Evidence map›Paper›PMID 39683388›Full record

ReviewNutrients2024

Ketogenic Diet and Neuroinflammation: Implications for Neuroimmunometabolism and Therapeutic Approaches to Refractory Epilepsy.

Daniela Guerreiro, Anabela Almeida, Renata Ramalho

Abstract readReview
In one paragraph

Review in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

10 citing papers in PubMed.

  1. Ketogenic Diet as an Epigenetic Therapy in SETD1B-Related Epilepsy.Annals of clinical and translational neurology · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
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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

3 authors.

Daniela GuerreiroNutrition Lab, Egas Moniz Center for Interdisciplinary Research (CiiEM, U4585 FCT), Egas Moniz School of Health and Science, 2829-511 Caparica, Portugal.
Anabela AlmeidaServiço de Nutrição do Hospital Garcia de Orta (HGO), 2805-267 Almada, Portugal.
Renata RamalhoNutrition Lab, Egas Moniz Center for Interdisciplinary Research (CiiEM, U4585 FCT), Egas Moniz School of Health and Science, 2829-511 Caparica, Portugal.ORCID 0000-0003-1175-1400

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Refractory epilepsy, characterized by seizures that do not respond to standard antiseizure medications, remains a significant clinical challenge. The central role of the immune system on the occurrence of epileptic disorders has been long studied, but recent perspectives on immunometabolism and neuroinflammation are reshaping scientific knowledge. The ketogenic diet and its variants have been considered an important medical nutrition therapy for refractory epilepsy and may have a potential modulation effect on the immune system, specifically, on the metabolism of immune cells. In this comprehensive review, we gathered current evidence-based practice, ketogenic diet variants and interventional ongoing clinical trials addressing the role of the ketogenic diet in epilepsy. We also discussed in detail the ketogenic diet metabolism and its anticonvulsant mechanisms, and the potential role of this diet on neuroinflammation and neuroimmunometabolism, highlighting Th17/Treg homeostasis as one of the most interesting aspects of ketogenic diet immune modulation in refractory epilepsy, deserving consideration in future clinical trials.

Indexed as

Diet, KetogenicDrug Resistant EpilepsyNeuroinflammatory DiseasesAnticonvulsantsHumansTh17 CellsT-Lymphocytes, RegulatoryAnticonvulsantsimmune cellsimmunometabolismketogenic dietketone bodiesneuroimmunometabolismneuroinflammationrefractory epilepsy

Identifiers

PMID39683388
PMCPMC11643373

What OpenQuestion holds

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LicenceCC BY
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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.