COMT inhibitors: Hubby is doing really well... - Cure Parkinson's

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COMT inhibitors

LAJ12345 profile image
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Hubby is doing really well at the moment and I think one of the things that has helped has been the introduction of 1/2 a entacapone tablet taken at the same time as his madopar/ mucuna doses. According to his genetic report his COMT appeared to be one thing that was functioning normally so I was a bit reluctant to try it but he does seem better on it.

Another contributing factor to him feeling better has been our 20 year old son turning a corner on his poor behaviour (drinking too much, taking drugs, not eating or sleeping properly and being on social media all day). He is now off all the bad stuff and has implemented his own healthy living protocol. Phew!

Also hubby has had a week with his older 2 kids looking after while I went away to a family wedding which he was dreading as he didn’t want them to see him in his state. It turned out to be the best time for them all. He had felt very guilty about leaving them with their mother when they were kids and moving to a different city for work. Their mother was not fit to look after them but they wouldn’t go with him. But they told him how much they cherished memories of him, no blame. All and all it was very cathartic for him.

So maybe it isn’t the entacapone but the relief from guilt, and anxiety?

anyway back to the COMT inhibitors. I looked up natural ones and oleanolic acid is in olives.

ncbi.nlm.nih.gov/pmc/articl...

“Go to:4. Conclusion

In summary, our research led to the discovery of novel COMT inhibitors with a chemical scaffold of pentacyclic triterpene, which is distinct from previously reported ones. Using a combination of the inhibition kinetic assay and molecular docking, we tried and explained the inhibition mechanism and the binding site of the pentacyclic triterpene to COMT. Furthermore, oleanic acid and betulinic acid displayed potent COMT inhibition and significantly less toxicity on the mitochondria membrane potential (MMP) of a human normal liver cell line, serving as an ideal lead compound to develop pentacyclic triterpene-type COMT inhibitors. It was possible that these novel COMT inhibitors can provide a starting point for synthetic efforts to generating related derivatives for further preclinical testing and new drugs used for the treatment of Parkinson’s disease, as adjuncts in L-dopa based therapy, or for the treatment of schizophrenia.”

“The most important sources of oleanolic acid in human diet are olives (Olea europaea L.), from which the compound derives its name, and their products, such as olive oil [27]. It is estimated that in the Mediterranean diet, containing olives and olive oils, total daily intake of oleanolic acid is around 25 mg [28”

“Practical applications. Betulinic acid (BA) isolated from natural plants such as fenugreek, eucalyptus bulb and mulberry has been reported with many biological activities”

Celastrol:

ncbi.nlm.nih.gov/pmc/articl...

“Neurodegenerative disordersThe effects of celastrol on MS, a neurological disease of autoimmune origin, have been described above. For other neurological diseases such as Parkinson’s disease, Alzheimer’s disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), celastrol has been shown to modulate pro-inflammatory cytokine production, to prevent the generation of reactive oxygen species (ROS), to limit oxidative damage, to protect against cell death, and to regulate heat-shock proteins (Hsps), as observed in mouse models and in vitro models of these diseases (Table 1B) [30–34,12,35–37]. For Gaucher disease (GD), celastrol modulates molecular chaperones and increases glucocerebrosidase activity in the GD fibroblasts model [38]. Celastrol is also known to modulate age-related macular degeneration [39].”

“CONCLUDING REMARKSCelastrol, a natural triterpene, has anti-inflammatory, anti-oxidant, and anti-cancer activities. Besides targeting multiple cell signaling pathways, celastrol modulates several other pathophysiological processes involved in chronic inflammatory diseases, autoimmune diseases, and cancer. Most of this information on celastrol is based on in vitro model systems in the laboratory and preclinical studies in animal models of human diseases. These studies have also offered mechanistic insights into the use of celastrol-containing herbal extracts from celastraceae family of plants for the treatment of some of these disorders in the traditional systems of medicine. Taken together, this knowledge has encouraged the clinical testing of T. wilfordii and related herbal preparations. In particular, the testing of T. wilfordii in RA patients has shown promising results. It is hoped that in the near future, T. wilfordii and similar other natural products might be approved for use in mainstream therapy as adjuncts for, or in place of, conventional allopathic drugs for RA and some other chronic diseases. This would be a significant contribution to the therapeutic arsenal against several chronic debilitating human diseases.”

