PMID- 19201746 OWN - NLM STAT- MEDLINE DCOM- 20090325 LR - 20171116 IS - 1550-8080 (Electronic) IS - 0091-7370 (Linking) VI - 39 IP - 1 DP - 2009 Winter TI - Ketogenic diet reduces cytochrome c release and cellular apoptosis following traumatic brain injury in juvenile rats. PG - 76-83 AB - Ketone bodies have been shown to be favorable alternative metabolic substrates and are protective under neuropathologies. At the same time, cytochrome c release has been reported following traumatic brain injury (TBI) and precipitates apoptosis via the mitochondrial pathway. The present study investigated the effects of a ketogenic diet (KD) on TBI. TBI was produced using the Feeney weight-drop model and the animals were fed either normal diet (ND) or KD. Brain edema was estimated by wet/dry weight ratio; cytochrome c was detected by Western blotting; cellular apoptosis in the penumbra area was examined by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) and active caspase-3 immunohistochemical staining. The results show that brain edema, cytochrome c release, and cellular apoptosis were induced after TBI and that KD reduced these changes dramatically. These findings suggest that KD has potential therapeutic benefit in TBI. FAU - Hu, Zhi Gang AU - Hu ZG AD - Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu, China. FAU - Wang, Han Dong AU - Wang HD FAU - Jin, Wei AU - Jin W FAU - Yin, Hong Xia AU - Yin HX LA - eng PT - Journal Article PL - United States TA - Ann Clin Lab Sci JT - Annals of clinical and laboratory science JID - 0410247 RN - 0 (Blood Glucose) RN - 059QF0KO0R (Water) RN - 9007-43-6 (Cytochromes c) RN - EC 3.4.22.- (Caspase 3) RN - TZP1275679 (3-Hydroxybutyric Acid) SB - IM MH - 3-Hydroxybutyric Acid/blood MH - Animals MH - *Apoptosis MH - Blood Glucose MH - Brain/enzymology/pathology MH - Brain Injuries/blood/enzymology/*metabolism/*pathology MH - Caspase 3/metabolism MH - Cytochromes c/*metabolism MH - *Diet, Ketogenic MH - Enzyme Activation MH - Immunoblotting MH - In Situ Nick-End Labeling MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - Water/metabolism EDAT- 2009/02/10 09:00 MHDA- 2009/03/26 09:00 CRDT- 2009/02/10 09:00 PHST- 2009/02/10 09:00 [entrez] PHST- 2009/02/10 09:00 [pubmed] PHST- 2009/03/26 09:00 [medline] AID - 39/1/76 [pii] PST - ppublish SO - Ann Clin Lab Sci. 2009 Winter;39(1):76-83.