MCT and beta-hydroxybutirate protect cognitive and synaptic functions


Medium-Chain Fatty Acids Improve Cognitive Function and Support In Vitro Synaptic Transmission During Acute Hypoglycemia (1)

The brain can use alternative fuels such as monocarboxylic acids, lactate, and ketones to maintain energy homeostasis (2-8). Fasting or hypoglycemia causes adaptive changes in the brain, including an enhanced ability to utilize alternative fuels. The work conducted by joined teams from Yale School of Medicine, State University of New York, Winthrop University Hospital, Long Island, Department of Psychology, State University of New York, and University at Albany studied how alternative energy substrates influenced cognitive and synaptic functions disturbed by hypoglycemia.

Impaired verbal memory, digit symbol coding, digit span backwards, and map searching was observed during insulin-induced hypoglycemia. Medium-chain triglycerides given in a drink produced higher free fatty acids and beta-hydroxybutyrate levels and returned cognitive performance to normal levels without adversely affecting adrenergic or symptomatic responses to hypoglycemia.

1. Diabetes 58:1237–1244, 2009
2. Hasselbalch SG, Knudsen GM, Jakobsen J, Hageman LP, Holm S, Paulson
OB. Brain metabolism during short-term starvation in humans. J Cereb
Blood Flow Metab 1994;14:125–131
3. Maran A, Cranston I, Lomas J, Macdonald I, Amiel SA. Protection by
lactate of cerebral function during hypoglycaemia. Lancet 1994;343:16–20
4. Veneman T, Mitrakou A, Mokan M, Cryer P, Gerich J. Effect of hyperketonemia
and hyperlacticacidemia on symptoms, cognitive dysfunction,
and counterregulatory hormone responses during hypoglycemia in normal
humans. Diabetes 1994;43:1311–1317
5. Amiel SA, Archibald HR, Chusney G, Williams AJ, Gale EA. Ketone infusion
lowers hormonal responses to hypoglycaemia: evidence for acute cerebral
utilization of a non-glucose fuel. Clin Sci (Lond) 1991;81:189–194
6. Hawkins RA, Williamson DH, Krebs HA. Ketone-body utilization by adult
and suckling rat brain in vivo. Biochem J 1971;122:13–18
7. Pan JW, Rothman TL, Behar KL, Stein DT, Hetherington HP. Human brain
beta-hydroxybutyrate and lactate increase in fasting-induced ketosis.
J Cereb Blood Flow Metab 2000;20:1502–1507
8. Mason GF, Petersen KF, Lebon V, Rothman DL, Shulman GI. Increased
brain monocarboxylic acid transport and utilization in type 1 diabetes.
Diabetes 2006;55:929–934


Neuronal activity in vitro and the in vivo reality

In the brain, neuronal electrical activity and intricate metabolic energy provisions are closely related. Although both functions have been painstakingly researched by electrophysiologists and biochemists, insufficient interaction between the two domains leads to difficulty in extrapolating the properties observed in the in vitro studies to the properties of the whole in vivo brain. In this paper, we hope to clarify the relationships between neuronal energy status and neuronal electrical function.

“A man with his head is something much more then a man’s body plus his separate head” – J. Miller (1965)

Whole is equal to more than the sum of its parts (on some interdisciplinary methodological problems)

In the history of life sciences, perhaps beginning with Aristotle’s time, reductionism prevailed leaving the opposite philosophical approach, holism, outside scientific paradigm. Reductionism and reductionists are concerned with at least two dominant themes: a) the interactions between different domains of knowledge; b) the place of a part in the whole (1). (more…)

Studies of GABA action: in vivo, in toto, and in vitro

On discrepancies of data from experiments on brain slices, in toto, and in vivo

Let's start with the fundamental differences between environments depending on the types of experiments.

(See Commentary: Excitatory GABA: “Maybe It’s Not So Exciting After All!”)

neuroscience, brain energy homeostasis, set point, control system, in vivo, in vitro

Brain energy homeostasis versus energy supply in the brain slice preparation.

