Ketogenic diet and behavior: insights from experimental studies.

As a journal page for full details. The ketogenic diet (KD) has been established as a treatment for epilepsy, but more recently it has been explored as an alternative or add-on therapy for many other diseases ranging from weight loss to neurological disorders. Animal models are widely used in studies investigating the therapeutic effects of the KD as well as underlying mechanisms. Especially in the context of neurological, psychiatric, and neurodevelopmental disorders essential endpoints are assessed by behavioral and motor tests. Here we summarized research evaluating the influence of the KD on cognition, depressive and anxiety-related behaviors, and social and nutritional behaviors of laboratory rodents. Each section contains a brief description of commonly used behavioral tests highlighting their limitations. Ninety original research articles, written in English, performed on mice or rats, providing measurement of blood beta-hydroxybutyrate (BHB) levels and behavioral evaluation were selected for the review. The majority of research performed in various disease models shows that the KD positively impacts cognition. Almost an equal number of studies report a reduction or no effect of the KD on depressive-related behaviors. For anxiety-related behaviors, the majority of studies show no effect. Despite the increasing use of the KD in weight loss and its appetite-reducing properties the behavioral evaluation of appetite regulation has not been addressed in preclinical studies. This review provides an overview of the behavioral effects of nutritional ketosis addressed to a broad audience of scientists interested in the KD field but not necessarily specializing in behavioral tests.

The Influence of Visibility on the Opportunity to Perform Flight Operations with Various Categories of the Instrument Landing System.

Meteorological conditions significantly affect air traffic safety and can also affect a pre-planned flight plan. Difficult meteorological conditions are particularly hazardous during take-off and landing procedures. Still, they can also cause disruptions to air traffic by causing, for example, delays to air traffic or diversion of aircraft to other airports. From the airlines' point of view, such situations are not beneficial if flights are diverted to other airports due to reduced visibility at the airport caused by fog and haze. For flight operations, a popular navigation system with a precision approach is the ILS, which has several categories enabling an approach even in adverse meteorological conditions. However, not every airport has a high-category ILS, and setting up such navigation equipment is lengthy and costly. The main objective of this article is to analyze the impact of meteorological conditions, particularly visibility, on the possibility of performing flight procedures with different ILS categories. The study was designed to quantify the limitations associated with meteorological conditions with specific ILS equipment at a given airport. The research questions for this study include the following: What were the meteorological conditions in terms of visibility? What impact did the visibility parameter have on the performance of landing operations at the airport under study? Can an indication of the probability of stopping landing operations be important in recommendations for scheduling airline flights to avoid delays? Three airports were selected for the analysis: Warsaw Chopin Airport, Warsaw Modlin Mazowiecki Airport, and Krakow John Paul II Airport. The analysis was based on approximately 52,000 METAR dispatches in 2019 and 2022. The research indicated during which periods landing procedures were most frequently halted and calculated such a change with a different category of ILS. For the Kraków Airport, the probability of stopping landing procedures in any month was calculated, along with recommendations for flight schedule planning for this airport. The research results can be used to better plan airline flight schedules, avoiding hours with a high probability of reduced visibility, which may result in rerouting flights to another airport. Long-term low clouds and reduced visibility affect the safety of operations but also cause delays.

Cardiac status and atherosclerotic cardiovascular risk of convalescents after COVID-19 in Poland.

