Rho J M, Kim D W, Robbins C A, Anderson G D, Schwartzkroin P A
Department of Neurology, University of Washington School of Medicine, Seattle 98195, USA.
Epilepsy Res. 1999 Dec;37(3):233-40. doi: 10.1016/s0920-1211(99)00068-6.
Despite strong clinical data confirming the anticonvulsant efficacy of a ketogenic diet (KGD) in pediatric patients, corroborative experimental data in young animals are limited. In the present study, the effects of a KGD on flurothyl seizure susceptibility were examined in normal juvenile mice after a dietary duration of 3, 7, or 12 days, and in adult mice for 15 days. In all groups of KGD-treated mice, blood beta-hydroxybutyrate levels were significantly elevated over those measured in controls. The present KGD was anticonvulsant (i.e. delayed onset) against the first (clonic) flurothyl-induced seizure for juvenile mice treated for either 7 or 12 days, but not for juvenile mice and adult mice fed the diet for 3 and 15 days, respectively. While this KGD was not anticonvulsant against the second (tonic extension) seizure induced by flurothyl in any of the juvenile groups, it significantly delayed tonic extension in the adult group. In addition, juvenile mice fed a KGD exhibited a lower mortality rate following flurothyl-induced seizures compared to mice fed a standard diet. In our discussion of animal models of the KGD, we highlight the need to understand better the impact of important variables such as dietary composition, genetic background, and mode of seizure induction in the study of the KGD.
尽管有强有力的临床数据证实生酮饮食(KGD)对儿科患者具有抗惊厥疗效,但幼小动物方面的确证实验数据有限。在本研究中,在正常幼年小鼠分别进行3天、7天或12天的饮食后,以及成年小鼠进行15天的饮食后,检测了KGD对氟烷惊厥易感性的影响。在所有接受KGD治疗的小鼠组中,血液β-羟基丁酸水平显著高于对照组测量值。对于分别接受7天或12天KGD治疗的幼年小鼠,当前的KGD对首次(阵挛性)氟烷诱导的惊厥具有抗惊厥作用(即发作延迟),但对于分别接受3天和15天该饮食的幼年小鼠和成年小鼠则没有此作用。虽然这种KGD对任何幼年组中氟烷诱导的第二次(强直伸展性)惊厥均无抗惊厥作用,但它显著延迟了成年组的强直伸展。此外,与喂食标准饮食的小鼠相比,喂食KGD的幼年小鼠在氟烷诱导惊厥后的死亡率更低。在我们对KGD动物模型的讨论中,我们强调在KGD研究中需要更好地理解重要变量(如饮食组成、遗传背景和惊厥诱导方式)的影响。