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Cited by 277

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Ketogenic diets, mitochondria, and neurological diseases

Open access
Gano, Lindsey B., Patel, Manisha, Rho, Jong M.·2014·Journal of Lipid Research

Abstract

The ketogenic diet (KD) is a broad-spectrum therapy for medically intractable epilepsy and is receiving growing attention as a potential treatment for neurological disorders arising in part from bioenergetic dysregulation. The high-fat/low-carbohydrate "classic KD", as well as dietary variations such as the medium-chain triglyceride diet, the modified Atkins diet, the low-glycemic index treatment, and caloric restriction, enhance cellular metabolic and mitochondrial function. Hence, the broad neuroprotective properties of such therapies may stem from improved cellular metabolism. Data from clinical and preclinical studies indicate that these diets restrict glycolysis and increase fatty acid oxidation, actions which result in ketosis, replenishment of the TCA cycle (i.e., anaplerosis), restoration of neurotransmitter and ion channel function, and enhanced mitochondrial respiration. Further, there is mounting evidence that the KD and its variants can impact key signaling pathways that evolved to sense the energetic state of the cell, and that help maintain cellular homeostasis. These pathways, which include PPARs, AMP-activated kinase, mammalian target of rapamycin, and the sirtuins, have all been recently implicated in the neuroprotective effects of the KD. Further research in this area may lead to future therapeutic strategies aimed at mimicking the pleiotropic neuroprotective effects of the KD.

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Crossref · 10.1194/jlr.r048975

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Metadata

Authors
Gano, L. B., Patel, M., & Rho, J. M.
Venue
Journal of Lipid Research
Publisher
Elsevier BV
Published
2014-11
Volume
55
Issue
11
Pages
2211-2228
ISSN
0022-2275 (ISSN-L)
OpenAlex
W2153413087
Cited by
277
References
16
FWCI
11.27
Type
journal article
Language
en
Open access
hybrid

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