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生酮饮食(KD)在临床前癫痫中的非常规作用。

The Unconventional Effects of the Ketogenic Diet (KD) in Preclinical Epilepsy.

作者信息

Simeone Timothy, Simeone Kristina

机构信息

Department of Pharmacology and Neuroscience, Creighton University School of Medicine, Omaha, NE, USA.

出版信息

Epilepsy Curr. 2024 Jan 10;24(2):117-122. doi: 10.1177/15357597231216916. eCollection 2024 Mar-Apr.

DOI:10.1177/15357597231216916
PMID:39280056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11394414/
Abstract

The integration of metabolic therapeutics in the available clinical armory is becoming more commonplace in health care as our understanding about the dependence of disease on metabolism continues to deepen and evolve. In the epilepsy field, we often think about the ketogenic diet (KD, high fat: carbohydrate ratio) in terms of its anti-seizure efficacy. The aim of this article is to review what we've learned from preclinical studies about the KD's more unconventional effects, including its neuroprotective effects, anti-epileptogenic and disease-modifying effects, and how the KD influences comorbidities associated with epilepsy. As time moves us into the future and metabolic therapies become more common place, the effects of the KD considered herein, may end up being referred to as .

摘要

随着我们对疾病与代谢之间依赖关系的理解不断深入和发展,代谢疗法在现有临床手段中的整合在医疗保健领域正变得越来越普遍。在癫痫领域,我们通常从生酮饮食(KD,高脂肪:碳水化合物比例)的抗癫痫疗效方面来考虑它。本文的目的是回顾我们从临床前研究中学到的关于生酮饮食的更非传统的作用,包括其神经保护作用、抗癫痫发生和疾病修饰作用,以及生酮饮食如何影响与癫痫相关的合并症。随着时间推移,我们迈向未来,代谢疗法变得更加普遍,本文所考虑的生酮饮食的作用最终可能会被称为……

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本文引用的文献

1
Interactions between the gut microbiome and ketogenic diet in refractory epilepsy.肠道微生物组与难治性癫痫的生酮饮食相互作用。
Int Rev Neurobiol. 2022;167:217-249. doi: 10.1016/bs.irn.2022.06.002. Epub 2022 Jun 25.
2
Dietary ketosis improves circadian dysfunction as well as motor symptoms in the BACHD mouse model of Huntington's disease.在亨廷顿舞蹈病的BACHD小鼠模型中,饮食性酮症可改善昼夜节律功能障碍以及运动症状。
Front Nutr. 2022 Nov 3;9:1034743. doi: 10.3389/fnut.2022.1034743. eCollection 2022.
3
Ketogenic Diet Alleviates Hippocampal Neurodegeneration Possibly via ASIC1a and the Mitochondria-Mediated Apoptotic Pathway in a Rat Model of Temporal Lobe Epilepsy.生酮饮食可能通过酸敏感离子通道1a(ASIC1a)和线粒体介导的凋亡途径减轻颞叶癫痫大鼠模型中的海马神经退行性变。
Neuropsychiatr Dis Treat. 2022 Sep 25;18:2181-2198. doi: 10.2147/NDT.S376979. eCollection 2022.
4
Ketogenic diet prevents chronic sleep deprivation-induced Alzheimer's disease by inhibiting iron dyshomeostasis and promoting repair Sirt1/Nrf2 pathway.生酮饮食通过抑制铁稳态失衡和促进Sirt1/Nrf2通路修复来预防慢性睡眠剥夺诱导的阿尔茨海默病。
Front Aging Neurosci. 2022 Sep 1;14:998292. doi: 10.3389/fnagi.2022.998292. eCollection 2022.
5
Ketogenic diet-mediated seizure reduction preserves CA1 cell numbers in epileptic Kcna1-null mice: An unbiased stereological assessment.生酮饮食介导的癫痫发作减少可维持癫痫 Kcna1 基因敲除小鼠 CA1 区神经元数量:一项无偏立体学评估。
Epilepsia. 2021 Aug;62(8):e123-e128. doi: 10.1111/epi.16983. Epub 2021 Jul 7.
6
Ketogenic diet, neuroprotection, and antiepileptogenesis.生酮饮食、神经保护和抗癫痫发生。
Epilepsy Res. 2020 Nov;167:106444. doi: 10.1016/j.eplepsyres.2020.106444. Epub 2020 Aug 19.
7
Metabolic epilepsies amenable to ketogenic therapies: Indications, contraindications, and underlying mechanisms.代谢性癫痫对生酮治疗有反应:适应证、禁忌证和潜在机制。
J Inherit Metab Dis. 2021 Jan;44(1):42-53. doi: 10.1002/jimd.12283. Epub 2020 Aug 11.
8
Anti-depression effects of ketogenic diet are mediated via the restoration of microglial activation and neuronal excitability in the lateral habenula.生酮饮食的抗抑郁作用是通过恢复外侧缰核中小胶质细胞的激活和神经元的兴奋性来介导的。
Brain Behav Immun. 2020 Aug;88:748-762. doi: 10.1016/j.bbi.2020.05.032. Epub 2020 May 12.
9
Gestational exposure to a ketogenic diet increases sociability in CD-1 mice.妊娠暴露于生酮饮食可增加 CD-1 小鼠的社交性。
Behav Neurosci. 2020 Aug;134(4):358-368. doi: 10.1037/bne0000368. Epub 2020 Mar 30.
10
The behavioural and pathophysiological effects of the ketogenic diet on mild traumatic brain injury in adolescent rats.生酮饮食对青春期大鼠轻度创伤性脑损伤的行为和病理生理学影响。
Behav Brain Res. 2019 Dec 30;376:112225. doi: 10.1016/j.bbr.2019.112225. Epub 2019 Sep 10.