Hormesis

Hormesis is a two-phased dose-response relationship whereby low-dose exposures have a beneficial effect and high-dose amounts are either inhibitory to function or toxic. Within the hormetic zone, the biological response to low-dose amounts of some stressors is generally favorable. An example is the breathing of oxygen, which is needed in certain concentrations for respiration in aerobic animals. Exposure to elevated levels of oxygen can have beneficial effects, but it becomes toxic in high concentrations. In toxicology, hormesis is a dose-response phenomenon to xenobiotics or other stressors. In physiology and nutrition, hormesis has regions extending from low-dose deficiencies to homeostasis, and potential toxicity at high levels. Physiological concentrations of an agent above or below homeostasis may adversely affect an organism, where the hormetic zone is a region of homeostasis of balanced nutrition. In pharmacology, the hormetic zone is similar to the therapeutic window. In the context of toxicology, the hormesis model of dose response is vigorously debated. The biochemical mechanisms by which hormesis works (particularly in applied cases pertaining to behavior and toxins) remain under early laboratory research and are not well understood.

Etymology The term "hormesis" derives from Greek hórmēsis for "rapid motion, eagerness", itself from ancient Greek hormáein to excite. The same Greek root provides the word hormone. The term "hormetics" is used for the study of hormesis. The word hormesis was first reported in English in 1943.

History

A form of hormesis famous in antiquity was Mithridatism, the practice whereby Mithridates VI of Pontus supposedly made himself immune to a variety of toxins by regular exposure to small doses. Mithridate and theriac, polypharmaceutical electuaries claiming descent from his formula and initially including flesh from poisonous animals, were consumed for centuries by emperors, kings, and queens as protection against poison and ill health. In the Renaissance, the Swiss doctor Paracelsus said, "All things are poison, and nothing is without poison; the dosage alone makes it so a thing is not a poison." German pharmacologist Hugo Schulz first described such a phenomenon in 1888 following his own observations that the growth of yeast could be stimulated by small doses of poisons. This was coupled with the work of German physician Rudolph Arndt, who studied animals given low doses of drugs, eventually giving rise to the Arndt–Schulz rule. Arndt's advocacy of homeopathy contributed to the rule's diminished credibility in the 1920s and 1930s. The term "hormesis" was coined and used for the first time in a scientific paper by Chester M. Southam and J. Ehrlich in 1943 in the journal Phytopathology, volume 33, pp. 517–541. In 2004, Edward Calabrese evaluated the concept of hormesis. Over 600 substances show a U-shaped dose–response relationship; Calabrese and Baldwin wrote: "One percent (195 out of 20,285) of the published articles contained 668 dose-response relationships that met the entry criteria [of a U-shaped response indicative of hormesis]"

Examples

Carbon monoxide Carbon monoxide is produced in small quantities across phylogenetic kingdoms, where it has essential roles as a neurotransmitter (subcategorized as a gasotransmitter). The majority of endogenous carbon monoxide is produced by heme oxygenase; the loss of heme oxygenase and subsequent loss of carbon monoxide signaling has catastrophic implications for an organism. In addition to physiological roles, small amounts of carbon monoxide can be inhaled or administered in the form of carbon monoxide-releasing molecules as a therapeutic agent. Regarding the hormetic curve graph:

Deficiency zone: an absence of carbon monoxide signaling has toxic implications Hormetic zone / region of homeostasis: small amount of carbon monoxide has a positive effect: essential as a neurotransmitter beneficial as a pharmaceutical Toxicity zone: excessive exposure results in carbon monoxide poisoning

Oxygen Many organisms maintain a hormesis relationship with oxygen, which follows a hormetic curve similar to carbon monoxide:

Deficiency zone: hypoxia / asphyxia Hormetic zone / region of homeostasis Toxicity zone: oxidative stress

Physical exercise Physical exercise intensity may exhibit a hormetic curve. Individuals with low levels of physical activity are at risk for some diseases, and individuals engaged in moderate, regular exercise experience less disease risk. However, excessive exercise and overtraining increases the risk of disease and jeopardizes health.

Mitohormesis

The possible effect of small amounts of oxidative stress is under laboratory research. Mitochondria are sometimes described as "cellular power plants" because they generate most of the cell's supply of adenosine triphosphate (ATP), a source of chemical energy. Reactive oxygen species (ROS) have been discarded as unwanted byproducts of oxidative phosphorylation in mitochondria by the proponents of the free-radical theory of aging promoted by Denham Harman. The free-radical theory states that compounds inactivating ROS would lead to a reduction of oxidative stress and thereby produce an increase in lifespan, although this theory holds only in basic research. However, in over 19 clinical trials, "nutritional and genetic interventions to boost antioxidants have generally failed to increase life span." Whether this concept applies to humans remains to be shown, although a 2007 epidemiological study supports the possibility of mitohormesis, indicating that supplementation with beta-carotene, vitamin A or vitamin E may increase disease prevalence in humans.

Alcohol

Alcohol is believed to be hormetic in preventing heart disease and stroke, although the benefits of light drinking may have been exaggerated. The gut microbiome of a typical healthy individual naturally ferments small amounts of ethanol, and in rare cases dysbiosis leads to auto-brewery syndrome, therefore whether benefits of alcohol are derived from the behavior of consuming alcoholic drinks or as a homeostasis factor in normal physiology via metabolites from commensal microbiota remains unclear.

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