Document Detail

A gestational ketogenic diet alters maternal metabolic status as well as offspring physiological growth and brain structure in the neonatal mouse.
MedLine Citation:
PMID:  24168053     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of the ketogenic diet (KD) among women of child-bearing age has been increasing, leading to increased interest in identifying the diet's suitability during gestation. To date, no studies have thoroughly investigated the effect of a gestational KD on offspring growth. Since ketones have been reported to play a role in cerebral lipid and myelin synthesis, it is particularly important to investigate the diet's impact on brain anatomy of the offspring.
METHODS: To fill this knowledge gap we imaged CD-1 mouse neonates whose mothers were fed either a standard diet (SD) or a KD prior to and during gestation. Images were collected at postnatal (P) 11.5 and 21.5 using Magnetic Resonance Imaging (MRI). Maternal metabolic status was also tracked during lactation, by following their body weight, blood glucose, ketone, cholesterol, and triglyceride concentrations.
RESULTS: The KD dams exhibit a significant reduction in maternal fertility and litter size, as well as a high risk of developing fatal ketoacidosis by mid-lactation. To increase survival of the KD dams and offspring, fostering of P2.5 pups (from both KD and SD litters) by SD-foster dams was carried out. This resulted in stabilization of blood ketones of the KD dams, and aversion of the fatal ketoacidosis. We also note a slower and smaller weight loss for the KD compared with the SD dams. The average fostered KD pup exhibits retarded growth by P21.5 compared with the average fostered SD pup. An anatomical comparison of their brains further revealed significant structural differences at P11.5, and particularly at P21.5. The KD brain shows a relative bilateral decrease in the cortex, fimbria, hippocampus, corpus callosum and lateral ventricle, but a relative volumetric enlargement of the hypothalamus and medulla.
CONCLUSION: A gestational ketogenic diet deleteriously affects maternal fertility and increases susceptibility to fatal ketoacidosis during lactation. Prenatal and early postnatal exposure to a ketogenic diet also results in significant alterations to neonatal brain structure, and results in retarded physiological growth. These alterations could be accompanied by functional and behavioural changes in later postnatal life.
Dafna Sussman; Jacob Ellegood; Mark Henkelman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-10-29
Journal Detail:
Title:  BMC pregnancy and childbirth     Volume:  13     ISSN:  1471-2393     ISO Abbreviation:  BMC Pregnancy Childbirth     Publication Date:  2013  
Date Detail:
Created Date:  2014-01-17     Completed Date:  2014-07-31     Revised Date:  2014-11-15    
Medline Journal Info:
Nlm Unique ID:  100967799     Medline TA:  BMC Pregnancy Childbirth     Country:  England    
Other Details:
Languages:  eng     Pagination:  198     Citation Subset:  IM    
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MeSH Terms
Animals, Newborn / growth & development*
Blood Glucose / metabolism
Body Weight
Brain / anatomy & histology*
Cholesterol / blood
Ketogenic Diet / adverse effects*
Ketones / blood
Ketosis / etiology
Litter Size
Magnetic Resonance Imaging
Prenatal Exposure Delayed Effects / physiopathology*
Random Allocation
Triglycerides / blood
Reg. No./Substance:
0/Blood Glucose; 0/Ketones; 0/Triglycerides; 97C5T2UQ7J/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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