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Spermidine – autophagy, cellular renewal and current studies

Spermidin – Autophagie, zelluläre Erneuerung und aktuelle Studienlage

Cellular renewal as the basis of biological stability

The human body is constantly renewing itself. This process not only creates new cell components, but also requires the identification and breakdown of damaged proteins, defective structures, and non-functional cell components.

A key mechanism of this cellular quality control is the so-called Autophagy.

In this process, damaged or no longer needed cell components are broken down in a controlled manner, and some of their components are recycled. This process helps to maintain the cell's functionality even under stress and plays an important role in adapting to metabolic and oxidative stress.[1]

Various mechanisms of this cellular quality control can change with age. This is precisely why autophagy has become an important field of research within modern aging research.

In this context, a naturally occurring compound is also increasingly the focus of scientific research: spermidine.

What is spermidine?

Spermidine belongs to the group of polyamines. These are naturally occurring compounds that are present in almost all living cells.

Polyamines are involved in fundamental biological processes, including protein and nucleic acid metabolism, cell growth, differentiation and the regulation of various cellular stress responses.[2]

Spermidine is produced by the human body and also obtained through diet. Natural sources include wheat germ, legumes, mushrooms, whole grains, and certain aged foods.

Spermidine is being studied particularly intensively today because experimental work shows a connection between spermidine, autophagy, mitochondrial function and various processes of biological aging.[1]

Spermidine and autophagy

    A significant part of the scientific interest in spermidine stems from studies that have linked the compound to the activation of autophagic processes.

    Autophagy can be understood simply as a cellular recycling system. Unneeded or damaged components are enclosed in special structures, broken down, and then partially reused as starting material for new cell components.

    This mechanism becomes particularly important under stress. Oxidative stress, changes in mitochondrial function, and damaged proteins can impair a cell's stability if their elimination is insufficient.

    Experimental studies show that various observed effects of spermidine depend on functioning autophagy.[3]

    This shifts the focus away from a single isolated effect and towards the question of how spermidine can influence fundamental mechanisms of cellular quality control.

    Mitochondria, cellular stress and aging processes

    Autophagy does not exist in isolation from other cellular processes.

    It is particularly closely linked to the function of mitochondria. Damaged or inefficient mitochondria can be destroyed via a specialized form of autophagy – the so-called autophagy. Mitophagy – be detected and removed.

    This quality control is relevant because mitochondria are not only responsible for energy production, but are also involved in oxidative and metabolic signaling processes.

    In preclinical studies, spermidine has been associated with mitochondrial function, autophagy, and increased resistance to certain forms of cellular stress, among other things.[1,3]

    However, a large part of these mechanistic insights comes from cell and animal models. Their applicability to humans must therefore be considered in a differentiated manner.

    Spermidine and healthy aging

    Spermidine received particular attention through observations in longevity research.

    In various model organisms, higher spermidine levels or spermidine intake have been associated with changes in age-related processes and, in some cases, an extended lifespan.[1]

    Interesting epidemiological data also exist for humans.

    A prospective population study examined 829 adults over a long observation period. Higher dietary spermidine intake was associated with lower overall mortality.[4]

    Such results are scientifically interesting, but do not allow for a direct conclusion that spermidine itself was responsible for the observed differences.

    Observational studies can show correlations, but cannot prove causality. Diet, lifestyle, and numerous other factors can also play a role.

    Cardiovascular system in focus of research

    Cardiovascular processes are also among the areas that are being studied more intensively.

    In animal models, spermidine supplementation has been associated with, among other things, increased cardiac autophagy and mitophagy, changes in mitochondrial respiration, and more favorable diastolic function.[3]

    The same research also showed a correlation in humans between higher spermidine intake through diet and lower blood pressure or a lower incidence of cardiovascular diseases.[3]

    However, the distinction between the data is crucial here as well: The detailed mechanistic effects on the heart and mitochondria were predominantly observed in animal models, while the human results are mainly based on epidemiological relationships.

    Cognitive functions and brain health

    Another area of ​​research concerns age-related changes in cognitive performance.

    The interest in this stems, among other things, from the importance of autophagy for neuronal quality control. Nerve cells are particularly dependent on reliably removing damaged proteins and cell components, as these can only be replaced to a limited extent.

    Previous smaller studies have suggested that spermidine might be of interest in this context.

    A larger randomized, placebo-controlled study therefore examined 100 older adults with subjectively perceived cognitive decline over twelve months.However, daily supplementation with a spermidine-rich wheat germ extract led to a different result compared to placebo. No significant improvement in the primary memory endpoint was observed. Exploratory analyses did provide some indications regarding verbal memory and inflammation-related parameters, but these need to be confirmed in further studies.[5]

    This result in particular shows why preclinical mechanisms and initial small-scale studies cannot automatically be equated with clinically proven benefits.

    Spermidine as part of longevity research

    Today, the term "longevity" encompasses far more than just lifespan.

    The scientific focus is increasingly on mechanisms that determine how long cells and tissues can maintain their function. These include, among others:

    • Autophagy and cellular quality control
    • mitochondrial function
    • Response to oxidative and metabolic stress
    • Protein homeostasis
    • inflammation-related signaling pathways

    Spermidine is therefore of scientific interest because it is being studied at several of these interfaces.

    However, this does not mean that spermidine can be considered an isolated "anti-aging" mechanism. Aging processes arise from the interplay of numerous biological systems and are simultaneously significantly influenced by diet, exercise, sleep, metabolism, and other lifestyle factors.

    Assessment of the current state of research

    Spermidine is one of the interesting research subjects in the field of autophagy and cellular aging processes.

    Its fundamental biological significance as a natural polyamine is particularly well described. Preclinical studies also provide extensive evidence of its connections to autophagy, mitochondrial function, cellular stress, and cardiovascular and neuronal processes.[1–3]

    In humans, the evidence is more nuanced so far.

    Epidemiological studies show correlations between higher spermidine intake through diet and more favorable health and mortality data.[4] Randomized clinical data, however, are still limited. In particular, a larger twelve-month study in the area of ​​cognition failed to confirm the expected effect on the primary memory endpoint.[5]

    Thus, spermidine remains a scientifically interesting link between nutrition, autophagy and cellular regulation – while the question of what clinical significance a targeted additional intake has in humans remains the subject of current research.

    Sources

    [1] Madeo F, Eisenberg T, Pietrocola F, Kroemer G. – Spermidine in health and disease. Science. 2018;359(6374).
    [2] Pegg AE. – Functions of Polyamines in Mammals. Journal of Biological Chemistry. 2016;291(29):14904–14912.
    [3] Eisenberg T, Abdellatif M, Schroeder S, et al. – Cardioprotection and lifespan extension by the natural polyamine spermidine. Nature Medicine. 2016;22(12):1428–1438.
    [4] Kiechl S, Pechlaner R, Willeit P, et al.– Higher spermidine intake is linked to lower mortality: a prospective population-based study. American Journal of Clinical Nutrition. 2018;108(2):371–380.
    [5] Schwarz C, Benson GS, Horn N, et al. – Effects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial. JAMA Network Open. 2022;5(5).