» Articles » PMID: 19049596

Ketone Bodies, Glycolysis, and KATP Channels in the Mechanism of the Ketogenic Diet

Overview
Journal Epilepsia
Specialty Neurology
Date 2008 Dec 17
PMID 19049596
Citations 41
Authors
Affiliations
Soon will be listed here.
Abstract

The ketogenic diet (KD) has shown remarkable efficacy in the treatment of drug-resistant childhood epilepsy. Our understanding of how the KD produces its anticonvulsant and antiepileptogenic effects remains incomplete, which is perhaps not surprising for a biological manipulation as sweeping as dietary change. Several hypotheses focus on ketone bodies, fuel molecules that circulate at millimolar concentrations in the blood of patients on a KD, as causative agents. Here I consider some recent evidence for one such hypothesis, involving a possible role for altered glycolysis and consequent activation of a class of potassium channels called K(ATP)channels.

Citing Articles

Decreased neuronal excitability in hypertriglyceridemia hamsters with acute seizures.

Shen Q, Liu N, Jiang Y, Liu L, Hou X Front Neurol. 2025; 15():1500737.

PMID: 39811454 PMC: 11730077. DOI: 10.3389/fneur.2024.1500737.


Ketogenic diets therapy in the management of epileptic spasms syndrome.

Wang M, Zhao F, Sun L, Yu Y, Zhang H Front Pediatr. 2024; 12:1472982.

PMID: 39568784 PMC: 11576165. DOI: 10.3389/fped.2024.1472982.


Brain Metabolism in Health and Neurodegeneration: The Interplay Among Neurons and Astrocytes.

Shichkova P, Coggan J, Markram H, Keller D Cells. 2024; 13(20.

PMID: 39451233 PMC: 11506225. DOI: 10.3390/cells13201714.


Effects of dietary intervention on human diseases: molecular mechanisms and therapeutic potential.

Xiao Y, Gong Y, Qi Y, Shao Z, Jiang Y Signal Transduct Target Ther. 2024; 9(1):59.

PMID: 38462638 PMC: 10925609. DOI: 10.1038/s41392-024-01771-x.


Drug resistant epilepsy and ketogenic diet: A narrative review of mechanisms of action.

Mishra P, Singh S, Ramadass B World Neurosurg X. 2024; 22:100328.

PMID: 38444870 PMC: 10914588. DOI: 10.1016/j.wnsx.2024.100328.


References
1.
Owen O, Morgan A, Kemp H, Sullivan J, Herrera M, Cahill Jr G . Brain metabolism during fasting. J Clin Invest. 1967; 46(10):1589-95. PMC: 292907. DOI: 10.1172/JCI105650. View

2.
Yamada K, Ji J, Yuan H, Miki T, Sato S, Horimoto N . Protective role of ATP-sensitive potassium channels in hypoxia-induced generalized seizure. Science. 2001; 292(5521):1543-6. DOI: 10.1126/science.1059829. View

3.
Depaulis A, VERGNES M, Marescaux C . Endogenous control of epilepsy: the nigral inhibitory system. Prog Neurobiol. 1994; 42(1):33-52. DOI: 10.1016/0301-0082(94)90020-5. View

4.
Bough K, Wetherington J, Hassel B, Pare J, Gawryluk J, Greene J . Mitochondrial biogenesis in the anticonvulsant mechanism of the ketogenic diet. Ann Neurol. 2006; 60(2):223-35. DOI: 10.1002/ana.20899. View

5.
DeVivo D, Leckie M, Ferrendelli J, McDOUGAL Jr D . Chronic ketosis and cerebral metabolism. Ann Neurol. 1978; 3(4):331-37. DOI: 10.1002/ana.410030410. View