Department of Applied Chemistry, Chaoyang University of Technology, 168 Jifeng East Road, Taichung, Taiwan, ROC.
Curr Mol Med. 2022;22(7):640-656. doi: 10.2174/1566524021666211004104703.
Ketogenic diet and ketone bodies gained significant attention in recent years due to their ability to influence the specific energy metabolism and restoration of mitochondrial homeostasis that can help in hindering the progression of many metabolic diseases, including diabetes and neurodegenerative diseases. A ketogenic diet consists of high fat and low carbohydrate contents, which makes the body glucose deprived and rely on alternative sources (ketone bodies) for energy. It has been initially designed and supplemented for the treatment of epilepsy, and, later, its influence on many energyderiving biochemical pathways made it a highly sorted food supplement for many metabolic diseases and even for bodybuilding and calorie restriction in healthy individuals. Among the reported therapeutic action over a range of diseases, neurodegenerative disorders, especially Alzheimer's disease, gained the attention of many researchers and clinicians because of the higher benefits of the ketogenic diet on this disease. Complex pathology and multiple influencing factors of Alzheimer's disease make exploration of its therapeutic strategies a demanding task. It was a common phenomenon that energy deprivation in neurological disorders, including Alzheimer's disease, progress rapidly. The ability of ketone bodies to stabilize the mitochondrial energy metabolism makes it a suitable intervening agent. In this review, we will discuss various research progress made with regards to ketone bodies/ketogenic diet for the management of Alzheimer's disease and elaborate in detail about the mechanisms that are influenced during their therapeutic action.
近年来,生酮饮食和酮体由于能够影响特定的能量代谢和恢复线粒体动态平衡而受到了广泛关注,这有助于阻止许多代谢疾病的进展,包括糖尿病和神经退行性疾病。生酮饮食由高脂肪和低碳水化合物组成,使身体缺乏葡萄糖,并依赖替代能源(酮体)供能。它最初是为治疗癫痫而设计和补充的,后来,它对许多能量产生生化途径的影响使它成为许多代谢疾病的高度分类的食品补充剂,甚至对健康个体的健身和热量限制也是如此。在一系列疾病中,报道的治疗作用中,神经退行性疾病,特别是阿尔茨海默病,引起了许多研究人员和临床医生的关注,因为生酮饮食对这种疾病的益处更高。阿尔茨海默病的复杂病理学和多种影响因素使得探索其治疗策略成为一项艰巨的任务。在包括阿尔茨海默病在内的神经紊乱中,能量匮乏迅速进展是一种常见现象。酮体稳定线粒体能量代谢的能力使其成为一种合适的干预剂。在这篇综述中,我们将讨论关于酮体/生酮饮食在阿尔茨海默病管理方面的各种研究进展,并详细阐述它们在治疗作用中影响的机制。