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Meeusen H, Romagnolo A, Holsink SAC, van den Broek TJM, van Helvoort A, Gorter JA, van Vliet EA, Verkuyl JM, Silva JP, Aronica E. A novel hepatocyte ketone production assay to help the selection of nutrients for the ketogenic diet treatment of epilepsy. Sci Rep 2024; 14:11940. [PMID: 38789658 PMCID: PMC11126716 DOI: 10.1038/s41598-024-62723-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 05/21/2024] [Indexed: 05/26/2024] Open
Abstract
The classic ketogenic diet is an effective treatment option for drug-resistant epilepsy, but its high fat content challenges patient compliance. Optimizing liver ketone production guided by a method comparing substrates for their ketogenic potential may help to reduce the fat content of the diet without loss in ketosis induction. Here, we present a liver cell assay measuring the β-hydroxybutyrate (βHB) yield from fatty acid substrates. Even chain albumin-conjugated fatty acids comprising between 4 and 18 carbon atoms showed a sigmoidal concentration-βHB response curve (CRC) whereas acetate and omega-3 PUFAs produced no CRC. While CRCs were not distinguished by their half-maximal effective concentration (EC50), they differed by maximum response, which related inversely to the carbon chain length and was highest for butyrate. The assay also suitably assessed the βHB yield from fatty acid blends detecting shifts in maximum response from exchanging medium chain fatty acids for long chain fatty acids. The assay further detected a dual role for butyrate and hexanoic acid as ketogenic substrate at high concentration and ketogenic enhancer at low concentration, augmenting the βHB yield from oleic acid and a fatty acid blend. The assay also found propionate to inhibit ketogenesis from oleic acid and a fatty acid blend at low physiological concentration. Although the in vitro assay shows promise as a tool to optimize the ketogenic yield of a fat blend, its predictive value requires human validation.
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Affiliation(s)
- Hester Meeusen
- Department of (Neuro)Pathology, Amsterdam UMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands
| | - Alessia Romagnolo
- Department of (Neuro)Pathology, Amsterdam UMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands
| | - Sophie A C Holsink
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands
| | - Thijs J M van den Broek
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands
| | - Ardy van Helvoort
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands
- Department of Respiratory Medicine, NUTRIM - Research Institute of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht University, Maastricht, The Netherlands
| | - Jan A Gorter
- Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Amsterdam, The Netherlands
| | - Erwin A van Vliet
- Department of (Neuro)Pathology, Amsterdam UMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands
- Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Amsterdam, The Netherlands
| | - J Martin Verkuyl
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands
| | - Jose P Silva
- Department of Nutritional Physiology and Functional Nutrients, Medical & Nutrition Science, Danone Nutricia Research, Uppsalalaan 12, 3584CT, Utrecht, The Netherlands.
| | - Eleonora Aronica
- Department of (Neuro)Pathology, Amsterdam UMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands
- Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, The Netherlands
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Ge Y, Yao S, Shi Y, Cai C, Wang C, Wu P, Cao X, Ye Y. Effects of Low or High Dosages of Dietary Sodium Butyrate on the Growth and Health of the Liver and Intestine of Largemouth Bass, Micropterus salmoides. AQUACULTURE NUTRITION 2022; 2022:6173245. [PMID: 36860455 PMCID: PMC9973142 DOI: 10.1155/2022/6173245] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 10/13/2022] [Indexed: 06/10/2023]
Abstract
The concentration of butyric acid in the intestine increased with the increase in the content of fermentable dietary fibre; however, the potential physiological impact of a high dose of butyric acid on fish has not been sufficiently studied. The aim of this study was to investigate the effect of two dosages of butyric acid on the growth and health of the liver and intestine of the largemouth bass (Micropterus salmoides). Sodium butyrate (SB) was added to the diet at 0 g/kg (CON), 2 g/kg (SB2), and 20 g/kg (SB20), and the juvenile largemouth bass were fed to apparent satiation for 56 days. No significant difference was observed in the specific growth rate or hepatosomatic index among the groups (P > 0.05). The concentration of β-hydroxybutyric acid in the liver, the activities of alanine aminotransferase, aspartate aminotransferase, and alkaline phosphatase, and the concentrations of triglyceride and total cholesterol in serum increased significantly in the SB20 group compared to the CON group (P < 0.05). The relative expression of fas, acc, il1b, nfkb, and tnfa in the liver of the SB20 groups was also significantly higher than that of the CON group (P < 0.05). The above indicators in the group SB2 had similar change tendencies. The expression of nfkb and il1b in the intestine of both the SB2 and SB20 groups was significantly downregulated compared with that in the CON group (P < 0.05). The size of hepatocytes was enlarged, and the intracellular lipid droplets and the degree of hepatic fibrosis were increased in the SB20 group compared to the CON group. There was no significant difference in intestinal morphology among the groups. The above results indicated that neither 2 g/kg nor 20 g/kg SB had a positive effect on the growth of largemouth bass, while a high dosage of SB induced liver fat accumulation and fibrosis.
