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Published on: October 23, 2018
The ketogenic diet inhibits the mammalian target of rapamycin (mTOR) pathway
Sharon S McDaniel1, Nicholas R Rensing, Liu Lin Thio
1Department of Neurology and the Hope Center for Neurological Disorders, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Abstract:
The ketogenic diet (KD) is an effective treatment for epilepsy, but its mechanisms of action are poorly understood. We investigated the hypothesis that the KD inhibits mammalian target of rapamycin (mTOR) pathway signaling. The expression of pS6 and pAkt, markers of mTOR pathway activation, was reduced in hippocampus and liver of rats fed KD. In the kainate model of epilepsy, KD blocked the hippocampal pS6 elevation that occurs after status epilepticus. Because mTOR signaling has been implicated in epileptogenesis, these results suggest that the KD may have anticonvulsant or antiepileptogenic actions via mTOR pathway inhibition.
Insights
The ketogenic diet (KD) may treat epilepsy by inhibiting the mTOR pathway. This pathway
Area of Science:
- Neuroscience
- Biochemistry
- Metabolic Disorders
Background:
- The ketogenic diet (KD) is a recognized epilepsy treatment.
- Its precise mechanisms of action remain unclear.
- The mammalian target of rapamycin (mTOR) pathway is linked to epileptogenesis.
Purpose of the Study:
- To investigate if the KD inhibits the mTOR signaling pathway.
- To explore the KD's potential anticonvulsant and antiepileptogenic effects.
Main Methods:
- Rats were fed a KD.
- Expression of pS6 and pAkt (mTOR pathway markers) was measured in the hippocampus and liver.
- The kainate model of epilepsy was used to assess KD effects after status epilepticus.
Main Results:
- KD feeding reduced pS6 and pAkt expression in rat hippocampus and liver.
- In the kainate model, KD prevented the post-seizure increase in hippocampal pS6.
- These findings indicate mTOR pathway inhibition by the KD.
Conclusions:
- The KD may exert anticonvulsant and antiepileptogenic effects.
- These effects are potentially mediated through the inhibition of the mTOR pathway.
- Further research into KD's molecular mechanisms in epilepsy is warranted.
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