Evidence map›Paper›PMID 32034911›Full record

ReviewThe international journal of neuropsychopharmacology2020

Induced Ketosis as a Treatment for Neuroprogressive Disorders: Food for Thought?

Gerwyn Morris, Basant K Puri, Andre Carvalho, Michael Maes, Michael Berk, Anu Ruusunen, Lisa Olive

Open access · goldAbstract readReview
In one paragraph

Review in The international journal of neuropsychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 39 citations in OpenAlex.

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  16. Ketogenic Therapy in Serious Mental Illness: Emerging Evidence.The international journal of neuropsychopharmacology · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 5 countries.

Gerwyn MorrisThe Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Australia.
Basant K PuriC.A.R., Cambridge, United Kingdom.
Andre CarvalhoCentre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.
Michael MaesDepartment of Psychiatry and Medical Psychology, Medical Faculty, Medical University of Plovdiv, Plovdiv, Bulgaria.
Michael BerkThe Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Australia.
Anu RuusunenThe Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Australia.
Lisa OliveThe Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Australia.
Deakin University · AUCentre for Addiction and Mental Health · CAChulalongkorn University · THHammersmith Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Induced ketosis (or ketone body ingestion) can ameliorate several changes associated with neuroprogressive disorders, including schizophrenia, bipolar disorder, and major depressive disorder. Thus, the effects of glucose hypometabolism can be bypassed through the entry of beta-hydroxybutyrate, providing an alternative source of energy to glucose. The weight of evidence suggests that induced ketosis reduces levels of oxidative stress, mitochondrial dysfunction, and inflammation-core features of the above disorders. There are also data to suggest that induced ketosis may be able to target other molecules and signaling pathways whose levels and/or activity are also known to be abnormal in at least some patients suffering from these illnesses such as peroxisome proliferator-activated receptors, increased activity of the Kelch-like ECH-associated protein/nuclear factor erythroid 2-related factor 2, Sirtuin-1 nuclear factor-κB p65, and nicotinamide adenine dinucleotide (NAD). This review explains the mechanisms by which induced ketosis might reduce mitochondrial dysfunction, inflammation, and oxidative stress in neuropsychiatric disorders and ameliorate abnormal levels of molecules and signaling pathways that also appear to contribute to the pathophysiology of these illnesses. This review also examines safety data relating to induced ketosis over the long term and discusses the design of future studies.

Indexed as

DietAnimalsBrainHumansInflammation MediatorsKetone BodiesKetosisMental DisordersMitochondriaOxidative StressSignal TransductionInflammation MediatorsKetone Bodies

Identifiers

PMID32034911
PMCPMC7311648
OpenAlexW3004490412

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.