NAC: Extiende tu JUVENTUD regenerando tu GLUTATION

Dr. Borja Bandera
8 Jul 202408:46

Summary

TLDRThis video script delves into the importance of glutathione, a tripeptide crucial for cellular defense against oxidative stress and aging. It highlights N-acetylcysteine (NAC) as a potent precursor to boost glutathione levels, offering antioxidant and anti-inflammatory benefits. The script explores NAC's clinical applications in respiratory diseases, fertility issues, and neuropsychiatric conditions, emphasizing its potential to improve health outcomes in these areas. Viewers are also informed about optimal dosages and the supplement's safety profile, making it an appealing option for general health and stress reduction.

Takeaways

  • 🛡️ Glutathione (Glu) is a tripeptide that acts as a primary antioxidant in cells, protecting against oxidative stress and aging.
  • 📉 Glutathione synthesis decreases with age, which can lead to increased cellular damage from oxidative stress.
  • 🧬 Cysteine, one of the amino acids in glutathione, is the limiting factor for its synthesis, especially under high oxidative stress.
  • 💊 N-acetylcysteine (NAC) is a synthetic derivative of the amino acid L-cysteine and is the best precursor for increasing glutathione levels.
  • 🚫 Direct supplementation of cysteine or glutathione is unstable and has low bioavailability, making NAC a preferred method to enhance glutathione synthesis.
  • 🏥 NAC has been used medically for decades as a mucolytic agent and in treating paracetamol poisoning, which can be lethal.
  • 🛑 NAC's antioxidant and anti-inflammatory properties are due to its ability to reduce reactive oxygen and nitrogen species, thereby attenuating inflammatory cascades.
  • 💊 NAC helps replenish glutathione that is consumed during stress, illness, or drug toxicity, which is crucial for maintaining cellular health.
  • 🌟 NAC has shown potential benefits in improving lung function, particularly in patients with chronic obstructive pulmonary disease (COPD), by reducing exacerbations and their duration.
  • 💪 NAC has positive effects on fertility, enhancing sperm motility, concentration, and morphology in men, and improving ovulation and pregnancy rates in women with polycystic ovary syndrome.
  • 🧠 NAC's modulation of neurotransmitters like glutamate and dopamine suggests potential uses in neuropsychiatric conditions, including depression, autism spectrum disorder, schizophrenia, and addictions.

Q & A

  • What is the main function of glutathione mentioned in the script?

    -Glutathione serves as a defensive barrier against aging and oxidative stress, playing a crucial role in protecting cells from damage.

  • What are the three amino acids that make up glutathione?

    -Glutathione is a tripeptide composed of three amino acids: cysteine, glutamate, and glycine.

  • Why is cysteine important in the context of glutathione synthesis?

    -Cysteine is important because it is the amino acid with the lowest intracellular concentration, and thus it limits the synthesis of glutathione, especially under high oxidative stress conditions.

  • What is the role of N-acetylcysteine (NAC) according to the script?

    -NAC is a synthetic derivative of the amino acid L-cysteine and serves as the best precursor for glutathione, helping to increase its synthesis in the body.

  • Why are direct supplementations of cysteine and glutathione unstable and have low bioavailability?

    -Cysteine and glutathione are unstable when supplemented directly due to their chemical properties, which result in low bioavailability for the body.

  • How does NAC help in cases of Paracetamol overdose?

    -NAC is used in hospitals to treat Paracetamol overdose, which can be lethal, by reducing oxidative stress in the liver and replenishing glutathione levels.

  • What are some of the clinical uses of NAC that have been expanded due to a better understanding of its mechanisms of action?

    -Clinical uses of NAC have expanded to include its antioxidant and anti-inflammatory effects, as well as its potential benefits in conditions such as chronic obstructive pulmonary disease (COPD), cystic fibrosis, infertility, and neuropsychiatric disorders.

  • How does NAC improve lung function, particularly in patients with COPD?

    -NAC, when administered at a sufficient dose, seems to reduce the number of exacerbations and their duration in COPD patients by enhancing the activity of alveolar cells, increasing pulmonary surfactant, and having antimicrobial properties.