INTRODUCTION: The COVID­19 pandemic brought about cardiac complications and unfavorable lifestyle changes that may increase cardiovascular risk. OBJECTIVES: Our aim was to establish the cardiac status of convalescents several months after COVID­19, and the 10­year risk of fatal and nonfatal atherosclerotic cardiovascular disease (ASCVD) events, according to the Systemic Coronary Risk Estimation­2 (SCORE2) and SCORE2­Older Persons (OP) algorithms. PATIENTS AND METHODS: The study included 553 convalescents (mean [SD] age, 63.5 [10.26] years; 316 [57.1%] women), hospitalized at the Cardiac Rehabilitation Department, Ustron Health Resort, Poland. The history of cardiac complications, exercise capacity, blood pressure control, echocardiography, 24­hour Holter electrocardiogram recording, and laboratory workup were assessed. RESULTS: A total of 20.7% of men and 17.7% of women (P = 0.38) had cardiac complications during acute COVID­19, most often heart failure (10.7%), pulmonary embolism (3.7%), and supraventricular arrhythmias (6.3%). On average, 4 months after COVID­19 diagnosis, echocardiographic abnormalities were found in 16.7% of men and 9.7% of women (P = 0.1), and benign arrhythmias in 45.3% of men and 44% of women (P = 0.84). Preexisting ASCVD was reported in 21.8% of men and 6.1% of women (P <0.001). The median risk assessed by SCORE2/SCORE2­OP algorithms in apparently healthy people was high for the participants aged 40-49 years (3%; interquartile range [IQR], 2%-4%) and 50-69 years (8%; IQR, 5.3%-10%), and very high (20%; IQR, 15.5%-37%) for the participants aged 70 years and above. The SCORE2 risk in men aged over 70 years was higher than in women (P <0.001). CONCLUSIONS: Data collected in the convalescents indicate a relatively small number of cardiac problems that could be associated with a history of COVID­19 in either sex, and a high risk of ASCVD, especially in men.

Running from Stress: Neurobiological Mechanisms of Exercise-Induced Stress Resilience.

Chronic stress, even stress of a moderate intensity related to daily life, is widely acknowledged to be a predisposing or precipitating factor in neuropsychiatric diseases. There is a clear relationship between disturbances induced by stressful stimuli, especially long-lasting stimuli, and cognitive deficits in rodent models of affective disorders. Regular physical activity has a positive effect on the central nervous system (CNS) functions, contributes to an improvement in mood and of cognitive abilities (including memory and learning), and is correlated with an increase in the expression of the neurotrophic factors and markers of synaptic plasticity as well as a reduction in the inflammatory factors. Studies published so far show that the energy challenge caused by physical exercise can affect the CNS by improving cellular bioenergetics, stimulating the processes responsible for the removal of damaged organelles and molecules, and attenuating inflammation processes. Regular physical activity brings another important benefit: increased stress robustness. The evidence from animal studies is that a sedentary lifestyle is associated with stress vulnerability, whereas a physically active lifestyle is associated with stress resilience. Here, we have performed a comprehensive PubMed Search Strategy for accomplishing an exhaustive literature review. In this review, we discuss the findings from experimental studies on the molecular and neurobiological mechanisms underlying the impact of exercise on brain resilience. A thorough understanding of the mechanisms underlying the neuroprotective potential of preconditioning exercise and of the role of exercise in stress resilience, among other things, may open further options for prevention and therapy in the treatment of CNS diseases.

Global Proteome Profiling of the Temporal Cortex of Female Rats Exposed to Chronic Stress and the Western Diet.

The increasing consumption of highly processed foods with high amounts of saturated fatty acids and simple carbohydrates is a major contributor to the burden of overweight and obesity. Additionally, an unhealthy diet in combination with chronic stress exposure is known to be associated with the increased prevalence of central nervous system diseases. In the present study, the global brain proteome approach was applied to explore protein alterations after exposure to the Western diet and/or stress. Female adult rats were fed with the Western diet with human snacks and/or subjected to chronic stress induced by social instability for 12 weeks. The consumption of the Western diet resulted in an obese phenotype and induced changes in the serum metabolic parameters. Consuming the Western diet resulted in changes in only 5.4% of the proteins, whereas 48% of all detected proteins were affected by chronic stress, of which 86.3% were down-regulated due to this exposure to chronic stress. However, feeding with a particular diet modified stress-induced changes in the brain proteome. The down-regulation of proteins involved in axonogenesis and mediating the synaptic clustering of AMPA glutamate receptors (Nptx1), as well as proteins related to metabolic processes (Atp5i, Mrps36, Ndufb4), were identified, while increased expression was detected for proteins involved in the development and differentiation of the CNS (Basp1, Cend1), response to stress, learning and memory (Prrt2), and modulation of synaptic transmission (Ncam1, Prrt2). In summary, global proteome analysis provides information about the impact of the combination of the Western diet and stress exposure on cerebrocortical protein alterations and yields insight into the underlying mechanisms and pathways involved in functional and morphological brain alterations as well as behavioral disturbances described in the literature.

A New Approach to The Synthesis of Polylactide/Polyacrylonitrile Block Copolymers.

