A low dose stimulation or beneficial effect and a high dose inhibitory or toxic effect on human cell
The Concept of Hormesis
The term hormesis has been most widely used in the toxicology field where investigators use it to describe a biphasic dose-response with a low dose stimulation or beneficial effect and a high dose inhibitory or toxic effect. The response of the cell or organism to the low dose of the toxin is considered an adaptive compensatory process following an initial disruption in homeostasis. Thus, a short working definition of hormesis is: ‘a process in which exposure to a low dose of a chemical agent or environmental factor that is damaging at higher doses induces an adaptive beneficial effect on the cell or organism’. The prevalence in the literature of hormetic dose responses to environmental toxins has been reviewed comprehensively, as have the implications of toxin-mediated hormesis for understanding carcinogenesis and its prevention. Several different terms are commonly used to describe specific types of hormetic responses including “preconditioning” and “adaptive stress response”.
While hormesis is most often thought of in the context of exposures to exogenous agents or environmental conditions, it should also be recognized that hormesis is integral to the normal physiological function of cells and organisms. For example, exposure of neurons to the excitatory neurotransmitter glutamate during their normal activity results in energetic and oxidative stress accompanied by activation of hormetic pathways that help the neurons cope with more severe stress; however, excessive activation of glutamate receptors can kill neurons in a process called excitotoxicity.
Hormesis is a fundamental concept in evolutionary theory. From the beginning through the present time, life on earth has existed in harsh environments in which cells are often exposed to free radicals and toxic substances. To avoid extinction organisms have developed complex mechanisms to cope with the environmental hazards. Typically, such hormetic response pathways involve proteins such as ion channels, kinases and deacetylases, and transcription factors which regulate the expression of genes that encode cytoprotective proteins. Several major categories of hormetic stress resistance proteins have been identified including protein chaperones such as the heat-shock proteins, antioxidant enzymes such as superoxide dismutases and glutathione peroxidase, and growth factors such as insulin-like growth factors and brain-derived neurotrophic factor. In some cases organisms have harnessed the chemical properties of “toxic agents”, incorporating them into cellular signaling or metabolic pathways. Examples include oxygen (critical for respiration), carbon monoxide (serves as a signaling molecule in neurons), iron and selenium (potentially toxic metals that are critical for the function of many different enzymes).
The Biphasic Dose-Response is a Fundamental Feature of Hormesis
Thousands of published articles include data showing biphasic responses of cells or organisms to chemicals or changing environmental conditions. While not all toxic factors may induce a biphasic dose response in cells and organisms, many clearly do. Examples include many chemicals, temperature, radiation, exercise, energy intake and others. A low concentration of the lipid mediator ceramide protected cultured brain nerve cells from being killed by a high concentration of the excitatory neurotransmitter glutamate; on the other hand, high concentrations of ceramide were toxic to the neurons. Interestingly, glutamate itself can induce hormesis, as pretreatment of neurons with a low concentration of glutamate can protect them from being damaged by a higher concentration of glutamate. Naturally occurring environmental neurotoxins may also exert neuroprotective effects when administered at low doses.
The cellular and molecular information flow that mediates hormesis in organisms and cells. Hormesis can be initiated by exposure of organisms to extrinsic stimuli such as exercise, dietary modifications and environmental factors including heat and low doses of toxins. In addition, cellular hormesis can be induced by activation of intrinsic signaling pathways by (for example) changes in energy availability, hormones and neurotransmitters. Such hormetic exposures typically result in mild cellular stress involving free radical production, ion fluxes and increased energy demand. In response, adaptive stress response pathways involving kinases and deacetylases (for example) and transcription factors are activated in cells resulting in the production of hormetic effector proteins that protect cells against more severe stress. Examples of such stress resistance proteins include antioxidants, protein chaperones, growth factors, and proteins involved in the regulation of energy metabolism and cellular calcium homeostasis.
One of the most widely studied types of experimental hormesis, called preconditioning ischemia, occurs when an organ (the heart or brain, for example) are subjected to a brief mild ischemia(restriction in blood supply to tissues). Having been exposed to the mild ischemia the cells become resistant to being killed by a full-blown heart attack or stroke. Ischemia exhibits a biphasic dose response, with brief periods of ischemia being protective and prolonged periods resulting in cell damage. The cellular and molecular mechanisms underlying preconditioning ischemia hormesis are being elucidated and may involve oxidative stress-induced cytoprotective signaling pathways involving activation of kinases, changes in mitochondria, and the expression of genes encoding antioxidant enzymes and protein chaperones.
A common observation in studies of hormesis is that exposure to low levels of one type of hormetic agent can protect cells/organisms against more than one type of stress. For example, exposure of cells to mild heat stress can protect them from being damaged by oxidative stress or toxins such as cyanide. Similarly, when cells are exposed to a low dose of the mitochondrial uncoupling agent 2, 4-dinitrophenol they are less vulnerable to being killed by ischemia. This “cross-modal” aspect of hormesis in biological systems, may explain the broad benefits of exercise and dietary energy restriction. Recent findings suggest that health benefits of many phytochemicals may also be conferred by cross-modal hormesis mechanisms in which a phytochemical activates one or more adaptive cellular stress response pathways.
