Evidence map›Paper›PMID 38794639›Full record

Trial reportNutrients2024

Ketogenic Diet Induced Shifts in the Gut Microbiome Associate with Changes to Inflammatory Cytokines and Brain-Related miRNAs in Children with Autism Spectrum Disorder.

Nina P Allan, Brennan Y Yamamoto, Braden P Kunihiro, Chandler K L Nunokawa, Noelle C Rubas, Riley K Wells, Lesley Umeda, Krit Phankitnirundorn, Amada Torres, Rafael Peres and 2 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02477904 (Ketogenic Diet Therapy for Autism Spectrum Disorder), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02477904 nacompletednot on this map

Ketogenic Diet Therapy for Autism Spectrum Disorder

TypeinterventionalSponsorShriners Hospitals for ChildrenRan2015 to 2017Enrolled119ConditionsAutism Spectrum DisorderArmsKetogenic Diet
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. The Microbiota in the Diagnosis and Treatment of Autism Spectrum Disorder.International journal of molecular sciences · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. The Interplay between the Gut and Ketogenic Diets in Health and Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  15. Article
  16. Review
  17. Review
  18. Modulation of pain by ketones: a mini-review.American journal of physiology. Cell physiology · 2025
    Review
  19. Review
  20. Article
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

12 authors.

Nina P AllanDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID 0000-0002-3409-3167
Brennan Y YamamotoDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID 0009-0002-0921-6046
Braden P KunihiroDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Chandler K L NunokawaDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Noelle C RubasDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Riley K WellsDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID 0009-0005-3263-8230
Lesley UmedaDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Krit PhankitnirundornDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID 0000-0002-8022-202X
Amada TorresDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID 0000-0001-7010-1294
Rafael PeresDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Emi TakahashiDepartment of Radiology, Harvard Medical School, Boston, MA 02115, USA.
Alika K MaunakeaDepartment of Biochemistry, Anatomy, and Physiology, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID 0000-0002-6457-5087

Funding

TRPA1 Physiology in Diabetes, Metabolic Syndrome, and MetabolismP20GM113134 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI Kathryn Jaques Schunke · 2017 to 2026
$21.5M
HMSA Foundation Ketogenic Therapies ProgramNIGMS NIH HHS P20 GM113134NIH HHS 1P20GM113134-17S17
6 · The paper itself

Abstract

In this interventional pilot study, we investigated the effects of a modified ketogenic diet (KD) on children with autism spectrum disorder (ASD). We previously observed improved behavioral symptoms in this cohort following the KD; this trial was registered with Clinicaltrials.gov (NCT02477904). This report details the alterations observed in the microbiota, inflammation markers, and microRNAs of seven children following a KD for a duration of 4 months. Our analysis included blood and stool samples, collected before and after the KD. After 4 months follow up, we found that the KD led to decreased plasma levels of proinflammatory cytokines (IL-12p70 and IL-1b) and brain-derived neurotrophic factor (BDNF). Additionally, we observed changes in the gut microbiome, increased expression of butyrate kinase in the gut, and altered levels of BDNF-associated miRNAs in the plasma. These cohort findings suggest that the KD may positively influence ASD sociability, as previously observed, by reducing inflammation, reversing gut microbial dysbiosis, and impacting the BDNF pathway related to brain activity.

Indexed as

Autism Spectrum DisorderBrain-Derived Neurotrophic FactorCytokinesDiet, KetogenicGastrointestinal MicrobiomeMicroRNAsBrainChildChild, PreschoolDysbiosisFemaleHumansInflammationMalePilot ProjectsBDNF protein, humanBrain-Derived Neurotrophic FactorCytokinesMicroRNAsautism spectrum disorderBDNFbutyrateinflammationketogenic dietmicrobiomemiRNA

Identifiers

PMID38794639
PMCPMC11124410

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Registered trials

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.