Over 40 million Americans take statins to lower cholesterol, which can form plaques in the arteries that, in turn, can lead to heart disease and stroke. But is there a key piece missing from this equation—a bodily system that can be leveraged to bring a more natural solution to heart disease?
Dr. Gerald Lemole was among the surgeons who performed America’s first heart transplants. Although the procedures were initially successful, each early transplant patient died due to the plaques that formed in their arteries. How had this happened so rapidly to patients with young hearts and good arteries?
“There were these little white streaks in the coronary artery patients,” recalls Dr. Lemole.
“So we biopsied those streaks, and sure enough, they were ... scarred up lymphatic vessels that were being blocked through chronic inflammation.”
Dr. Lemole’s search for the answer led him to a missing piece in our understanding of health—the role of the lymphatic system in preventing chronic disease. On Vital Signs with Brendon Fallon, Dr. Lemole explains how the lymphatic system works and how it can be enhanced through polyphenols, diet, exercise, and other lifestyle approaches.
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over 40 million Americans take statins
to lower cholesterol that can form
plaques in the arteries which in turn
can lead to heart disease and stroke but
what if there's a key piece missing from
this equation a bodily system in fact
that can be leveraged to bring a more
natural solution to heart disease Dr
Gerald LOL was among the surgeons to
perform America's first heart
transplants this experience fueled his
discovery of the vital role of the
lymphatic system in human health working
in connection with our nerves veins and
arteries is our lymphatic system what
role does it play in preventing not just
heart disease but chronic disease in
general and how can we leverage it to
optimize our Health and
Longevity welcome to Vital Signs where
we learn how to get healthier from all
angles from the biochemical and
nutritional to the things we do that
nourish our minds and our souls I'm
Brandon Fallon Dr LOL is a professor of
surgery at Temple University and Thomas
Jefferson Medical
College Dr LOL it's an honor to have you
join us on vital science today well it's
a pleasure to be here and thank you for
inviting me there's so much controversy
that continues around the cholesterol
the lowering of
cholesterol um using drugs like Statin
in the interest of preventing heart
disease preventing stroke and I know you
have a unique perspective on this based
on your your research based on your own
experience and you're particularly
qualified to talk about this being one
of the first doctors in America to
perform open heart transplant surgery we
did the first five heart transplants and
we really didn't know much about it we
converted an operating room into a
intensive care room and we stayed with
him
247 uh and was more just learning than
it was uh knowing what to do with um
with the patients as far as the
immunology and things like that so they
did well for about a year or two and
then all of them died from what they
call called Galloping
atherosclerosis and what it meant is
they we put these young hearts in these
patients with good blood vessels and
after a year or two depending on the
patients they developed this this
atherosclerosis of the vessels that
looked like 90y old vessels and it was a
mystery why the heck this happened after
my tour in in Houston I came up to
Philadelphia and was cheat of cardiac
surgery at Temple University and we
worked on cholesterol and how the
lymphatics were clearing it on this was
1969 and uh so I did some surgery on six
reesus monkeys and we liated we marked
the lymphatics with Dy and then liated
them and within the short period of time
6 to eight weeks they developed early
atherosclerosis so so so basic basically
just if I understand doctor you kind of
cut the or stopped the lymphatic flow in
the monkeys yes we identified the the
lymphatics of the heart of the monkey
and liated them we tied them off and
then gave them a high cholesterol meal
and we were able to see deposition of
the fats into the arterial wall so that
was uh one the first step which showed
us there was something with lymphatic
like ation that would promate the
atherosclerosis and so I wondered well
if we can do that why wouldn't chronic
narrowing and spasm of them and
sclerosis of them caused chronic
hardening of the arteries
atherosclerosis so uh and the other
observation we noticed that there were
these little white streaks in the
coronary artery patients in the heart
muscle themselves is little white STS
but they weren't there in the patient
