., & Xu, B. (2018). The effects of treadmill exercise on autophagy in hippocampus of APP/PS1 transgenic mice. Neuroreport, 29(10), 819-825.

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