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Altayyar M, Nasser JA, Thomopoulos D, Bruneau M. The Implication of Physiological Ketosis on The Cognitive Brain: A Narrative Review. Nutrients 2022; 14:nu14030513. [PMID: 35276871 PMCID: PMC8840718 DOI: 10.3390/nu14030513] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/21/2022] [Accepted: 01/23/2022] [Indexed: 01/27/2023] Open
Abstract
Optimal cognitive functions are necessary for activities of daily living and self-independence. Cognitive abilities are acquired during early childhood as part of progressive neurodevelopmental milestones; unfortunately, regressive changes can occur as part of physiological aging, or more ominously, pathological diseases, such as Alzheimer’s disease (AD). Cases of AD and its milder subset, mild cognitive impairment (MCI), are rising and would impose a burdensome impact beyond the individual level. Various dietary and nutritional approaches have potential for promising results in managing cognitive deterioration. Glucose is the core source of bioenergy in the body; however, glucose brain metabolism could be affected in aging cells or due to disease development. Ketone bodies are an efficient alternate fuel source that could compensate for the deficient glycolytic metabolism upon their supra-physiologic availability in the blood (ketosis), which, in turn, could promote cognitive benefits and tackle disease progression. In this review, we describe the potential of ketogenic approaches to produce cognitive benefits in healthy individuals, as well as those with MCI and AD. Neurophysiological changes of the cognitive brain in response to ketosis through neuroimaging modalities are also described in this review to provide insight into the ketogenic effect on the brain outside the framework of purely molecular explanations.
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Affiliation(s)
- Mansour Altayyar
- Department of Nutrition Sciences, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102, USA; (J.A.N.); (D.T.)
- Correspondence:
| | - Jennifer A. Nasser
- Department of Nutrition Sciences, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102, USA; (J.A.N.); (D.T.)
| | - Dimitra Thomopoulos
- Department of Nutrition Sciences, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102, USA; (J.A.N.); (D.T.)
| | - Michael Bruneau
- Department of Health Science, Drexel University, 1601 Cherry Street, Philadelphia, PA 19102, USA;
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Campanelli F, Laricchiuta D, Natale G, Marino G, Calabrese V, Picconi B, Petrosini L, Calabresi P, Ghiglieri V. Long-Term Shaping of Corticostriatal Synaptic Activity by Acute Fasting. Int J Mol Sci 2021; 22:ijms22041916. [PMID: 33671915 PMCID: PMC7918979 DOI: 10.3390/ijms22041916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 02/10/2021] [Accepted: 02/11/2021] [Indexed: 11/24/2022] Open
Abstract
Food restriction is a robust nongenic, nonsurgical and nonpharmacologic intervention known to improve health and extend lifespan in various species. Food is considered the most essential and frequently consumed natural reward, and current observations have demonstrated homeostatic responses and neuroadaptations to sustained intermittent or chronic deprivation. Results obtained to date indicate that food deprivation affects glutamatergic synapses, favoring the insertion of GluA2-lacking α-Ammino-3-idrossi-5-Metil-4-idrossazol-Propionic Acid receptors (AMPARs) in postsynaptic membranes. Despite an increasing number of studies pointing towards specific changes in response to dietary restrictions in brain regions, such as the nucleus accumbens and hippocampus, none have investigated the long-term effects of such practice in the dorsal striatum. This basal ganglia nucleus is involved in habit formation and in eating behavior, especially that based on dopaminergic control of motivation for food in both humans and animals. Here, we explored whether we could retrieve long-term signs of changes in AMPARs subunit composition in dorsal striatal neurons of mice acutely deprived for 12 hours/day for two consecutive days by analyzing glutamatergic neurotransmission and the principal forms of dopamine and glutamate-dependent synaptic plasticity. Overall, our data show that a moderate food deprivation in experimental animals is a salient event mirrored by a series of neuroadaptations and suggest that dietary restriction may be determinant in shaping striatal synaptic plasticity in the physiological state.
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Affiliation(s)
- Federica Campanelli
- Dipartmento di Medicina, Università di Perugia, 06129 Perugia, Italy; (F.C.); (G.N.); (G.M.); (V.C.)
