Blood Sugar Regulation and Mitochondrial Support

Blood Sugar Regulation and Mitochondrial Support

The interplay between the immune system and metabolic processes has gained increasing attention in recent years. One of the key areas of this interaction is blood sugar regulation. Metabolic disorders, such as diabetes, not only affect glucose homeostasis but also have profound implications for immune function. Likewise, immune responses, including inflammation and cytokine signaling, can influence insulin sensitivity and glucose metabolism. Additionally, mitochondrial function plays a crucial role in immune and metabolic health. This article explores the bidirectional relationship between immune function, blood sugar regulation, and mitochondrial support, drawing on recent scientific findings.

The Role of Blood Sugar Regulation in Immune Function

1. Glucose as an Immune Fuel

Glucose is a critical energy source for immune cells, particularly during infections and inflammation. Macrophages, neutrophils, and lymphocytes exhibit increased glucose uptake when activated. Glycolysis, the process of breaking down glucose into pyruvate, is upregulated in pro-inflammatory immune responses, facilitating rapid energy production and supporting cell proliferation.

  • Activated T cells undergo a metabolic switch to aerobic glycolysis (Warburg effect), similar to cancer cells, to sustain rapid proliferation and effector function.
  • Neutrophils rely on glucose metabolism for the production of reactive oxygen species (ROS), which are essential for pathogen clearance.
  • Dendritic cells and macrophages also exhibit glucose-dependent metabolic reprogramming when activated.

2. Hyperglycemia and Immune Dysregulation

Chronic hyperglycemia, as seen in diabetes, impairs immune function and increases susceptibility to infections. Several mechanisms contribute to this immune dysfunction:

  • Impaired Neutrophil Function: High glucose levels reduce neutrophil chemotaxis, phagocytosis, and oxidative burst, leading to an increased risk of bacterial infections.
  • Altered Cytokine Profiles: Hyperglycemia promotes a pro-inflammatory state, characterized by increased levels of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1 beta (IL-1β), which contribute to chronic low-grade inflammation.
  • Dysfunctional Adaptive Immunity: T cell activation and differentiation are impaired under hyperglycemic conditions, reducing the body’s ability to mount effective immune responses.
  • Increased Susceptibility to Infections: Poor glycemic control is associated with higher rates of pneumonia, urinary tract infections, and sepsis.

The Impact of the Immune System on Glucose Metabolism

1. Inflammation-Induced Insulin Resistance

Chronic inflammation is a key driver of insulin resistance. Pro-inflammatory cytokines, such as TNF-α and IL-6, disrupt insulin signaling pathways by:

  • Inhibiting insulin receptor substrate (IRS) phosphorylation, impairing downstream signaling.
  • Increasing free fatty acid release from adipose tissue, which interferes with insulin sensitivity.
  • Enhancing oxidative stress and endoplasmic reticulum (ER) stress, which contribute to beta-cell dysfunction.

2. The Role of Immune Cells in Metabolic Homeostasis

Certain immune cells play regulatory roles in metabolic tissues, influencing glucose homeostasis:

  • Macrophages: In lean individuals, anti-inflammatory M2 macrophages help maintain insulin sensitivity. In obesity, a shift towards pro-inflammatory M1 macrophages contributes to insulin resistance.
  • Regulatory T Cells (Tregs): Tregs promote insulin sensitivity by reducing inflammation in adipose tissue and the pancreas.
  • Innate Lymphoid Cells (ILCs): ILCs help balance immune responses in metabolic tissues, impacting insulin sensitivity.

Mitochondrial Support and Immune-Metabolic Function

1. Mitochondria as the Powerhouse of Immune and Metabolic Health

Mitochondria play a central role in immune cell activation, energy metabolism, and oxidative stress regulation. Their function is critical for both adaptive and innate immunity:

  • Energy Production: Mitochondria generate ATP through oxidative phosphorylation, which fuels immune and metabolic processes.
  • ROS and Immune Signaling: Mitochondria produce reactive oxygen species (ROS) that influence immune cell activation and pathogen clearance.
  • Metabolic Adaptation: Mitochondria support metabolic flexibility by balancing glycolysis and oxidative phosphorylation based on immune and metabolic needs.

