Cargando…

Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review

Alzheimer's disease (AD) is the most frequent age-related neurodegenerative disorder, with no curative treatment available so far. Alongside the brain deposition of β-amyloid peptide and hyperphosphorylated tau, neuroinflammation triggered by the innate immune response in the central nervous sy...

Descripción completa

Detalles Bibliográficos
Autores principales: Lilamand, Matthieu, Mouton-Liger, François, Di Valentin, Emmanuelle, Sànchez Ortiz, Marta, Paquet, Claire
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803132/
https://www.ncbi.nlm.nih.gov/pubmed/35111799
http://dx.doi.org/10.3389/fnut.2021.807970
_version_ 1784642805234139136
author Lilamand, Matthieu
Mouton-Liger, François
Di Valentin, Emmanuelle
Sànchez Ortiz, Marta
Paquet, Claire
author_facet Lilamand, Matthieu
Mouton-Liger, François
Di Valentin, Emmanuelle
Sànchez Ortiz, Marta
Paquet, Claire
author_sort Lilamand, Matthieu
collection PubMed
description Alzheimer's disease (AD) is the most frequent age-related neurodegenerative disorder, with no curative treatment available so far. Alongside the brain deposition of β-amyloid peptide and hyperphosphorylated tau, neuroinflammation triggered by the innate immune response in the central nervous system, plays a central role in the pathogenesis of AD. Glucose usually represents the main fuel for the brain. Glucose metabolism has been related to neuroinflammation, but also with AD lesions. Hyperglycemia promotes oxidative stress and neurodegeneration. Insulinoresistance (e.g., in type 2 diabetes) or low IGF-1 levels are associated with increased β-amyloid production. However, in the absence of glucose, the brain may use another fuel: ketone bodies (KB) produced by oxidation of fatty acids. Over the last decade, ketogenic interventions i.e., ketogenic diets (KD) with very low carbohydrate intake or ketogenic supplementation (KS) based on medium-chain triglycerides (MCT) consumption, have been studied in AD animal models, as well as in AD patients. These interventional studies reported interesting clinical improvements in animals and decrease in neuroinflammation, β-amyloid and tau accumulation. In clinical studies, KS and KD were associated with better cognition, but also improved brain metabolism and AD biomarkers. This review summarizes the available evidence regarding KS/KD as therapeutic options for individuals with AD. We also discuss the current issues and potential adverse effects associated with these nutritional interventions. Finally, we propose an overview of ongoing and future registered trials in this promising field.
format Online
Article
Text
id pubmed-8803132
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-88031322022-02-01 Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review Lilamand, Matthieu Mouton-Liger, François Di Valentin, Emmanuelle Sànchez Ortiz, Marta Paquet, Claire Front Nutr Nutrition Alzheimer's disease (AD) is the most frequent age-related neurodegenerative disorder, with no curative treatment available so far. Alongside the brain deposition of β-amyloid peptide and hyperphosphorylated tau, neuroinflammation triggered by the innate immune response in the central nervous system, plays a central role in the pathogenesis of AD. Glucose usually represents the main fuel for the brain. Glucose metabolism has been related to neuroinflammation, but also with AD lesions. Hyperglycemia promotes oxidative stress and neurodegeneration. Insulinoresistance (e.g., in type 2 diabetes) or low IGF-1 levels are associated with increased β-amyloid production. However, in the absence of glucose, the brain may use another fuel: ketone bodies (KB) produced by oxidation of fatty acids. Over the last decade, ketogenic interventions i.e., ketogenic diets (KD) with very low carbohydrate intake or ketogenic supplementation (KS) based on medium-chain triglycerides (MCT) consumption, have been studied in AD animal models, as well as in AD patients. These interventional studies reported interesting clinical improvements in animals and decrease in neuroinflammation, β-amyloid and tau accumulation. In clinical studies, KS and KD were associated with better cognition, but also improved brain metabolism and AD biomarkers. This review summarizes the available evidence regarding KS/KD as therapeutic options for individuals with AD. We also discuss the current issues and potential adverse effects associated with these nutritional interventions. Finally, we propose an overview of ongoing and future registered trials in this promising field. Frontiers Media S.A. 2022-01-17 /pmc/articles/PMC8803132/ /pubmed/35111799 http://dx.doi.org/10.3389/fnut.2021.807970 Text en Copyright © 2022 Lilamand, Mouton-Liger, Di Valentin, Sànchez Ortiz and Paquet. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Lilamand, Matthieu
Mouton-Liger, François
Di Valentin, Emmanuelle
Sànchez Ortiz, Marta
Paquet, Claire
Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review
title Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review
title_full Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review
title_fullStr Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review
title_full_unstemmed Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review
title_short Efficacy and Safety of Ketone Supplementation or Ketogenic Diets for Alzheimer's Disease: A Mini Review
title_sort efficacy and safety of ketone supplementation or ketogenic diets for alzheimer's disease: a mini review
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803132/
https://www.ncbi.nlm.nih.gov/pubmed/35111799
http://dx.doi.org/10.3389/fnut.2021.807970
work_keys_str_mv AT lilamandmatthieu efficacyandsafetyofketonesupplementationorketogenicdietsforalzheimersdiseaseaminireview
AT moutonligerfrancois efficacyandsafetyofketonesupplementationorketogenicdietsforalzheimersdiseaseaminireview
AT divalentinemmanuelle efficacyandsafetyofketonesupplementationorketogenicdietsforalzheimersdiseaseaminireview
AT sanchezortizmarta efficacyandsafetyofketonesupplementationorketogenicdietsforalzheimersdiseaseaminireview
AT paquetclaire efficacyandsafetyofketonesupplementationorketogenicdietsforalzheimersdiseaseaminireview