- Dipartimento di Neuroscienze, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Daniela Laricchiuta
- Laboratorio di Neurofisiologia Sperimentale e del Comportamento, IRCCS Fondazione Santa Lucia c/o CERC, 00143 Rome, Italy; (D.L.); (L.P.)
| | - Giuseppina Natale
- Dipartmento di Medicina, Università di Perugia, 06129 Perugia, Italy; (F.C.); (G.N.); (G.M.); (V.C.)
- Dipartimento di Neuroscienze, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Gioia Marino
- Dipartmento di Medicina, Università di Perugia, 06129 Perugia, Italy; (F.C.); (G.N.); (G.M.); (V.C.)
- Dipartimento di Neuroscienze, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Valeria Calabrese
- Dipartmento di Medicina, Università di Perugia, 06129 Perugia, Italy; (F.C.); (G.N.); (G.M.); (V.C.)
- IRCCS San Raffaele Pisana, Rome 00176, Italy;
| | - Barbara Picconi
- IRCCS San Raffaele Pisana, Rome 00176, Italy;
- Università Telematica San Raffaele, 00166 Rome, Italy
| | - Laura Petrosini
- Laboratorio di Neurofisiologia Sperimentale e del Comportamento, IRCCS Fondazione Santa Lucia c/o CERC, 00143 Rome, Italy; (D.L.); (L.P.)
| | - Paolo Calabresi
- Dipartimento di Neuroscienze, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Clinica Neurologica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy
| | - Veronica Ghiglieri
- Laboratorio di Neurofisiologia Sperimentale e del Comportamento, IRCCS Fondazione Santa Lucia c/o CERC, 00143 Rome, Italy; (D.L.); (L.P.)
- Università Telematica San Raffaele, 00166 Rome, Italy
- Correspondence:
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Wu T, Chen C, Spagna A, Wu X, Mackie M, Russell‐Giller S, Xu P, Luo Y, Liu X, Hof PR, Fan J. The functional anatomy of cognitive control: A domain‐general brain network for uncertainty processing. J Comp Neurol 2020; 528:1265-1292. [DOI: 10.1002/cne.24804] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 10/12/2019] [Accepted: 10/22/2019] [Indexed: 12/21/2022]
Affiliation(s)
- Tingting Wu
- Department of Psychology, Queens CollegeThe City University of New York Queens New York
| | - Caiqi Chen
- Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of PsychologySouth China Normal University Guangzhou China
| | - Alfredo Spagna
- Department of PsychologyColumbia University in the City of New York New York New York
| | - Xia Wu
- Faculty of PsychologyTianjin Normal University Tianjin China
| | - Melissa‐Ann Mackie
- Department of Psychiatry and Behavioral SciencesNorthwestern University Feinberg School of Medicine Chicago Illinois
| | - Shira Russell‐Giller
- Department of Psychology, Queens CollegeThe City University of New York Queens New York
| | - Pengfei Xu
- Shenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive NeuroscienceShenzhen University Shenzhen China
| | - Yue‐jia Luo
- Shenzhen Key Laboratory of Affective and Social Neuroscience, Center for Brain Disorders and Cognitive NeuroscienceShenzhen University Shenzhen China
| | - Xun Liu
- CAS Key Laboratory of Behavioral Science, Institute of PsychologyUniversity of Chinese Academy of Sciences Beijing China
- Department of PsychologyUniversity of Chinese Academy of Sciences Beijing China
| | - Patrick R. Hof
- Nash Family Department of Neuroscience and Friedman Brain InstituteIcahn School of Medicine at Mount Sinai New York New York
| | - Jin Fan
- Department of Psychology, Queens CollegeThe City University of New York Queens New York
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Orfanos S, Toygar T, Berthold-Losleben M, Chechko N, Durst A, Laoutidis ZG, Vocke S, Weidenfeld C, Schneider F, Karges W, Beckmann CF, Habel U, Kohn N. Investigating the impact of overnight fasting on intrinsic functional connectivity: a double-blind fMRI study. Brain Imaging Behav 2019; 12:1150-1159. [PMID: 29071464 PMCID: PMC6063348 DOI: 10.1007/s11682-017-9777-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
The human brain depends mainly on glucose supply from circulating blood as an energy substrate for its metabolism. Most of the energy produced by glucose catabolism in the brain is used to support intrinsic communication purposes in the absence of goal-directed activity. This intrinsic brain function can be detected with fMRI as synchronized fluctuations of the BOLD signal forming functional networks. Here, we report results from a double-blind, placebo controlled, cross-over study addressing changes in intrinsic brain activity in the context of very low, yet physiological, blood glucose levels after overnight fasting. Comparison of four major resting state networks in a fasting state and a state of elevated blood glucose levels after glucagon infusion revealed altered patterns of functional connectivity only in a small region of the posterior default mode network, while the rest of the networks appeared unaffected. Furthermore, low blood glucose was associated with changes in the right frontoparietal network after cognitive effort. Our results suggest that fasting has only limited impact on intrinsic brain activity, while a detrimental impact on a network related to attention is only observable following cognitive effort, which is in line with ego depletion and its reliance on glucose.