2. Mitochondrial Dysfunction and Its Consequences

Mitochondrial dysfunction is linked to both immune and metabolic dysregulation:

  • Increased Inflammation: Dysfunctional mitochondria release damage-associated molecular patterns (DAMPs), triggering chronic inflammation.
  • Insulin Resistance: Impaired mitochondrial function in muscle and liver cells reduces glucose utilization, leading to insulin resistance.
  • Fatigue and Metabolic Slowdown: Poor mitochondrial efficiency results in lower energy availability and metabolic sluggishness.

3. Strategies to Support Mitochondrial Health

  • Nutritional Support:
    • Coenzyme Q10, alpha-lipoic acid, and magnesium enhance mitochondrial energy production.
    • Polyphenols (e.g., resveratrol, curcumin) reduce oxidative stress and improve mitochondrial function.
    • A ketogenic or low-carb diet can promote mitochondrial biogenesis and efficiency.
  • Exercise and Hormesis:
    • Regular physical activity stimulates mitochondrial biogenesis and enhances metabolic resilience.
    • Intermittent fasting supports autophagy, removing dysfunctional mitochondria.
  • Stress Reduction and Sleep Optimization:
    • Chronic stress impairs mitochondrial function; meditation and mindfulness support mitochondrial efficiency.
    • Quality sleep promotes mitochondrial repair and immune balance.

Conclusion

The immune system and metabolic pathways are intricately linked, with blood sugar regulation and mitochondrial function playing crucial roles in immune health. Dysregulation in any of these systems can lead to chronic inflammation, insulin resistance, and increased susceptibility to infections. By adopting dietary, lifestyle, and pharmacological strategies, individuals can optimize metabolic and immune health, reducing the risk of chronic diseases.

References

  1. Hotamisligil, G. S. (2017). “Inflammation, metabolism, and immunometabolic disorders.” Nature, 542(7640), 177-185.
  2. Shi, H., & Chi, H. (2019). “Metabolic control of T-cell immunity: Implications for immune regulation and precision immunotherapy.” Signal Transduction and Targeted Therapy, 4(1), 13.
  3. Saeed, S., Quintin, J., Kerstens, H. H., et al. (2014). “Epigenetic programming of monocyte-to-macrophage differentiation and trained innate immunity.” Science, 345(6204), 1251086.
  4. Petersen, M. C., & Shulman, G. I. (2018). “Mechanisms of insulin action and insulin resistance.” Physiological Reviews, 98(4), 2133-2223.
  5. Newsholme, P., Cruzat, V., Keane, K., Carlessi, R., & de Bittencourt, P. I. (2016). “Molecular mechanisms of ROS production and oxidative stress in diabetes.” Biochemical Journal, 473(24), 4527-4550.
Time-Restricted Eating’s Impact on Metabolic Flexibility: Improve Insulin Sensitivity and Metabolic Health

Time-Restricted Eating’s Impact on Metabolic Flexibility: Improve Insulin Sensitivity and Metabolic Health

Imagine your body as a finely tuned engine that can switch between different fuel sources—like carbohydrates and fats—based on what you eat and how much energy you need. This ability is called metabolic flexibility, and it’s crucial for keeping your metabolism healthy and preventing chronic diseases like type 2 diabetes and obesity. One dietary strategy that’s gaining attention for boosting metabolic flexibility is time-restricted eating (TRE). Instead of focusing solely on what you eat, TRE emphasizes when you eat. Let’s dive into the evidence supporting TRE’s impact on metabolic flexibility, insulin sensitivity, and overall metabolic health.

Understanding Time-Restricted Eating

Time-restricted eating is all about limiting your daily eating window to a specific number of hours, usually between 8 to 12 hours, followed by a fasting period of 12 to 16 hours. This approach aligns with your body’s natural circadian rhythms, which regulate various physiological processes, including metabolism. By syncing your eating patterns with these rhythms, TRE aims to optimize your metabolic function and improve your overall health.

