Neural Fuel Preference describes the brain’s primary choice of metabolic substrate for generating ATP, which is necessary to power its high rate of electrical and signaling activity. While glucose is the default fuel, a flexible and healthy brain can shift its preference to alternative substrates, most notably ketone bodies, under specific metabolic conditions. This preference is a key determinant of cognitive endurance and resilience.
Origin
This concept is derived from neuroenergetics and clinical metabolism, recognizing that the brain’s energy demands are continuous and critical to survival. The study of metabolic flexibility in the brain, particularly in conditions like fasting or ketogenic states, led to the recognition of this adaptive preference. It is a vital area of research for neurodegenerative disease prevention.
Mechanism
The brain expresses transporters for both glucose (GLUT) and ketone bodies (MCTs). When circulating ketone levels rise, the expression and activity of MCT transporters increase, facilitating ketone uptake into the central nervous system. This preferential shift is beneficial because ketones provide a more stable and efficient energy source, potentially reducing oxidative stress compared to high-rate glucose metabolism, thereby enhancing cognitive function.
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