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Affiliation(s)
- Yiyang Ge
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Shibin Yao
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Ye Shi
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Chunfang Cai
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Chengrui Wang
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Ping Wu
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Xiamin Cao
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
| | - Yuantu Ye
- School of Biology & Basic Medical Science, Soochow University, Suzhou 215123, China
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3
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Myette-Côté É, St-Pierre V, Beaulieu S, Castellano CA, Fortier M, Plourde M, Bocti C, Fulop T, Cunnane SC. The effect of a 6-month ketogenic medium-chain triglyceride supplement on plasma cardiometabolic and inflammatory markers in mild cognitive impairment. Prostaglandins Leukot Essent Fatty Acids 2021; 169:102236. [PMID: 33906081 DOI: 10.1016/j.plefa.2020.102236] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 12/17/2020] [Accepted: 12/21/2020] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Mild cognitive impairment (MCI) is often accompanied by metabolic abnormalities and inflammation that might play a role in the development of cognitive impairment. The use of ketogenic medium-chain triglycerides (kMCT) to improve cognition in this population has shown promising results but remains controversial because of the potentially detrimental effect of elevated intake of saturated fatty acids on cardiovascular (CV) health and perhaps inflammatory processes. The primary aim of this secondary data analysis report is to describe changes in cardiometabolic markers and peripheral inflammation during a 6-month kMCT intervention in MCI. METHODS Thirty-nine participants with MCI completed the intervention of 30 g/day of either a kMCT drink or calorie-matched placebo (high-oleic acid) for 6 months. Plasma concentrations of cardiometabolic and inflammatory markers were collected before (fasting state) and after the intervention (2 h following the last drink). RESULTS A mixed model ANOVA analysis revealed a time by group interaction for ketones (P < 0.001), plasma 8:0 and 10:0 acids (both P < 0.001) and IL-8 (P = 0.002) with follow up comparison revealing a significant increase in the kMCT group (+48%, P = 0.005), (+3,800 and +4,900%, both P < 0.001) and (+147%, P < 0.001) respectively. A main effect of time was observed for insulin (P = 0.004), triglycerides (P = 0.011) and non-esterified fatty acids (P = 0.036). CONCLUSION Under these study conditions, 30 g/d of kMCT taken for six months and up to 2-hour before post-intervention testing had minimal effect on an extensive profile of circulating cardiometabolic and inflammatory markers as compared to a placebo calorie-matched drink. Our results support the safety kMCT supplementation in individuals with MCI. The clinical significance of the observed increase in circulating IL-8 levels is presently unknown and awaits future studies.
