期刊
ANNALS OF NEUROLOGY
卷 78, 期 1, 页码 77-87出版社
WILEY
DOI: 10.1002/ana.24424
关键词
-
资金
- NIH National Institute of Neurological Disorders and Stroke [RO1 NS070261, RO1 NS048191, RO1 NS062993, P30 NS051220, RO1 NS072179]
- Kentucky Spinal Cord and Head Injury Research Trust
- Nebraska LB 692 Grant
- Health Future Foundation Award
- Barrow Neurological Foundation, Phoenix, Arizona
- Canadian Institutes of Health Research
- Alberta Children's Hospital Research Institute for Child and Maternal Health
ObjectiveKetone bodies (KB) are products of fatty acid oxidation and serve as essential fuels during fasting or treatment with the high-fat antiseizure ketogenic diet (KD). Despite growing evidence that KB exert broad neuroprotective effects, their role in seizure control has not been firmly demonstrated. The major goal of this study was to demonstrate the direct antiseizure effects of KB and to identify an underlying target mechanism. MethodsWe studied the effects of both the KD and KB in spontaneously epileptic Kcna1-null mice using a combination of behavioral, planar multielectrode, and standard cellular electrophysiological techniques. Thresholds for mitochondrial permeability transition (mPT) were determined in acutely isolated brain mitochondria. ResultsKB alone were sufficient to: (1) exert antiseizure effects in Kcna1-null mice, (2) restore intrinsic impairment of hippocampal long-term potentiation and spatial learning-memory defects in Kcna1-null mutants, and (3) raise the threshold for calcium-induced mPT in acutely prepared mitochondria from hippocampi of Kcna1-null animals. Targeted deletion of the cyclophilin D subunit of the mPT complex abrogated the effects of KB on mPT, and in vivo pharmacological inhibition and activation of mPT were found to mirror and reverse, respectively, the antiseizure effects of the KD in Kcna1-null mice. InterpretationThe present data reveal the first direct link between mPT and seizure control, and provide a potential mechanistic explanation for the KD. Given that mPT is increasingly being implicated in diverse neurological disorders, our results suggest that metabolism-based treatments and/or metabolic substrates might represent a worthy paradigm for therapeutic development. Ann Neurol 2015;78:77-87
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据