Mechanisms of Metabolic Flexibility

Metabolic flexibility is about how efficiently your body uses different energy sources. Insulin sensitivity plays a big role here, as insulin helps regulate glucose uptake and storage. When insulin sensitivity is impaired, your body struggles to switch between carbohydrate and fat metabolism, leading to metabolic inflexibility. TRE enhances insulin sensitivity and improves metabolic flexibility through several mechanisms:

  • Circadian Rhythm Alignment: TRE helps sync your eating patterns with your body’s internal clock, improving insulin sensitivity and glucose tolerance.
  • Autophagy and Cellular Repair: The extended fasting period in TRE promotes autophagy, a process that recycles damaged cell parts and proteins, enhancing metabolic efficiency and reducing inflammation.
  • Gut Microbiota Modulation: TRE can positively influence your gut microbiota, which is crucial for metabolic health. A healthier gut microbiota can improve insulin sensitivity and reduce inflammation.
  • Hormonal Regulation: TRE can modulate hormones like ghrelin and leptin, which regulate appetite and energy balance, contributing to improved metabolic flexibility.

Evidence Supporting TRE’s Impact on Metabolic Flexibility

Several studies have shown the beneficial effects of TRE on metabolic flexibility and insulin sensitivity:

  • Improved Insulin Sensitivity: A study found that participants who practiced TRE for 12 weeks showed significant improvements in insulin sensitivity and glucose tolerance.
  • Enhanced Metabolic Flexibility: Research on mice subjected to TRE showed improved metabolic flexibility, with enhanced fat oxidation and reduced fat storage.
  • Reduced Inflammation: A clinical trial reported that TRE reduced markers of inflammation and improved metabolic health in overweight adults.
  • Weight Management: TRE has been linked to weight loss and improved body composition, further enhancing metabolic flexibility.

Practical Considerations for Implementing TRE

To get the most out of TRE, consider the following tips:

  • Eating Window Duration: The optimal eating window may vary, but commonly recommended windows range from 8 to 12 hours.
  • Consistency: Maintaining a consistent eating window is crucial for aligning with your circadian rhythms and achieving metabolic benefits.
  • Nutrient Quality: While timing is key, the quality of your diet is still important. Eating nutrient-dense foods can enhance TRE’s benefits.
  • Hydration: Staying hydrated during the fasting period is essential for supporting overall health and metabolic function.

Conclusion

Time-restricted eating offers a promising way to enhance metabolic flexibility and improve insulin sensitivity and overall metabolic health. By focusing on the “eating window” rather than just what you eat, TRE aligns with your body’s natural circadian rhythms and promotes various metabolic benefits. Future research should continue to explore the best ways to implement TRE and its long-term effects on metabolic health.

Resources

References

  • Patterson, R. E., & Sears, D. D. (2017). Metabolic effects of intermittent fasting. Annual Review of Nutrition, 37, 371-393.
  • Longo, V. D., & Panda, S. (2016). Fasting, circadian rhythms, and time-restricted feeding in healthy lifespan. Cell Metabolism, 23(6), 1048-1059.
  • Zarrinpar, A., Chaix, A., Yooseph, S., & Panda, S. (2014). Diet and feeding pattern affect the diurnal dynamics of the gut microbiome. Cell Metabolism, 20(6), 1006-1017.
  • Gill, S., & Panda, S. (2015). A smartphone app reveals erratic diurnal eating patterns in humans that can be modulated for health benefits. Cell Metabolism, 22(5), 789-798.
  • Sutton, E. F., Beyl, R., Early, K. S., Cefalu, W. T., Ravussin, E., & Peterson, C. M. (2018). Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes. Cell Metabolism, 27(6), 1212-1221.
  • Hatori, M., Vollmers, C., Zarrinpar, A., DiTacchio, L., Bushong, E. A., Gill, S., … & Panda, S. (2012). Time-restricted feeding without reducing caloric intake prevents metabolic diseases in mice fed a high-fat diet. Cell Metabolism, 15(6), 848-860.
  • Wilkinson, M. J., Manoogian, E. N., Zadourian, A., Lo, H., Fakhouri, H., & Shoghi, A. (2020). Ten-hour time-restricted eating reduces weight, blood pressure, and atherogenic lipids in patients with metabolic syndrome. Cell Metabolism, 31(1), 92-104.
  • Gabel, K., Hoddy, K. K., Haggerty, N., Song, J., Kroeger, C. M., Trepanowski, J. F., … & Varady, K. A. (2018). Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot study. Nutrition and Healthy Aging, 4(4), 345-353.
Organic fat burner

Organic fat burner

Organic fat burner

This excellent organic fat burner is a targeted blend of natural components that can aid your weight loss.

