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The Importance of Autophagy

  • Dr. Rachel Sharp, D.C.
  • Jan 18
  • 6 min read

Autophagy, derived from the Greek words auto (self) and phagy (eating), is a natural process by which cells break down and recycle their own components. Also known as apoptosis, this cellular "self-cleaning" mechanism is essential for maintaining health, preventing disease, and promoting longevity [1].

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What Is Autophagy?

Autophagy is a dynamic process that occurs at a baseline level in all cells but can be upregulated under certain conditions, such as fasting, exercise, or stress [3].


Benefits of Autophagy

  1. Cellular Renewal Autophagy helps remove damaged components, preventing the accumulation of cellular debris that could impair function [4].

  2. Protection Against Disease

    • Neurodegenerative Disorders: By clearing misfolded proteins and damaged organelles, autophagy reduces the risk of conditions like Alzheimer’s and Parkinson’s diseases [5].

    • Cancer Prevention: Autophagy can suppress tumor formation by eliminating damaged DNA and dysfunctional cells [6].

    • Infections: The process helps the immune system eliminate invading pathogens [7].

  3. Metabolic Health Autophagy enhances metabolic efficiency by recycling cellular components, which can improve insulin sensitivity and reduce inflammation [8].

  4. Longevity Studies on animals suggest that enhancing autophagy extends lifespan by maintaining cellular health and reducing age-related damage [9].


How to Increase Autophagy

Several lifestyle and dietary strategies can enhance autophagy. Here are some of the most effective methods:

  1. Fasting Intermittent fasting or prolonged fasting triggers autophagy by depleting cellular energy stores, prompting cells to recycle resources. Studies suggest that autophagy becomes more pronounced after 12–24 hours of fasting [10].

  2. Ketogenic Diet A high-fat, low-carbohydrate diet mimics fasting by lowering insulin levels and increasing ketones, which can activate autophagy [11].

  3. Exercise Physical activity, particularly high-intensity interval training (HIIT) and endurance exercise, stimulates autophagy in muscle cells and other tissues [12].

  4. Caloric Restriction Reducing calorie intake without malnutrition is a well-established method to promote autophagy and extend lifespan [13].

  5. Nutrient Timing Avoiding constant snacking and allowing gaps between meals can encourage autophagy by giving cells time to shift into a repair state [14].

  6. Sleep Quality sleep supports autophagy, particularly in the brain, where the process helps clear toxic proteins like beta-amyloid [15].

  7. Supplements and Foods Certain compounds may enhance autophagy:

    • Polyphenols: Found in green tea, turmeric, and red wine. Examples include quercetin (apples and onions) and flavonoids (citrus fruits). These compounds reduce oxidative stress and activate autophagy-related pathways [16].

    • Spermidine: Found in wheat germ, soy, and mushrooms. Directly induces autophagy by influencing cellular signaling pathways related to growth and repair [17].

    • Omega-3 Fatty Acids: Found in fatty fish, flaxseed, and walnuts. Reduce inflammation and may promote autophagy in neurons and other tissues [18].

    • Vitamin D: Found in fatty fish, egg yolks, and fortified foods. Regulates autophagy in immune cells and may enhance cellular repair mechanisms [19].

    • Magnesium: Found in nuts, seeds, leafy greens, and whole grains. Supports mitochondrial function and may help regulate autophagy [20].

    • Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN): Found in trace amounts in milk, fish, and yeast. These are precursors to NAD+, a coenzyme essential for energy metabolism and autophagy activation [21].

    • Sulforaphane: Found in cruciferous vegetables like broccoli and Brussels sprouts. Activates detoxification enzymes and supports autophagy by reducing oxidative stress [22].

    • Alpha-Lipoic Acid (ALA): Found in small amounts in spinach, broccoli, and organ meats. An antioxidant that enhances mitochondrial function and activates AMPK [23].

    • Coenzyme Q10: Found in oily fish, organ meats, and whole grains. Supports mitochondrial health and may enhance autophagy by improving energy production [24].

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Herbs

  1. Green Tea (Camellia sinensis) Contains epigallocatechin gallate (EGCG), a powerful polyphenol that activates autophagy by inhibiting mTOR and reducing oxidative stress [25]. Supports brain and liver health by enhancing cellular cleanup.

  2. Turmeric (Curcuma longa) Contains curcumin, which induces autophagy through the AMPK pathway and reduces inflammation [26]. May help clear toxic proteins linked to neurodegenerative diseases.

  3. Ginseng (Panax ginseng) Contains active compounds called ginsenosides, which have been shown to enhance autophagy in cells [27]. Provides neuroprotective and anti-aging benefits.

