Evidence map›Paper›PMID 41671086›Full record

ArticleCell reports2026

Ketogenic diet dampens excitatory neurotransmission by shrinking synaptic vesicle pools.

Marion I Stunault, Pan-Yue Deng, Anjali Yadav, Erica M Periandri, Francisca N de Luna Vitorino, Michael B Thomsen, Jasmin Sponagel, Amelia J Barfield, Renzelle J Ponce, Layla Foroughi and 4 more

Abstract read
In one paragraph

Article in Cell reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Marion I StunaultDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA.
Pan-Yue DengDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA.
Anjali YadavDepartment of Genetics, Washington University School of Medicine, St. Louis, MO 63132, USA; Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63132, USA.
Erica M PeriandriDepartment of Genetics, Washington University School of Medicine, St. Louis, MO 63132, USA; Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63132, USA.
Francisca N de Luna VitorinoDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63132, USA.
Michael B ThomsenCS27 Bioinformatics, Springboro, OH 45066, USA.
Jasmin SponagelDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA.
Amelia J BarfieldDepartment of Genetics, Washington University School of Medicine, St. Louis, MO 63132, USA; Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63132, USA.
Renzelle J PonceDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA.
Layla ForoughiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA.
Benjamin A GarciaDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63132, USA.
Gabor EgervariDepartment of Genetics, Washington University School of Medicine, St. Louis, MO 63132, USA; Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63132, USA. Electronic address: gabor@wustl.edu.
Vitaly A KlyachkoDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA. Electronic address: klyachko@wustl.edu.
Ghazaleh AshrafiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63132, USA; Department of Genetics, Washington University School of Medicine, St. Louis, MO 63132, USA; Needleman Center for Neurometabolism and Axonal Therapeutics, Washington University School of Medicine, St. Louis, MO 63132, USA. Electronic address: ghazaleh@wustl.edu.

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
Mechanisms of Synaptic Transmission in Healthy and Disease StatesR35NS111596 · NINDS · WASHINGTON UNIVERSITY · PI Vitaly A Klyachko · 2019 to 2026
$6.3M
Cellular mechanisms of bioenergetic plasticityR35GM147222 · NIGMS · WASHINGTON UNIVERSITY · PI Ghazaleh Ashrafi · 2022 to 2026
$2.1M
Epigenetic-metabolic aspects of alcohol use disorder and early developmental alcohol exposureR00AA028577 · NIAAA · WASHINGTON UNIVERSITY · PI EGERVARI, GABOR · 2023 to 2025
$746k
NIAAA NIH HHS R00 AA028577NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIGMS NIH HHS R35 GM147222NINDS NIH HHS R35 NS111596
6 · The paper itself

Abstract

Ketogenic diet (KD) is used for the treatment of drug-resistant childhood epilepsy and has been proposed to improve outcomes in neurodegenerative diseases. However, the mechanisms by which KD alters brain circuitry remain unclear. Here, we investigated the impact of KD on hippocampal function through integrative analysis of gene expression and neurotransmission. We found that KD induces extensive transcriptional reprogramming, including altered expression of numerous synaptic genes. Proteomic and genomic profiling revealed significant changes in histone modifications, particularly at promoters of KD-regulated genes. Electrophysiological recordings showed that KD reduces excitatory synaptic gain and short-term plasticity at CA3-CA1 synapses, dampening the summation of excitatory inputs and enhancing the summation of inhibitory inputs. These functional changes were driven, in part, by a reduction in the readily releasable vesicle pool at excitatory synapses under KD. Together, our findings demonstrate that KD drives transcriptional remodeling of hippocampal circuits, leading to synaptic adaptations that may underlie its anti-epileptic and neuroprotective effects.

Indexed as

Diet, KetogenicSynaptic TransmissionSynaptic VesiclesAnimalsExcitatory Postsynaptic PotentialsHippocampusMaleNeuronal PlasticitySynapsesCP: metabolismCP: neuroscienceepilepsyhippocampusketogenic dietmetabolismsynaptic plasticitysynaptic vesicles

Identifiers

PMID41671086
PMCPMC13001665

What OpenQuestion holds

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Registered trials

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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.