Document Detail


Ketogenic diet slows down mitochondrial myopathy progression in mice.
MedLine Citation:
PMID:  20167576     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mitochondrial dysfunction is a major cause of neurodegenerative and neuromuscular diseases of adult age and of multisystem disorders of childhood. However, no effective treatment exists for these progressive disorders. Cell culture studies suggested that ketogenic diet (KD), with low glucose and high fat content, could select against cells or mitochondria with mutant mitochondrial DNA (mtDNA), but proper patient trials are still lacking. We studied here the transgenic Deletor mouse, a disease model for progressive late-onset mitochondrial myopathy, accumulating mtDNA deletions during aging and manifesting subtle progressive respiratory chain (RC) deficiency. We found that these mice have widespread lipidomic and metabolite changes, including abnormal plasma phospholipid and free amino acid levels and ketone body production. We treated these mice with pre-symptomatic long-term and post-symptomatic shorter term KD. The effects of the diet for disease progression were followed by morphological, metabolomic and lipidomic tools. We show here that the diet decreased the amount of cytochrome c oxidase negative muscle fibers, a key feature in mitochondrial RC deficiencies, and prevented completely the formation of the mitochondrial ultrastructural abnormalities in the muscle. Furthermore, most of the metabolic and lipidomic changes were cured by the diet to wild-type levels. The diet did not, however, significantly affect the mtDNA quality or quantity, but rather induced mitochondrial biogenesis and restored liver lipid levels. Our results show that mitochondrial myopathy induces widespread metabolic changes, and that KD can slow down progression of the disease in mice. These results suggest that KD may be useful for mitochondrial late-onset myopathies.
Authors:
Sofia Ahola-Erkkilä; Christopher J Carroll; Katja Peltola-Mjösund; Valtteri Tulkki; Ismo Mattila; Tuulikki Seppänen-Laakso; Matej Oresic; Henna Tyynismaa; Anu Suomalainen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-02-17
Journal Detail:
Title:  Human molecular genetics     Volume:  19     ISSN:  1460-2083     ISO Abbreviation:  Hum. Mol. Genet.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-29     Completed Date:  2010-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9208958     Medline TA:  Hum Mol Genet     Country:  England    
Other Details:
Languages:  eng     Pagination:  1974-84     Citation Subset:  IM    
Affiliation:
Research Program of Molecular Neurology, Biomedicum-Helsinki, University of Helsinki, Helsinki 00290, Finland.
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MeSH Terms
Descriptor/Qualifier:
Animals
DNA, Mitochondrial / genetics
Disease Progression*
Electron Transport Complex IV / metabolism
Female
Gene Dosage / genetics
Ketogenic Diet*
Lipid Metabolism / genetics
Liver / pathology
Male
Metabolomics
Mice
Mice, Inbred C57BL
Mice, Transgenic
Mitochondria / enzymology,  ultrastructure
Mitochondrial Myopathies / prevention & control*
Muscle Fibers, Skeletal / enzymology,  pathology,  ultrastructure
Obesity / pathology
Phenotype
Sequence Deletion / genetics
Chemical
Reg. No./Substance:
0/DNA, Mitochondrial; EC 1.9.3.1/Electron Transport Complex IV

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