As a result of the search for alternatives to the known methods for the synthesis of PLA/vinyl polymer block copolymers, a new approach based on the "iniferter" concept was demonstrated in this article. In this approach, the introduction of a group that was capable of forming radicals and initiating radical polymerization into the polylactide (PLA) chain was conducted. Then, the obtained functional PLA was heated in the presence of a radically polymerizable monomer. The tetraphenylethane (TPE) group was chosen as a group that could dissociate to radicals. PLA with a TPE group in the middle of the chain was prepared in several steps as follows: (1) the synthesis of 4-(2-hydroxyethoxy)benzophenone (HBP-ET); (2) the polymerization of lactide, which was initiated with HBP-ET; and (3) the coupling of HBP-ET chains under UV radiation to form TPE-diET_PLA. A "macroiniferter", i.e., TPE-diET_PLA, was used to initiate the polymerization of acrylonitrile (AN) by heating substrates at 85 °C. 1H and 13C NMR and SEC analyses of the products indicated that the triblock copolymer PLA-PAN-PLA formed and thus confirmed the assumed mechanism of the initiation of AN polymerization, which relied on the addition of the radical that formed from TPE (linked with the PLA chain) to the monomer molecule. Copolymerizations were performed with the application of prepared TPE-diET_PLA with three different Mn's (1400, 2200, and 3300) and with different AN/PLA ratios, producing copolymers with varied compositions, i.e., with AN/LA ratios in the range of 2.3-11.1 and Mn's in the range of 5100-9400. It was shown that the AN/LA ratio in the copolymer was increasable by the applied excess of AN with respect to the PLA macroiniferter in the feed and that more AN monomer was able to be introduced to PLA with shorter chains.

Functionalization of Polylactide with Multiple Tetraphenyethane Inifer Groups to Form PLA Block Copolymers with Vinyl Monomers.

In the present contribution, a new strategy for preparing block copolymers of polylactide (PLA), a bio-derived polymer of increasing importance, is described. The method should lead to multiblock copolymers of lactide with vinyl monomers (VM), i.e., monomers that polymerize according to different mechanisms, and is based on the introduction of multiple "inifer" (INItiator/transFER agent) groups into PLA's structure. As an "inifer" group, tetraphenylethane (TPE, known to easily thermally dissociate to radicals) was incorporated into PLA chains using diisocyanate. PLA that contained TPE groups (PLA-PU) was characterized, and its ability to form initiating radicals was demonstrated by ESR measurements. PLA-PU was used as a "macroinifer" for the polymerization of acrylonitrile and styrene upon moderate heating (85 °C) of the PLA-PU in the presence of monomers. The formation of block copolymers PLA/PVM was confirmed by 1H NMR, DOSY NMR, and FTIR spectroscopies and the SEC method. The prepared copolymers showed only one glass transition in DSC curves with Tg values higher than those of PLA-PU.

Effects of Simultaneous Exposure to a Western Diet and Wheel-Running Training on Brain Energy Metabolism in Female Rats.

BACKGROUND: In the pathogenesis of central nervous system disorders (e.g., neurodegenerative), an important role is attributed to an unhealthy lifestyle affecting brain energy metabolism. Physical activity in the prevention and treatment of lifestyle-related diseases is getting increasing attention. METHODS: We performed a series of assessments in adult female Long Evans rats subjected to 6 weeks of Western diet feeding and wheel-running training. A control group of lean rats was fed with a standard diet. In all experimental groups, we measured physiological parameters (animal weights, body composition, serum metabolic parameters). We assessed the impact of simultaneous exposure to a Western diet and wheel-running on the cerebrocortical protein expression (global proteomic profiling), and in the second part of the experiment, we measured the cortical levels of protein related to brain metabolism (Western blot). RESULTS: Western diet led to an obese phenotype and induced changes in the serum metabolic parameters. Wheel-running did not reduce animal weights or fat mass but significantly decreased serum glucose level. The global proteome analysis revealed that the altered proteins were functionally annotated as they were involved mostly in metabolic pathways. Western blot analysis showed the downregulation of the mitochondrial protein-Acyl-CoA dehydrogenase family member 9, hexokinase 1 (HK1)-enzyme involved in principal glucose metabolism pathways and monocarboxylate transporter 2 (MCT2). Wheel-running reversed this decline in the cortical levels of HK1 and MCT2. CONCLUSION: The cerebrocortical proteome is affected by a combination of physical activity and Western diet in female rats. An analysis of the cortical proteins involved in brain energy metabolism provides a valuable basis for the deeper investigation of changes in the brain structure and function induced by simultaneous exposure to a Western diet and physical activity.

