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Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions

Ketogenic Diet is a nutritional pattern often used as dietotherapy in inflammatory diseases, including neurological disorders. Applied on epileptic children since 1920, in recent years it has been taken into account again as a tool to both reduce inflammatory burdens and ameliorate the nutritional s...

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Autores principales: Di Majo, Danila, Cacciabaudo, Francesco, Accardi, Giulia, Gambino, Giuditta, Giglia, Giuseppe, Ferraro, Giuseppe, Candore, Giuseppina, Sardo, Pierangelo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229939/
https://www.ncbi.nlm.nih.gov/pubmed/35745113
http://dx.doi.org/10.3390/nu14122384
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author Di Majo, Danila
Cacciabaudo, Francesco
Accardi, Giulia
Gambino, Giuditta
Giglia, Giuseppe
Ferraro, Giuseppe
Candore, Giuseppina
Sardo, Pierangelo
author_facet Di Majo, Danila
Cacciabaudo, Francesco
Accardi, Giulia
Gambino, Giuditta
Giglia, Giuseppe
Ferraro, Giuseppe
Candore, Giuseppina
Sardo, Pierangelo
author_sort Di Majo, Danila
collection PubMed
description Ketogenic Diet is a nutritional pattern often used as dietotherapy in inflammatory diseases, including neurological disorders. Applied on epileptic children since 1920, in recent years it has been taken into account again as a tool to both reduce inflammatory burdens and ameliorate the nutritional status of patients affected by different pathologies. Multiple sclerosis (MS) is considered an immune-mediated neuro-inflammatory disease and diet is a possible factor in its pathogenesis. The aim of this work is to investigate the main potential targets of MS-related impairments, in particular the cognitive deficits, focusing on the alteration of biomarkers such as the Brain Derived-Neurotrophic Factor and the Tryptophan/Kynurenine ratio that could play a role on neuroprotection and thus on MS progression. Furthermore, we here propose nutritional suggestions which are useful in the development of a ketogenic diet protocol that takes advantage of the anti-inflammatory properties of low-carbohydrate foods from the Mediterranean diet to be applied to subjects with MS. In conclusion, this approach will allow one to develop the ketogenic diet combined with a modified Mediterranean diet as a possible tool to improve neuroinflammation in multiple sclerosis.
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spelling pubmed-92299392022-06-25 Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions Di Majo, Danila Cacciabaudo, Francesco Accardi, Giulia Gambino, Giuditta Giglia, Giuseppe Ferraro, Giuseppe Candore, Giuseppina Sardo, Pierangelo Nutrients Review Ketogenic Diet is a nutritional pattern often used as dietotherapy in inflammatory diseases, including neurological disorders. Applied on epileptic children since 1920, in recent years it has been taken into account again as a tool to both reduce inflammatory burdens and ameliorate the nutritional status of patients affected by different pathologies. Multiple sclerosis (MS) is considered an immune-mediated neuro-inflammatory disease and diet is a possible factor in its pathogenesis. The aim of this work is to investigate the main potential targets of MS-related impairments, in particular the cognitive deficits, focusing on the alteration of biomarkers such as the Brain Derived-Neurotrophic Factor and the Tryptophan/Kynurenine ratio that could play a role on neuroprotection and thus on MS progression. Furthermore, we here propose nutritional suggestions which are useful in the development of a ketogenic diet protocol that takes advantage of the anti-inflammatory properties of low-carbohydrate foods from the Mediterranean diet to be applied to subjects with MS. In conclusion, this approach will allow one to develop the ketogenic diet combined with a modified Mediterranean diet as a possible tool to improve neuroinflammation in multiple sclerosis. MDPI 2022-06-08 /pmc/articles/PMC9229939/ /pubmed/35745113 http://dx.doi.org/10.3390/nu14122384 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Di Majo, Danila
Cacciabaudo, Francesco
Accardi, Giulia
Gambino, Giuditta
Giglia, Giuseppe
Ferraro, Giuseppe
Candore, Giuseppina
Sardo, Pierangelo
Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions
title Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions
title_full Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions
title_fullStr Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions
title_full_unstemmed Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions
title_short Ketogenic and Modified Mediterranean Diet as a Tool to Counteract Neuroinflammation in Multiple Sclerosis: Nutritional Suggestions
title_sort ketogenic and modified mediterranean diet as a tool to counteract neuroinflammation in multiple sclerosis: nutritional suggestions
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229939/
https://www.ncbi.nlm.nih.gov/pubmed/35745113
http://dx.doi.org/10.3390/nu14122384
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