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박양규 의학박사

지난 강의 Principles of Clinical Systems Biology · 4/6회차

Mitochondrial Dysfunction and Metabolic Imbalance in Chronic Disease

일시
2026.08.30(일요일)
회차 · 장소
총 4/6회 익산 유스호스텔
문의
1600-0850

상세 커리큘럼

I. Key Role of Mitochondrial Function, Biology in Health and Disease

  • Energy Production (ATP Synthesis)
  • Intrinsic Metabolism and Biosynthesis
  • Cellular Signaling and Homeostasis
    • Calcium Homeostasis, Reactive Oxygen Species Signaling
    • Immune Signaling and Defense;
    • Mitochondrial dynamics and Mitochondrial Quality Control
    • Regulation of Cell Death
  • Integrative view: maintenance of cellular homeostasis and stress adaptation
    • Mitochondrial stress responses: adaptive vs maladaptive stress responses
    • Energetic and neuroendocrine immune view of stress responses
    • Mitochondrial Uncoupling in Mitochondrial Stress Response: A Key Controller of Biological Processes in Physiology and Diseases
      • Proton leak: basal vs induced
      • Physiologic functions and isoforms of UCP
      • Cellular Responses to Mitochondrial Uncoupling
    • Signaling Molecules in Mitochondrial Stress Response

II. Overview of mitochondrial dysfunction

  • Definition and difference between metabolic imbalance mitochondrial dysfunction
  • Pathogenetic roles of mitochondrial dysfunction in chronic diseases
    • Mitochondrial Dysfunction in Chronic Inflammatory Diseases
    • Metabolic reprogramming in mitochondrial dysfunction
    • Immune cell alteration in mitochondrial dysfunction
    • Metabolic syndrome can aggravate chronic inflammatory diseases
  • Mitochondrial dysfunction related chronic diseases
    • Primary Mitochondrial Diseases AI
    • Acquired mitochondrial dysfunction: a common root of noncommunicable chronic diseases
      • Chronic Inflammatory Diseases
      • Immune diseases
        • Autoimmune diseases
        • Allergic diseases
      • Mitochondrial dysfunction in metabolic diseases
        • Responses of mitochondrial dysfunction in metabolic imbalance
        • Metabolic reprogramming drives metabolic-inflammatory syndrome
        • Key Disease Associations
        • Key Manifestations in Specific Conditions
          • Metabolic syndrome can aggravate chronic inflammatory diseases
          • Metabolic Disorders and Fibrosis
      • Mitochondrial dysfunction in cardiovascular disease
        • Heart failure
        • Atherosclerosis
        • Atrial fibrillation
      • Chronic lung disease and mitochondrial dysfunction
      • Chronic bone and joint disease, and mitochondrial dysfunction
      • Mitochondrial dysfunction in CFS, Myalgic encephalomyelitis
      • Mitochondrial dysfunction, Driver of chronic pain, Fibromyalgia
      • Chronic neuroinflammatory diseases and mitochondrial dysfunction
        • Mitochondrial UCPs in chronic neuroinflammatory diseases
        • Microglial cell metabolic reprogramming and neuroinflammation
        • Mitochondrial dysfunction in chronic neuroinflammatory diseases:
          • Neurodegeneration
          • Mental disorders and brain function
        • Peripheral Mitochondrial Dysfunction
      • Aging, age-related disorders,
        • Mitochondrial dysfunction is one of the key hallmarks of aging process
        • Deregulated metabolic remodeling or chronic inflammation is considered a critical biological factor in ageing and chronic age-related diseases
          • Pro-Aging Metabolic Reprogramming: A Unified Theory of Aging
          • Metabolic reprogramming: a bridge between aging and tumorigenesis
      • Cancer and mitochondria dysfunction
        • Metabolic reprogramming
        • Genetic and epigenetic alterations in mitochondrial and nuclear DNA
          • Excess mitochondrial ROS attacks nuclear and mitochondrial DNA
          • Retrograde signaling: gene expression to promote survival under stress
        • Heterogeneous Mitochondrial dysfunction
        • Within the tumor microenvironment
          • Suppress immune responses and Immune Evasion
          • Mediate stromal cell functions.

III. ATM: Causes of mitochondria dysfunction

  • Inherited genetic mutations (primary mitochondrial disease)
  • Acquired damage from environmental stress, toxins, aging, or prolonged exposure to excess nutrients.
    • Chronic Infection
    • Noncommunicable chronic diseases
    • Genomic susceptibility, early-life stress, developmental influences and aging
    • The NEI-Mitochondrial Connection: How It Works
      • Neuroendocrine immune connection
      • Immunometabolism, Oxidative stress (Redox imbalance)
    • Gut dysfunction, Food sensitivities and allergens
    • Metabolic stressors, obesity, MBS
    • Nutrition
    • Environmental Toxins
    • Lifestyle:

