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Ketogenic Diet Mitigates Age-Related Cognitive Decline and Neuroinflammation in Rats, While Antibiotics Exacerbate
Oya Sayin1, Rabia Ilgin2, Erhan Caner Akkaya3
1College of Vocational School of Health Services, School of Medicine, Dokuz Eylul University, Izmir, Turkey.
Journal of Molecular Neuroscience : MN
|September 9, 2025
Summary
The ketogenic diet (KD) improved cognition and reduced neuroinflammation in aging rats, regardless of gut microbiota changes. KD promotes brain resilience during aging, even with antibiotic treatment.
Area of Science:
- Neuroscience
- Metabolic research
- Aging research
Background:
- The ketogenic diet (KD), a high-fat, low-carbohydrate diet, shows neuroprotective potential.
- Aging is associated with cognitive decline and increased neuroinflammation.
- The gut microbiota's role in brain health and aging is increasingly recognized.
Purpose of the Study:
- To investigate the effects of KD alone and combined with antibiotic-induced gut microbiota depletion on cognition and neuroinflammation in aging rats.
- To determine if KD can mitigate age-related cognitive deficits and neuroinflammation, independent of gut microbiota status.
Main Methods:
- Thirty-two aged male rats were divided into four groups: control diet (CD), KD, antibiotics with CD (AB), and antibiotics with KD (KDAB).
- Diets were administered for 10 weeks, with antibiotics administered during the final week.
- Cognitive function was assessed using the Morris Water Maze and Novel Object Recognition Test.
- Hippocampal and prefrontal cortex levels of BDNF and inflammatory cytokines (TNF-α, IL-1β, IL-10) were measured.
Main Results:
- Ketogenic diet groups (KD and KDAB) showed increased β-hydroxybutyrate and reduced glucose levels.
- Both KD groups exhibited enhanced cognitive performance, elevated BDNF and IL-10, and reduced TNF-α and IL-1β compared to non-KD groups.
- Antibiotic treatment alone caused transient spatial memory impairment but reduced TNF-α.
- The ketogenic diet improved cognition and neuroprotection irrespective of microbiota status.
Conclusions:
- The ketogenic diet demonstrates significant neuroprotective effects in aging rats, enhancing cognitive function and reducing neuroinflammation.
- These benefits are observed even when the gut microbiota is disrupted by antibiotics.
- The ketogenic diet may be a viable strategy to promote brain resilience and combat cognitive decline during aging.

