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Tryptophan: Beyond Thanksgiving – It’s Role in Happiness, Depression, and Suicide

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  3. Tryptophan: Beyond Thanksgiving – It’s…
Tryptophan

When most people think of tryptophan, they think of the Thanksgiving myth we’ve been told about why we get sleepy after eating turkey. The truth of the matter is, we don’t get sleepy due to tryptophan from turkey (you’d need to eat pounds of turkey to make you sleepy). What makes you sleepy is the sheer quantity of food and the excessive sugar and carbohydrates.

This tryptophan myth is interesting not because it’s incorrect, but because it touches on an important metabolic pathway — called the kynurenine pathway — that’s proving to be essential to happiness and good health.

 

What is tryptophan?

Tryptophan is an amino acid used in the synthesis of proteins. It’s an essential amino acid, meaning your body can’t create it and it must come from your diet. Tryptophan is a precursor to serotonin and melatonin — your body needs sufficient tryptophan to create both of these.

Tryptophan is an amino acid that converts to 5-hydroxytryptophan (5-HTP), which then becomes serotonin. Because of this, tryptophan is considered a natural mood regulator. Eating more tryptophan-rich foods and/or taking supplements has been shown to balance mood, induce sleepiness, alleviate depression, and calm anxiety.

 

What is the kynurenine pathway?

If you haven’t heard of the kynurenine pathway yet, you’re about to start reading about it more. As research grows, I’m sure you’ll be hearing about the promising implications of treatments involving your kynurenine pathway that are being uncovered. This important metabolic pathway has been linked to depression and suicide.

The kynurenine pathway revolves around tryptophan degradation and results in NAD+. This process is started when inflammatory cytokines are present. These cytokines then trigger an enzyme called, indoleamine 2,3-dioxygenases (IDO). IDO takes your calming tryptophan – which should be on it’s way to creating your serotonin – and instead diverts it down the degrading kynurenine pathway.

Your IDO enzyme is like a railroad switch, when inflammatory cytokines are present it diverts the tryptophan amino acid from a potentially beneficial railroad to the kynurenine pathway — a harmful runaway train. This switch can cause low serotonin levels, neurotoxic metabolites, and consequently, depression.

 

Tryptophan degradation in the kynurenine pathway causes depression

I don’t mean to be a Debbie downer talking about depression, especially during the holidays — but I see this research as promising.

When we can identify pathways associated with depression and suicide, we can begin research on treatments targeting these pathways. This is good news.

Numerous studies have linked inflammation to depression, but the mechanism behind this association wasn’t initially clear. Recent research has found that when the kynurenine pathway is activated (often by inflammation) it can result in a degradation of tryptophan and consequently lower serotonin levels. On top of lower serotonin levels, this activated kynurenine pathway creates multiple metabolites such as 3-hydroxykynurenine acid (3-HAA) and quinolinic acid, which are neurotoxic (some linked to suicide). This process also impairs neuroprotection.

There are a whole host of negative side effects from an activated kynurenine pathway — this is what I mean by a runaway train.

 

Kynurenine pathway depression and treatments

Kynurenine pathway depression is a relatively new concept, but treatments which target this process are promising. The first report of the kynurenine pathway’s impact on suicide only first came out in 2011. This study found that kynurenine pathways were strongly implicated in suicidal behavior. Treatments focusing on this process could be groundbreaking.

While we know the kynurenine pathway is an important place to look in depressed patients, testing is still bears some difficulties. For example, the typical blood samples a doctor might run of the kynurenine pathway metabolites might not be reflective of the concentrations in the brain. Still, these results offer some insight and as research progresses these tests could give us detailed information on depression and other neuropsychiatric diseases.

At this point you’re probably wondering…

 

Should you eat more foods high in tryptophan?

Interestingly, foods high in tryptophan don’t appear to raise tryptophan blood levels dramatically, whereas supplements do. But due to the nature of the kynurenine pathway, it seems reducing inflammation and the inflammatory cytokines that set it off in the first place is best. Though you should still ensure your body has enough tryptophan.

That being said, you should still get tryptophan from both your diet and supplements (if needed), while also trying reducing inflammation. Here are the top 10 tryptophan-rich foods and anti-inflammatory tips, so you can keep your tryptophan on the right track this holiday season and your inflammation in check.

 

Top 10 foods with tryptophan

  1. Grass-fed beef
  2. Lamb
  3. Turkey
  4. Chicken
  5. Tuna
  6. Pumpkin seeds
  7. Cheese
  8. Crab
  9. Eggs
  10. Spirulina

 

Top 10 anti-inflammatory tips

  1. Eat a nutrient-rich diet full of colorful vegetables
  2. Ditch the sugar
  3. Consume more omega-3s
  4. Add anti-inflammatory spices to your foods – turmeric, rosemary, and ginger to name a few.
  5. Check for food sensitivities and avoid them – or avoid major culprits including gluten, dairy, peanuts, tree nuts, and eggs.
  6. Eat more probiotic foods or take supplements
  7. Get high quality sleep to help detox your body 
  8. Reduce your daily toxin exposure
  9. Sweat more – through exercise and infrared saunas
  10. Add gut detoxifying supplements to your routine

 

A word of caution about tryptophan supplements: They can interact with antidepressants and mood-altering drugs, so make sure you talk with your doctor first before significantly increasing you tryptophan intake (minus the Thanksgiving turkey, of course).

