The heart-brain axis: A proteomics study of meditation on the cardiovascular system of Tibetan Monks

Author: Ting Xue1, Benjamin Chiao2, Tianjiao Xu3, Han Li1, Kai Shi4, Ying Cheng4, Yuan Shi1, Xiaoli Guo5, Shanbao Tong5, Menglin Guo5, Soo Hong Chew6, Richard P Ebstein7, Donghong Cui8
Affiliation:
1 Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai 201108, China.
2 China Center for Behavioral Economics and Finance, Southwestern University of Finance and Economics, Chengdu, Sichuan 610074, China; Paris School of Technology and Business, Paris 75011, France.
3 Nursing Department, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.
4 Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.
5 School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai 200240, China.
6 China Center for Behavioral Economics and Finance, Southwestern University of Finance and Economics, Chengdu, Sichuan 610074, China; Department of Economics, National University of Singapore, 117570, Singapore. Electronic address: chew.soohong@gmail.com.
7 China Center for Behavioral Economics and Finance, Southwestern University of Finance and Economics, Chengdu, Sichuan 610074, China. Electronic address: rpebstein@gmail.com.
8 Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai 201108, China; Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai 201108, China. Electronic address: manyucc@126.com.
Conference/Journal: EBioMedicine
Date published: 2022 May 13
Other: Volume ID: 80 , Pages: 104026 , Special Notes: doi: 10.1016/j.ebiom.2022.104026. , Word Count: 255


Background:
There have been mixed reports on the beneficial effects of meditation in cardiovascular disease (CVD), which is widely considered the leading cause of death worldwide.

Methods:
To clarify the role of meditation in modulating the heart-brain axis, we implemented an extreme phenotype strategy, i.e., Tibetan monks (BMI > 30) who practised 19.20 ± 7.82 years of meditation on average and their strictly matched non-meditative Tibetan controls. Hypothesis-free advanced proteomics strategies (Data Independent Acquisition and Targeted Parallel Reaction Monitoring) were jointly applied to systematically investigate and target the plasma proteome underlying meditation. Total cholesterol, low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (Apo B) and lipoprotein (a) [Lp(a)] as the potential cardiovascular risk factors were evaluated. Heart rate variability (HRV) was assessed by electrocardiogram.

Findings:
Obesity, hypertension, and reduced HRV is offset by long-term meditation. Notably, meditative monks have blood pressure and HRV comparable to their matched Tibetan controls. Meditative monks have a protective plasma proteome, related to decreased atherosclerosis, enhanced glycolysis, and oxygen release, that confers resilience to the development of CVD. In addition, clinical risk factors in plasma were significantly decreased in monks compared with controls, including total cholesterol, LDL-C, Apo B, and Lp(a).

Interpretation:
To our knowledge, this work is the first well-controlled proteomics investigation of long-term meditation, which opens up a window for individuals characterized by a sedentary lifestyle to improve their cardiovascular health with an accessible method practised for more than two millennia.

Funding:
See the Acknowledgements section.

Keywords: Advanced multiple proteomics; Cardiovascular health; Heart-brain axis; Tibetan long-term meditation.

PMID: 35576643 DOI: 10.1016/j.ebiom.2022.104026

BACK