Hormesis in Daily Life
Several articles in this special issue of ARR describe evidence supporting hormesis as a mechanism responsible for the health benefits of a variety of lifestyle and environmental factors. This is best documented for exercise which increases the resistance of musculoskeletal and cardiovascular systems to injury and disease. But moderate regular exercise also benefits other tissues including the nervous system and digestive system. Zsolt Radak and Fernando Gomez-Pinilla cover the current state of knowledge of the hormetic effects exercise on muscle and nerve cells. The public in industrialized countries is bombarded with a bewildering array of information on the effects of dietary factors on health. However, the only well-established means of improving health through diet is maintaining a relatively low caloric intake, as described previously. An article describes the involvement of hormesis mechanisms in the beneficial effects of dietary energy restriction on health, and also highlights emerging evidence supporting a role for hormesis in the health-promoting actions of several widely-studied chemicals in fruits and vegetables .
Accumulating evidence suggests that the reason that regular engagement in intellectual activities is beneficial for the brain is that it activates hormetic pathways in neurons. Similar to the changes that occur in muscle cells during exercise, neurons engaged in challenging activities are subjected to repeated bouts of calcium influx, free radical production and moderate (aerobic) energetic stress. As a result, transcription factors such as cyclic AMP response element-binding protein (CREB) and nuclear factor κB (NF-κB) are activated, and the expression of several major classes of cytoprotective proteins is increased including neurotrophic factors, heat-shock proteins and others. As with other organ systems, exposure of the cells in the nervous system to mild and transient bouts of stress may increase their resistance to the adversities of ageing.
Chemical Hormesis: An Explanation for the Health Benefits of Fruits, Vegetables and Some Drugs?
Thousands of chemicals isolated from plants have been shown to exert effects on animals that are, in many cases, beneficial for health. Because oxidative stress contributes to the pathogenesis of many major diseases and the ageing process, and because fruits and vegetables contain chemicals that (at high concentrations) exhibit direct free radical-scavenging properties, there has been a heavy emphasis on the hypothesis that it is the antioxidant activity of phytochemicals that is responsible for their health benefits. Indeed, micromolar concentrations of vitamin E and numerous polyphenols can protect a variety of cells against oxidative stress in cell culture models of cancer, atherosclerosis and neurodegenerative disorders. However, clinical trials and primary prevention studies of high doses of such antioxidants in humans have been disappointing at best. Because epidemiological data supporting health benefits of consumption of fruits and vegetables are quite strong, and because the relatively low amount of phytochemicals typically consumed is unlikely to achieve direct antioxidant (micromolar) concentrations in cells, there has been considerable interest in understanding the effects and mechanisms of action of the typically consumed low dose (submicromolar) concentrations of phytochemicals.
…. Studies of experimental models of cancer, cardiovascular disease and neurodegenerative disorders have provided evidence that at least some phytochemicals exert beneficial effects by activating adaptive stress response signaling pathways. The pathways typically involve the activation of kinases and transcription factors, resulting in increased production of cytoprotective proteins including phase 2 enzymes, antioxidant enzymes, heat-shock proteins, growth factors and proteins involved in the regulation of cellular energy metabolism. Examples include: activation of the Nrf-2 (a transcription factor) and its genetic target, the antioxidant response element (ARE) by sulforaphane and curcumin; activation of histone deacetylases and their target FOXO transcription factors by resveratrol; and activation of the transient receptor potential (TRP) calcium channels by capsaicin and allicin. In many cases, such “noxious” phytochemicals that activate stress response pathways in cells may serve the function of dissuading microorganisms and insects from eating the plant. In the relatively low doses consumed by humans, however, these noxious phytochemicals activate cellular stress response pathways without adversely affecting their function. In this issue of ARR, Fred Alt describes the emerging role of histone deacetylases of the sirtuin family as key mediators of adaptive cellular stress responses.
The concept that drugs exert their beneficial effects by hormetic mechanisms of action can be traced to the 16th century and a Swiss chemist and physician called Paracelsus who wrote: “All things are poison and nothing is without poison, only the dose permits something not to be poisonous”. This concept certainly applies to the many drugs that are derived from plants and microorganisms including various treatments for infections, cancers and pain. Even synthetic drugs thought to act on a specific molecular target may exert “off-target” hormetic effects. In this evidence are available supporting hormesis as a common mechanism of drug action. Hormesis is also implicated in the actions of complementary and alternative medicines including acupuncture.
Source: Modified from the original Mark P. Mattson Author’s article publisged in the web edition of National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA.
Aging- Hormesis counter-balances the progressive shrinkage of the homeodynamic space, which is the ultimate cause of aging, diseases and death. Healthy aging may be achieved by hormesis through mild and periodic, but not severe or chronic, physical and mental challenges, and by the use of nutritional hormesis incorporating mild stress-inducing molecules called hormetins.