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Affiliation(s)
- Étienne Myette-Côté
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.
| | - Valérie St-Pierre
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada
| | - Sandrine Beaulieu
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | | | - Mélanie Fortier
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada
| | - Mélanie Plourde
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Christian Bocti
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Tamas Fulop
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Stephen C Cunnane
- Research Center on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC, Canada; Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada; Department of Pharmacology & Physiology, Université de Sherbrooke, Sherbrooke, QC, Canada
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Fortier M, Castellano CA, St-Pierre V, Myette-Côté É, Langlois F, Roy M, Morin MC, Bocti C, Fulop T, Godin JP, Delannoy C, Cuenoud B, Cunnane SC. A ketogenic drink improves cognition in mild cognitive impairment: Results of a 6-month RCT. Alzheimers Dement 2020; 17:543-552. [PMID: 33103819 PMCID: PMC8048678 DOI: 10.1002/alz.12206] [Citation(s) in RCA: 82] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 09/03/2020] [Accepted: 09/16/2020] [Indexed: 12/25/2022]
Abstract
Introduction Counteracting impaired brain glucose metabolism with ketones may improve cognition in mild cognitive impairment (MCI). Methods Cognition, plasma ketone response, and metabolic profile were assessed before and 6 months after supplementation with a ketogenic drink containing medium chain triglyceride (ketogenic medium chain triglyceride [kMCT]; 15 g twice/day; n = 39) or placebo (n = 44). Results Free and cued recall (Trial 1; P = .047), verbal fluency (categories; P = .024), Boston Naming Test (total correct answers; P = .033), and the Trail‐Making Test (total errors; P = .017) improved significantly in the kMCT group compared to placebo (analysis of covariance; pre‐intervention score, sex, age, education, and apolipoprotein E4 as covariates). Some cognitive outcomes also correlated positively with plasma ketones. Plasma metabolic profile and ketone response were unchanged. Conclusions This kMCT drink improved cognitive outcomes in MCI, at least in part by increasing blood ketone level. These data support further assessment of MCI progression to Alzheimer's disease.
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Affiliation(s)
- Mélanie Fortier
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada
| | | | - Valérie St-Pierre
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada
| | - Étienne Myette-Côté
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | | | - Maggie Roy
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | | | - Christian Bocti
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Tamas Fulop
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Jean-Philippe Godin
- Institute of Food Safety and Analytical Sciences, Nestlé Research, Lausanne, Switzerland
| | | | | | - Stephen C Cunnane
- Research Center on Aging, CIUSSS de l'Estrie-CHUS, Sherbrooke, Quebec, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada.,Department of Pharmacology and Physiology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
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5
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Vandenberghe C, St-Pierre V, Fortier M, Castellano CA, Cuenoud B, Cunnane SC. Medium Chain Triglycerides Modulate the Ketogenic Effect of a Metabolic Switch. Front Nutr 2020; 7:3. [PMID: 32083091 PMCID: PMC7005013 DOI: 10.3389/fnut.2020.00003] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Accepted: 01/10/2020] [Indexed: 12/12/2022] Open
Abstract
Ketones provide an alternative brain fuel and may be neuroprotective in older people. Little is known of how to optimize the ketogenic effect of C8:0–C10:0 medium chain triglyceride supplement (kMCT). Metabolic switching (MS) from glucose to ketones as a fuel may have metabolic benefits but has not been extensively studied in humans. The objective of the present study was to use an 8 h metabolic study day protocol to assess the influence of typical components of MS, including a kMCT supplement, low-carbohydrate meal and meal timing, on blood ketones, glucose, insulin and free fatty acids (FFA). In one test, the effect of age was also investigated. Over the 8 h metabolic study day, two 10 g doses of the kMCT increased the plasma ketone response by 19% while reducing overall glycemia by 12% without altering insulin or FFA levels. Moreover, a single early meal (breakfast but no lunch) potentiated the ketogenic effect of MS over 8 h, compared to a single delayed meal (lunch but no breakfast). Age and the low carbohydrate meal did not affect the ketones response. We conclude that an 8-h test period can be used to assess metabolic changes during short-term MS. kMCT provide a robust short-term increase in ketones and might enhance the metabolic effectiveness of short-term or intermittent fasting as a component of MS.
