The ketogenic diet for the treatment of malignant glioma

Advances in our understanding of glioma biology has led to an increase in targeted therapies in preclinical and clinical trials; however, cellular heterogeneity often precludes the targeted molecules from being found on all glioma cells, thus reducing the efficacy of these treatments. In contrast, o...

Full description

Bibliographic Details
Main Authors: Eric C. Woolf, Adrienne C. Scheck
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520356352
_version_ 1818386417387044864
author Eric C. Woolf
Adrienne C. Scheck
author_facet Eric C. Woolf
Adrienne C. Scheck
author_sort Eric C. Woolf
collection DOAJ
description Advances in our understanding of glioma biology has led to an increase in targeted therapies in preclinical and clinical trials; however, cellular heterogeneity often precludes the targeted molecules from being found on all glioma cells, thus reducing the efficacy of these treatments. In contrast, one trait shared by virtually all tumor cells is altered (dysregulated) metabolism. Tumor cells have an increased reliance on glucose, suggesting that treatments affecting cellular metabolism may be an effective method to improve current therapies. Indeed, metabolism has been a focus of cancer research in the last few years, as many pathways long associated with tumor growth have been found to intersect metabolic pathways in the cell. The ketogenic diet (high fat, low carbohydrate and protein), caloric restriction, and fasting all cause a metabolic change, specifically, a reduction in blood glucose and an increase in blood ketones. We, and others, have demonstrated that these metabolic changes improve survival in animal models of malignant gliomas and can potentiate the anti-tumor effect of chemotherapies and radiation treatment. In this review we discuss the use of metabolic alteration for the treatment of malignant brain tumors.
first_indexed 2024-12-14T03:53:43Z
format Article
id doaj.art-30d0c94f92bc4207909efbd26c5160ff
institution Directory Open Access Journal
issn 0022-2275
language English
last_indexed 2024-12-14T03:53:43Z
publishDate 2015-01-01
publisher Elsevier
record_format Article
series Journal of Lipid Research
spelling doaj.art-30d0c94f92bc4207909efbd26c5160ff2022-12-21T23:18:09ZengElsevierJournal of Lipid Research0022-22752015-01-01561510The ketogenic diet for the treatment of malignant gliomaEric C. Woolf0Adrienne C. Scheck1Neuro-Oncology Research, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013To whom correspondence should be addressed; Neuro-Oncology Research, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013Advances in our understanding of glioma biology has led to an increase in targeted therapies in preclinical and clinical trials; however, cellular heterogeneity often precludes the targeted molecules from being found on all glioma cells, thus reducing the efficacy of these treatments. In contrast, one trait shared by virtually all tumor cells is altered (dysregulated) metabolism. Tumor cells have an increased reliance on glucose, suggesting that treatments affecting cellular metabolism may be an effective method to improve current therapies. Indeed, metabolism has been a focus of cancer research in the last few years, as many pathways long associated with tumor growth have been found to intersect metabolic pathways in the cell. The ketogenic diet (high fat, low carbohydrate and protein), caloric restriction, and fasting all cause a metabolic change, specifically, a reduction in blood glucose and an increase in blood ketones. We, and others, have demonstrated that these metabolic changes improve survival in animal models of malignant gliomas and can potentiate the anti-tumor effect of chemotherapies and radiation treatment. In this review we discuss the use of metabolic alteration for the treatment of malignant brain tumors.http://www.sciencedirect.com/science/article/pii/S0022227520356352metabolismcancerbrain tumorketonestherapycaloric restriction
spellingShingle Eric C. Woolf
Adrienne C. Scheck
The ketogenic diet for the treatment of malignant glioma
Journal of Lipid Research
metabolism
cancer
brain tumor
ketones
therapy
caloric restriction
title The ketogenic diet for the treatment of malignant glioma
title_full The ketogenic diet for the treatment of malignant glioma
title_fullStr The ketogenic diet for the treatment of malignant glioma
title_full_unstemmed The ketogenic diet for the treatment of malignant glioma
title_short The ketogenic diet for the treatment of malignant glioma
title_sort ketogenic diet for the treatment of malignant glioma
topic metabolism
cancer
brain tumor
ketones
therapy
caloric restriction
url http://www.sciencedirect.com/science/article/pii/S0022227520356352
work_keys_str_mv AT ericcwoolf theketogenicdietforthetreatmentofmalignantglioma
AT adriennecscheck theketogenicdietforthetreatmentofmalignantglioma
AT ericcwoolf ketogenicdietforthetreatmentofmalignantglioma
AT adriennecscheck ketogenicdietforthetreatmentofmalignantglioma