PMID- 29710809 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240318 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 7 IP - 5 DP - 2018 Apr 28 TI - Anti-Oxidant and Anti-Inflammatory Activity of Ketogenic Diet: New Perspectives for Neuroprotection in Alzheimer's Disease. LID - 10.3390/antiox7050063 [doi] LID - 63 AB - The ketogenic diet, originally developed for the treatment of epilepsy in non-responder children, is spreading to be used in the treatment of many diseases, including Alzheimer’s disease. The main activity of the ketogenic diet has been related to improved mitochondrial function and decreased oxidative stress. B-Hydroxybutyrate, the most studied ketone body, has been shown to reduce the production of reactive oxygen species (ROS), improving mitochondrial respiration: it stimulates the cellular endogenous antioxidant system with the activation of nuclear factor erythroid-derived 2-related factor 2 (Nrf2), it modulates the ratio between the oxidized and reduced forms of nicotinamide adenine dinucleotide (NAD(+)/NADH) and it increases the efficiency of electron transport chain through the expression of uncoupling proteins. Furthermore, the ketogenic diet performs anti-inflammatory activity by inhibiting nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) activation and nucleotide-binding domain, leucine-rich-containing family, pyrin domain-containing-3 (NLRP3) inflammasome as well as inhibiting histone deacetylases (HDACs), improving memory encoding. The underlying mechanisms and the perspectives for the treatment of Alzheimer’s disease are discussed. FAU - Pinto, Alessandro AU - Pinto A AUID- ORCID: 0000-0002-4864-2294 AD - Department of Experimental Medicine, Sapienza University of Rome, 00161 Roma, Italy. alessandro.pinto@uniroma1.it. FAU - Bonucci, Alessio AU - Bonucci A AD - Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy. bonucci.alessio@libero.it. FAU - Maggi, Elisa AU - Maggi E AD - Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy. elisa.maggi@biologo.onb.it. FAU - Corsi, Mariangela AU - Corsi M AD - Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy. mariangela.corsi@uniroma1.it. FAU - Businaro, Rita AU - Businaro R AUID- ORCID: 0000-0002-7890-8524 AD - Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy. rita.businaro@uniroma1.it. LA - eng PT - Journal Article PT - Review DEP - 20180428 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC5981249 OTO - NOTNLM OT - Alzheimer's disease OT - Ketogenic diet OT - inflammation OT - neuroprotection OT - oxidative stress COIS- The authors declare no conflict of interest. EDAT- 2018/05/02 06:00 MHDA- 2018/05/02 06:01 PMCR- 2018/04/28 CRDT- 2018/05/02 06:00 PHST- 2018/03/30 00:00 [received] PHST- 2018/04/23 00:00 [revised] PHST- 2018/04/25 00:00 [accepted] PHST- 2018/05/02 06:00 [entrez] PHST- 2018/05/02 06:00 [pubmed] PHST- 2018/05/02 06:01 [medline] PHST- 2018/04/28 00:00 [pmc-release] AID - antiox7050063 [pii] AID - antioxidants-07-00063 [pii] AID - 10.3390/antiox7050063 [doi] PST - epublish SO - Antioxidants (Basel). 2018 Apr 28;7(5):63. doi: 10.3390/antiox7050063.