Cited by 205Neuroscience and Neuropharmacology ResearchMitochondrial Function and PathologyBarrier Structure and Function Studies

The DOI matches its Crossref record; 331 of the 331 references it cites were found in a registry or an index; none of the 343 sources its claims cite is checked for support yet.

The energetic brain—A review from students to students

Open access

Abstract

The past 20 years have resulted in unprecedented progress in understanding brain energy metabolism and its role in health and disease. In this review, which was initiated at the 14th International Society for Neurochemistry Advanced School, we address the basic concepts of brain energy metabolism and approach the question of why the brain has high energy expenditure. Our review illustrates that the vertebrate brain has a high need for energy because of the high number of neurons and the need to maintain a delicate interplay between energy metabolism, neurotransmission, and plasticity. Disturbances to the energetic balance, to mitochondria quality control or to glia–neuron metabolic interaction may lead to brain circuit malfunction or even severe disorders of the CNS . We cover neuronal energy consumption in neural transmission and basic (‘housekeeping’) cellular processes. Additionally, we describe the most common (glucose) and alternative sources of energy namely glutamate, lactate, ketone bodies, and medium chain fatty acids. We discuss the multifaceted role of non‐neuronal cells in the transport of energy substrates from circulation (pericytes and astrocytes) and in the supply (astrocytes and microglia) and usage of different energy fuels. Finally, we address pathological consequences of disrupted energy homeostasis in the CNS . image

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This narrative review, initiated at the 14th International Society for Neurochemistry Advanced School, synthesizes the basic concepts of brain energy metabolism and explains why the brain has high energy expenditure. It covers neuronal ATP-consuming processes, alternative energy substrates, the role of non-neuronal cells, and how disturbed energy homeostasis contributes to CNS disorders and aging.

Key findings

  • The human brain accounts for 20% of oxygen consumption and 25% of glucose utilization while representing only 2% of body weight (Sokoloff et al. 1977); most adult non-primate vertebrates use 2–8% of total basal metabolism for the CNS (Mink et al. 1981). Herculano-Houzel's analysis concluded that the whole-brain energy budget per neuron is fixed across species, so total glucose use is a linear function of neuron number.
  • After a single action potential, rodent cortical neurons require ~4–8 × 10⁸ ATP molecules to restore Na⁺/K⁺ gradients via the Na⁺/K⁺-ATPase, making AP signaling the second largest metabolic cost after synaptic transmission. Estimates of the AP:postsynaptic-current energy ratio vary from 58:42% (Attwell and Laughlin 2001) to 20:80% (Alle et al. 2009).
  • At a physiological spiking rate of 4 Hz, 15% of total gray-matter ATP maintains resting potential (Attwell and Laughlin 2001); Lennie (2003) attributed 13% of human neocortex energy to spiking, 28% to neuronal resting potential, 10% to glial resting potential, and the remainder to housekeeping. Housekeeping accounts for 25% of gray-matter energy and ~63%/~56% in partially/fully myelinated white matter (Harris and Attwell 2012).
  • Engl et al. (2017) measured O₂ consumption in resting hippocampal slices: it fell 25% after actin cycling blockade, 22% after microtubule turnover blockade, and 18% after lipid and protein metabolism blockade, while blocking protein metabolism alone did not significantly change O₂ consumption.

Methods

  • Narrative review (no primary data collection) initiated at the 14th ISN Advanced School (Varennes Jarcy, France, August 2017), synthesizing published literature on brain energy metabolism.
  • Covers neuronal ATP consumption (presynaptic terminals, postsynaptic terminals, synaptic plasticity, AP generation/propagation, resting potential, housekeeping processes), energy sources (glucose, glutamate, lactate/ANLS, ketone bodies, medium-chain triglycerides), non-neuronal cells (pericytes, astrocytes, oligodendrocytes, microglia), and disease states (aging, T2DM, Alzheimer's, Parkinson's, ALS, MS, TBI/stroke).
  • No systematic search strategy, inclusion criteria, or meta-analysis is described.