  4. Berberine Found in plants like barberry and goldenseal, berberine activates AMPK, which is a key regulator of autophagy [28]. Also supports metabolic health by improving insulin sensitivity.

  5. Resveratrol A polyphenol found in herbs like Japanese knotweed (Polygonum cuspidatum). Activates autophagy through AMPK activation and sirtuin pathways [29].

  6. Milk Thistle (Silybum marianum) Contains silymarin, a compound that promotes liver detoxification and may enhance autophagy in liver cells [30]. Protects against oxidative damage.

  7. Ashwagandha (Withania somnifera) An adaptogenic herb that supports cellular repair and stress resilience, indirectly supporting autophagy [31]. Helps balance oxidative stress, which can trigger autophagic processes.

  8. Cinnamon (Cinnamomum spp.) Contains cinnamaldehyde, which has been shown to promote autophagy by activating AMPK [32]. Supports metabolic health and reduces inflammation.


Cautions and Considerations

  • Moderation Is Key: Overactivation of autophagy may lead to excessive cellular degradation, which can be harmful [33].

  • Consult a Professional: If you have specific health conditions, such as diabetes, consult a healthcare provider before attempting fasting or drastic dietary changes.

  • Personalization: Autophagy-inducing strategies may not work uniformly for everyone. Individual responses can vary based on age, genetics, and overall health.


References

  1. Mizushima N, Komatsu M. Autophagy: renovation of cells and tissues. Cell. 2011;147(4):728–741. https://doi.org/10.1016/j.cell.2011.10.026

  2. Levine B, Kroemer G. Autophagy in the pathogenesis of disease. Cell. 2008;132(1):27–42. https://doi.org/10.1016/j.cell.2007.12.018

  3. Lu G, Wang Y, Shi Y, Zhang Z, Huang C, He W, Wang C, Shen HM. Autophagy in health and disease: From molecular mechanisms to therapeutic target. MedComm (2020). 2022 Jul 10;3(3):e150. https://doi.org/10.1002/mco2.150

  4. Klionsky DJ, et al. Guidelines for the use and interpretation of assays for monitoring autophagy. Autophagy. 2021;17(1):1–382. https://doi.org/10.1080/15548627.2020.1797280

  5. Menzies FM, et al. Autophagy and neurodegeneration: pathogenic mechanisms and therapeutic opportunities. Neuron. 2017;93(5):1015–1034. https://doi.org/10.1016/j.neuron.2017.01.022

  6. White E. The role of autophagy in cancer. J Clin Invest. 2015;125(1):42–46. https://doi.org/10.1172/JCI73941

  7. Deretic V, et al. Autophagy in infection, inflammation and immunity. Nat Rev Immunol. 2013;13(10):722–737. https://doi.org/10.1038/nri3532

  8. Singh R, Cuervo AM. Autophagy in the cellular energetic balance. Cell Metab. 2011;13(5):495–504. https://doi.org/10.1016/j.cmet.2011.04.004

  9. Rubinsztein DC, Marino G, Kroemer G. Autophagy and aging. Cell. 2011;146(5):682–695. https://doi.org/10.1016/j.cell.2011.07.030

  10. Alirezaei M, et al. Short-term fasting induces profound neuronal autophagy. Autophagy. 2010;6(6):702–710. https://doi.org/10.4161/auto.6.6.12376

  11. Newman JC, Verdin E. Ketone bodies as signaling metabolites. Trends Endocrinol Metab. 2014;25(1):42–52. https://doi.org/10.1016/j.tem.2013.09.002

  12. He C, et al. Exercise-induced BCL2-regulated autophagy is required for muscle glucose homeostasis. Nature. 2012;481(7382):511–515. https://doi.org/10.1038/nature10758

  13. Madeo F, et al. Caloric restriction mimetics: towards a molecular definition. Nat Rev Drug Discov. 2014;13(10):727–740. https://doi.org/10.1038/nrd4391

  14. Longo VD, Panda S. Fasting, circadian rhythms, and time-restricted feeding in healthy lifespan. Cell Metab. 2016;23(6):1048–1059. https://doi.org/10.1016/j.cmet.2016.06.001

  15. Xie L, et al. Sleep drives metabolite clearance from the adult brain. Science. 2013;342(6156):373–377. https://doi.org/10.1126/science.1241224

  16. Alejandro Ponce-Mora, Nicolle Andrea Salazar, Alicia Domenech-Bendaña, Antonella Locascio, Eloy Bejarano, Lucia Gimeno-Mallench. Interplay Between Polyphenols and Autophagy: Insights From an Aging Perspective. Front. Biosci. (Landmark Ed) 2025, 30(3), 25728. https://doi.org/10.31083/FBL25728

