- Research Article
- 10.17116/kurort20251020526
The ratio of autophagy activity and protein resynthesis in patients undergoing a wellness program in combination with food deprivation
- Dec 12, 2025
- Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury
- S P Lysenkov + 8 more +8
To study the ratio of the activity of proteasome 20S and beclin-1 during CWP. The study is single-center, prospective, and continuous, and includes an examination of 48 patients aged 18 to 64 years who underwent caloric restriction (30-40% of the required amount) and therapeutic fasting. On the first and 12th days, the concentration of protein (pg/ml) of proteasome 20S and Beclin-1 in blood plasma was determined by the enzyme immunoassay (Cloud-CloneCorp test systems, USA), as well as body composition by the impedance method. The optimal ratio of the base activity of 20S and autophagy was observed only in individuals with a BMI of 30 kg/m2. CWP and low-calorie diet were accompanied by the establishment of a similar ratio in the entire group and separately in the group of women, as well as in patients with a BMI of 30 kg/m2 and in people over 60 years of age. The source of proteasome activity was lean and lean muscle mass; for Beclin-1, the dominant components from the body composition were not detected. During therapeutic fasting, the optimal ratio of 20S and Beclin-1 activity was observed during periods 3-4 (the «silver fasting period») and 11-12 days. These time periods can be recommended for outpatient (3-4 days) and inpatient (11-12 days) medical practice. CWP is accompanied by positive molecular effects aimed at activating autophagy and protein resynthesis. 20S activity and autophagy are affected by factors such as BMI, gender, age, and the degree of calorie restriction. CWP in combination with a low-calorie diet optimizes the ratio of protein resynthesis activity and autophagy in most patients, which contributes to the healing process.
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