Limitations

  • The authors state that brain energetics "can hardly be covered in a single review with satisfying depth" and apologize to scientists not cited "due to space limitations."
  • The text makes evident that several key debates remain unresolved: the ANLS hypothesis is described as "critically viewed and challenged" with contradictory results across experimental settings and "the lack of a consensus-based method for real-time monitoring of metabolic dynamics at cellular resolution"; the proton leak mechanism "remains under debate"; and TBI glucose-transport data are "highly variable requiring further studies."
  • The text notes that the estimated relative contributions of AP generation versus postsynaptic currents to energy expenditure "varied in the literature," and that the estimated cost of axonal transport does not account for tug-of-war events or dynein retrograde transport, so "further modeling is needed."

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1111/jnc.14829

Cites

331 of 331 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

227 Not checked yet · 37 No basis given · 27 Own interpretation

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Show all 152 claims

  • It may state two separate claims as one. 122
  • Probably not a substantial claim. 30
139 of 139
  • The paper relies on this without support.

    K+ is released at nodes of Ranvier during AP propagation, at serotonergic synapses, or at the cholinergic neuromuscular junction.

    “as K + is released not only by the postsynaptic terminal during glutamatergic neurotransmission but also at nodes of Ranvier during AP propagation, at serotonergic synapses, or at the cholinergic neuromuscular junction.”
  • The paper relies on this without support.

    Uptake of extracellular glutamate is expensive as astrocytes utilize one ATP for the transfer of one glutamate.

    “Uptake of extracellular glutamate is an expensive process as astrocytes utilize one ATP for the transfer of one glutamate.”
  • The authors state this as an assumption.

    Lactate secreted by astrocytes through MCT1 and MCT4 is transported by MCT2 into neurons, where it can be converted to pyruvate.

    “Hence, lactate secreted by astrocytes through MCT1 and MCT4 is assumed to be transported by MCT2 into neurons, where it can be converted to pyruvate (Fig. 2).”
  • The paper relies on this without support.

    Energy homeostasis is essential in maintaining a healthy state of the brain.

    “Energy homeostasis is essential in maintaining a healthy state of the brain.”
  • The paper relies on this without support.

    Microglia and macrophages within the CNS have a high energetic demand to function as they monitor for abnormalities and make connections with neurons.

    “Microglia and macrophages within the CNS have a high energetic demand to function as they monitor for abnormalities and make connections with neurons.”
  • The paper relies on this without support.

    The three major energy substrates in microglia are glucose, fatty acids, and glutamine.

    “The three major energy substrates in microglia are glucose, fatty acids, and glutamine.”
  • The paper relies on this without support.

    Disrupted energy homeostasis may either be a cause or an effect of a disease or a disease-like condition (i.e., unhealthy aging).

    “Disrupted energy homeostasis may either be a cause or an effect of a disease or a disease-like condition (i.e., unhealthy aging).”
  • The paper relies on this without support.

    Metabolic changes not only contribute to the pathology of neurodegenerative diseases, traumatic brain injury, or stroke but also cause neurological symptoms of diabetes mellitus, and accompany normal aging.

    “Metabolic changes not only contribute to the pathology of neurodegenerative diseases, traumatic brain injury, or stroke but also cause neurological symptoms of diabetes mellitus, and accompany normal aging.”
8 of 8

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Citations

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Research works printed but not linked: 2

  1. 10.1242/jeb.02208 · DOI
  2. Silva G. S. S., 2017, Amyloid‐β oligomers transiently inhibit AMP‐activated kinase and cause metabolic defects in hippocampal neurons, J. Biol. Chem., 116, 753525

