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15
FIE
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I was once oblivious to the significance of the olive. As a child it was a color - a pastel shade of green - as a student it was that salty, fleshy garnish to an oft consumed frozen pizza. More recently, however, I have come to understand how this humble fruit has oiled the wheels of civilization for millennia. My conversion to an “Oleophile” was abrupt and unexpected – one inspired by the serendipitous meeting of independent passions. The first was a love for the olive tree – something that emerged after visiting the rugged beauty of the North Peloponnes in Greece. Olive trees can be seen as living expressions of the places they inhabit. In the Provence they are pampered, in Tuscany they are tailored, but on the Peloponnes they emanate like ancient mythological creatures, rugged and strong, like the land that nourishes them. This is where the fascination began.
The
a very personal medicineby David B. Jackson, Ph.D.
At about the same time, back in the early days
of Molecular Health, I began to familiarize
myself with the work of Hippocrates, the
father of western medicine. Not only was
Hippocrates the first to truly emphasize the
patient as the most important determinant
of response to therapy – the essence of
personalized medicine – he also provided
a philosophy that is so simple, yet so important
in a modern world so consumed by the
quest for a quick dollar. “Let thy food be thy
medicine and thy medicine be thy food”, he
proclaimed more than 2,500 years ago. As
someone working with the complexity of
cancer, I was struck by the logic and
simplicity of Hippocrates’ tenet. But I also
felt uncomfortable – the sudden realization
of the thrash I had consumed over the course
of my life gave me cause for self-reflection,
if not concern.
16
17
FIE
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While attending a meeting on molecular
gastronomy in Sicily back in 2005, a scientist
by the name of Dr. Gary Beauchamp, from
the Monell Chemical Senses Center, announced
an amazing observation. Beauchamp had
identified a phenolic compound (decarbox-
ymethyl ligstroside aglycone) that is unique
to olive oil. “I had considerable experience
swallowing and being stung in the throat by
ibuprofen from previous studies on its sensory
properties. So when I tasted newly-pressed
olive oil, I was startled to notice that the
throat sensations were virtually identical.”
Renaming the compound to “oleocanthal”
oleo=olive, canth=sting, al=aldehyde,
Beauchamp later published his findings in
Nature (Beauchamp et al. Nature 437, 45–46
(01 September 2005). The abstract reads as
follows “Newly pressed extra-virgin olive oil
contains oleocanthal — a compound whose
pungency induces a strong stinging sensation
in the throat, not unlike that caused by
solutions of the non-steroidal anti-inflamma-
tory drug ibuprofen. We show here that this
similar perception seems to be an indicator
of a shared pharmacological activity, with
oleocanthal acting as a natural anti-inflamma-
tory compound that has a potency and profile
strikingly similar to that of ibuprofen. Al-
though structurally dissimilar, both these
molecules inhibit the same cyclooxygenase
enzymes in the prostaglandin-biosynthesis
pathway”.
Eureka! Those ancient Greeks knew precisely
what they were doing and I pondered that
their evidence base and therapeutic strategies
were optimized over generations of real world
observation – as opposed to our modern
approach of clinical trials– “evidence I can
believe in”, I thought to myself.
Loggos meets mythos
These experiences are in retrospect the seren-
dipitous ingredients of what ultimately fueled
a passion for all things olive. From the mythos
of the olive tree to the loggos of the scientific
facts, I set myself the goal of producing the
highest quality of oleocanthal-rich extra virgin
olive oil possible (at least for an Irishman).
With no time to waste, I found the perfect
olive grove, directly overlooking the spec-
tacular Gulf of Corinth. While the trees were
majestic they were less than healthy, so my first
task was to nurture them back to vitality - a
kind of win-win agreement between man and
tree. Two years of regular watering combined
with copious quantities of quality sheep shit
were just what the doctor ordered. With the
trees again blossoming, I abruptly stopped the
watering,
Then came my visit to the Sanctuary of
Asclepius, in Epidaurus, Greece. Asclepius,
the god of healing, had many sanctuaries
erected in his honor. The sanctuary at
Epidaurus is arguably the most important due
to the variety of treatments it offered within
its grounds. The first thing that struck me was
the “modernity” of their medical practice –
most of the surgical instruments designed by
these ancient physicians haven’t changed in
form or utility throughout the millennia.
