Hi peeps, I see a repeated claim both in the subs wiki sidebar as well as in comments shared in a lot of the posts here that one of the big great benefit from fasting is that autophagy is turned on. The sidebar wiki even suggest that detection of energy will turn it off.
Where have this claim originated from?
Autophagy is a constant process, pretty much every single cell in our body is constantly self eating. Its predominantly regulated through the different pathways between selective, and nonselective autophagy, as well as extracellular signaling in response to various endocrinal and stress related signals and triggers.
The rates of these processes are truly astonishing. A typical cell will go through 30% of its plasma membrane in less than an hour, and it takes around 5-7 hours for a complete cell go-through.
Yes, fasting will increase this somewhat, but not due to a need in repair. Caloric deficiency in an interaction between insulin and mTORC1/2 will increase the phagosomerate in a response to increase catabolic need. So, the reason fasting increases autophagy is because you start to rely on cellular contents for energy, so a general part of weightloss. The relatively minor increase in the phagosomerate would have very neglectable impacts on damage repair. The cells have intracellular pathways that respond to registered damage in proteins, membrane or organelles etc, so the very existence of damage is by itself a major amplifier of autophagy.
You can absolutely not turn autophagy off, and remain alive for very long, and I'd be seriously skeptical to any claim of health benefits from fasting DUE to autophagy. It goes against several fundaments of cell biology and such claim fall well under the concept of "Extraordinary claims require extraordinary evidence" or similar.
Since I saw this concept claimed so often in the threads, including the downright absurd claim that not beeing energy deficient will turn autophagy off claimed in the subwiki, I wanted to start a discussion so we can sort out the woo-woo from the science. Misinformation is a plague in our society, and when I see people promote fasting to help in a large amount of different ailments all under the embrella of "Starting autophagy to trigger cell repair and make your body heal itself" I got worried.
I have no problem accepting claims of benefits from fasting, I use it for increasing insulin sensitivity and weightloss personally as well as increasing my ability to not eat just because of cravings, but let the message come from a place of honesty and information and not something shared with the same level of skepticism that tabloids deploy when they write articles about the newest dietary fad.
References:
Molecular Biology of the Cell, Sixth Edition
Pages 725-727, Chapter 13, Chapter 15
https://www.amazon.com/Molecular-Biology-Sixth-Bruce-Alberts/dp/0815345240
Autophagy in the Regulation of Tissue Differentiation and Homeostasis
https://www.frontiersin.org/articles/10.3389/fcell.2020.602901/full
Autophagy revisited: A conversation with Christian de Duve
https://www.tandfonline.com/doi/abs/10.4161/auto.6398
Autophagy: Renovation of Cells and Tissues
https://www.cell.com/cell/fulltext/S0092-8674(11)01276-1?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867411012761%3Fshowall%3Dtrue
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OP I appreciate this post. As someone who is medical yet not cellular biology trained, I’ve always seen the autophagy info in skeptical lenses. There are some ginormous claims by some here and in the intermittent group. I’ve never looked further into it because that’s not my goal of fasting, it was always weight loss/maintenance. So you have saved me quite a bit of eventual research by posting here with your references.
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I’ve been championing whatever fasting benefits there might be not being an on/off switch quite a bit, so no, you not alone (I have mostly stopped because it gets boring).
However, I’m curious if you are up on the latest research by longevity researchers such as David Sinclair and Valter Longo? They sure seem to be implying that increased autophagy seems/might be one of the factors for why fasting seems to confer health benefits, that’s just not from losing weight alone. Obviously the picture is complex and we are barely scratching the surface rn, as far as longevity research goes.
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Yes, autophagy happens constantly, but autophagy is a term that includes much. There’s Macroautophagy, Microautophagy, Chaperone-Mediated Autophagy, Mitophagy, and Lipophagy. And there may be more types that I am unaware of. However we’re still learning, and I’ve yet to meet a perfect system in real life.
Your view of fasting not increasing autophagy seems to rely on an assumption that the insulin system, and all other systems are functioning normally. I will argue that in an obese person (or many people) insulin resistance is the norm and with the presence of elevated insulin autophagy processes are diminished and most likely have been for some time.
Fasting as a method to reduce insulin and mTor signaling may remove inhibitory factors allowing autophagy to occur at a more effective rate.
Perhaps the language is imprecise, but I’m not sure that your explanation clears up anything.
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I havent back tracked the papers but Huberman discusses it in his podcast which means there should be published papers supporting it.
As /u/contactspring mentioned, I particularly recall chaperone mediated autophage being mentioned as impacted by fasting.
The discussion with David Sinclair definitely touched on this. When I’m not on mobile I’ll try to add journal citations they are pulling from.
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Its a combination of a lack of knowledge and idolisation. You see it in just about every “health benefit” community. Negatives get minimised and positives exaggerated.
Too much credence is given to the benefits shown in animal studies as well.