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Ketogenic diet and neuroinflammation : implications for neuroimmunometabolism and therapeutic approaches to refractory epilepsy

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorGuerreiro, Daniela
dc.contributor.authorAlmeida, Anabela
dc.contributor.authorRamalho, Renata
dc.date.accessioned2026-04-07T13:57:39Z
dc.date.available2026-04-07T13:57:39Z
dc.date.issued2024-12
dc.description.abstractRefractory epilepsy, characterized by seizures that do not respond to standard antiseizure medications, remains a significant clinical challenge. The central role of the immune system on the occurrence of epileptic disorders has been long studied, but recent perspectives on immunometabolism and neuroinflammation are reshaping scientific knowledge. The ketogenic diet and its variants have been considered an important medical nutrition therapy for refractory epilepsy and may have a potential modulation effect on the immune system, specifically, on the metabolism of immune cells. In this comprehensive review, we gathered current evidence-based practice, ketogenic diet variants and interventional ongoing clinical trials addressing the role of the ketogenic diet in epilepsy. We also discussed in detail the ketogenic diet metabolism and its anticonvulsant mechanisms, and the potential role of this diet on neuroinflammation and neuroimmunometabolism, highlighting Th17/Treg homeostasis as one of the most interesting aspects of ketogenic diet immune modulation in refractory epilepsy, deserving consideration in future clinical trials.eng
dc.identifier.citationGuerreiro D, Almeida A, Ramalho R. Ketogenic Diet and Neuroinflammation: Implications for Neuroimmunometabolism and Therapeutic Approaches to Refractory Epilepsy. Nutrients. 2024; 16(23):3994. https://doi.org/10.3390/nu16233994
dc.identifier.doi10.3390/nu16233994
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.26/62603
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/nu16233994
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectimmune cells
dc.subjectimmunometabolism
dc.subjectketogenic diet
dc.subjectketone bodies
dc.subjectneuroinflammation
dc.subjectneuroimmunometabolism
dc.subjectrefractory epilepsy
dc.titleKetogenic diet and neuroinflammation : implications for neuroimmunometabolism and therapeutic approaches to refractory epilepsyeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue23
oaire.citation.startPage3994
oaire.citation.titleNutrients
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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