Evidence map›Paper›PMID 40264914›Full record

ArticleFrontiers in neuroscience2025

Effects of the ketogenic diet on dentate gyrus and CA3 KCC2 expression in male rats with electrical amygdala kindling-induced seizures.

Leticia Granados-Rojas, Leonardo Hernández-López, Emmanuel Leonardo Bahena-Alvarez, Tarsila Elizabeth Juárez-Zepeda, Verónica Custodio, Joyce Graciela Martínez-Galindo, Karina Jerónimo-Cruz, Miguel Tapia-Rodríguez, America Vanoye-Carlo, Pilar Duran and 1 more

Abstract read
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Article in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Leticia Granados-RojasLaboratorio de Biomoléculas y Salud Infantil, Instituto Nacional de Pediatría, Mexico City, Mexico.
Leonardo Hernández-LópezDepartamento de Neurofisiología, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
Emmanuel Leonardo Bahena-AlvarezLaboratorio de Biomoléculas y Salud Infantil, Instituto Nacional de Pediatría, Mexico City, Mexico.
Tarsila Elizabeth Juárez-ZepedaLaboratorio de Biomoléculas y Salud Infantil, Instituto Nacional de Pediatría, Mexico City, Mexico.
Verónica CustodioDepartamento de Neurofisiología, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
Joyce Graciela Martínez-GalindoLaboratorio de Demencias, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
Karina Jerónimo-CruzLaboratorio de Biomoléculas y Salud Infantil, Instituto Nacional de Pediatría, Mexico City, Mexico.
Miguel Tapia-RodríguezUnidad de Microscopía, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Mexico City, Mexico.
America Vanoye-CarloLaboratorio de Oncología Experimental, Instituto Nacional de Pediatría, Mexico City, Mexico.
Pilar DuranLaboratorio de Biología Animal Experimental, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Carmen RubioDepartamento de Neurofisiología, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ketogenic diet (KD), a high-fat, low-carbohydrate, and adequate protein diet, is a non-pharmacological treatment for refractory epilepsy. However, their mechanism of action is not fully understood. The cation-chloride cotransporter, KCC2, transports chloride out of neurons, thus contributing to the intraneuronal concentration of chloride. Modifications in KCC2 expression by KD feeding could explain the beneficial effect of this diet on epilepsy. This study aimed to determine the impact of KD on KCC2 expression in dentate gyrus layers and Cornu Ammonis 3 (CA3) strata of rats with seizures induced by amygdaloid kindling. Materials and methods: Male Sprague Dawley rats were fed a normal diet (ND) or KD from postnatal day 24 until the end of the experiment. At 6 weeks after the start of the diets, rats were subjected to an amygdala kindling epilepsy model, sham or remain intact. Glucose and β-hydroxybutyrate concentrations were quantified. The after-discharge duration (ADD), latency, and duration of stages of kindling were evaluated. In addition, KCC2 expression was evaluated using optical density. A Pearson bivariate correlation was used to determine the relationship between KCC2 expression and ADD. Results: At the end of the experiment, the KD-fed groups showed a reduction in glucose and an increase in β-hydroxybutyrate. KD reduced ADD and increased latency and duration of generalized seizures. In ND-fed animals, kindling reduced KCC2 expression in all three layers of the dentate gyrus; however, in KD-fed animals, no changes were observed. KD treatment increased KCC2 expression in the kindling group. In CA3, the pyramidal and lucidum strata showed an increase of KCC2 in KD-fed groups. Besides, the kindling had lower levels of KCC2 than the sham and intact groups. In all layers of the dentate gyrus and pyramidal and lucidum CA3 strata, the correlation indicated that the higher the KCC2 expression, the shorter the ADD during generalized seizures. Conclusion: KD reduces ADD in generalized seizures. In addition, KD has a putative neuroprotective effect by preventing the kindling-induced reduction of KCC2 expression in the molecular, granule, and hilar dentate gyrus layers and pyramidal and lucidum CA3 strata. Increased KCC2 expression levels are related to a shorter duration of generalized seizures.

Indexed as

CA3dentate gyrusKCC2ketogenic dietkindlingrat

Identifiers

PMID40264914
PMCPMC12011780

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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.