Differential Response of Hippocampal and Cerebrocortical Autophagy and Ketone Body Metabolism to the Ketogenic Diet.

Experimental and clinical data support the neuroprotective properties of the ketogenic diet and ketone bodies, but there is still a lot to discover to comprehensively understand the underlying mechanisms. Autophagy is a key mechanism for maintaining cell homeostasis, and therefore its proper function is necessary for preventing accelerated brain aging and neurodegeneration. Due to many potential interconnections, it is possible that the stimulation of autophagy may be one of the mediators of the neuroprotection afforded by the ketogenic diet. Recent studies point to possible interconnections between ketone body metabolism and autophagy. It has been shown that autophagy is essential for hepatic and renal ketogenesis in starvation. On the other hand, exogenous ketone bodies modulate autophagy both in vitro and in vivo. Many regional differences occur between brain structures which concern i.e., metabolic responses and autophagy dynamics. The aim of the present study was to evaluate the influence of the ketogenic diet on autophagic markers and the ketone body utilizing and transporting proteins in the hippocampus and frontal cortex. C57BL/6N male mice were fed with two ketogenic chows composed of fat of either animal or plant origins for 4 weeks. Markers of autophagosome formation as well as proteins associated with ketolysis (BDH1-3-hydroxybutyrate dehydrogenase 1, SCOT/OXCT1-succinyl CoA:3-oxoacid CoA transferase), ketone transport (MCT1-monocarboxylate transporter 1) and ketogenesis (HMGCL, HMGCS2) were measured. The hippocampus showed a robust response to nutritional ketosis in both changes in the markers of autophagy as well as the levels of ketone body utilizing and transporting proteins, which was also accompanied by increased concentrations of ketone bodies in this brain structure, while subtle changes were observed in the frontal cortex. The magnitude of the effects was dependent on the type of ketogenic diet used, suggesting that plant fats may exert a more profound effect on the orchestrated upregulation of autophagy and ketone body metabolism markers. The study provides a foundation for a deeper understanding of the possible interconnections between autophagy and the neuroprotective efficacy of nutritional ketosis.

Upregulation of hepatic autophagy under nutritional ketosis.

Many of the metabolic effects evoked by the ketogenic diet mimic the actions of fasting and the benefits of the ketogenic diet are often attributed to these similarities. Since fasting is a potent autophagy inductor in vivo and in vitro it has been hypothesized that the ketogenic diet may upregulate autophagy. The aim of the present study was to provide a comprehensive evaluation of the influence of the ketogenic diet on the hepatic autophagy. C57BL/6N male mice were fed with two different ketogenic chows composed of fat of either animal or plant origin for 4 weeks. To gain some insight into the time frame for the induction of autophagy on the ketogenic diet, we performed a short-term experiment in which animals were fed with ketogenic diets for only 24 or 48 h. The results showed that autophagy is upregulated in the livers of animals fed with the ketogenic diet. Moreover, the size of the observed effect was likely dependent on the diet composition. Subsequently, the markers of regulatory pathways that may link ketogenic diet action to autophagy were measured, i.e., the activity of mTORC1, activation of AMPK, and the levels of SIRT1, p53, and FOXO3. Overall, observed treatment-specific effects including the upregulation of SIRT1 and downregulation of FOXO3 and p53. Finally, a GC/MS analysis of the fatty acid composition of animals' livers and the chows was performed in order to obtain an idea about the presence of specific compounds that may shape the effects of ketogenic diets on autophagy.

Metabolic phenotyping in the development personalized nutrition / Fenotypowanie metaboliczne w rozwoju dietetyki spersonalizowanej.