  • What benefits does NAC offer in terms of fertility for both men and women?

    -For men, NAC improves sperm motility, concentration, and morphology. In women with polycystic ovary syndrome, NAC has been shown to improve ovulation and pregnancy rates compared to a placebo.

  • How does NAC potentially help in neuropsychiatric conditions?

    -NAC modulates levels of neurotransmitters such as glutamate and dopamine, which are implicated in neuroplasticity, learning, and excitotoxicity. It has shown small clinical benefits in conditions like depression, autism spectrum disorder, schizophrenia, and addictions.

  • What is the recommended daily dosage range for NAC in most studies?

    -The usual dosage range for NAC in most studies is between 600 to 1800 mg per day, divided into two or three doses, although higher doses are sometimes used.

  • What precautions should be taken when considering high doses of NAC?

    -High doses of NAC, above 2000 mg per day, may interfere with training adaptations, so it is generally not recommended to exceed 1800 mg daily unless for specific, well-defined cases.

Outlines

00:00

🛡️ Glutathione's Defensive Role Against Aging and Oxidative Stress

The first paragraph discusses the importance of glutathione (GSH) as a critical antioxidant in the body. It explains that GSH is a tripeptide composed of three amino acids: cysteine, glutamate, and glycine. The paragraph highlights that GSH is essential for cellular protection against oxidative stress, which is linked to many diseases. It also points out that the synthesis of GSH declines with age and that the availability of cysteine, one of its constituent amino acids, is a limiting factor for its production. The role of N-acetylcysteine (NAC) as a precursor to GSH and its benefits in medical applications, such as treating Paracetamol overdose and mucus-related conditions, is also mentioned.

05:04

💊 NAC's Therapeutic Applications and Dosing

The second paragraph delves into the therapeutic uses of N-acetylcysteine (NAC). It outlines the benefits of NAC in reducing oxidative stress and inflammation by enhancing the synthesis of glutathione, neutralizing free radicals, and replenishing glutathione levels. The paragraph also covers the clinical applications of NAC in conditions such as chronic obstructive pulmonary disease (COPD), cystic fibrosis, infertility in both men and women, and various neuropsychiatric disorders. It discusses the modulation of neurotransmitters like glutamate and dopamine by NAC, which has shown potential in treating depression, autism spectrum disorder, schizophrenia, and addiction. Additionally, the paragraph touches on the use of NAC in improving joint health and managing osteoarthritis, and it provides general guidance on NAC dosing, suggesting a range from 600 to 1800 mg per day divided into two or three doses.

Mindmap

Keywords

💡Glutathione

Glutathione is a tripeptide consisting of three amino acids: cysteine, glutamate, and glycine. It is a crucial antioxidant that protects cells from oxidative stress, which is linked to aging and various diseases. In the video, it is highlighted as a key molecule that decreases with age, affecting the body's ability to combat oxidative stress.

💡Oxidative Stress

Oxidative stress refers to an imbalance between the production of free radicals and the ability of the body to counteract or detoxify their harmful effects through neutralization by antioxidants. In the video, it is identified as a major factor behind many diseases and the primary cause of cellular damage.

💡Cysteine

Cysteine is an amino acid that is a rate-limiting factor in the synthesis of glutathione due to its lower intracellular concentrations. The video explains that the availability of cysteine can limit the production of glutathione, especially under conditions of high oxidative stress.

💡N-Acetylcysteine (NAC)

N-Acetylcysteine is a synthetic derivative of the amino acid L-cysteine and is considered the best precursor for glutathione. The video discusses NAC as a supplement that can enhance the body's natural production of glutathione and has been used medically for various purposes, including as a mucolytic agent and in the treatment of acetaminophen poisoning.

💡Antioxidant

An antioxidant is a molecule that inhibits oxidation or reactions promoted by free radicals. In the context of the video, NAC and glutathione are antioxidants that help reduce oxidative stress by neutralizing reactive oxygen and nitrogen species within cells, thus preventing cellular damage.

💡Inflammation

Inflammation is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The video explains that oxidative stress leads to inflammation and that NAC has anti-inflammatory effects by reducing inflammatory cascades.