A. Energy homeostasis of the brain serves to meet brain’s energy needs in spite of environmental and metabolic disturbances. It continuously compares the correlates of energy requirements (SET POINT) with the actual energy supply (OUTPUT) through the negative feedback loop sending information about OUTPUT to the brain metabolic sensors. When the difference between SET POINT and OUTPUT exceeds certain value, a correction signal is sent to the control centers responsible for the initiation of the executive systems. The goal of executive system is fixing the consequences of disturbances. As the result, within the homeostatic margins, the required and actual energy supplies are maintained close to each other.

B. Brain slice is lacking all mandatory elements of a homeostatic system receiving instead a constant and arbitrary energy supply, which is independent of both qualitative and quantitative needs of cells.

C. When brain structures are preserved as in the in toto preparation  (not shown on the figure), there’s the possibility that energy substrates can come from the glial depots (1, 2)

As an example, let’s consider these four situations with GABA action:

1. In vitro (brain slice) using standard ACSF (footnote a)

GABA is consistently reported to be excitatory in the neonatal brain slices (e.g., 3 for review)

2. In vitro (neonatal’s brain slice) using energy substrate-fortified ACSF

GABA is inhibitory  (4, 5)

3. In toto, hippocampus (footnote b) preparation

In the intact neonatal hippocampus preparation, standard ACSF, intensive oxygenation (!), GABA is inhibitory (6, 7, 8 )

4. In vivo (neonates)

GABA is inhibitory in the normal neonates (9, 10,11) but it is much less inhibitory during chemical blockade of ketone’s production (blockade of ketogenesis) (9).

Sources

Sources:
1.
The astrocyte–neuron ketone body shuttle
http://brainfuels.com/category/theories/astrocyte–neuron-ketone-shuttle/
2.
The astrocyte–neuron lactate shuttle
http://brainfuels.com/category/theories/astrocyte–neuron-lactate-shuttle/
3.
Ben-Ari, Y., et al. (2007) GABA: a pioneer transmitter that excites
immature
neurons and generates primitive oscillations. Physiol Rev 87, 1215-
1284
4.
Rheims, S., et al. (2009) GABA action in immature neocortical neurons
directly
depends on the availability of ketone bodies. J Neurochem 110, 1330-
1338
5.
Holmgren CD, et. al., (2010) Energy substrate availability as a
determinant of neuronal resting potential, GABA signaling and
spontaneous network activity in the neonatal cortex in vitro. J
Neurochem. Feb;112(4):900-12. Epub 2009 Nov 24.
6.
Wong, T., et al. (2005) Postnatal development of intrinsic GABAergic
rhythms
in mouse hippocampus. Neuroscience 134, 107-120
7.
Derchansky, M., et al. (2008) Transition to seizures in the isolated
immature
mouse hippocampus: a switch from dominant phasic inhibition to
dominant
phasic excitation. J Physiol 586, 477-494
8.
S. RHEIMS. THESE DE DOCTORAT. Pour obtenir le grade de DOCTEUR DE
L’UNIVERSITE AIX MARSEILLE II. Spécialité : neurosciences. Le 31
octobre 2008

1. The astrocyte–neuron ketone body shuttle

2. The astrocyte–neuron lactate shuttle

3. Ben-Ari, Y., et al. (2007) GABA: a pioneer transmitter that
excites immature neurons and generates primitive oscillations. Physiol
Rev 87, 1215-1284

4. Rheims, S., et al. (2009) GABA action in immature neocortical
neurons directly depends on the availability of ketone bodies. J
Neurochem 110, 1330-1338

5. Holmgren CD, et. al., (2010) Energy substrate availability as a
determinant of neuronal resting potential, GABA signaling and
spontaneous network activity in the neonatal cortex in vitro. J
Neurochem. Feb;112(4):900-12. Epub 2009 Nov 24.

