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Updated: Jul 10, 2026

A Dual Tracer PET-MRI Protocol for the Quantitative Measure of Regional Brain Energy Substrates Uptake in the Rat
Published on: December 28, 2013
Ketone bodies, potential therapeutic uses.
R L Veech1, B Chance, Y Kashiwaya
1Unit on Metabolic Control, LMMB/NIAAA, Rockville, Maryland, USA.
Ketosis, marked by elevated D-beta-hydroxybutyrate (betaOHB), offers survival benefits and potentially more efficient brain energy. BetaOHB may also protect neurons and benefit neurological disorders.
Area of Science:
- Biochemistry
- Neuroscience
- Metabolic Disorders
Background:
- Ketosis, defined by elevated D-beta-hydroxybutyrate (betaOHB) and acetoacetate, historically aided survival by providing alternative brain fuel during starvation.
- BetaOHB may offer a more oxygen-efficient energy source for the brain, observed in studies on rat hearts and sperm.
- BetaOHB has demonstrated neuroprotective effects, reducing cell death in neuronal cultures modeling Alzheimer's and Parkinson's diseases.
Purpose of the Study:
- To explore the potential therapeutic benefits of ketosis and betaOHB in various neurological disorders.
- To investigate the broader physiological effects of betaOHB, including energy metabolism and oxidative stress reduction.
- To identify necessary advancements in synthetic betaOHB delivery and metabolic phenotyping for clinical application.
Main Methods:
- Review of existing literature on ketosis, beta-hydroxybutyrate metabolism, and neuroprotection.
- Analysis of betaOHB's effects on neuronal cell death in Alzheimer's and Parkinson's disease models.
- Consideration of betaOHB's impact on cellular energy (ATP hydrolysis) and oxidative processes (CoQ, NADP+).
Main Results:
- Ketosis provides essential non-glucose substrate for the brain, sparing muscle during starvation.
- BetaOHB demonstrates potential as a more efficient brain energy source and exhibits neuroprotective properties.
- BetaOHB influences cellular energy dynamics and may reduce free radical damage.
Conclusions:
- Ketosis and elevated betaOHB levels show promise for treating a range of neurological conditions, including epilepsy, injury, and anoxic states.
- Clinical application requires development of oral synthetic betaOHB formulations and advanced metabolic analysis technologies.
- Characterizing polygenic disorders may be enhanced by integrating metabolic phenotyping with genetic analysis.
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