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Affiliation(s)
| | | | | | | | | | - Stephen C Cunnane
- Research Center on Aging, Sherbrooke, QC, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
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Szczechowiak K, Diniz BS, Leszek J. Diet and Alzheimer's dementia - Nutritional approach to modulate inflammation. Pharmacol Biochem Behav 2019; 184:172743. [PMID: 31356838 DOI: 10.1016/j.pbb.2019.172743] [Citation(s) in RCA: 59] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Revised: 05/13/2019] [Accepted: 07/24/2019] [Indexed: 12/12/2022]
Abstract
BACKGROUND Alzheimer's disease (AD) is the most common neurodegenerative disease causing dementia in the elderly population. Due to the fact that there is still no cure for Alzheimer's dementia and available treatment strategies bring only symptomatic benefits, there is a pressing demand for other effective strategies such as diet. Since the inflammation hypothesis gained considerable significance in the AD pathogenesis, elucidating the modulatory role of dietary factors on inflammation may help to prevent, delay the onset and slow the progression of AD. Current evidence clearly shows that synergistic action of combined supplementation and complex dietary patterns provides stronger benefits than any single component considered separately. Recent studies reveal the growing importance of novel factors such as dietary advanced glycation end products (d-AGE), gut microbiota, butyrate and vitamin D3 on inflammatory processes in AD. CONCLUSION This paper summarizes the available evidence of pro- and anti-inflammatory activity of some dietary components including fatty acids, vitamins, flavonoids, polyphenols, probiotics and d-AGE, and their potential for AD prevention and treatment.
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Affiliation(s)
| | - Breno S Diniz
- Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada
| | - Jerzy Leszek
- Department and Clinic of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
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A ketogenic drink improves brain energy and some measures of cognition in mild cognitive impairment. Alzheimers Dement 2019; 15:625-634. [DOI: 10.1016/j.jalz.2018.12.017] [Citation(s) in RCA: 94] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 10/31/2018] [Accepted: 12/29/2018] [Indexed: 11/23/2022]
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8
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St-Pierre V, Vandenberghe C, Lowry CM, Fortier M, Castellano CA, Wagner R, Cunnane SC. Plasma Ketone and Medium Chain Fatty Acid Response in Humans Consuming Different Medium Chain Triglycerides During a Metabolic Study Day. Front Nutr 2019; 6:46. [PMID: 31058159 PMCID: PMC6481320 DOI: 10.3389/fnut.2019.00046] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Accepted: 03/27/2019] [Indexed: 12/22/2022] Open
Abstract
Background: Medium chain triglycerides (MCT) are ketogenic but the relationship between the change in plasma ketones and the change plasma medium chain fatty acids (MCFA)—octanoate, decanoate, or dodecanoate—after an oral dose of MCT is not well-known. An 8 h metabolic study day is a suitable model to assess the acute effects on plasma ketones and MCFA after a dose of tricaprylin (C8), tricaprin (C10), trilaurin (C12) or mixed MCT (C8C10). Objective: To assess in healthy humans the relationship between the change in plasma ketones, and octanoate, decanoate and dodecanoate in plasma total lipids during an 8 h metabolic study day in which a first 20 ml dose of the homogenized test oil is taken with breakfast and a second 20 ml dose is taken 4 h later without an accompanying meal. Results: The change in plasma acetoacetate, β-hydroxybutyrate and total ketones was highest after C8 (0.5 to 3 h post-dose) and was lower during tests in which octanoate was absent or was diluted by C10 in the test oil. The plasma ketone response was also about 2 fold higher without an accompanying meal (P = 0.012). However, except during the pure C10 test, the response of octanoate, decanoate or dodecanoate in plasma total lipids to the test oils was not affected by consuming an accompanying meal. Except with C12, the 4 h area-under-the-curve of plasma β-hydroxybutyrate/acetoacetate was 2–3 fold higher when no meal was consumed (P < 0.04). Conclusion: C8 was about three times more ketogenic than C10 and about six times more ketogenic than C12 under these acute metabolic test conditions, an effect related to the post-dose increase in octanoate in plasma total lipids.
