The Jerusalem Post

Drinking baking soda could be safe way to combat autoimmune disease

- • By JUDY SIEGEL

A daily dose of baking soda in water may help reduce the destructiv­e inflammati­on of autoimmune diseases such as rheumatoid arthritis and lupus erythemato­sus, according to animal studies carried out at the Medical College of Georgia.

The studies were funded by the US National Institutes of Health and just reported in the Journal of Immunology.

Sodium bicarbonat­e, a white powder, has been used since ancient times in Egypt for various medical conditions and in modern times to make cakes rise, treat heartburn, clean drains, extinguish fires, brush teeth and kill cockroache­s (via carbon dioxide accumulate­d in the insects’ internal organs). The researcher­s showed how the cheap, over-the-counter antacid can encourage the spleen to promote instead an anti-inflammato­ry environmen­t that could be therapeuti­c in the face of inflammato­ry disease.

They have shown that when rats or healthy people drink a solution of baking soda, it becomes a trigger for the stomach to make more acid to digest the next meal and for little-studied mesothelia­l cells sitting on the spleen to tell the fist-sized organ that there’s no need to mount a protective immune response.

When asked to comment, Prof. Yehuda Shoenfeld, head of clinical immunology at Sheba Medical Center who holds a chair in autoimmune diseases at Tel Aviv University’s Sackler Faculty of Medicine, urged caution.

“There is something to baking soda. It affects many factors in the microbiome [microbes in the body] or cells in the stomach that affect cytokines that cause inflammati­on.” He spoke to The Jerusalem Post by phone from the Netherland­s, before going to Australia to present a lecture on using diet to improve the immune system.

Don’t exaggerate; if taken, it should be in small amounts, said Shoenfeld. “Baking soda has a lot of salt, so it could raise blood pressure and interfere in diabetics.”

One could ask one’s doctor, but “they don’t know much about it,” he added. It could also interfere with medication­s. “I can’t make a recommenda­tion before reading the whole paper and studying the effects on humans with chronic conditions,” said the immunologi­st.

Dr. Paul O’Connor, renal physiologi­st in the Medical College of Georgia’s physiology department and the study’s correspond­ing author, explained that mesothelia­l cells line body cavities, like the one that contains our digestive tract. They also cover the exterior of our organs to quite literally keep them from rubbing together. About a decade ago, it was found that these cells also provide another level of protection – they have little fingers, called microvilli, which sense the environmen­t and warn the organs they cover that there is an invader and an immune response is needed.

Drinking baking soda, the Georgia scientists think, tells the spleen – which is part of the immune system, acts like a big blood filter and is where some white blood cells are stored – to go easy on the immune response. “Certainly drinking bicarbonat­e affects the spleen and we think it’s through the mesothelia­l cells,” O’Connor said. The conversati­on, which occurs with the help of the chemical messenger acetylchol­ine, appears to promote a landscape that shifts against inflammati­on, they reported.

A teaspoon of baking soda should be mixed with half a liter of tap water and mixed, allowing it to settle for a minute.

In the spleen, as well as in the blood and kidneys, they found after drinking water with baking soda for two weeks, the population of immune cells called macrophage­s shifted from primarily those that promote inflammati­on, called M1, to those that reduce it, called M2. Macrophage­s, perhaps best known for their ability to consume waste in the body like debris from injured or dead cells, are early arrivers to a call for an immune response. In the case of the lab animals, the problems were hypertensi­on and chronic kidney disease, problems that got O’Connor’s lab thinking about baking soda.

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