Glucose restriction is believed to be a key mechanism of KD action. Calorie restriction in rodents reduced seizure susceptibility and the resultant low blood glucose levels correlated with inhibition of epileptogenesis in a genetic model of stimulus-induced epilepsy (Greene et al., 2001). Along related lines, Garriga-Canut et al. (2006) demonstrated that 2-deoxyglucose, which inhibits the glycolytic enzyme phosphoglucose isomerase, prevented seizure progression in the rat kindling model of temporal lobe epilepsy, and decreased the expression of brain-derived neurotrophic factor (BDNF) and its principal receptor, TrkB. More recently, Lian and colleagues (2007) demonstrated that fructose-1,6-bisphosphate (F-1,6-BP), a metabolite that shifts the metabolism of glucose from glycolysis to the pentose phosphate pathway, exhibits potent anticonvulsant activity in several rat models of acute seizures (i.e., pilocarpine, kainic acid, and pentylenetetrazole), and efficacy in these models exceeds that of 2-DG and KD treatment. Collectively, these emerging data indicate that the overall strategy of limiting glycolytic flux may be a powerful way of preventing acute seizures and perhaps epileptogenesis as well.
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Munculnya beragam jenis diet bisa bikin bingung. Berbagai manfaat dari setiap diet terdengar sangat menggoda, apalagi dengan klaim “efektif menurunkan berat badan”. Namun, jangan asal diet! Cari tahu dulu dengan jelas mengenai diet yang akan Anda jalani. Pastikan apakah sesuai dan aman untuk Anda. Salah satu jenis diet yang sedang banyak digemari yaitu diet keto. Diet keto adalah salah satu pola makan yang dianggap ampuh menurunkan berat badan secara cepat dan efektif.
Furthermore, if the KD increases GABA levels in the brain, then such an effect is approximated by vigabatrin, an irreversible inhibitor of the degradative enzyme GABA-transaminase, as well as by tiagabine, a GABA re-uptake blocker that interferes with presnaptic GABA transporters (White et al., 2007). Yet, the anticonvulsant profile of the KD is distinct from that of vigabatrin and tiagabine (Hartman et al., 2007). The general approach of deriving another pill that enhances brain GABA levels may not be relevant or viable, since many seizure types seem to be exacerbated by agents that contribute to enhanced tonic inhibition, and extrasynaptic GABA receptors that mediate tonic inhibition are more sensitive to elevated ambient GABA concentrations (Sazgar & Bourgeois, 2005). Indeed, increased GABAergic inhibition in the cortex appears to underlie the mechanism of synchronization and seizure generation in two mouse models of autosomal dominant nocturnal frontal lobe epilepsy (Klassen et al, 2006)
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What investigators have elucidated over the past decade or so is that a variety of molecular, genetic, cellular, and metabolic factors are likely contributory to the clinical effects of the KD. As a generalization, it is becoming widely accepted that the mechanistic underpinnings of the KD are likely multiple, parallel, and possibly synergistic (Bough & Rho, 2007).
Lauren is the food photographer, recipe developer, and author behind the healthy living website Wicked Spatula. With a focus on mindful and sustainable living she aspires to show her audience that healthy eating doesn't have to be boring, complicated, or tasteless and that healthy living is all about getting in touch with yourself and your surroundings.
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Baur JA, Pearson KJ, Price NL, Jamieson HA, Lerin C, Kalra A, Prabhu VV, Allard JS, Lopez-Lluch G, Lewis K, Pistell PJ, Poosala S, Becker KG, Boss O, Gwinn D, Wang M, Ramaswamy S, Fishbein KW, Spencer RG, Lakatta EG, Le Couteur D, Shaw RJ, Navas P, Puigserver P, Ingram DK, de Cabo R, Sinclair DA. Resveratrol improves health and survival of mice on a high-calorie diet. Nature. 2006;444:337–342. [PMC free article] [PubMed] [Google Scholar]
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