Evidence map›Paper›PMID 29763602›Full record

ArticleExperimental neurology2018

A ketogenic diet reduces metabolic syndrome-induced allodynia and promotes peripheral nerve growth in mice.

Michael A Cooper, Blaise W Menta, Consuelo Perez-Sanchez, Megan M Jack, Zair W Khan, Janelle M Ryals, Michelle Winter, Douglas E Wright

Open access · greenAbstract read
In one paragraph

Article in Experimental neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Physical activity and dietary interventions in diabetic neuropathy: a systematic review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Pooled it
  5. NONcNZO10/LtJ and TALLY-HO/JngJ Mice as Novel Models of Diabetic Peripheral Neuropathy.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Modulation of pain by ketones: a mini-review.American journal of physiology. Cell physiology · 2025
    Review
  10. Diabetic neuropathy: cutting-edge research and future directions.Signal transduction and targeted therapy · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Abnormal Intraepidermal Nerve Fiber Density in Disease: A Scoping Review.medRxiv : the preprint server for health sciences · 2023
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Michael A CooperDepartment of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Blaise W MentaDepartment of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Consuelo Perez-SanchezDepartment of Integrative and Molecular Physiology, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Megan M JackDepartment of Neurosurgery, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Zair W KhanDepartment of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Janelle M RyalsDepartment of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Michelle WinterKansas Intellectual and Developmental Disabilities Research, University of Kansas Medical Center, Kansas City, KS 66160, United States.
Douglas E WrightDepartment of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, KS 66160, United States. Electronic address: dwright@kumc.edu.
University of Kansas Medical Center · US

Funding

Mentoring CoreP20GM103418 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Douglas E Wright · 2012 to 2026
$63.0M
Painful Versus Insensate Diabetic NeuropathyR01NS043314 · NINDS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Douglas E Wright · 2003 to 2026
$6.7M
Using PCORnet to Expand the DS-CONNECT Cohort Through Healthcare System Recruitment, Incorporating Electronic Health Records, and Assessing Self-DeterminationU54HD090216 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI COLOMBO, JOHN A. · 2016 to 2020
$6.2M
NICHD NIH HHS U54 HD090216NIGMS NIH HHS P20 GM103418NINDS NIH HHS R01 NS043314
6 · The paper itself

Abstract

Current experiments investigated whether a ketogenic diet impacts neuropathy associated with obesity and prediabetes. Mice challenged with a ketogenic diet were compared to mice fed a high-fat diet or a high-fat diet plus exercise. Additionally, an intervention switching to a ketogenic diet following 8 weeks of high-fat diet was performed to compare how a control diet, exercise, or a ketogenic diet affects metabolic syndrome-induced neural complications. When challenged with a ketogenic diet, mice had reduced bodyweight and fat mass compared to high-fat-fed mice, and were similar to exercised, high-fat-fed mice. High-fat-fed, exercised and ketogenic-fed mice had mildly elevated blood glucose; conversely, ketogenic diet-fed mice were unique in having reduced serum insulin levels. Ketogenic diet-fed mice never developed mechanical allodynia contrary to mice fed a high-fat diet. Ketogenic diet fed mice also had increased epidermal axon density compared all other groups. When a ketogenic diet was used as an intervention, a ketogenic diet was unable to reverse high-fat fed-induced metabolic changes but was able to significantly reverse a high-fat diet-induced mechanical allodynia. As an intervention, a ketogenic diet also increased epidermal axon density. In vitro studies revealed increased neurite outgrowth in sensory neurons from mice fed a ketogenic diet and in neurons from normal diet-fed mice given ketone bodies in the culture medium. These results suggest a ketogenic diet can prevent certain complications of prediabetes and provides significant benefits to peripheral axons and sensory dysfunction.

Indexed as

Diet, KetogenicAdiposityAnimalsAxonsBlood GlucoseDiet, High-FatHyperalgesiaInsulinMaleMetabolic SyndromeMiceMice, Inbred C57BLNeuritesPeripheral NervesPhysical Conditioning, AnimalWeight LossBlood GlucoseInsulinDiabetesDRGExerciseHigh-fatKetogenicKetonesMicePain

Identifiers

PMID29763602
PMCPMC5994385
OpenAlexW2803441092

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.