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Affiliation(s)
| | | | - Carolyne-Mary Lowry
- Departments of Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada
| | | | | | - Richard Wagner
- Research Center on Aging, Sherbrooke, QC, Canada.,Departments of Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada.,Departments of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Stephen C Cunnane
- Research Center on Aging, Sherbrooke, QC, Canada.,Departments of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.,Departments of Pharmacology and Physiology, Université de Sherbrooke, Sherbrooke, QC, Canada
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Castellano CA, Hudon C, Croteau E, Fortier M, St-Pierre V, Vandenberghe C, Nugent S, Tremblay S, Paquet N, Lepage M, Fülöp T, Turcotte ÉE, Dionne IJ, Potvin O, Duchesne S, Cunnane SC. Links Between Metabolic and Structural Changes in the Brain of Cognitively Normal Older Adults: A 4-Year Longitudinal Follow-Up. Front Aging Neurosci 2019; 11:15. [PMID: 30828297 PMCID: PMC6384269 DOI: 10.3389/fnagi.2019.00015] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Accepted: 01/16/2019] [Indexed: 12/22/2022] Open
Abstract
We aimed to longitudinally assess the relationship between changing brain energy metabolism (glucose and acetoacetate) and cognition during healthy aging. Participants aged 71 ± 5 year underwent cognitive evaluation and quantitative positron emission tomography (PET) and magnetic resonance imaging (MRI) scans at baseline (N = 25) and two (N = 25) and four (N = 16) years later. During the follow-up, the rate constant for brain extraction of glucose (Kglc) declined by 6%–12% mainly in the temporo-parietal lobes and cingulate gyri (p ≤ 0.05), whereas brain acetoacetate extraction (Kacac) and utilization remained unchanged in all brain regions (p ≥ 0.06). Over the 4 years, cognitive results remained within the normal age range but an age-related decline was observed in processing speed. Kglc in the caudate was directly related to performance on several cognitive tests (r = +0.41 to +0.43, allp ≤ 0.04). Peripheral insulin resistance assessed by the homeostasis model assessment of insulin resistance (HOMA-IR) was significantly inversely related to Kglc in the thalamus (r = −0.44, p = 0.04) and in the caudate (r = −0.43, p = 0.05), and also inversely related to executive function, attention and processing speed (r = −0.45 to −0.53, all p ≤ 0.03). We confirm in a longitudinal setting that the age-related decline in Kglc is directly associated with declining performance on some tests of cognition but does not significantly affect Kacac.
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Affiliation(s)
- Christian-Alexandre Castellano
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada
| | - Carol Hudon
- Centre de Recherche sur le Vieillissement (CERVO) Brain Research Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada.,School of Psychology, Université Laval, Québec, QC, Canada
| | - Etienne Croteau
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada.,Department of Pharmacology and Physiology, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Mélanie Fortier
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada
| | - Valérie St-Pierre
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada
| | - Camille Vandenberghe
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada
| | - Scott Nugent
- Centre de Recherche sur le Vieillissement (CERVO) Brain Research Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada
| | - Sébastien Tremblay
- Sherbrooke Molecular Imaging Center, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Nancy Paquet
- Department of Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Martin Lepage
- Sherbrooke Molecular Imaging Center, Université de Sherbrooke, Sherbrooke, QC, Canada.,Department of Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada.,CR-Centre hospitalier Universitaire de Sherbrooke (CHUS), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de l'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada
| | - Tamàs Fülöp
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Éric E Turcotte
- Sherbrooke Molecular Imaging Center, Université de Sherbrooke, Sherbrooke, QC, Canada.,Department of Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada.,CR-Centre hospitalier Universitaire de Sherbrooke (CHUS), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de l'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada
| | - Isabelle J Dionne
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada.,Faculty of Physical Activity Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Olivier Potvin
- Centre de Recherche sur le Vieillissement (CERVO) Brain Research Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada
| | - Simon Duchesne
- Centre de Recherche sur le Vieillissement (CERVO) Brain Research Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Québec, QC, Canada.,Department of Radiology, Université Laval, Québec, QC, Canada
| | - Stephen C Cunnane
- Research Center on Aging, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Estrie (CIUSSS) de L'Estrie-Centre hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada.,Department of Pharmacology and Physiology, Université de Sherbrooke, Sherbrooke, QC, Canada.,Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
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Acquistapace S, Patel L, Patin A, Forbes-Blom E, Cuenoud B, Wooster TJ. Effects of interesterified lipid design on the short/medium chain fatty acid hydrolysis rate and extent (in vitro). Food Funct 2019; 10:4166-4176. [DOI: 10.1039/c9fo00671k] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Short/medium chain fatty acids have well known health effects such as gut immune regulation and ketogenesis.