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Metadata

Authors
Bordone, M. P., Salman, M. M., Titus, H. E., Amini, E., Andersen, J. V., Chakraborti, B., Diuba, A. V., Dubouskaya, T. G., Ehrke, E., Espindola de Freitas, A., Braga de Freitas, G., Gonçalves, R. A., Gupta, D., Gupta, R., Ha, S. R., Hemming, I. A., Jaggar, M., Jakobsen, E., Kumari, P., Lakkappa, N., Marsh, A. P. L., Mitlöhner, J., Ogawa, Y., Paidi, R. K., Ribeiro, F. C., Salamian, A., Saleem, S., Sharma, S., Silva, J. M., Singh, S., Sulakhiya, K., Tefera, T. W., Vafadari, B., Yadav, A., Yamazaki, R., & Seidenbecher, C. I.
Affiliations
  • Universidad de Buenos Aires (AR)
  • Boston Children's Hospital (US)
  • Northwestern University (US)
  • University Kebangsaan Malaysia Medical Centre (MY)
  • University of Copenhagen (DK)
  • Manovikas Kendra Rehabilitation and Research Institute (IN)
  • Lomonosov Moscow State University (RU)
  • National Academy of Sciences of Belarus (BY)
  • University of Bremen (DE)
  • Neurobiology Section Biological Sciences Division University of California San Diego, La Jolla California USA
  • Institute of Medical Biochemistry Federal University of Rio de Janeiro Rio de Janeiro Brazil
  • Queen's University (CA)
  • Birla Institute of Technology and Science, Pilani (IN)
  • Indian Institute of Toxicology Research (IN)
  • Baylor College of Medicine (US)
  • The University of Western Australia (AU)
  • Tata Institute of Fundamental Research (IN)
  • Defence Research and Development Organisation (IN)
  • JSS College of Pharmacy (IN)
  • Royal Children's Hospital (AU)
  • Leibniz Institute for Neurobiology (DE)
  • Jikei University School of Medicine (JP)
  • Indian Institute of Chemical Biology (IN)
  • Universidade Federal do Rio de Janeiro (BR)
  • Instytut Biologii Doświadczalnej im. Marcelego Nenckiego (PL)
  • University of Minho (PT)
  • Indira Gandhi National Tribal University (IN)
  • The University of Queensland (AU)
  • Technical University of Munich (DE)
  • Tokyo University of Pharmacy and Life Sciences (JP)
  • Center for Behavioral Brain Sciences (DE)
Corresponding author
Seidenbecher, Constanze I.
Venue
Journal of Neurochemistry
Publisher
Wiley
Published
2019-09-10
Volume
151
Issue
2
Pages
139-165
ISSN
  • 0022-3042 (ISSN-L)
  • 1471-4159
OpenAlex
W2964281414
Cited by
205
References
331
Citations by year
2026: 14 · 2025: 31 · 2024: 16 · 2023: 25 · 2022: 33 · 2021: 53 · 2020: 29 · 2019: 4
FWCI
3.96
Type
journal article
Language
en
Open access
Locations
  • Journal of Neurochemistry (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
  • CONICET Digital (CONICET) (submittedVersion, cc-by-nc-nd)
  • OPUS (Augsburg University) (submittedVersion, cc-by-nc-nd)
  • UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by-nc-nd)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion, other-oa)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by-nc-nd)
Funders
  • Deutsche Forschungsgemeinschaft (RTG2413, SFB 779)
  • Bundesministerium für Bildung und Forschung
  • Lundbeckfonden (R249-2017-109)
  • International Society for Neurochemistry
  • European Social Fund (ZS/2016/08/80645)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
Keywords
brain energy metabolism, mitochondrial quality control, neurotransmission, synaptic plasticity, glucose metabolism, glutamate, lactate, ketone bodies, medium-chain fatty acids, astrocytes, pericytes, microglia, energy homeostasis, central nervous system disorders
MeSH terms
Animals, Astrocytes, Brain, Congresses as Topic, Energy Metabolism, Humans, Neurochemistry, Neuroglia, Neurons, Students

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