Ketone Utilization Brain refers to the neurological process where the central nervous system derives a significant portion of its energy from ketone bodies, specifically beta-hydroxybutyrate and acetoacetate, instead of relying solely on glucose. This metabolic state is achieved during periods of carbohydrate restriction or fasting, and it offers an alternative, highly efficient fuel source for neurons. Enhanced ketone utilization is associated with improved cognitive performance and neuroprotection.
Origin
This concept is rooted in neuroenergetics and nutritional biochemistry, recognizing that the brain, while primarily a glucose consumer, can adapt to use fat-derived substrates. The ‘Ketone Utilization’ aspect highlights the brain’s metabolic plasticity, a key area of research in neurodegenerative disease. It is a fundamental physiological mechanism leveraged in certain therapeutic diets.
Mechanism
The mechanism involves the liver producing ketone bodies from fatty acids via ketogenesis, which are then transported across the blood-brain barrier via monocarboxylate transporters (MCTs). Once inside the neurons and glial cells, ketones are converted back to acetyl-CoA through a series of enzymatic steps, which then enters the Krebs cycle for ATP generation. This alternative fuel pathway bypasses potential glucose transport or utilization impairments, providing a stable energy supply for demanding neuronal processes.
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