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Affiliation(s)
| | | | - Amaury Patin
- Institute of Food Safety and Analytical Sciences
- Nestlé Research
- Lausanne
- Switzerland
| | | | - Bernard Cuenoud
- Translation Research
- Nestlé Health Science
- Epalinges
- Switzerland
| | - Tim J. Wooster
- Nestlé Institute of Material Sciences
- Nestlé Research
- Lausanne
- Switzerland
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11
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Harvey CJDC, Schofield GM, Williden M. The use of nutritional supplements to induce ketosis and reduce symptoms associated with keto-induction: a narrative review. PeerJ 2018; 6:e4488. [PMID: 29576959 PMCID: PMC5858534 DOI: 10.7717/peerj.4488] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Accepted: 02/20/2018] [Indexed: 12/21/2022] Open
Abstract
Background Adaptation to a ketogenic diet (keto-induction) can cause unpleasant symptoms, and this can reduce tolerability of the diet. Several methods have been suggested as useful for encouraging entry into nutritional ketosis (NK) and reducing symptoms of keto-induction. This paper reviews the scientific literature on the effects of these methods on time-to-NK and on symptoms during the keto-induction phase. Methods PubMed, Science Direct, CINAHL, MEDLINE, Alt Health Watch, Food Science Source and EBSCO Psychology and Behavioural Sciences Collection electronic databases were searched online. Various purported ketogenic supplements were searched along with the terms “ketogenic diet”, “ketogenic”, “ketosis” and ketonaemia (/ ketonemia). Additionally, author names and reference lists were used for further search of the selected papers for related references. Results Evidence, from one mouse study, suggests that leucine doesn’t significantly increase beta-hydroxybutyrate (BOHB) but the addition of leucine to a ketogenic diet in humans, while increasing the protein-to-fat ratio of the diet, doesn’t reduce ketosis. Animal studies indicate that the short chain fatty acids acetic acid and butyric acid, increase ketone body concentrations. However, only one study has been performed in humans. This demonstrated that butyric acid is more ketogenic than either leucine or an 8-chain monoglyceride. Medium-chain triglycerides (MCTs) increase BOHB in a linear, dose-dependent manner, and promote both ketonaemia and ketogenesis. Exogenous ketones promote ketonaemia but may inhibit ketogenesis. Conclusions There is a clear ketogenic effect of supplemental MCTs; however, it is unclear whether they independently improve time to NK and reduce symptoms of keto-induction. There is limited research on the potential for other supplements to improve time to NK and reduce symptoms of keto-induction. Few studies have specifically evaluated symptoms and adverse effects of a ketogenic diet during the induction phase. Those that have typically were not designed to evaluate these variables as primary outcomes, and thus, more research is required to elucidate the role that supplementation might play in encouraging ketogenesis, improve time to NK, and reduce symptoms associated with keto-induction.
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Affiliation(s)
- Cliff J D C Harvey
- Human Potential Centre, Auckland University of Technology, Auckland, New Zealand
| | - Grant M Schofield
- Human Potential Centre, Auckland University of Technology, Auckland, New Zealand
| | - Micalla Williden
- Human Potential Centre, Auckland University of Technology, Auckland, New Zealand
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