Scan the
obits and you’ll see the usual suspects listed as causes of death—heart
disease, cancer, stroke, and complications from diabetes and Alzheimer’s
disease.
What you won’t read about is chronic
inflammation, a deep-body immune response that medical researchers are
beginning to recognize as the underlying reason we develop these deadly
conditions.
“Most major diseases seem to have a chronic inflammatory component,”
says integrative medicine expert James Dillard, M.D.
“Evidence shows that arthritis, certain allergies, and asthma are
increasing at alarming rates,” says Ski Chilton, Ph.D., a professor of physiology
and pharmacology at Wake Forest Baptist Medical Center and the author of Inflammation
Nation.
The dramatic upswing in these milder conditions suggests that chronic
inflammation is also on the rise and that it will increasingly fuel serious
diseases as well.
While the medical establishment is still trying to better understand
chronic inflammation, a growing body of research is casting light on the poorly
understood process and pointing us toward ways to fight it.
What the Heck Is Inflammation?
Chances are you’re already familiar with acute inflammation. This is the
redness, heat, and swelling of a gum infection or a hammer-meets-thumb
injury.
These reactions are triggered by the flood of white blood cells summoned
by your body to surround and protect the wound.
Acute inflammation also occurs internally when you get an infection,
such as pneumonia. In that event, those same white blood cells take aim at the
bacteria in your tissues and bloodstream.
In both cases, the heat and swelling of acute inflammation are all part
of your body’s battle against the invaders that cause infection—they help speed
the healing process.
Related: 6 Surprising Inflammation Causes
Chronic inflammation is different. It happens when the white blood cells
produced by your body to fight off infection don’t retreat.
Instead they attack healthy tissues and organs.
“Our own defenses literally bombard us with friendly fire,” says Peter
Libby, M.D., a cardiovascular specialist at Harvard Medical School who studies
inflammation.
Maybe not so friendly. When chronic inflammation runs high, you’ll start
to see problems wherever you’re genetically weakest.
If that’s your arteries, you get heart disease; your joints,
arthritis; your brain, Alzheimer’s disease; and so on.
“But the same process is driving
all of this,” says Brent Bauer, M.D., director of complementary and integrative
medicine at the Mayo Clinic.
You can stop chronic inflammation, and when you do, you’ll have a better
chance of avoiding the most common causes of early death.
How Chronic Inflammation Affects Your Body
Let’s look at the impact of inflammation on heart disease, which is
responsible for one in four deaths in the United States.
White blood cells are constantly being produced inside your bone marrow
and stored in your blood and lymphatic tissues.
These cells come in six main varieties: neutrophils, eosinophils,
basophils, bands, monocytes, and lymphocytes.
When bad LDL cholesterol begins building up in your blood vessels, your
immune system reacts by deploying macrophages, which are formed from
monocytes.
If you suffer from chronic inflammation, however, your body over reacts,
sending more white blood cells than necessary.
These hyperactive cells then literally attempt to suck up the cholesterol
particles—to swallow and digest them in their acidic bellies.
Soon the white blood cells become so loaded with fat that they simply
die, leaving a puddle of fatty debris—but not before sending out distress
flares, messenger proteins called cytokines that call in more microphages.
This insidious process happens quietly over years. “One of the most
dangerous things about chronic inflammation is that you can’t feel it happening,”
says Dr. Dillard.
Slowly and silently, the white blood cells that are killed in active
duty help form plaque that begins to line your previously smooth arterial
walls.
Your blood vessels, in turn, go from soft and pliable to overloaded with
fatty substances such as cholesterol—a condition called atherosclerosis.
At this point a blood clot, often protruding from a crack in the plaque,
can stop the bloodflow to your heart or brain, causing a heart attack or
stroke.
Or the debris from one of those plaque adhesions can break free and
lodge downstream, clogging the flow of blood through the artery.
“Heart disease and stroke that result from this kind of plaque buildup
are a leading cause of death and disability worldwide,” says Dr. Libby.
So while the obituary may read “heart attack,” it should read, “Died
from complications of chronic inflammation.”
Inflammation doesn’t just hurt your heart, of course. It also impacts
your:
·
Brain: Mounting research indicates that
inflammation in the brain contributes to depression and cognitive decline.
·
Joints: Chronic inflammation can lead to
rheumatoid arthritis by causing joint swelling, which damages cartilage and
bone.
·
Belly: Visceral fat, the kind that gives you a beer
gut, secretes chemicals that lead to inflammation.
Why Is Inflammation Becoming More Common?
The question scientists are trying to answer now is why this immune
response is becoming more common.
So far, the work suggests that our modern lifestyle and diet are
overwhelming our primordial immune system.
The advent of antibiotics and vaccines has us
outliving the infections that used to kill us, says Dr. Libby.
But living longer means more opportunities for age, genetics, and bad
habits to affect our organs and arteries.
Your body interprets these stressors as trouble and calls out the
cavalry of white blood cells, setting in motion a cascade of chemical reactions
that can destroy healthy tissue.
“The body has a limited tool kit for responding to danger,” explains Dr.
Bauer. “The immune system responds the same way, with the same white blood
cells, whether it’s combating a parasite, a toxin, or a cholesterol-packed
artery.”
Here’s an example. A person who eats a lot of processed and fried foods
can become overweight, and the visceral fat cells—which become stockpiled in
the belly and around the organs, particularly in men—start pumping out
chemicals that goad the body’s immune system into action.
“The fat that accumulates in your
abdomen is metabolically very dangerous,” says Dr. Libby.
It pumps out chemicals with evil-sounding names like interleukin-6 and
tumor necrosis factor, which stimulate the chemical reactions that spur
inflammation.
This means you can roughly assess your risk of chronic inflammation by
looking at two obvious factors: the size of your belly and the food in your
diet.
If you can’t see your feet and you eat out of grease-stained paper bags
and drink through straws, there’s a good chance chronic inflammation is
wreaking havoc on your body right now.
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