  17. Eisenberg T, et al. Cardioprotection and lifespan extension by the natural polyamine spermidine. Nat Med. 2016;22(12):1428–1438. https://doi.org/10.1038/nm.4222

  18. Lo M, Black M, McGlory C, Quadrilatero J, and Devries M. Effects of omega-3 supplementation on markers of autophagy, apoptosis and mitochondrial area density

    Physiology202338:S1. https://doi.org/10.1152/physiol.2023.38.S1.5735257

  19. Bhutia SK. Vitamin D in autophagy signaling for health and diseases: Insights on potential mechanisms and future perspectives. J Nutr Biochem. 2022 Jan;99:108841. https://doi.org/10.1016/j.jnutbio.2021.108841

  20. Killilea DW, Maier JA. A connection between magnesium deficiency and aging: new insights from cellular studies. Magnes Res. 2008;21(2):77–82.

  21. Cantó C, et al. The NAD+ precursor nicotinamide riboside enhances oxidative metabolism and protects against high-fat diet-induced obesity. Cell Metab. 2012;15(6):838–847. https://doi.org/10.1016/j.cmet.2012.04.022

  22. Myzak MC, Dashwood RH. Chemoprotection by sulforaphane: keep one eye beyond Keap1. Cancer Lett. 2006;233(2):208–218. https://doi.org/10.1016/j.canlet.2005.02.033

  23. Shay KP, et al. Alpha-lipoic acid as a dietary supplement: molecular mechanisms and therapeutic potential. Biochim Biophys Acta. 2009;1790(10):1149–1160. https://doi.org/10.1016/j.bbagen.2009.07.026

  24. Bentinger M, Tekle M, Dallner G. Coenzyme Q – biosynthesis and functions. Biochem Biophys Res Commun. 2010;396(1):74–79. https://doi.org/10.1016/j.bbrc.2010.02.147

  25. Yang CS, Wang H. Cancer preventive activities of tea catechins. Mol Nutr Food Res. 2016;60(1):18–34. https://doi.org/10.3390/molecules21121679

  26. Sivani BM, Azzeh M, Patnaik R, Pantea Stoian A, Rizzo M, Banerjee Y. Reconnoitering the Therapeutic Role of Curcumin in Disease Prevention and Treatment: Lessons Learnt and Future Directions. Metabolites. 2022 Jul 12;12(7):639. https://doi.org/10.3390/metabo12070639

  27. Huang X, Li N, Pu Y, Zhang T, Wang B. Neuroprotective Effects of Ginseng Phytochemicals: Recent Perspectives. Molecules. 2019 Aug 14;24(16):2939. doi: 10.3390/molecules24162939. https://doi.org/10.3390/molecules24162939

  28. Jin Y, Khadka DB, Cho WJ. Pharmacological effects of berberine and its derivatives: a patent update. Expert Opin Ther Pat. 2016;26(2):229-43. doi: 10.1517/13543776.2016.1118060. Epub 2015 Dec 4. PMID: 26610159. https://doi.org/10.1517/13543776.2016.1118060

  29. Madeo F, et al. Caloric restriction mimetics against age-associated disease: targeting autophagy and other cellular programs. Cell Metab. 2019;29(3):592–610. https://doi.org/10.1016/j.cmet.2019.01.018

  30. Surai PF. Silymarin as a natural antioxidant: an overview of the current evidence and perspectives. Antioxidants (Basel). 2015;4(1):204–247. https://doi.org/10.3390/antiox4010204

  31. MAZUR, Karol, LEWICKI, Marcin, MAZUR, Dominika and SMOLEŃ, Agata. Efficacy and safety of ashwagandha root extract in the treatment of insomnia, anxiety and reducing stress – literature review. Journal of Education, Health and Sport. Online. 15 December 2021. Vol. 11, no. 12, pp. 197-202. https://doi.org/10.12775/JEHS.2021.11.12.013

  32. Kim, T.W. Cinnamaldehyde induces autophagy-mediated cell death through ER stress and epigenetic modification in gastric cancer cells. Acta Pharmacol Sin 43, 712–723 (2022). https://doi.org/10.1038/s41401-021-00672-x

  33. Mariño G, Niso-Santano M, Baehrecke EH, Kroemer G. Self-consumption: the interplay of autophagy and apoptosis. Nat Rev Mol Cell Biol. 2014 Feb;15(2):81-94. doi: 10.1038/nrm3735. Epub 2014 Jan 8. https://doi.org/10.1038/nrm3735

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