with normal Carter so we biopsy those
streaks and sure enough they were
sclerotic or scarred up lymphatic
vessels that were being blocked through
chronic
inflammation and I understand the
lymphatic system it plays a role in
clearing these substances in the body
that can cause
inflammation what is the lymphatic
system and how does it work yeah well
the lymphatics uh you know we don't
learn much about the lymphatics in
medical school or training the no menes
lymphatics and yet they follow at the
course of the vessels and follow along
the Venus system and there's actually
more LIF than there is blood fluid in
the body and every time we have a
circulatory Excursion Around our body we
lose about 10 or 15% of our clear fluid
that's in the blood this fluid seeps
interstitial area of the body and it has
to be cleared it doesn't go back into
the capillary or the vein it goes into
the lymphatics as does large proteins
and the fat and and lymphatic cells
dendritic cells and only Auto the immune
cells that we have circulating in our
body so all this gets cleared back
through the lymphatics back into the
Venus side and uh this is is little
recognized and not thought of because
lymphatic vessels have their own um
intelligence as it were they can they
can have spasm they have muscles in the
wall of the vessel they have her stalsis
so they can contract if nervous tissue
they have autonomic nervous tissue they
can send messages to the brain to the
liver all throughout the body and these
messages they're not a neural they have
to go through the lymphatic system to
get circulated to the liver kidneys
brain and elsewhere
and in terms of cholesterol they they
play a role in in moving cholesterol
away from the heart well that's what we
found and it's interesting see you you
have to understand that the level of
cholesterol in my belief is not related
to the aoma or the disease in the wall
what it's related to is the amount of
cholesterol that stays in that tissue
and it is not taken care of quickly
if it is it becomes oxidized and that's
when it becomes a uh pro-inflammatory
toxin now if you get it's like the fire
eater in the in the um circus you see
this chap take this flaming uh blade and
stick it down his throat and and take it
out and he's not he's not burned and how
that works is it don't let the flame
stay in contact with the tissue issue
for a long period of time it's the same
thing with the oxidized uh LDL that if
it's uh there for a long period of time
you're going to get a inflammatory
reaction and if it continues it's going
to be a chronic inflammatory reaction so
this is the reason why we preserve this
and the pharmaceutical companies came up
with medication that reduceed the level
of the LDL and cholesterol levels re
real low
and thinking that oh well if you give a
small burden you won't have the
inflammatory reaction but if the
cholesterol stays in the tissue a long
time you're going to get an inflammatory
reaction would you say the lymphatic
system is is the principle way that this
oxidized I guess mainly aldl cholesterol
is is taken away from that area yeah
absolutely the lymphatics clear that
area and what what we postulate and
what's been looked at and probably it is
the accurate thing is that we talk about
good cholesterol and bad cholesterol the
good cholesterol is the HDL but they're
both good because LDL does wonderful
things for our body it makes hormones it
builds cell membranes it does many many
things in our body and um it's just in
the wrong place at the wrong time and
the uh HDL is a very small it's much
smaller molecule and what that does is
it embies it takes in the cholesterol
and carries it now the standard thought
is that it the HDL carries it out
through the capillar again but that
doesn't work that way what we believe in
what's been shown by research in many
institutions like Mount Si and
Washington
University is that the HDL takes the
cholesterol and carries it through the
arterial wall which 30 years ago would
you wouldn't think possible because of
the internal elastic membrane the wall
of the the artery blocking the H shell
coming through but it comes through to
the outside of the wall and picked up by
the lymphatics there and carried through
the lymphatic system if it's working if
it's got a good fluid flow if it's not
in spasm all these things are are
affected by chronic inflammation you got
to have to keep the lymphatics healthy
to obviate get as quickly as you can the
cholesterol away from the tissue and
keep those lymphatic channels open and
well hydrated with fluid and not an
inflammatory messages and signals from
the rest of the body so that these
substances get circulated and out into
the um Venus
system