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Affiliation(s)
- Stelios Orfanos
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany. .,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany.
| | - Timur Toygar
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Department of Biology, RWTH Aachen University, 52074, Aachen, Germany
| | - Mark Berthold-Losleben
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Natalya Chechko
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Annette Durst
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Zacharias G Laoutidis
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Department of Psychiatry and Psychotherapy, University of Düsseldorf, Bergische Landstrasse 2, 40629, Düsseldorf, Germany
| | - Sebastian Vocke
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Caren Weidenfeld
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Frank Schneider
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Wolfram Karges
- Division of Endocrinology and Diabetes, Medical Faculty, RWTH Aachen University, 52074, Aachen, Germany
| | - Christian F Beckmann
- Department of Cognitive Neuroscience, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.,Centre for Functional MRI of the Brain (FMRIB), University of Oxford, Oxford, UK
| | - Ute Habel
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Jülich Aachen Research Alliance (JARA) - BRAIN Institute Brain Structure-Function Relationships: Decoding the Human Brain at systemic levels, Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany
| | - Nils Kohn
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany.,Department of Cognitive Neuroscience, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
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Bartholdy S, Cheng J, Schmidt U, Campbell IC, O'Daly OG. Task-Based and Questionnaire Measures of Inhibitory Control Are Differentially Affected by Acute Food Restriction and by Motivationally Salient Food Stimuli in Healthy Adults. Front Psychol 2016; 7:1303. [PMID: 27621720 PMCID: PMC5002414 DOI: 10.3389/fpsyg.2016.01303] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2016] [Accepted: 08/15/2016] [Indexed: 01/22/2023] Open
Abstract
Adaptive eating behaviors are dependent on an interaction between motivational states (e.g., hunger) and the ability to control one's own behavior (inhibitory control). Indeed, behavioral paradigms are emerging that seek to train inhibitory control to improve eating behavior. However, inhibitory control is a multifaceted concept, and it is not yet clear how different types (e.g., reactive motor inhibition, proactive motor inhibition, reward-related inhibition) are affected by hunger. Such knowledge will provide insight into the contexts in which behavioral training paradigms would be most effective. The present study explored the impact of promoting a "need" state (hunger) together with motivationally salient distracting stimuli (food/non-food images) on inhibitory control in 46 healthy adults. Participants attended two study sessions, once after eating breakfast as usual and once after acute food restriction on the morning of the session. In each session, participants completed questionnaires on hunger, mood and inhibitory control, and undertook task-based measures of inhibitory control, and had physiological measurements (height, weight, and blood glucose) obtained by a researcher. Acute food restriction influenced task-based assessments but not questionnaire measures of inhibitory control, suggesting that hunger affects observable behavioral control but not self-reported inhibitory control. After acute food restriction, participants showed greater temporal discounting (devaluation of future rewards), and subjective hunger and these were inversely correlated with stop accuracy on the stop signal task. Finally, participants generally responded faster when food-related distractor images were presented, compared to non-food images, independent of state. This suggests that although food stimuli motivate approach behavior, stimulus relevance does not impact inhibitory control in healthy individuals, nor interact with motivational state. These findings may provide some explanation for poorer inhibitory control often reported in studies of individuals who practice restraint over eating.
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Affiliation(s)
- Savani Bartholdy
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London London, UK
| | - Jiumu Cheng
- Department of Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London London, UK
| | - Ulrike Schmidt
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London London, UK
| | - Iain C Campbell
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London London, UK
| | - Owen G O'Daly
- Centre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London London, UK
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