Cellular autophagy – which literally translates as “self-eater” – is one of the most important housekeeping mechanisms the human body has. In fact, this process is so critical to our health and wellbeing that the 2016 Nobel Prize in Medicine was awarded to a prominent scientist, Dr. Yoshinori Ohsumi, who discovered the key mechanisms which make autophagy works. Here’s a statement straight from the announcement of the award:
Thanks to Ohsumi and others following in his footsteps, we now know that autophagy controls important physiological functions where cellular components need to be degraded and recycled. Autophagy can rapidly provide fuel for energy and building blocks for renewal of cellular components, and is therefore essential for the cellular response to starvation and other types of stress. After infection, autophagy can eliminate invading intracellular bacteria and viruses. Autophagy contributes to embryo development and cell differentiation. Cells also use autophagy to eliminate damaged proteins and organelles, a quality control mechanism that is critical for counteracting the negative consequences of aging.
Disrupted autophagy has been linked to Parkinson’s disease, type 2 diabetes and other disorders that appear in the elderly. Mutations in autophagy genes can cause genetic disease. Disturbances in the autophagic machinery have also been linked to cancer.
Elimination of bacteria and viruses? Contribution to embryonic development? A control mechanism for aging? A key role in Parkinson’s, Type 2 Diabetes, and cancer? This isn’t minor stuff.
Much of the work we do with clients supports and inspires the process of autophagy, so let’s dig in and make sure we thoroughly understand what it is, how it works, how we can up-regulate this process, and when it is and is not appropriate to stimulate the enhancement of autophagy with our clients.
Autophagy – also known as autophagocytosis – is a normal and natural mechanism whereby a cell removes unnecessary and dysfunctional components. It’s how our body clears out damaged cells, toxins, and other debris, thus encouraging the production of new, healthier cells.
Just as it’s easier to prepare dinner in a clean kitchen, it’s easier for your body to perform all its necessary functions in a clean environment.
Like many things in the body, autophagy is a process that tends to deteriorate with age – especially when tasked with the cleanup of an unprecedented number of toxins, stressors, environmental pollutants, poor diet… the endless list of physiological assaults we face on a daily basis. These overwhelm the autophagy process and simultaneously deplete the body’s capacity to perform this vitally important task.
The process of autophagy is continual and ongoing, but given the incredible toxic burden we face today, there are times where it makes sense to up-regulate and enhance this critical process. Here are a few examples:
- To reduce inflammation
- To support detoxification
- To fight infection and support the immune system
- To speed recovery from intense exercise
- As a key component of an anti-aging regime
- As a general disease-prevention practice
- As part of a cancer prevention program
- To support a healthy brain and prevent/delay the onset of diseases such as Alzheimer’s and Parkinson’s
On the other hand, there are times when we absolutely do NOT want to stimulate the up-regulation of autophagy; specifically during pregnancy and breastfeeding, when women are in a “building” mode rather than a “cleansing” mode.
Ultimately autophagy is a response to cellular stress. Given that, there are different ways to stimulate deeper autophagy, all involving increased stressors in some form or another.
Here are 7 ways to stimulate the autophagy process naturally:
1. Fasting
The most common and simplest way to inspire autophagy is to fast. Depriving the body of calories puts it into “famine” mode and stimulates deeper housekeeping. There are varying ways to do this:
A protein fast once or twice a week, keeping protein levels to 15g or less for the day. This allows the body time to recycle proteins, reducing inflammation without the risk of any muscle loss.
Intermittent fasting, also known as time-restricted eating, can trigger autophagy if the eating window is kept tightly to 4-6 hours.
A multi-day fast, consuming only water with trace minerals, or other liquids such as coffee, tea, or bone broth. Various studies have shown different durations for optimal fasting, but most agree that the maximum benefits of a prolonged fast occur once the 48-72 hour mark has been reached.
2. Eating a ketogenic diet
Eating a high fat, low carb diet will shift the body from burning glucose to using ketones as the primary fuel source. This mimics what naturally happens in a fasted state, without having to completely stop eating.
3. Drink Coffee
I promise we’re not adding this in just because we love our cup of Joe! Research has shown that coffee stimulates cellular autophagy with or without the consumption of food alongside it. Both caffeinated and decaffeinated coffee provide this benefit.
4. Eating autophagy-stimulating foods
It’s not only coffee that promotes autophagy! Other foods shown to have autophagy-stimulating effects include turmeric, ginger, Ceylon cinnamon, ginseng, garlic, certain mushrooms (chaga and reishi), pomegranate and elderberries. Green tea has also been shown to stimulate autophagy.
5. Exercising
Yet another reason to get outside and get moving! In particular, interval training – short bursts of intense output followed by short recovery intervals – inspires autophagy really well. This can be accomplished through sprint-style workouts or weight lifting and resistance training.
6. Getting uninterrupted sleep
It probably comes as no surprise that autophagy is a process that happens while we sleep, so getting sufficient sleep on a nightly basis is key. Sleep interruptions and short bursts of sleep rather than a full night’s sleep disrupt this process, so pay attention to sleep hygiene and ensure that you’re getting a full night’s rest.
7. Taking a sauna
We know that exposing your body to high temperatures (typically between 120°-180°F) creates heat shock proteins and stimulates the lymphatic system. This has a carry-over effect to autophagy because it increases microcirculation.