Diet is an important modifiable lifestyle factor affecting the risk of developing of most non-communicable diseases. A properly selected diet protects against the development of many diseases or supports their treatment. Randomized clinical trials have shown that personalized nutrition is more effective than general nutritional advice in terms of changing eating habits and treating obesity. Depending on the degree of diversification of dietary recommendations and their adaptation to the individuals' needs, one can differentiate: stratified, personalized and precise nutrition. Metabolic phenotyping ­ grouping people based on their metabolic characteristics ­ is a relatively new research field which may have a great value in the development of personalized nutrition. Many studies have shown that people with different metabotypes react differently to a diet or specific nutritional interventions. This article reviews current studies regarding the possibility of using the metabolic phenotyping in stratified and personalized nutrition. The article presents methods for creating metabolic phenotypes, diagnostic and prognostic research involving metabotyping and research that use metabotyping for the delivery of targeted dietary advice conducted so far.

Risk of cadmium, lead and zinc exposure from consumption of vegetables produced in areas with mining and smelting past.

The study reveals links between disturbed geochemical environment being the result of mining and smelting activities with consumers exposure to toxic and carcinogenic metallic trace elements (MTEs). This study focused on evaluation on vegetable and soil pollution in family allotment gardens (FAGs), considering in the aspects of consumer exposure to cadmium, lead and zinc. Study material consisted of 219 soil samples from FAGs located in one of the most polluted areas in Poland, and 64 samples of edible plants. Contents of analyzed MTEs in topsoil in the studied area were spatially diversified and depended primarily on the location of industrial pollution sources. The average content of cadmium (0.52 mg kg-1 fresh weight) and lead (0.57 mg kg-1 fresh weight) in vegetables exceeded maximum permissible concentrations according to the European Quality Standards. Human health risk assessment was based on three scenarios of dietary exposure to cadmium, lead and zinc. In every scenario the highest average daily dose for all three elements was estimated for potatoes which are one of the main components of Poles' diet. Presented study showed that consumption of vegetables cultivated in FAGs located in Silesia Province may pose a significant health risk for their consumers.

Risk factors of tympanoplasties in long-term observation.

OBJECTIVES: The aim of the study was to evaluate risk factors influencing the results of tympanoplasties on the base of material taken from the Department of Otolaryngology and Laryngological Oncology Collegium Medicum of Nicolaus Copernicus University in Bydgoszcz between 2004-2009. In this period 98 operations were done. The time from operation to hearing examination was 3 to 7 years, mean 5,43. Tympanoplastic operation were divided according to Tos classification. Measuring hearing results, tonal audiometry was done and mean air bone gap on four frequencies was assesed (500, 1000, 2000, 3000 Hz), according to AAO-HNS guidelines (1995). This parameter was compared between groups separated according to risk factors, that could potentially affect the results. Those risk factors were: disfunction of the Eustechian tube, localisation and size of the perforation of the tympanic membrane, damage of the ossicles, the state of the mastoid process, the number of operations, the presence of the cholesteatoma or granulating tissue, chronic otitis media in the opposite ear, smoking cigarettes, mastoidectomy, canal wall down technique. The results were analysed using statistical test. RESULTS: The most impotant risk factor affecting treatment's results (besides discharge from the ear) is damage of the ossicles, especially the malleus and stapes. Well done operation ensures good hearing results irrespectively of the presence of cholesteatoma or granulating tissue, and also in case of reoperation. For all types of tympanoplasties neither the localisation, nor the size of perforation do not influence on hearing results in long term observation.

Repellent Effect of Volatile Fatty Acids on Lesser Mealworm (Alphitobius diaperinus).

Volatile fatty acids (VFAs) are a group of common metabolites and semiochemicals mediating information transfer between higher organisms and bacteria, either from microbiome or external environment. VFAs commonly occur among various insect orders. There are numerous studies exploring their influence on the behavior of different insect species. In relation to the papers published by J. E. McFarlane in 1985, we assessed the effects of formic, acetic, propionic, butyric and valeric acids on the spatial preference of the lesser mealworm (Alphitobius diaperinus), a common pest of stored food grain products and the poultry industry. The main aim of the presented study was to provide new angles in VFA research, recreating the classical study both with new methods and on economically significant pest species. This paper presents a novel method of continuous, simultaneous assessment of site preference and the travelled distance in a constant-flow olfactometer. All the tested VFAs, except valeric acid, had a significant repellent effect, with formic acid being effective even at the lowest used concentration. Additionally, the VFAs significantly altered the distance travelled by the insects. The obtained results indicate a potential role for VFAs in the olfactory guided behavior of A. diaperinus. It is suspected that the reaction to the presence of VFAs may deviate from the specificity of species' original habitat.