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ß-Hydroxybutyrate Improves Mitochondrial Function After Transient Ischemia in the Mouse
Alina Lehto1, Konrad Koch2, Johanna Barnstorf-Brandes1
1Department of Pharmacology and Clinical Pharmacy, College of Pharmacy, Goethe University of Frankfurt, Max-von-Laue-Str. 9, 60438, Frankfurt, Germany.
Neurochemical Research
|June 8, 2022
Summary
A single dose of beta-hydroxybutyrate (BHB), a ketone body, improved neurological scores and mitochondrial function in mice after brain ischemia. These neuroprotective effects were observed within 24 hours post-treatment.
Area of Science:
- Neuroscience
- Metabolic research
- Mitochondrial biology
Background:
- Ketone bodies, like beta-hydroxybutyrate (BHB), and ketogenic diets show potential neuroprotective effects in neurodegenerative diseases.
- Ischemic stroke remains a leading cause of death and disability, necessitating novel therapeutic strategies.
Purpose of the Study:
- To investigate the neuroprotective effects of a single beta-hydroxybutyrate (BHB) administration following transient focal cerebral ischemia in a mouse model.
- To assess the impact of BHB on mitochondrial function and neurological recovery after ischemic stroke.
Main Methods:
- Transient focal cerebral ischemia was induced in mice by middle cerebral artery occlusion for 90 minutes.
- Beta-hydroxybutyrate (BHB) was administered intraperitoneally (30 mg/kg) immediately after reperfusion.
- Neurological scores were evaluated 24 hours post-ischemia. Mitochondrial oxygen consumption and activity of respiratory complexes (I, II, IV) were measured in brain tissue.
Main Results:
- BHB administration significantly improved neurological scores 24 hours after ischemia.
- Mitochondrial oxygen consumption, particularly for complexes I and II, was enhanced by BHB treatment at 24 hours post-ischemia.
- Elevated plasma and brain BHB levels were observed 24 hours post-administration, without altering key mitochondrial intermediates.
Conclusions:
- A single dose of BHB demonstrates acute neuroprotective effects and improves mitochondrial respiration following ischemic stroke in mice.
- The beneficial effects of BHB on mitochondrial function appear transient, lasting approximately 1-2 days.
- Endogenous BHB production may play a complementary role to exogenous administration in stroke recovery.