 

 

This specific combination of amino acids and natural plant extracts along with a moderate diet and some exercise work prefectly together to increase your energy by initiating lipolysis, the breakdown of lipids and release of fatty acids stored in the cells.

Best organic ingredients for healthy weigth loss

The natural plant extracts and amino acids included in this composition supress apetite,help to gain energy induce the lipilysis the break down of fat.

As fat enters the body through your diet, this precise formula starts to rapidly break down the fat and convert it to fuel by speeding up your metabolism and putting fat to work. It inhibits the production of citrate lyase which is a key enzyme responsible for fatty acid synthesis therefore the storage of fat in the body and works to suppress your overall appetite. This can help you to stop cravings.

Factors that can lead to success in weight loss are in one bottle:

  • enhancing fat burn,
  • increasing energy and endurance,
  • blocking cravings,
  • stopping new fat storage
  • giving you the mental and emotional strength

 

Components:

ACETYL-L-CARNITINE HCL 500 MG

  • Converts fatty acids into energy in the muscles*

L-TYROSINE 200 MG

  • Speeds up the metabolism and increases energy*

BITTER ORANGE FRUIT EXTRACT 100 MG

  • Promotes the breakdown of fat and suppresses appetite*

RASPBERRY KETONE 100 MG

  • Increases lipolysis and releases adiponectin*

GARCINIA FRUIT EXTRACT 100 MG

  • Blocks the conversion of fat and reduces appetite*

*These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

 

L-Glutamine

L-Glutamine

L-glutamine

L-glutamine, the universal amino acid.

 

 

L-glutamine is the most common amino acid in the bloodstream, accounting for 30-35% of the amino acid content of the blood.

This is a well-known and popular dietary supplement not only for athletes but it is an effective amino acid for gut regeneration in SIBO.

What is glutamine?

L-glutamine is the most common amino acid in the bloodstream, accounting for 30-35% of the amino acid content of the blood. It is a conditionally essential amino acid because it is used in large amounts by our body.

It is found in animal and plant proteins, in the form of supplements, and is widely popular in the fitness community and among those who lead a healthy lifestyle. It is also found in large amounts of casein and whey protein.It is essential to know that most people do not get enough this amino acid from food.

Therefore, dietary supplementation is an excellent way to strengthen the immune system and improve the ability to fight infections and diseases.

Benefit of L-glutamine

Glutamine has several physiological effects that research has confirmed in turn that even a person living an average life should have enough reason to pay more attention to this amino acid.

1. Improves gastrointestinal health

This amino acid is good for health if you have gastrointestinal problems, such as irritable bowel syndrome (IBS), inflammatory bowel diseases such as Crohn’s disease, ulcerative colitis, diverticulitis, diverticulitis, permeable bowel, or any problem related to leaking bowel. (e.g., joint pain, rosacea, or autoimmune response).

We regularly need a certain amount of this mino acid because it is an essential nutrient for the gut to rebuild and regenerate. It is worth noting that a man famous for discovering the Krebs cycle (also known as the “citric acid cycle”) was the first to suggest L-glutamine treats intestinal problems.

Sir Hans Adolf Krebs – a German-born British biochemist who won the Nobel Prize in 1953 – found that it helped improve a healthy gut immune response.

A study published in the journal Clinical Immunology found that L-glutamine normalizes the effects of the TH2 immune response that stimulates inflammatory cytokines. The result of L-glutamine in these studies shows that it reduces intestinal inflammation and may help recover food sensitivity.

2. Helps with leaky gut and ulcers

Millions of people struggle with leaky gut syndrome, which is today the leading cause of autoimmune disease. Leaky gut can cause thyroid problems such as Hashimoto’s disease; contributes to arthritis, skin problems such as psoriasis, and other serious health problems.

Because glutamine is the primary fuel source for small intestinal cells, it has been shown in clinical trials to cure the pain of a leaking gut. A study published in a medical journal examined 20 hospitalized patients and found that supplementation with L-glutamine reduced intestinal permeability.

Animal experiments published in the British Journal of Surgery have found that L-glutamine promotes the cure for ulcerative colitis and inflammatory bowel disease. It can also help heal ulcers by protecting them from further damage and is a healthier, natural alternative to antibiotics for treating stomach ulcers.

If we do seem to suffer from Leaky Gut Syndrome, L-glutamine is the number one amino acid we need to heal and repair.

