Metabolism and epilepsy: Ketogenic diets as a homeostatic link.

作者: Susan A. Masino , Jong M. Rho

DOI: 10.1016/J.BRAINRES.2018.05.049

关键词: EpilepsyKetogenic dietBioinformaticsMetabolismHomeostasisSeizure controlDiseaseCentral nervous systemKetosisMedicine

摘要: Metabolic dysfunction can underlie seizure disorders, and metabolism-based treatments afford control promote homeostasis. This relationship between metabolism the risk of sporadic seizures was observed historically with clinical success a low-carbohydrate, high-fat, ketosis-inducing ketogenic diet - treatment that remains relevant today, one has been shown to be effective against medically refractory epilepsy. Mechanisms underlying are topic intense research efforts not only because proven in arresting treatment-resistant seizures, but also recent evidence suggests altering enables homeostatic state brain is less excitable, hence raises threshold for genesis. therapy normalize range abnormal physiological behavioral parameters may make central nervous system more resilient other insults or stresses. Because therapeutic ability such limited than drug dose "ceiling", investigations underway develop test analogous supplemental approaches. In addition, significant have made demonstrate broader applications metabolic promoting health preventing disease, including conditions where epileptic manifest comorbid fashion.

参考文章(70)
Roberto Caraballo, María Vaccarezza, Ricardo Cersósimo, Viviana Rios, Alejandra Soraru, Hugo Arroyo, Guillermo Agosta, Nidia Escobal, Martha Demartini, Clarisa Maxit, Araceli Cresta, Delfina Marchione, María Carniello, Luis Paníco, Long-term follow-up of the ketogenic diet for refractory epilepsy: multicenter Argentinean experience in 216 pediatric patients. Seizure-european Journal of Epilepsy. ,vol. 20, pp. 640- 645 ,(2011) , 10.1016/J.SEIZURE.2011.06.009
Ingrid Van der Auwera, Stefaan Wera, Fred Van Leuven, Samuel T Henderson, A ketogenic diet reduces amyloid beta 40 and 42 in a mouse model of Alzheimer's disease. Nutrition & Metabolism. ,vol. 2, pp. 28- 28 ,(2005) , 10.1186/1743-7075-2-28
Maciej Gasior, Michael A. Rogawski, Adam L. Hartman, Neuroprotective and disease-modifying effects of the ketogenic diet Behavioural Pharmacology. ,vol. 17, pp. 431- 439 ,(2006) , 10.1097/00008877-200609000-00009
David N. Ruskin, Susan A. Masino, The nervous system and metabolic dysregulation: emerging evidence converges on ketogenic diet therapy Frontiers in Neuroscience. ,vol. 6, pp. 33- 33 ,(2012) , 10.3389/FNINS.2012.00033
J. Harry Blaise, David N. Ruskin, Jessica L. Koranda, Susan A. Masino, Effects of a ketogenic diet on hippocampal plasticity in freely moving juvenile rats Physiological Reports. ,vol. 3, ,(2015) , 10.14814/PHY2.12411
T. Shimazu, M. D. Hirschey, J. Newman, W. He, K. Shirakawa, N. Le Moan, C. A. Grueter, H. Lim, L. R. Saunders, R. D. Stevens, C. B. Newgard, R. V. Farese, R. de Cabo, S. Ulrich, K. Akassoglou, E. Verdin, Suppression of Oxidative Stress by β-Hydroxybutyrate, an Endogenous Histone Deacetylase Inhibitor Science. ,vol. 339, pp. 211- 214 ,(2013) , 10.1126/SCIENCE.1227166
Renske van Delft, Danielle Lambrechts, Pauline Verschuure, Jacques Hulsman, Marian Majoie, Blood beta-hydroxybutyrate correlates better with seizure reduction due to ketogenic diet than do ketones in the urine. Seizure-european Journal of Epilepsy. ,vol. 19, pp. 36- 39 ,(2010) , 10.1016/J.SEIZURE.2009.10.009
Kirk Nylen, Jose Luis Perez Velazquez, Sergei S. Likhodii, Miguel A. Cortez, Lily Shen, Yevgen Leshchenko, Khosrow Adeli, K. Michael Gibson, W.M. Burnham, O. Carter Snead, A ketogenic diet rescues the murine succinic semialdehyde dehydrogenase deficient phenotype. Experimental Neurology. ,vol. 210, pp. 449- 457 ,(2008) , 10.1016/J.EXPNEUROL.2007.11.015
Lindsey B. Gano, Manisha Patel, Jong M. Rho, Ketogenic diets, mitochondria, and neurological diseases Journal of Lipid Research. ,vol. 55, pp. 2211- 2228 ,(2014) , 10.1194/JLR.R048975