💡Excitotoxicity

Excitotoxicity is a pathological process that occurs when there is an over-stimulation of nerve cells by neurotransmitters such as glutamate, leading to damage or death of the cells. The video mentions that NAC can modulate levels of neurotransmitters like glutamate, reducing excitotoxicity and potentially benefiting neuropsychiatric conditions.

💡Chronic Obstructive Pulmonary Disease (COPD)

COPD is a common lung disease characterized by inflammation, destruction, and obstruction of the airways. The video discusses how NAC can reduce the frequency and duration of COPD exacerbations, illustrating its potential benefits in respiratory health.

💡Fertility

Fertility refers to the ability to produce offspring. The video script mentions that NAC has shown positive effects on both male and female fertility parameters, such as improving sperm motility, concentration, and morphology, as well as enhancing ovulation and pregnancy rates in women with polycystic ovary syndrome.

💡Neurotransmitter

Neurotransmitters are chemicals that transmit signals across a synapse from one neuron to another. The video explains that NAC can modulate neurotransmitter levels, specifically mentioning glutamate and dopamine, which are involved in neuroplasticity, learning, and potentially neuropsychiatric disorders.

💡Arthrosis

Arthrosis, also known as osteoarthritis, is a degenerative joint disease that can lead to pain and deformity, reducing the quality of life. The video mentions a preclinical study where NAC reduced the development of arthrosis in rats by increasing collagen type II in chondrocytes and reducing their apoptosis.

Highlights

Glutathione is a tripeptide composed of three amino acids: cysteine, glutamate, and glycine, and plays a crucial role in protecting cells from oxidative stress.

Glutathione synthesis decreases with age, which is a concern as it is vital for cellular health.

Cysteine is the limiting factor in glutathione synthesis due to its lower intracellular concentrations.

High oxidative stress, such as that caused by acetaminophen poisoning, can deplete glutathione reserves.

N-acetylcysteine (NAC) is a synthetic derivative of the amino acid L-cysteine and is the best precursor of glutathione available today.

NAC has been used in medicine for decades as a mucolytic agent and in hospital settings for acetaminophen poisoning.

NAC's antioxidant properties help reduce reactive oxygen and nitrogen species within cells, leading to anti-inflammatory effects.

NAC works by directly eliminating free radicals and helping to replenish depleted glutathione.

NAC has been studied for its potential benefits in chronic obstructive pulmonary disease (COPD), reducing exacerbations and their duration.

In cystic fibrosis, NAC is used for its pulmonary benefits and to manage recurrent infections.

NAC improves sperm motility, concentration, morphology, and semen volume, which is beneficial for male fertility.

For women with polycystic ovary syndrome, NAC can improve ovulation and pregnancy rates compared to a placebo.

NAC modulates neurotransmitter levels such as glutamate and dopamine, showing potential in neuropsychiatric conditions.

NAC has shown small clinical benefits when used alongside existing therapies for depression, autism spectrum disorder, schizophrenia, and addictions.

NAC reduces cravings and anxiety in addicts, facilitating self-control and potentially aiding in addiction recovery.

In a clinical trial, NAC reduced irritability in children with autism.

Preclinical studies suggest NAC may reduce the development of osteoarthritis by increasing type II collagen in chondrocytes and reducing apoptosis.

The common and simple way to take NAC is orally, with doses ranging from 600 to 1800 mg per day, divided into two or three intakes.

High doses of NAC, above 2000 mg, may interfere with training adaptations and are not generally recommended.

NAC is one of the most studied supplements, known for its safety and efficacy in supporting health under oxidative stress.