However, other aspects had for the most
part been lost along the path to modern day
medicine. The ancient Greeks, for example,
recognized the importance of both loggos (i.e.
the science) and mythos (i.e. the human spirit).
While today we have mastered the loggos of
medical science, there remains little time for
the human aspect of mythos. Doctors simply
don’t have the time.
But perhaps the most important revelation
was an inscription I read on a temple wall.
It described a treatment for inflammation
and pain – olive oil made from the wild olive
infused with the juice of ground fennel. Olive
oil as a treatment for inflammation and pain?
Fascinating, but a bit too heavy on
the mythos, I thought. That is until I came
across a Nature paper from 2005 that
provided the loggos for this practice.
18
David B. Jackson. Ph.D., is Molecular Health’s Chief
Innovation Officer. Since joining the company in 2007,
he has been responsible for many of the key concepts
and inventions that underlie the company’s unique
DATAOMETM technology platform. As a long time
proponent of the need for a more holistic,
evidence-based approach to cancer patient care that
includes the integrated analysis of both patient intrinsic
(e.g. tumor genome, personal genome) and patient
extrinsic (e.g co-medication) molecular factors, his
applied work in this field has led to the discovery of
novel predictive biomarkers. His current innovation
interests include the development of automated strat-
egies for the clinical interpretation of clinico-molecular
data, evidence capture, biomarker discovery, treatment/
trial prioritization and patient safety solutions. His
peer-reviewed research and opinion has been published
in journals such as Science, Nature Cell Biology, Nature
Communications, Proceedings of the National Academy
of Sciences and he is lead inventor of numerous patents
in the field of clinical and molecular informatics.
just in time for summer. It turns out that higher
quantities of oleocanthal are produced when
the olive tree is stressed (e.g. by heat and/or
lack of water). This also means that olives
harvested earlier in the season (i.e. Oct-Nov)
have significantly higher levels of oleocanthal
than those harvested later, when stress has
subsided (i.e. Jan-Feb).
So off I set on Nov.17th, 2017 to fulfill the
dream of gold - liquid gold! Six determined
souls armed with harvesting devices and an
ample supply of Tsipouro (think Greek grappa)
and food, spent some memorable days releas-
ing these oval balls of phyto-pharmaceuticals
from their >100 year old mothers. The crescen-
do came at the end of day one. Fifteen sacks
of freshly harvested olives were raced to the
mill - a place where the aroma of freshly cut
artichoke and grass (the legal kind) permeates
the air. With sacks unloaded and emptied into
the mouth of the mill, we waited excitedly –
passing the time sipping Tsipouro with
some local farmers. Two hours (and several
Tsipouro’s) later, she was born. Our very first
early harvest, extra virgin olive oil. It was
not the simple liquid gold I initially hoped
for, but something much more beautiful.
An almost fluorescent green gold - a mythos
in color! And what of the loggos? Well, I am
proud to report that chemical analysis
revealed the goal was “in the bag” – 0.3%
acidity and >500mg/kg of Oleocanthal – simply
perfect! Beginner’s luck it may be, but one
thing is for sure – this is my kind of
personalized medicine!
“Wine is how we would like life to be, but oil
is how life is: fruity, pungent, with a hint of
complex bitterness - extra virginity’s elusive
triad.” Tom Mueller – Extravirginity, the
sublime and scandalous world of olive oil.
If you are interested in viewing some
videos from the harvest, check this link:
https://www.youtube.com/channel/UC3Vyjx-
yXeNwtAte0EDVgzbg