The dynamic, regulated process by which the brain alternates between and efficiently utilizes its primary metabolic substrates, mainly glucose and ketone bodies, to ensure a continuous and stable supply of ATP for neuronal activity. This cycling capability is a hallmark of metabolic flexibility in the central nervous system, allowing for adaptation to varying nutritional states, such as fasting or carbohydrate restriction. Optimized fuel cycling is clinically associated with sustained mental clarity and protection against energy deficits.
Origin
This term is a specialized construct within neuro-metabolism, derived from the understanding of how nutritional state influences brain biochemistry and function. The concept gained clinical prominence with the therapeutic use of ketogenic diets, demonstrating the brain’s capacity to switch from its default glucose-dependent state. It bridges endocrinology, which governs insulin and glucagon, with neurobiology, which governs neuronal energy demands.
Mechanism
The shift in fuel preference is hormonally and enzymatically controlled. Reduced insulin signaling and increased glucagon during fasting or carbohydrate restriction promote hepatic ketogenesis. The resulting ketone bodies, primarily beta-hydroxybutyrate, are transported across the blood-brain barrier via monocarboxylate transporters (MCTs) and then efficiently converted into acetyl-CoA for entry into the neuronal Krebs cycle, effectively bypassing glucose metabolism for energy production.
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