Daily living exposes us and our environment to an increasing number of foreign chemicals and byproducts, often called xenobiotics. But our body is equipped with a complex system of detoxification processes that work to expel these foreign substances. Supporting this amazing system is key to good health.
What are xenobiotics?
The term xenobiotics includes a number of substances that are foreign to animal biological systems, such as drugs, pesticides, cosmetics, flavorings, food additives, industrial chemicals, and environmental pollutants.
It’s been estimated that humans are exposed to between 1 and 3 million xenobiotics over a lifetime. Many xenobiotics have been linked to negative health effects, including hormone-disrupting effects (xenoestrogens), neurologic and immunologic effects (heavy metals such as lead, mercury, cadmium), and carcinogenic effects (alcohol, tobacco, nitrates, pesticides, heterocyclic aromatic amines from charred food).
In this context, detoxification refers to the safe biotransformation and elimination of such toxic substances, including foreign chemical exposures such as xenobiotics, as well as endogenously produced (from within the body) substances such as hormones.
Detoxification phases
In addition to reducing potential exposures, detoxification involves enhancing the safe elimination of these products through the body’s internal systems of biotransformation. The detoxification pathway is divided into two main steps: phase I detoxification and phase II detoxification.
Phase I detoxification
During this phase, toxins are activated through the addition of oxygen to highly reactive intermediaries by a group of enzymes known as the cytochrome P450 (CYP450) family. Phase I detoxification occurs primarily in the liver, but also in the digestive system, kidneys, lung, and brain.
Phase II detoxification
Here the phase I reactive intermediaries are rendered water soluble, less reactive, and able to be eliminated from the body. Phase II enzymes conjugate the reactive intermediaries by adding molecules such as glucuronic acid, sulphate, glutathione, methyl groups, and amino acids. The resulting water-soluble products can be eliminated through the kidneys into urine, or through the liver into bile, then eliminated in stool.
Factors influencing detox
When our detox and biotransformation processes don’t function optimally, it may be due to genetic factors, environmental overload, and/or nutrient deficiencies. These can lead to various chronic diseases, including hormonal imbalances, cancer, asthma, obesity, cardiovascular disease, diabetes, and neurodegenerative conditions.
Genetic factors
Common genetic variants within genes involved in phase I and phase II detox that are either more or less efficient in carrying out transformation reactions can, for example, alter sensitivity to medications that can either render them less effective or cause toxicity.
Medications such as painkillers could be rendered ineffective by a genetic variant that causes a particular enzyme to rapidly eliminate the medication, while a different variant that slows the enzyme could impede drug metabolism, allowing excessive accumulation within the body.
Nutrient effects
In general, phase I enzymes respond to the presence of increased substrates. If we drink more alcohol or consume more nicotine, for example, our body will produce more of the particular CYP enzymes that metabolize these. Of course, increased phase 1 activity requires greater phase II activity to mop up the resulting highly reactive intermediaries.
A healthy diet, of course, influences beneficial effects on our body’s detoxification functions. A whole foods diet that includes a rich variety of fruits and vegetables, whole grains, and healthy proteins contains many phytonutrients and amino acids that enhance phase II enzyme activity. Research continues to uncover the complexities of specific food-derived components to the complex processes of biotransformation.
Genetic test panels
There are a number of genetic test panels that can be analyzed by naturopathic doctors to help you understand your particular genetics as they relate to your body’s biotransformation processes.
Detox programs
Fad detox programs beyond count have been popularized over the years. Unfortunately, many of these are unlikely to achieve long-term benefits. Given the pervasive ongoing nature of xenobiotic exposure in our world, a more consistent, comprehensive, and sustainable approach to detoxification is best.
There’s a long tradition of spring cleanses or fasting periods in many cultures. This speaks to the wisdom of enforcing periods of time dedicated to cleaning up one’s diet and lifestyle. Additionally, it may be necessary at times to adopt ongoing changes to sustain long-term health improvement, particularly when it comes to nutritional strategies.
For someone very interested in understanding one’s own detoxification processes and specific supports, getting professional input on analysis of genetics testing would be ideal.
According to Dr. Philip Rouchotas, ND, in general, components of a successful detox program should include the following elements.
Clean diet
Eliminate highly processed foods, sugars, alcohol, excess caffeine; emphasize green vegetables and sufficient water intake. Check for food intolerances.
Regular bowel function
There’s no sense in increasing effectiveness of phase I and II detoxification processes if eliminated toxins are clogged up and reabsorbed. Diet and supplements such as probiotics, bitter herbs, or magnesium can help with this.
Exercise
Regular physical activity promotes mobilization of stored toxins from fat and the lymphatic system (a circulatory system made up of lymph vessels that includes the tonsils, spleen, lymph nodes, and lymph vessels).
Natural health products
Check with your health care provider for products shown to promote phase II detoxification that can be targeted based on symptoms, such as cofactors for estrogen elimination if hormone imbalance is prominent.
Efficient elimination is key
Healthy bowel function is essential for efficient elimination of toxins from the body following phase II detoxification.
Natural detox support
Some commonly utilized natural health products (NHPs) include the following:
Sulphoraphane
An isothiocyanate isolated from cruciferous vegetables, sulphoraphane has been shown as a strong inducer of phase II enzyme systems including quinone reductase, glutathione S-transferase, and UDP-glucuronosyl transferase.
Green tea
Containing potent antioxidants called catechins, green tea has been shown to protect against the carcinogenic effects of pesticides and other xenobiotics. Research indicates that consumption of green tea may have a positive effect on breast cancer prevention.
Indole-3-carbinol (I3C)
I3C is a component of cruciferous vegetables like kale and cauliflower and has been shown to induce phase I and II detoxification enzymes. In particular, I3C’s effects on biotransformation processes may have a positive effect on estrogen-related cancers.
Curcumin
Best known for its anti-inflammatory effects, curcumin also seems to be responsible for up-regulation of detoxifying gene expression in oxidative-associated liver diseases such as alcoholic liver disease, liver fibrosis and cirrhosis, and hepatic injury.
N-acetylcysteine (NAC)
NAC, a precursor for the synthesis of glutathione, one of the most important phase II enzymes, has been associated with a number of metabolic and hormone associated benefits.
Consult a licensed naturopathic doctor to find out which program might be best for you.
Foods upregulating glutathione
Years of research indicate an association between low glutathione levels and many disorders, including chronic liver and neurogenerative diseases, hypertension, diabetes, and infertility. The following foods and nutrients positively affect glutathione:
- cruciferous vegetables (broccoli, cabbage)
- allium species (garlic, onion)
- resveratrol (grapes, red wine)
- omega-3 fatty acids
- curcumin
- green tea
- asparagus
- spinach
This article was originally published in the March 2024 issue of delicious living magazine.