IV. Functional Medicine Approach to Mitochondrial Health

  • Detailed health history and lifestyle assessment
  • Laboratory testing for
    • Comprehensive Metabolic Panel including fasting glucose, insulin, HOMA-IR, HbA1c, lipid particle size, adiponectin, and inflammatory markers Ferritin, Vitamin D, sCRP
    • Infection
    • FM lab
      • Organic Acids Test (OAT):.
        • Nutrient levels,
        • oxidative stress markers, and mtDNA integrity
      • CoQ10 (Plasma), Carnitine (Plasma), RBC Magnesium, Fatty acid profile
      • MitoSwab Test
      • Comprehensive Stool Test (GI MAP) Plus Zonulin
      • DUTCH Plus Complete Test + Cortisol Awakening Response
      • Nutrient Tests
      • Assessment of environmental exposures and toxin burdens, HM Panel
      • Genetic Testing
        • How to Interpret These Labs Together
  • 예제 풀이

V. Functional medicine approach to mitochondrial dysfunction

  • Symptomatic Tx
  • Mitochondrial restoration: Boost and protect the mito function via endogenous defense mechanisms
    • Supplements Modulating endogenous cellular defense mechanisms
      • ↑Mitochondrial biogenesis: Resveratrol, curcumin
      • Mitochondria-target antioxidants
    • Mitochondrial nutrients: Coenzyme Q10 (100 mg QD), 100mg x 3 / day, Magnesium
    • Hormetic lifestyle change
      • Hormetic Diet:
      • Adequate exercise
      • Appropriate sleep
      • stress management and Social / spiritual support
      • Hot and cold temperatures: Saunas
    • Advanced Therapy
      • Dietary restriction: Calorie restriction/fasting, Ketogenic diet:
      • Integrative Therapies: Light therapy and photobiomodulation, Hyperbaric oxygen therapy
  • Adress Underlying causes: Control Triggers/Mediators first, then Antecedents
    • Rebalancing NEI interaction
      • Lifestyle Interventions
      • Neuromodulation
      • Targeting Neuroendocrine Pathways: adaptogens, beta-blockers
      • Immune system modulation: n-s FAs
    • Gut Microbiota Modulation
    • Adress food sensitivity/allergy
    • Target nutritional Tx
    • Adress environmental toxicity: Mitochondrial Detox
    • Control chronic infections
    • Lifestyle modification: SAD diet, sedentary life, sleep, stress reduction,
    • Adress structural imbalance
  • Regenerative Therapies to restore the mitochondrial function and improve the overall health.
  • Mitochondrial-targeted therapies (MTT).

Metabolic diseases and metabolic health

  • Key Aspects of Metabolic Health
    • Metabolic health and metabolically healthy person
    • Common acquired metabolic disorders
  • Pathophysiology of metabolic syndrome and related disorders
    • Roles of neuroimmune endocrine controls: Maladaptive stress-related neuroendocrine response
      • Autonomic dysfunction and HPA axis dysregulation with Increased adrenergic drive, ↓vagal tone, high cortisol secretion
      • Immune dysfunction
      • Trend in Conventional medicine
        • Cardiometabolic-Based Chronic Disease:
        • CV-Kidney-Metabolic Syndrome
        • Cardiovascular-Endocrine-Metabolic Medicine: CardioMetabolic + EndocrineMedicine
    • Roles of gut dysbiosis in metabolic syndrome
    • Roles of mitochondrial dysfunction and insulin resistance in metabolic disease and central (hypothalamus and brainstem) neuroinflammation
  • Root Cause of Metabolic Disorders
    • Life stress in metabolic disorders
    • Infection
    • Mediators
  • Assessment, Diagnostic approaches
    • Screening for Metabolic Syndrome
    • Initial Laboratory Investigations
    • Investigations for Evaluation of Complications
    • FM lab
  • FM management
    • Symptomatic tx and supplements supporting mitochondrial restoration in MBS
      • Conventional Approach To Metabolic Syndrome
      • Supplements supporting mitochondrial restoration in MBS
    • Adress metabolic imbalance
      • Supplements
      • Root-cause-focused lifestyle strategies
    • Adress ATM
    • Monitoring and Adjustment, Other types of therapies.

Systems biological Strategies for Neurodegenerative Disease

  • Pathophysiology of neurodegenerative diseases
  • Causes/risk factors of Neurodegenerative Diseases
  • Early Symptoms of Neurodegenerative Disease
  • D/D Functional neurological disorder
  • Functional Medicine Lab Testing
  • Systems Biological Management of Neurodegenerative Disease
    • Symptomatic tx and supplements supporting mitochondrial restoration in NDD
      • Conventional symptomatic treatments and their Limitations
      • Supplements supporting mitochondrial restoration in NDD
    • Control neuroinflammation,
      • Lifestyle Interventions
        • Dietary Interventions for Neurodegenerative Disease Management
        • Physical Activity and Neurodegenerative Diseases
        • Mind-Body Therapies
      • Bioelectric Optimization
        • Natural Bioelectric Optimization, ANS rebalance
        • Bioelectronic techniques: VNS, transcranial magnetic stimulation
      • Reduce inflammation and enhance circulation: targeting the kynurenine pathway
      • Therapeutic Strategies to Balance Hormones
      • Individualized brain rehabilitation
    • Adress ATM
      • Microbiota and gut barrier to reestablish neuroimmune homeostasis. Eliminate reactive food
      • Adress metabolic imbalance
      • Targeted nutritional supplementation
      • Address Environmental toxicity and Infections:
      • Lifestyle modification
    • Other types of therapies.

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