3. Effect on the brain – enhances brain health

It is a precursor of the neurotransmitter glutamate in the brain. Glutamine is key to improving brain health. Why?

Interrupting the glutamine-glutamate cycle can result in brain problems, including Reye’s syndrome, epilepsy, bipolar disorder, schizophrenia, anxiety, depression, and alcohol dependence. Glutamine can also prevent the brain from aging.

Mitochondrial dysfunction causes abnormal growth of the neurotransmitter glutamate; again, the brain is at risk for developing the above problems. A study at the University of Medicine in New York found that even mild traumatic brain injury caused cerebral atrophy. Much of this damage is due to an interrupted glutamine-glutamate cycle and an abnormal increase in glutamate levels.

4. Improves IBS and diarrhea

Glutamine improves IBS and diarrhea by balancing mucus production, resulting in healthy bowel movements. If you have Hashimoto’s disease or an abnormal thyroid problem, it should be part of the diet for hypothyroidism. If you also have symptoms of IBS, such as persistent diarrhea or ulcers, this should be part of your IBS diet.

5. Glutamine is essential for the immune system

One of the most critical functions of glutamine is its role in the immune system. It is a vital fuel source for immune cells, including white blood cells and specific intestinal cells. However, your blood levels may drop due to severe injuries, burns, or surgery.

If the body’s need for glutamine is more significant than its ability to produce it, it can break down protein stores, such as muscle, to release more amino acids. In addition, the immune system may be compromised if there is low glutamine available. For these reasons, high-protein, high-glutamine, or glutamine supplements are often prescribed after severe injuries such as burns.

Studies have shown that glutamine supplements can improve health, reduce infections and result in shorter hospital stays after surgery. Moreover, they have been shown to improve survival and reduce medical costs in critically ill patients.

Other studies have shown that glutamine supplements can improve the immune system in animals infected with bacteria or viruses. However, the benefits for healthy adults are not strongly supported, and the needs of these individuals can be met through diet and natural production of the body.

6. Promotes muscle growth and reduces muscle breakdown

L-glutamine can provide significant support if you aim to increase athletic performance, boost metabolism, improve recovery, or build muscle. During intense exercise, the body gets stressed, and the muscles and tendons require more glutamine than the amount provided by a regular diet.

So after an intense workout, your cellular glutamine levels can drop by 50% and your plasma levels by 30%! This state of muscle breakdown is a gateway for the body when it uses its muscles to gain energy, not carbohydrates. But glutamine supplementation can prevent this from happening. Supplementation with L-glutamine allows the forces to fight and endure a little longer, which increases strength and helps restore skeletal muscle.

One study found that glutamine supplements allow faster regeneration of intense weight training because it improves muscle hydration. This facilitates muscle recovery and reduces the recovery time for wounds and burns.

Therefore, glutamine supplementation is not only helpful and widespread for bodybuilders, but in almost every sport. It can take up to six days to replenish your glutamine levels after an intense workout, so it’s essential to take it regularly if you do intense exercise.

Some athletes say glutamine works best when combined with branched-chain amino acids (BCAAs), especially leucine. Others consume creatine after a workout to improve muscle recovery and restore the body’s energy stores.

7. Improves athletic performance and recovery from endurance practice

One of the primary roles of L-glutamine in the body is to support detoxification by cleansing the body of high ammonia. It acts as a buffer and converts excess ammonia to other amino acids, amino sugars, and urea.

Exercising for about an hour can reduce the amount of glutamine in your body by 40%. It can also cause suppressed immune function. This hurts your endurance training and can lead to overtraining syndrome. L-glutamine is also beneficial for long-term athletes as it boosts the immune system (T-helper cells).

Animal experiments have shown that increasing T-helper cells can reduce the “stress” associated with overtraining syndrome.

8. Glutamine and overtraining

During intense exercise, our body uses glutamine from storage sites faster than it can replenish. When this happens, the body breaks down the muscles, and thus the catabolic state begins. It is proven that oral glutamine supplementation supports glycogen storage, aids in synthesizing other amino acids, and reduces the catabolic state during overtraining.

With low glutamine levels, both performance and regeneration are compromised. After strenuous exercise, glutamine levels drop significantly, so we are more exposed to infections in the so-called “open window” period after workouts.

