Castro Kamila, Baronio Diego, Perry Ingrid Schweigert, Riesgo Rudimar Dos Santos, Gottfried Carmem
a Translational Research Group in Autism Spectrum Disorder (GETTEA) , Porto Alegre , Brazil.
b Food and Nutrition Research Center , Hospital de Clínicas de Porto Alegre , Brazil.
Nutr Neurosci. 2017 Jul;20(6):343-350. doi: 10.1080/1028415X.2015.1133029. Epub 2016 Feb 8.
Autism spectrum disorder (ASD) is characterized by impairments in social interaction and communication, and by restricted repetitive behaviors and interests. Its etiology is still unknown, but different environmental factors during pregnancy, such as exposure to valproic acid (VPA), are associated with high incidence of ASD in children. In this context, prenatal exposure to VPA in rodents has been used as a reliable model of ASD. Ketogenic diet (KD) is an alternative therapeutic option for refractory epilepsy; however, the effects of this approach in ASD-like behavior need to be evaluated. We conducted a behavioral assessment of the effects of KD in the VPA model of autism.
Pregnant animals received a single-intraperitoneal injection of 600 mg/kg VPA, and their offspring were separated into four groups: (1) control group with standard diet (C-SD), (2) control group with ketogenic diet (C-KD), (3) VPA group with standard diet (VPA-SD), and (4) VPA group with ketogenic diet (VPA-KD).
When compared with the control group, VPA animals presented increased social impairment, repetitive behavior and higher nociceptive threshold. Interestingly, the VPA group fed with KD presented improvements in social behavior. These mice displayed higher scores in sociability index and social novelty index when compared with the SD-fed VPA mice.
VPA mice chronically exposed to a KD presented behavioral improvements; however, the mechanism by which KD improves ASD-like features needs to be further investigated. In conclusion, the present study reinforces the potential use of KD as a treatment for the core deficits of ASD.
自闭症谱系障碍(ASD)的特征是社交互动和沟通受损,以及存在受限的重复行为和兴趣。其病因尚不清楚,但孕期的不同环境因素,如接触丙戊酸(VPA),与儿童ASD的高发病率相关。在这种背景下,啮齿动物孕期暴露于VPA已被用作可靠的ASD模型。生酮饮食(KD)是难治性癫痫的一种替代治疗选择;然而,这种方法对ASD样行为的影响需要评估。我们对KD在VPA自闭症模型中的作用进行了行为评估。
怀孕动物腹腔注射一次600mg/kg的VPA,其后代分为四组:(1)标准饮食对照组(C-SD),(2)生酮饮食对照组(C-KD),(3)标准饮食VPA组(VPA-SD),以及(4)生酮饮食VPA组(VPA-KD)。
与对照组相比,VPA动物表现出社交障碍增加、重复行为增多和痛觉阈值升高。有趣的是,喂食KD的VPA组社交行为有所改善。与喂食标准饮食的VPA小鼠相比,这些小鼠在社交指数和社交新奇指数上得分更高。
长期暴露于KD的VPA小鼠行为有所改善;然而,KD改善ASD样特征的机制需要进一步研究。总之,本研究强化了KD作为治疗ASD核心缺陷的潜在用途。