As you can see, the effects of autophagy are impressive and supporting this process appropriately is part of the work we do with clients. While we might not see the immediate benefits, the pay-offs are huge: longer, healthier lives of higher quality. Isn’t that what we all want?
References
- Nobel Prize Announcement (2016)
- Autophagy – Wikipedia
- Fasting and Autophagy – PubMed
- Coffee and Autophagy – NIH
- Exercise and Autophagy – Frontiers
- Exercise Study – PLOS One
- Sleep and Autophagy – PubMed
- Sauna and Autophagy – ScienceDaily
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FAQ
These frequently asked questions expand on the key clinical concepts in this article and provide additional context for practitioners supporting healthy autophagy.
What is cellular autophagy?
Cellular autophagy is the body’s natural process of removing damaged or unnecessary cellular components so they can be degraded and recycled. This ongoing housekeeping mechanism helps clear damaged cells, toxins, and cellular debris while supporting the renewal of healthier cellular components. According to the article, autophagy is essential for normal cellular maintenance and healthy physiological function.
Why is autophagy important for overall health?
Autophagy supports cellular quality control by recycling damaged cellular material and helping cells respond to stress. The article explains that autophagy contributes to normal immune function, embryo development, cell differentiation, healthy aging, and the removal of damaged proteins and organelles. Disruptions in this process have been linked with several chronic diseases.
Why does autophagy become less efficient with age?
Autophagy naturally declines with age and may become overwhelmed by increasing physiological stressors. According to the article, factors such as toxins, environmental pollutants, poor diet, and other daily stressors increase the body’s cleanup demands while reducing its capacity to maintain efficient cellular housekeeping.
When might practitioners consider supporting autophagy?
The article suggests that supporting autophagy may be appropriate when the body’s normal housekeeping processes would benefit from additional support. Examples include:
- Reducing inflammation
- Supporting detoxification
- Supporting immune function during infection
- Recovery after intense exercise
- Healthy aging strategies
- General disease prevention
- Cancer prevention programs
- Supporting healthy brain function
When should autophagy NOT be intentionally stimulated?
The article advises against intentionally stimulating autophagy during pregnancy and breastfeeding. During these life stages, the body is described as being in a “building” mode rather than a “cleansing” mode, making enhanced autophagy inappropriate.
How does fasting stimulate autophagy?
Fasting stimulates autophagy by creating a state of cellular stress associated with calorie deprivation. The article describes several approaches that may promote autophagy, including protein fasting, intermittent fasting with a 4- to 6-hour eating window, and prolonged fasting. It notes that many studies report the greatest benefits of prolonged fasting after approximately 48 to 72 hours.
Can a ketogenic diet support autophagy?
Yes. According to the article, a ketogenic diet may stimulate autophagy by shifting the body’s primary fuel source from glucose to ketones. This metabolic state mimics aspects of fasting while allowing food intake to continue.
Which foods and beverages are described as supporting autophagy?
The article identifies several foods and beverages that have been shown to stimulate autophagy.
These include:
- Coffee (both caffeinated and decaffeinated)
- Green tea
- Turmeric
- Ginger
- Ceylon cinnamon
- Ginseng
- Garlic
- Chaga mushrooms
- Reishi mushrooms
- Pomegranate
- Elderberries
Does exercise increase autophagy?
Yes. The article explains that exercise, particularly interval training with short bursts of intense effort followed by recovery, is an effective way to stimulate autophagy. Sprint-style workouts, weight lifting, and resistance training are all identified as examples.
What role does sleep play in autophagy?
Autophagy is described as a process that occurs during sleep, making uninterrupted nightly sleep important for normal cellular housekeeping. According to the article, fragmented sleep and repeated interruptions may disrupt this process, highlighting the importance of good sleep hygiene.
How does sauna therapy support autophagy?
The article explains that sauna use may indirectly support autophagy by exposing the body to heat. Heat exposure promotes heat shock proteins, stimulates the lymphatic system, and increases microcirculation, which the article states has a carry-over effect on autophagy.
How is autophagy related to inflammation, immunity, and healthy aging?
Autophagy is presented as a foundational cellular process that supports multiple aspects of long-term health. According to the article, enhancing autophagy may help reduce inflammation, support immune function, encourage recovery from physiological stress, and contribute to healthy aging through improved cellular maintenance and recycling.
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ABOUT THE AUTHOR
Margaret Floyd Barry, FNTP MRHP is owner and Executive Director of the Institute of Restorative Health. She’s a functional nutritionist, author, speaker, educator, and real food advocate. Through years of experience working with the most complex client cases, including reversing her own autoimmune condition, Margaret uses a powerful system for restoring health by addressing the root cause of illness.
Today, Margaret teaches fellow practitioners the same proven system she uses to get her clients life-changing results through the Institute of Restorative Health – a two-year comprehensive functional nutrition certification program for qualified health professionals. Margaret also runs Restorative Corporate Wellness, a team of Restorative Health Practitioners facilitating health transformations with corporate clients. She is the author of Eat Naked and its follow-up cookbook The Naked Foods Cookbook. She’s also the host of the Clinician’s Corner podcast, where she interviews some of the world’s top experts in the fields of functional health and nutrition.


