Taurine. There is some evidence that the amino acid
taurine may be of benefit in the symptomatic treatment of MD. Taurine
is abundant in normal skeletal muscle and is believed to exert both
long- and short-term control over the functionality of ion channels
(Conte Camarino D et al 2004). These channels serve as passageways
between the interior of a cell and the cell’s external environment. An
excessive influx of calcium ions into MD muscle cells is believed to
play a significant role in the inflammation and pathology associated
with the disease (Ruegg UT et al 2002). Accordingly, regulation of ion
channel function would appear to play an especially important role in
the management of MD.
In ordinary laboratory rodents, it has been shown that aging is
associated with biochemical changes that decrease muscles’ ability to
contract. These changes are accompanied by a decrease in muscle cell
taurine content. When taurine becomes depleted in adult rat muscle
cells, biochemical changes similar to those seen in aged rats occur.
When aged rats are fed supplemental taurine, these changes may be
reversed (Pierno S et al 1998).
Building on this preliminary research, Italian scientists
investigated taurine’s potential to influence muscle status in mdx
mice. To test taurine’s effects in MD, the researchers treated mdx mice
with taurine or other substances for four to eight weeks. The animals
were subjected to chronic exercise on a treadmill, an activity known to
worsen symptoms of MD. Afterwards, animals were evaluated for various
indicators of declining or improving muscle functionality. “Exercise
produced a significant weakness,” researchers reported. But taurine
“counteracted the exercise-induced weakness.” Among the substances
tested, this counteraction effect was strongest for taurine. “The
results predict a potential benefit of taurine . . . for treating human
dystrophy,” the researchers concluded (De Luca A 2001, 2003).
Anti-Inflammatory Therapy
Inflammation is playing an increasingly large role in the research
regarding MD. Physicians are steadily gaining knowledge and insight
into the inflammatory changes that are responsible for much of the
actual damage associated with many diseases, including MD. This
progress opens up the possibility for new, targeted treatment that
would interfere with the inflammatory cascade, thus limiting muscle
damage and slowing the disease. Although most of this research remains
speculative, there appears to be great promise in anti-inflammatory
therapies for MD (Tidball JG et al 2005).
Scientists have shown that chronic inflammation in DMD results from
the coordinated activity of numerous components, including cytokine and
chemokine signaling, white blood cell adhesion, and complement system
activation, among others (Porter JD et al 2002).
The omega-3 fatty acids eicosapentaenoic acid (EPA) and
docosahexaenoic acid (DHA), primarily obtained from fish oil, have
repeatedly been shown to exert anti-inflammatory effects when consumed
in sufficient quantities (Ferrucci L et al 2006; La Guardia M et al
2005). Omega-3s are crucial components of cell membranes, where they
contribute to stabilization and healthy function (Zamaria N 2004).
Accordingly, at least one scientist has proposed that supplemental
omega-3 fatty acids may be of some benefit in the nutritional support
of MD patients (Leighton S 2003).
Vitamin Depot Online.com Foundation Recommendations
Although advances in molecular biology, genetics, pharmacology, and
stem cell research represent the best hope for an eventual cure, at
present the muscular dystrophies remain a family of genetic disorders
that are debilitating and ultimately fatal. Advances in palliative care
have extended life span somewhat, however, and nutritional approaches
to patient support should not be dismissed. They offer a potential
means of delaying degeneration, promoting muscle regeneration, and
thwarting destructive inflammation, thus improving quality of life.
The following supplements may be beneficial to MD patients:
Creatine—1000 to 3000 milligrams (mg) daily on an empty stomach
The blood tests discussed in this section are available through
Vitamin Depot Online.com National Diagnostics, Inc. For ordering information, call
anytime toll-free 1-800-208-3444.
Muscular Dystrophy Safety Caveats
An aggressive program of dietary supplementation should not be
launched without the supervision of a qualified physician. Several of
the nutrients suggested in this protocol may have adverse effects.
These include:
Calcium
Do not take calcium if you have hypercalcemia.
Do not take calcium if you form calcium-containing kidney stones.
Ingesting calcium without food can increase the risk of kidney stones in women and possibly men.
Calcium can cause gastrointestinal symptoms such as constipation, bloating, gas, and flatulence.
Large doses of calcium carbonate (12 grams or more daily or 5
grams or more of elemental calcium daily) can cause milk-alkali
syndrome, nephrocalcinosis, or renal insufficiency.
Coenzyme Q10
See your doctor and monitor your blood glucose level frequently if
you take CoQ10 and have diabetes. Several clinical reports suggest that
taking CoQ10 may improve glycemic control and the function of beta
cells in people who have type 2 diabetes.
Statin drugs (such as lovastatin, simvastatin, and pravastatin) are known to decrease CoQ10 levels.
Creatine
Do not take creatine if you have diabetes, kidney failure, a kidney
disorder such as nephrotic syndrome, or are otherwise at risk of having
a kidney disorder.
If you take creatine, have your serum creatinine level monitored frequently.
Creatine can cause muscle cramping, muscle strains, and gastrointestinal symptoms such as nausea and diarrhea.
EPA/DHA
Consult your doctor before taking EPA/DHA if you take warfarin
(Coumadin). Taking EPA/DHA with warfarin may increase the risk of
bleeding.
Discontinue using EPA/DHA 2 weeks before any surgical procedure.
Green Tea
Consult your doctor before taking green tea extract if you take
aspirin or warfarin (Coumadin). Taking green tea extract and aspirin or
warfarin can increase the risk of bleeding.
Discontinue using green tea extract 2 weeks before any surgical procedure. Green tea extract may decrease platelet aggregation.
Green tea extract contains caffeine, which may produce a
variety of symptoms including restlessness, nausea, headache, muscle
tension, sleep disturbances, and rapid heartbeat.
L-Arginine
Do not take L-arginine if you have the rare genetic disorder argininemia.
Consult your doctor before taking L-arginine if you have cancer. L-arginine can stimulate growth hormone.
Consult your doctor before taking L-arginine if you have kidney failure or liver failure.
Consult your doctor before taking L-arginine if you have herpes simplex. L-arginine may increase the possibility of recurrence.
L-Glutamine
Consult your doctor before taking L-glutamine if you have kidney failure or liver failure.
L-glutamine can cause gastrointestinal symptoms such as nausea and diarrhea.
Vitamin D
Do not take vitamin D if you have hypercalcemia.
Consult your doctor before taking vitamin D if you are taking digoxin or any cardiac glycoside.
Only take large doses of vitamin D (2000 international units or 50 micrograms or more daily) if prescribed by your doctor.
See your doctor frequently if you take vitamin D and thiazides
or if you take large doses of vitamin D. You may develop hypercalcemia.
Chronic large doses (95 micrograms or 3800 international units or more daily) of vitamin D can cause hypercalcemia.