Transcripts

play00:00

este suplemento de aquí es una barrera

play00:01

defensiva frente al envejecimiento el

play00:04

exceso de estrés oxidativo está detrás

play00:06

de la mayoría de enfermedades que nos

play00:07

afectan las células tienen métodos más

play00:10

que eficaces para protegerse de este

play00:12

daño y uno de los principales y más

play00:14

importantes es el gluta el gluta es un

play00:17

tripéptido la unión de tres aminoácidos

play00:19

cisteína glutamato y glicina que los

play00:22

mencione es importante el gluton se

play00:24

sintetiza y mantiene en altas

play00:26

concentraciones en todas las células

play00:28

especialmente las primeras decada de la

play00:30

vida pero muy a nuestro pesar Y al igual

play00:32

que ocurre con otras moléculas Pro

play00:34

juventud la síntesis de gluta va

play00:36

disminuyendo progresivamente con el paso

play00:38

del tiempo decíamos que el gluta se

play00:40

conforma de tres aminoácidos y que esto

play00:42

era importante Pues bien Esto es

play00:44

importante porque de esos tres

play00:45

aminoácidos el que tiene menores

play00:47

concentraciones intracelulares es la

play00:49

cisteína y por lo tanto es la que limita

play00:52

la síntesis de gluta en condiciones de

play00:54

alto estrés oxidativo este dato también

play00:57

es clave como también lo es lo siguiente

play00:59

gastará más gluta Cuanto más estrés

play01:01

oxidativo haya en tu vida y en tu cuerpo

play01:03

un ejemplo en la intoxicación por

play01:05

Paracetamol se genera tantísimo estrés

play01:08

oxidativo en el hígado que las reservas

play01:09

de glutation se acaban prácticamente por

play01:12

completo es en esta situación cuando el

play01:14

protagonista del vídeo de hoy puede

play01:16

salvarte la vida qué genera estrés

play01:18

oxidativo a menor escala que una

play01:19

intoxicación farmacológica Pues mal

play01:21

descanso una mala dieta polución

play01:23

ambiental o estrés crónico te suenan

play01:25

verdad a mí también nos suenan a todos

play01:27

la molécula de la que hablamos hoy es la

play01:29

la n acetil cisteína o nac es un

play01:32

derivado sintético del aminoácido L

play01:35

cisteína y el mejor precursor del gluta

play01:37

que tenemos hoy en día tanto la el

play01:39

cisteína como el gluta suplementados

play01:42

directamente son inestables tienen muy

play01:44

baja biodisponibilidad por lo que para

play01:46

Elevar la síntesis de glutation no nos

play01:49

queda otra que dar el nac evidentemente

play01:51

tu cuerpo también genera gluta gracias a

play01:53

los aminoácidos que ingieres con la

play01:55

dieta pero hablamos de dar un suplemento

play01:57

que potencie esa formación natural de

play02:00

gluta El nac lleva décadas usándose en

play02:02

medicina para dos cosas como agente

play02:04

mucolítico que ayuda a disolver y

play02:06

eliminar los mocos y en medios

play02:07

hospitalarios para solucionar la

play02:09

intoxicación por Paracetamol que puede y

play02:11

frecuentemente es letal pero

play02:13

recientemente el entendimiento de los

play02:15

mecanismos de acción del nac ha ampliado

play02:17

sus usos clínicos dirás qué se ha

play02:19

descubierto Cómo tomarlo Y a qué dosis

play02:21

Cómo me puedo beneficiar de esto En qué

play02:23

patologías es útil bien la mayoría de

play02:25

beneficios clínicos del nac y

play02:27

revisaremos solo unos pocos dependen de

play02:29

su principal acción la antioxidante al

play02:32

reducir el número de especies reactivas

play02:34

de oxígeno y especies reactivas de

play02:36

nitrógeno en la célula las cascadas

play02:38

inflamatorias se atenúan consiguiendo un

play02:40

efecto no solo antioxidante sino también

play02:42

antiinflamatorio porque mucho estrés

play02:44

oxidativo conlleva mucha inflamación

play02:46

cómo lo hace mediante dos vías primero

play02:48

la eliminación directa de radicales

play02:50

libres dentro del gluta existe una

play02:52

estructura química como una colita

play02:54

llamada grupo sulfhidrilo que va