So there you have it! The tryptophan amino acid does have the ability to calm you down and even make you sleepy, but you probably won’t be eating enough turkey for that to happen. The research surrounding tryptophan and the kynurenine pathway holds promise for people struggling with serious forms of depression, and that’s news we can all be happy about. I’ll be sure to keep an eye on this research as it unfolds and share future findings with you.

 

Share this article with family and friends so they can learn a different tryptophan factoid to share over Thanksgiving dinner – the myth that tryptophan in turkey makes you tired is so last year. 🙂

Happy holidays everyone!

 

Resources:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4482796/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681811/figure/F1/

https://www.psychologytoday.com/blog/urban-survival/201701/new-research-shows-depression-linked-inflammation

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681811/figure/F1/

http://www.sciencedirect.com/science/article/pii/S0028390816300338

http://www.sciencedirect.com/science/article/pii/S0165032706003235

https://www.ncbi.nlm.nih.gov/pubmed/21605657

https://www.ncbi.nlm.nih.gov/pubmed/6115400

* These statements have not been evaluated by the Food and Drug Administration. The product mentioned in this article are not intended to diagnose, treat, cure, or prevent any disease.   The information in this article is not intended to replace any recommendations or relationship with your physician.  Please review references sited at end of article for scientific support of any claims made.

Categories: Brain Health, Nutrition, SpecialsBy Dr. Jill C. Carnahan, MD, ABIHM, IFMCPNovember 20, 20179 Comments
Tags: anti-inflammatorydepressionkynurenine pathwayserotoninThanksgivingtoxinstryptophanturkey
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Author: Dr. Jill C. Carnahan, MD, ABIHM, IFMCP

https://www.jillcarnahan.com/

Dr. Jill is Your Functional Medicine Expert! She uses functional medicine to help you find answers to the cause of your illness and addresses the biochemical imbalances that may be making you feel ill. She'll help you search for underlying triggers contributing to your illness through cutting edge lab testing and tailor the intervention to your specific needs as an individual. She may use diet, supplements, lifestyle changes or medication to treat your illness but will seek the most gentle way to help your body restore balance along with the least invasive treatment possible. Dr. Jill is a functional medicine expert consultant and treats environmental and mold-related illness as well

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9 Comments

  1. Katie says:
    November 1, 2018 at 3:38 pm

    What can I do to reduce quinolinic acid? My OAT test revealed I have too much. Thank you!

    Reply
    • Jill Carnahan, MD says:
      November 1, 2018 at 7:45 pm

      Hi Katie – you’ll have to find what is driving the IDO enzyme and treat the root cause
      warmly
      Dr. Jill

      Reply
  2. Pingback: Le trio gênant dans la dépression: Inflammation, tryptophane et glutamate par le dr Jill Carnahan – LymeCombat
  3. Pingback: The Troublesome Trio in Depression: Inflammation, Tryptophan & Glutamate - Jill Carnahan, MD
  4. Suzanne Wanamaker says:
    November 23, 2021 at 11:06 am

    What does it mean if tryptophan is high? Any tests or reasons this might be happening? Diet is not overly high in tryptophan and not supplementing. Could it be genetic?

    Reply
  5. Jean says:
    November 25, 2021 at 12:36 pm

    Hi Dr. Jill,

    Happy Thanksgiving. I am grateful for all that you do and share. I’ve purchased the G.I. Detox but hesitated to use it. My question: is it constipating. I developed a lot of GI problems after endometriosis excision from bowels, pelvic floor and abdominal wall. I use 700-800 mg of CALMS Magnesium at night because if my stools have any form, they don’t move well, even mushy stools are becoming a problem. Stool tests shows dysbiosis.

    Reply
    • Dr. Jill C. Carnahan, MD, ABIHM, IFMCP says:
      November 26, 2021 at 3:25 pm

      Hi Jean
      Binders can be a bit constipating for some people, try decreasing dose or increasing magnesium citrate or add 1 scoop Buffered C powder
      Warmly
      Dr Jill

      Reply
  6. Julie Beitscher says:
    November 26, 2021 at 10:14 am

    The kynurenine pathway produces NAD+. Other articles claim NAD+ is very helpful. Wouldn’t that make the kynurenine pathway not as bad as it is portrayed?

    Reply
    • Dr. Jill C. Carnahan, MD, ABIHM, IFMCP says:
      November 26, 2021 at 3:31 pm

      Kynurenine is important for many processes in the body. ITs the dysregulation of this pathway from inflammation or infection causing increase quinolinic acid which is neuroinflammatory and toxic.

      Reply

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