Do proteins inhibit your autophagy?
Proteins inhibit autophagy because the amino acids in your meal keep mTOR active, the best-known brake on autophagy. If you want to promote autophagy, a period of fasting or reduced protein intake is the most well-supported approach, although large human studies on the optimal duration are lacking.
Proteins inhibit autophagy through one central link: the mTOR protein. Amino acids, the building blocks of proteins, activate mTOR as soon as they enter the cell. An active mTOR puts the brakes on autophagy. This mechanism is well documented in cell studies and animal research, and is the target of drugs such as rapamycin.
How this works in practice: two transport proteins on the cell surface allow amino acids to enter. If you switch off those transport proteins, mTOR is inhibited and autophagy becomes measurably active. In other words: as long as you take in enough protein, mTOR keeps autophagy suppressed. This has been demonstrated in cell culture experiments.
During prolonged fasting, an interesting feedback loop comes into play. Autophagy breaks down old cellular material and in doing so delivers new amino acids. Those amino acids reactivate mTOR, which causes autophagy to switch itself off after a while. So proteins also inhibit autophagy at the end of the cycle. This has been studied in kidney tissue from rats and comparable animal models; direct data in humans are lacking.
In aged cells the picture is more complex. Autophagy can actually be elevated there, even when mTOR is active, via pathways that bypass mTOR. In addition, autophagy in those cells supplies amino acids that feed mTOR, which sustains the production of inflammatory substances. Whether it is then better to inhibit mTOR or not depends strongly on the cell type; the outcome ranges from recovery to cell death.
The key point for you as a reader: a protein-rich meal, or more precisely the amino acids it contains, keeps mTOR active and thereby inhibits autophagy. Fasting or a temporary low protein intake is the most studied way to release that brake. How long or how strict that fasting needs to be has not yet been established in large human studies.
Evidence comes from cell culture studies, animal research (rat, multiple species) and reviews; large randomised human studies are lacking. The mTOR mechanism is, however, well documented.
Can early liver fat accumulation and fibrosis be reversed by addressing the underlying metabolic causes?
Early liver fat accumulation and even fibrosis are largely reversible through weight loss of 10% or more. Start with a Mediterranean diet, resistance training and reduced alcohol intake, and discuss with your doctor whether medication is needed if lifestyle changes alone are not sufficient.
Does metformin help with weight loss?
Metformin helps with weight loss, but the effect is modest: expect a few kilograms, not a dramatic transformation. Lifestyle changes work better in the short term, but weight loss with metformin remains stable over the long term. Discuss it with your doctor if you want to know whether it suits your situation.
What is insulin resistance and can I reverse it?
Insulin resistance can in many cases be substantially reversed, and exercising more combined with a healthier diet are the best-evidenced approaches for doing so. Starting early pays off, because the longer the vicious cycle runs, the harder it becomes to break.
Does my metabolism really slow down as I get older?
Your metabolism does not slow down from your thirties onward, but after your sixties energy expenditure does decline noticeably. Muscle loss and reduced physical activity are the biggest culprits, and these are also the areas where you have the most influence yourself.
What is autophagy and can I activate it myself?
You can promote autophagy yourself through fasting or temporarily eating significantly less, and probably through exercise as well. Do not overdo it: extreme caloric restriction can actually damage the cell.
Does exercise activate autophagy?
Exercise activates autophagy in muscle cells through well-described mechanisms, but most of the evidence comes from animal and laboratory research. In practice: regular, moderate exercise appears most beneficial; extremely excessive loading could actually dysregulate the system.