play02:56

barriendo los radicales libres que

play02:58

quedan sueltos por la célula haciendo

play03:00

por lo tanto daño a proteínas lípidos y

play03:03

el ADN es como si el gluta tuviera un

play03:05

imán que atrae bombas oxidativas que van

play03:08

dañando la célula desactivándolas y

play03:10

evitándose ese daño segundo ayudando a

play03:13

reponer el gluta perdido el gluta se

play03:15

consume rápidamente cuando existen uno o

play03:18

varios de los tres siguientes elementos

play03:20

estrés enfermedad o toxicidad por

play03:22

fármaco y como sabes el nac ayuda a

play03:25

recuperar los niveles de gluta esto su

play03:27

facilidad de uso y su baja toxici esto

play03:30

es muy importante lo convierten en uno

play03:32

de las suplementos o una de las

play03:34

moléculas más estudiadas Ahora vas a

play03:36

entender cómo puede ayudar el nac en

play03:38

tres condiciones clave patología

play03:40

pulmonar infertilidad y enfermedad

play03:42

neuropsiquiátrica mejora de la función

play03:44

pulmonar esto se ha estudiado

play03:45

principalmente en pacientes con EPOC

play03:47

enfermedad pulmonar obstructiva Crónica

play03:50

una patología pulmonar muy frecuente que

play03:52

cursa con inflamación destrucción y

play03:54

obstrucción de las vías aéreas en estos

play03:56

pacientes el nac a la dosis suficiente

play03:58

parece reducir el número de

play04:00

exacerbaciones y su duración por

play04:02

beneficios similares se usa también en

play04:04

fibrosis quística patología con

play04:06

afectación pulmonar e infecciones

play04:08

recurrentes Cómo ocasiona beneficio Pues

play04:10

por diferentes mecanismos que son

play04:12

complementarios incrementa la actividad

play04:14

secretora de células alveolares o

play04:16

neumocitos tipo do aumentando el

play04:18

surfactante pulmonar qué es esto Esto es

play04:21

interesante el surfactante pulmonar es

play04:23

una mezcla compleja de lípidos y

play04:25

proteínas totalmente fundamental para

play04:28

tener una buena dinámica y función

play04:30

pulmonar el nac además tiene actividad

play04:32

antimicrobiana directa frente a algunos

play04:34

patógenos y como sabes te lo he dicho

play04:36

antes tiene actividad mucolítica

play04:38

evitando El acúmulo excesivo de flema en

play04:40

las vías aéreas fertilidad el uso de nac

play04:43

ha mostrado efectos positivos en

play04:45

parámetros de fertilidad tanto masculina

play04:47

como femenina en cuanto al esperma

play04:49

mejora la motilidad de los

play04:50

espermatozoides es decir su capacidad de

play04:53

desplazarse en el espacio también su

play04:55

concentración la morfología y el volumen

play04:57

de semen Eso sí esto se ha demostrado en

play04:59

hombres infértiles o

play05:03

subfertilidad Evo en los testículos

play05:05

porque no modifica hormonas como

play05:07

testosterona lh o fsh en mujeres con

play05:10

síndrome de ovario poliquístico usar nac

play05:12

en comparación a usar un placebo mejora

play05:14

las tasas de ovulación y embarazo pero

play05:16

no consigue mejores resultados que la

play05:18

metformina en este estudio mejoras en

play05:21

Salud Mental el hecho de que el nac

play05:22

actúe modulando niveles de

play05:24

neurotransmisores como glutamato y

play05:26

dopamina ha hecho que se descubran

play05:28

potenciales usos en enfermedad

play05:29

neuropsiquiátricas el glutamato es el

play05:31

neurotransmisor excitador por excelencia

play05:34

en el sistema nervioso central y está

play05:35

implicado en mecanismos de

play05:37

neuroplasticidad y aprendizaje sin

play05:39

embargo un exceso de glutamato causa

play05:41

daño neuronal por un proceso llamado

play05:43

excitotoxicidad pues al margen de su

play05:45

actividad antioxidante el nac cruza la

play05:48

Barrera hematoencefálica y modula

play05:49

directamente la cantidad de glutamato

play05:51

que llega a sus receptores e

play05:53

indirectamente la de dopamina por ello

play05:55

usado de forma concomitante a la mejor

play05:57