6. Wong, T., et al. (2005) Postnatal development of intrinsic
GABAergic rhythms in mouse hippocampus. Neuroscience 134, 107-120

7. Derchansky, M., et al. (2008) Transition to seizures in the
isolated immature mouse hippocampus: a switch from dominant phasic
inhibition to dominant phasic excitation. J Physiol 586, 477-494

8. Dzhala V et. al., Progressive NKCC1-Dependent Neuronal Chloride Accumulation during Neonatal Seizures The Journal of Neuroscience, (2010) 30(35):11745–11761 • 11745

9. Rheims S., PhD thesis, Universite de la Mediterranee, 2008

10. Bremner L, Fitzgerald M & Baccei M. (2006). Functional GABAA-Receptor-Mediated Inhibition in the Neonatal Dorsal Horn. J Neurophysiol 95, 3893-389

Footnotes

a) ACSF – artificial cerebrospinal fluid (CSF). This solution closely matches the electrolyte concentrations of CSF – A Harvard Bioscience Company

b) Hippocampus – a complex neural structure shaped like a sea horse, has a central role in the formation of memories


The Selfish Brain Theory

The unique position of the brain as a body organ is characterized by:

1. its chemical isolation from the rest of the body by the blood-bran barrier
2. its high energy consumption: though weighing as little as 2% of the body mass the brain consumes above 20% of all available energy
3. its low energy depot capacity,
4. its energy substrate selectivity,
5. its plasticity – ability to adjust reactions to circumstances and learn how to anticipate the consequences,
6. its ability to record information from both peripheral organs and its own environment.
So how these peculiarities of the brain’s energy demands are being satisfied by the entire organism and how do they influence the way organism works?

Researchers from University of Luebeck and Universite de Lausanne proposed a new framework for describing the regulation of energy flow in the organism. In the article “The selfish brain: competition for energy resources” they wrote:

“The brain prioritizes adjustment of its own ATP concentration. For this reason it activates its stress system and in so doing competes for energy resources with the rest of the organism (allocation). The brain then alters the appetite (food intake) so that it can alleviate the stress system and return it to a state of rest.”

Important points of the process of restoration of homeostatic balancing of energy supply are the following:

  1. When there’s a shortage of of glucose-based energy supply in the body, glucose allocation to the brain is provided anyway, even if the rest of the body is energy-starving.
  2. Alternative substrates than can provide a portion of the brains energy supply, such as ketones, lead to a “disburdening” of the regulatory system.
  3. This “disburdening” of the regulatory system works through ketogenesis, to ensure which the lipolysis starts leading to body mass reduction.
  4. Replenishment of the stores can be later possible due to glucose allocation to the muscle and adipose tissue leading to normalization of body mass.
  5. Return of the system of glucose sensors (in hypothalamus) in the brain to a state of balance (setpoint).


 

 

 

 

Source: Neuroscience and Biobehavioral Reviews 28 (2004) 143-180

Exceptional energy demands of the brain and energy substrates

  • In addition to glucose, other substrates must be considered along with fuel interactions, metabolic challenges, and cerebral maturation. (1)
  • Ketone bodies are major metabolic fuels of the brain of the suckling rat under normal conditions. (2)
  • Ketone bodies can represent about 30–70% of the total energy metabolism balance of the immature rat brain.(3)
  • Lactate is an important metabolic substrate for the brain…and plays a crucial role in brain development… Once the onset of suckling takes place, however, ketone bodies become the major fuel for brain development.(4)
  • 70% of the cerebral metabolic requirements were met by lactate in animals aged 6 days. At 15 days of age, glucose, 3-hydroxybutyrate, and lactate supply 58%, 19%, and 23% of the brain’s fuel requirement, respectively.(5)

Sources:
1. Prins, M. L. (2008) J Cereb Blood Flow Metab, 28, 1-16.
2. Hawkins, R. A., Williamson, D. H. and Krebs, H. A. (1971) Biochem J, 122, 13-18.
3. Nehlig, A. (2004) Prostaglandins Leukot Essent Fatty Acids, 70, 265-275.
4. Medina, J. M. and Tabernero, A. (2005) J Neurosci Res, 79, 2-10.
5. Dombrowski, G. J., Jr., Swiatek, K. R. and Chao, K. L. (1989) Neurochem Res, 14, 667-675.
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