Evidence map›Paper›PMID 38841200›Full record

ArticleFrontiers in cellular neuroscience2024

ADCY3: the pivotal gene in classical ketogenic diet for the treatment of epilepsy.

Mingxing Lin, Jiayin Gong, Luyan Wu, Xin Lin, Yuying Zhang, Wanhui Lin, Huapin Huang, Chaofeng Zhu

Abstract read
In one paragraph

Article in Frontiers in cellular neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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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

4 citing papers in PubMed.

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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.

Mingxing Lin *Department of Pediatrics, Fujian Medical University Union Hospital, Fuzhou, China.
Jiayin Gong *Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Luyan Wu *Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Xin LinDepartment of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Yuying ZhangDepartment of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Wanhui LinDepartment of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Huapin HuangDepartment of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Chaofeng ZhuDepartment of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Epilepsy is a common neurological disorder characterized by recurrent epilepsy episodes. As a non-pharmacological treatment, the ketogenic diet has been widely applied in treating epilepsy. However, the exact therapeutic mechanism of the ketogenic diet for epilepsy remains unclear. This study investigates the molecular mechanisms of the ketogenic diet in regulating fatty acid metabolism and activating the ADCY3-initiated cAMP signaling pathway to enhance neuronal inhibition and thereby treat epilepsy. Methods and results: Meta-analysis reveals that the ketogenic diet is superior to the conventional diet in treating epilepsy. Animal experiments demonstrate that the ketogenic diet is more effective than the conventional diet in treating epilepsy, with the best results achieved using the classic ketogenic diet. Transcriptome sequencing analysis identifies six essential genes, among which ADCY3 shows increased expression in the ketogenic diet. In vivo experiments confirm that the activation of the cAMP-PKA signaling pathway by ADCY3 enhances neuronal inhibition and improves epilepsy control. Conclusion: Clinical observations indicate that the ketogenic diet improves patient epilepsy episodes by regulating the ADCY3-initiated cAMP signaling pathway.

Indexed as

ADCY3CAMP signaling pathwayepileptic epilepsyfatty acid metabolismketogenic dietneuronal inhibition

Identifiers

PMID38841200
PMCPMC11150708

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