terapia disponible el nac ha demostrado

play05:59

pequeños beneficios clínicos en

play06:01

depresión trastorno del espectro autista

play06:04

esquizofrenia e incluso adicciones y es

play06:06

este último punto el que a mí me

play06:08

maravilla Es más que interesante pues

play06:10

reduce los cravings o ansiedad por

play06:12

consumir en adictos a diferentes drogas

play06:14

facilitando el autocontrol como puedes

play06:16

ver en este estudio e incluso en niños

play06:18

con autismo el nac reduce la

play06:20

irritabilidad en este ensayo clínico

play06:22

mejoras en artrosis y patología

play06:24

articular con el creciente número de

play06:26

personas añosas aumenta la prevalencia

play06:28

de artrosis de forma irrefrenable el

play06:30

dolor articular y la deformidad merma la

play06:33

calidad de vida de millones de personas

play06:35

y el tratamiento habitual es quirúrgico

play06:37

Aunque costoso y no para todo el mundo

play06:39

de forma interesante en este estudio

play06:41

preclínico cuidado con extrapolar a

play06:43

humanos el nac redujo el desarrollo de

play06:46

artrosis en ratas al aumentar qué al

play06:48

aumentar el colágeno tipo do en los

play06:50

condrocitos y también al reducir la

play06:52

apoptosis o muerte de los mismos Ojalá

play06:54

pronto podamos ver ensayos sobre salud

play06:56

articular y nac en humanos como ves en

play06:58

la siguiente imagen esto no son los

play07:01

únicos usos clínicos que se están

play07:02

validando todas las condiciones que

play07:04

puedes ver representadas cursan en mayor

play07:07

o menor medida Con qué con estrés

play07:08

oxidativo o inflamación Crónica bien

play07:11

Cómo puedo tomarlo Aunque el nac se

play07:13

puede administrar de forma intravenosa

play07:15

tópica o incluso inhalada la forma más

play07:17

común y sencilla de administración en un

play07:19

entorno extrahospitalario es la oral por

play07:21

esta vía el rango de dosis habitual para

play07:23

el nac en la mayoría de estudios que ven

play07:26

beneficios va de 600 a 1800 mg diar

play07:29

Aunque hay estudios donde se usan dosis

play07:31

mucho mayores y esta dosis se divide en

play07:33

dos o tres tomas normalmente eso sí no

play07:35

hay establecida una dosis óptima para

play07:38

cada problema o patología solo podemos

play07:40

referirnos a la literatura científica

play07:42

pero si lo que buscas son sus efectos

play07:44

antioxidantes y potenciadores de la

play07:46

salud en general o sus efectos antiedad

play07:48

con 600 a 10000 mg diarios Debería ser

play07:52

más que suficiente de hecho el nac es el

play07:54

único suplemento realmente que tomo con

play07:57

fines antioxidantes y antiaging de forma

play07:59

regular en mi día a día este nac de

play08:01

nature Cam me permite hacerlo de forma

play08:03

cómoda al aportar 600 mg por cápsula y

play08:07

como precaución dosis muy altas A partir

play08:09

de 2000 mg pueden interferir con

play08:11

adaptaciones al entrenamiento por lo que

play08:13

en principio y salvo casos muy puntuales

play08:15

muy concretos no recomiendo pasar los

play08:17

10000 mg diarios como te he explicado

play08:20

tiene más sentido tomarlo en épocas

play08:22

donde haya más estrés oxidativo en tu

play08:24

vida Aunque puedes tomarlo a diario en

play08:26

unas vacaciones en menorca donde lo

play08:27

único que haces es ir a la playa comer

play08:29

pues no tiene tanto sentido en un

play08:31

periodo laboral duro donde trabajas 10

play08:33

horas al día duermes menos de lo que te

play08:35

gustaría y encima estás comiendo regular

play08:38

Pues aquí sí tiene sentido Gracias por

play08:39

tu atención Gracias por quedarte hasta

play08:41

el final nos vemos en el siguiente vídeo

play08:43

y a seguir empoderando

Rate This

5.0 / 5 (0 votes)

Ähnliche Tags
N-acetylcysteineAntioxidantHealth BenefitsOxidative StressInflammationCystic FibrosisChronic Obstructive Pulmonary DiseaseFertilityNeurotransmittersAutismAddiction
Benötigen Sie eine Zusammenfassung auf Englisch?