title: Triheptanoin supplementation to ketogenic diet curbs cognitive impairment in APP/PS1 mice used as a model of familial Alzheimer's disease.
abstract: Diets containing a high proportion of fat with respect to protein plus carbohydrates are capable of inducing ketone body production in the liver, which provides an energetic alternative to glucose. Some ketogenic diets have been tested as therapeutic strategies for treating metabolic disorders related to a deficiency in glucose-driven ATP generation. However, ketone bodies are not capable of providing extra tricarboxylic acid cycle intermediates, limiting the anabolic capacity of the cell. Therefore, it is reasonable to hypothesize that supplementing a ketogenic diet with anaplerotic compounds such as triheptanoin may improve ketogenic diet effectiveness. The present study tests this hypothesis in APP/PS1 (APPswe/PS1dE9) transgenic mice, used as a model of familial Alzheimer's disease because impaired energy supply to neurons has been linked to this neurodegenerative process. Triheptanoin supplementation to a ketogenic diet for three months and starting at the age of three months reduces the memory impairment of APP/PS1 mice at the age of 6 months. The Aβ production and deposition were not significantly altered by the ketogenic diet, supplemented or not by triheptanoin. However, mice fed with triheptanoin-rich ketogenic diet have shown decreased astroglial response in the vicinity of Aβ plaques and decreased expression of the pro-inflammatory cytokine interferon-γ in astrocytes. These findings correlate with transcriptional up-regulation of the ROS detoxifying mechanisms Sirt1 and Pparg, thus linking triheptanoin with improved mitochondrial status. Present findings support the concept that ketogenic diets supplemented with anaplerotic compounds can be considered potential therapeutic strategies at early stages of Alzheimer's disease.
authors.affiliation: Institut de Neuropatologia, Servei d'Anatomia Patològica, IDIBELL-Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain.
authors.forename: Ester
authors.initials: E
authors.lastname: Aso
authors.forename: Jana
authors.initials: J
authors.lastname: Semakova
authors.forename: Laura
authors.initials: L
authors.lastname: Joda
authors.forename: Vladislav
authors.initials: V
authors.lastname: Semak
authors.forename: Lyda
authors.initials: L
authors.lastname: Halbaut
authors.forename: Ana
authors.initials: A
authors.lastname: Calpena
authors.forename: Carmen
authors.initials: C
authors.lastname: Escolano
authors.forename: Jose C
authors.initials: JC
authors.lastname: Perales
authors.forename: Isidro
authors.initials: I
authors.lastname: Ferrer
mesh_terms: D000544:Alzheimer Disease / Q000178:diet therapy* / Q000378:metabolism / Q000473:pathology*; D000818:Animals; D055423:Diet, Ketogenic / Q000379:methods*; D004195:Disease Models, Animal; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D018782:Maze Learning; D051379:Mice; D008822:Mice, Transgenic; D060888:Real-Time Polymerase Chain Reaction; D014280:Triglycerides / Q000008:administration & dosage*
chemical_list: D014280:Triglycerides; C531010:triheptanoin