PMID- 38106160 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240416 DP - 2023 Dec 4 TI - A ketogenic diet reduces age-induced chronic neuroinflammation in mice Running title: ketogenic diet and brain inflammaging. LID - 2023.12.01.569598 [pii] LID - 10.1101/2023.12.01.569598 [doi] AB - Beta-hydroxybutyrate (BHB) is a ketone body synthesized during fasting or strenuous exercise. Our previous study demonstrated that a cyclic ketogenic diet (KD), which induces BHB levels similar to fasting every other week, reduces midlife mortality and improves memory in aging mice. BHB actively regulates gene expression and inflammatory activation through non-energetic signaling pathways. Neither of these activities has been well-characterized in the brain and they may represent mechanisms by which BHB affects brain function during aging. First, we analyzed hepatic gene expression in an aging KD-treated mouse cohort using bulk RNA-seq. In addition to the downregulation of TOR pathway activity, cyclic KD reduces inflammatory gene expression in the liver. We observed via flow cytometry that KD also modulates age-related systemic T cell functions. Next, we investigated whether BHB affects brain cells transcriptionally in vitro. Gene expression analysis in primary human brain cells (microglia, astrocytes, neurons) using RNA-seq shows that BHB causes a mild level of inflammation in all three cell types. However, BHB inhibits the more pronounced LPS-induced inflammatory gene activation in microglia. Furthermore, we confirmed that BHB similarly reduces LPS-induced inflammation in primary mouse microglia and bone marrow-derived macrophages (BMDMs). BHB is recognized as an inhibitor of histone deacetylase (HDAC), an inhibitor of NLRP3 inflammasome, and an agonist of the GPCR Hcar2. Nevertheless, in microglia, BHB's anti-inflammatory effects are independent of these known mechanisms. Finally, we examined the brain gene expression of 12-month-old male mice fed with one-week and one-year cyclic KD. While a one-week KD increases inflammatory signaling, a one-year cyclic KD reduces neuroinflammation induced by aging. In summary, our findings demonstrate that BHB mitigates the microglial response to inflammatory stimuli, like LPS, possibly leading to decreased chronic inflammation in the brain after long-term KD treatment in aging mice. FAU - Nomura, Mitsunori AU - Nomura M AUID- ORCID: 0000-0002-1811-4917 AD - Buck Institute for Research on Aging, Novato, CA, USA. FAU - Murad, Natalia Faraj AU - Murad NF AD - Buck Institute for Research on Aging, Novato, CA, USA. FAU - Madhavan, Sidharth S AU - Madhavan SS AUID- ORCID: 0000-0001-8163-0917 AD - Buck Institute for Research on Aging, Novato, CA, USA. AD - Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA. FAU - Eap, Brenda AU - Eap B AUID- ORCID: 0000-0001-6457-2436 AD - Buck Institute for Research on Aging, Novato, CA, USA. AD - Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA. FAU - Garcia, Thelma Y AU - Garcia TY AD - Buck Institute for Research on Aging, Novato, CA, USA. FAU - Aguirre, Carlos Galicia AU - Aguirre CG AD - Buck Institute for Research on Aging, Novato, CA, USA. AD - Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA. FAU - Verdin, Eric AU - Verdin E AUID- ORCID: 0000-0003-3703-3183 AD - Buck Institute for Research on Aging, Novato, CA, USA. FAU - Ellerby, Lisa AU - Ellerby L AUID- ORCID: 0000-0002-9050-7977 AD - Buck Institute for Research on Aging, Novato, CA, USA. FAU - Furman, David AU - Furman D AUID- ORCID: 0000-0002-3654-9519 AD - Buck Institute for Research on Aging, Novato, CA, USA. FAU - Newman, John C AU - Newman JC AUID- ORCID: 0000-0002-8455-0100 AD - Buck Institute for Research on Aging, Novato, CA, USA. AD - Division of Geriatrics, University of California, San Francisco, San Francisco, CA, USA. LA - eng GR - R01 AG067333/AG/NIA NIH HHS/United States GR - R01 AG068025/AG/NIA NIH HHS/United States GR - T32 AG000266/AG/NIA NIH HHS/United States GR - T32 AG052374/AG/NIA NIH HHS/United States PT - Preprint DEP - 20231204 PL - United States TA - bioRxiv JT - bioRxiv : the preprint server for biology JID - 101680187 PMC - PMC10723274 OTO - NOTNLM OT - Beta-hydroxybutyrate (BHB) OT - brain OT - inflammaging OT - ketogenic diet COIS- Conflict of Interest J.C.N. and E.V. are co-founders, hold stock, and co-inventors on patents licensed to BHB Therapeutics, Ltd., and Selah Therapeutics Ltd., which develop ketone esters for consumer and therapeutic use. EDAT- 2023/12/18 06:42 MHDA- 2023/12/18 06:43 PMCR- 2023/12/15 CRDT- 2023/12/18 04:34 PHST- 2023/12/18 06:42 [pubmed] PHST- 2023/12/18 06:43 [medline] PHST- 2023/12/18 04:34 [entrez] PHST- 2023/12/15 00:00 [pmc-release] AID - 2023.12.01.569598 [pii] AID - 10.1101/2023.12.01.569598 [doi] PST - epublish SO - bioRxiv [Preprint]. 2023 Dec 4:2023.12.01.569598. doi: 10.1101/2023.12.01.569598.