This amino acid consumed after exercise can help us in this as well. A study of marathon runners showed that runners consuming glutamine had a 35% reduction in the risk of developing infections. Consuming enough glutamine after workouts will also help with regeneration and strengthen your immune system.

The most potent antioxidant for the body plays a crucial role in synthesizing glutathione. It is well known for its ability to increase GH (growth hormone) levels, which can be effectively increased by consuming as much as 4 g. During a rigorous and strenuous training process, such as training camps, preparation periods for regeneration time are not always sufficient.

Athletes may experience what is known as Over Training Syndrome (OTS). The researchers linked this OTS to an amino acid imbalance. This disruption of the amino acid balance can lead to poor performance, loss of mood, and the risk of developing infections that can lead to upper respiratory disease.

9. Stimulates fat burning and improves diabetes

Research has shown that HGH (growth hormone) levels increase by nearly 400 percent after glutamine supplementation. This hormonal response increases resting metabolism and enhances the post-burning effect or EPOC training.

Post-burn is essential for fat burning, weight loss, and fibrous muscle building. L-glutamine also burns fat and increases lean muscle mass by suppressing insulin levels and stabilizing blood sugar levels; therefore allows the body to use less muscle mass to maintain the blood sugar levels and insulin sensitivity of the cells.

Thirty grams of glutamine supplementation per day for six weeks “significantly improved cardiovascular risk factors and body composition in patients with type 2 diabetes. Therefore, L-glutamine benefits diabetics and those with high cravings for sugar and carbohydrates.

Resources
[1]

Aldini G, Altomare A, Baron G, Vistoli G, Carini M, Borsani L, Sergio F. N-Acetylcysteine as an antioxidant and disulphide breaking agent: the reasons why. Free Radic Res. 2018 Jul;52(7):751-762

[2]

Samuni Y, Goldstein S, Dean OM, Berk M. The chemistry and biological activities of N-acetylcysteine. Biochim Biophys Acta. 2013 Aug;1830(8):4117-29.

[3]

Fulghesu AM, Ciampelli M, Muzj G, et al. N-acetyl-cysteine treatment improves insulin sensitivity in women with polycystic ovary syndrome. Fertil Steril. 2002 Jun;77(6):1128-35.

[4]

Safarinejad MR, Safarinejad S. Efficacy of selenium and/or N-acetyl-cysteine for improving semen parameters in infertile men: a double-blind, placebo controlled, randomized study. J Urol. 2009 Feb;181(2):741-51.

[5]

Badawy A, State O, Abdelgawad S. N-Acetyl cysteine and clomiphene citrate for induction of ovulation in polycystic ovary syndrome: a cross-over trial. Acta Obstet Gynecol Scand. 2007;86(2):218-22.

[6]

Porpora MG, Brunelli R, Costa G, Imperiale L, Krasnowska EK, Lundeberg T, Nofroni I, Piccioni MG, Pittaluga E, Ticino A, Parasassi T. A promise in the treatment of endometriosis: an observational cohort study on ovarian endometrioma reduction by N-acetylcysteine. Evid Based Complement Alternat Med. 2013;2013:240702.

[7]

Stey C, Steurer J, Bachmann S, Medici TC, Tramèr MR. The effect of oral N-acetylcysteine in chronic bronchitis: a quantitative systematic review. Eur Respir J. 2000 Aug;16(2):253-62.

[8]

Stav D, Raz M. Effect of N-acetyl cysteine on air trapping in COPD: a randomized placebo-controlled study. Chest. 2009 Aug;136(2):381-6.

[9]

Mokhtari V, Afsharian P, Shahhoseini M, Kalantar SM, Moini A. A Review on Various Uses of N-Acetyl Cysteine. Cell J. 2017;19(1):11-17. doi:10.22074/cellj.2016.4872

[10]

Sandhir R, Sood A, Mehrotra A, Kamboj SS. N-Acetylcysteine reverses mitochondrial dysfunctions and behavioral abnormalities in 3-nitropropionic acid-induced Huntington’s disease. Neurodegener Dis. 2012;9(3):145-57.

[11]

Shungu DC. N-acetylcysteine for the treatment of glutathione deficiency and oxidative stress in schizophrenia. Biol Psychiatry. 2012 Jun 1;71(11):937-8.