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Gioc profile image
Gioc

⭐️⭐️⭐️⭐️⭐️

Ty very interesting!

LAJ12345 profile image
LAJ12345 in reply to Gioc

it mentions lots of other compounds too . Lots of the usuals! No wonder Mediterranean diet and vegetables are good for you!

bookish profile image
bookish

Thanks for that and I'm glad your husband is making progress. I don't have Parkinson's but lurk here sometimes as a family member did, whereas I have other neuro issues and actually have slow COMT not fast. I've been a bit surprised that COMT hasn't made more appearances on here as becoming aware of it made a lot of sense of my lifelong oddities! It is always a balance, and I'm grateful for the reminder not to overdo the olives and olive oil (which I use for inflammation-reduction). I have to use quercetin which is also an inhibitor because it is the only thing that substantially calms my mast cells and histamine reactions. I just try very hard to avoid everything else that slows COMT further and use a lot of magnesium, B vits, crucifers and avoid oestrogens, dairy etc. Stress reduction and better coping strategies also hugely helpful, but that would apply to anyone. Not that it is a good idea to place too much emphasis on a single genetic SNP as these things work together - COMT plus MTHFR and MAO and other methylation genes and transporters. Best wishes

LAJ12345 profile image
LAJ12345 in reply to bookish

thanks! Yes, it does seem to help slowing his even though it was the only normal thing supposedly in his genes analysis. But maybe everything else running too fast meant he needs a slower COMT. Who knows.

As for doctors it’s more a matter of we haven’t tried this yet so have a go. With no science.

rebtar profile image
rebtar in reply to bookish

after reading this I checked my genetic report and I also have slow COMT. Can you recommend what to read that will help me understand this and what can be helpful?

bookish profile image
bookish in reply to rebtar

Firstly, just to point out what I'm sure you know, we have a genetic predisposition to slow COMT, which doesn't mean it actually is slow. But from signs and symptoms over a lifetime and the fact that magnesium made me feel hugely better, I'm certain that for me it is part of the whole mess. Ok that said, no single genetic SNP will cause illness, they work as a group and a big one, so you may find MTHFR and MAO and MTR and, and, and.........it is all about balance. Try vojo.health/comt-genes/ and wholisticmatters.com/food-n... and ambersnaturalnutrition.com/... and redmountainclinic.com/a-gen.... There is a ton of it and useful bits of info in all of them. Just be aware that some don't tolerate methyl forms of vitamins well, so start low and slow and really need to test B12 and folate or check that they have been tested and get copy of results before you start any supplements including them (multi vitamin, B complex etc) as even frank deficiencies are not easy to pick up and supplementing makes it harder. Cheers

rebtar profile image
rebtar in reply to bookish

Thanks!

LAJ12345 profile image
LAJ12345 in reply to rebtar

this article is about inhibitors so if yours is slow it might mean you shouldn’t take these things. Having said that, as bookish says there are other genes that affect the same neurotransmitters. Hubby’s dopamine beta hydroxylase is too fast so maybe slowing his COMT compensates a bit for that.

Anyway if they try and put you on a COMT inhibitor like entacapone it might make things worse would be my interpretation.

And things that speed up your COMT might be what’s needed.

xcode.life/comt/what-does-t....

”low COMT activity may lead to higher levels of neurotransmitters in the brain, and this can cause mood changes, irritability, anger, anxiety, and other mental disorders. Below are nutrients that support balanced COMT activity in the body.

Magnesium

Vitamin C

B vitamins, especially vitamins B12 and B9

Some flavonoids like EGCG, quercetin, fisetin, and oleoresin need COMT to be processed in the body. Therefore, excess consumption of foods rich in these flavonoids may decrease COMT activity. Some people may have slower COMT activity than others. Genetic testing can help understand how a person’s COMT gene functions and changes in it, if any. This may help recognize COMT activity levels and plan nutritional changes to supplement it.Besides a good diet, nutritional supplements can also help balance these levels and improve COMT activity in the brain. ”

BeedieBird profile image
BeedieBird

Quercetin is also a natural comt inhibitor..I take it as my comt is too fast - pubmed.ncbi.nlm.nih.gov/127...

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