Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas

Brain tumors account for 20–25% of pediatric cancers. The most frequent type of brain tumor is Glioma from grade I to grade IV according to the rate of malignancy. Current treatments for gliomas use chemotherapy, radiotherapy, tyrosine kinase inhibitors, monoclonal antibodies and surgery, but each o...

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Main Authors: Nicola Cecchi, Roberta Romanelli, Flavia Ricevuti, Marianna Amitrano, Maria Grazia Carbone, Michele Dinardo, Ernesto Burgio
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1222908/full
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author Nicola Cecchi
Roberta Romanelli
Flavia Ricevuti
Marianna Amitrano
Maria Grazia Carbone
Michele Dinardo
Ernesto Burgio
author_facet Nicola Cecchi
Roberta Romanelli
Flavia Ricevuti
Marianna Amitrano
Maria Grazia Carbone
Michele Dinardo
Ernesto Burgio
author_sort Nicola Cecchi
collection DOAJ
description Brain tumors account for 20–25% of pediatric cancers. The most frequent type of brain tumor is Glioma from grade I to grade IV according to the rate of malignancy. Current treatments for gliomas use chemotherapy, radiotherapy, tyrosine kinase inhibitors, monoclonal antibodies and surgery, but each of the treatment strategies has several serious side effects. Therefore, to improve treatment efficacy, it is necessary to tailor therapies to patient and tumor characteristics, using appropriate molecular targets. An increasingly popular strategy is pharmaconutrition, which combines a tailored pharmacological treatment with a diet designed to synergize the effects of drugs. In this review we deal in the molecular mechanisms, the epigenetic effects and modulation of the oxidative stress pathway of ketogenic diets, that underlie its possible role, in the treatment of infantile gliomas, as a complementary approach to conventional cancer therapy.
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spelling doaj.art-3be3f3a15cf8492689be1d9bb0b327332023-08-08T05:47:10ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-08-011010.3389/fnut.2023.12229081222908Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomasNicola Cecchi0Roberta Romanelli1Flavia Ricevuti2Marianna Amitrano3Maria Grazia Carbone4Michele Dinardo5Ernesto Burgio6Clinical Nutrition Unit – A.O.R.N. Santobono-Pausilipon Children’s Hospital, Naples, ItalyClinical Nutrition Unit – A.O.R.N. Santobono-Pausilipon Children’s Hospital, Naples, ItalyClinical Nutrition Unit – A.O.R.N. Santobono-Pausilipon Children’s Hospital, Naples, ItalyDepartment of Translational Medical Science, Section of Pediatrics, University of Naples “Federico II”, Naples, ItalyClinical Nutrition Unit – A.O.R.N. Santobono-Pausilipon Children’s Hospital, Naples, ItalyClinical Nutrition Unit – A.O.R.N. Santobono-Pausilipon Children’s Hospital, Naples, ItalyECERI-European Cancer and Environment Research Institute, Brussels, BelgiumBrain tumors account for 20–25% of pediatric cancers. The most frequent type of brain tumor is Glioma from grade I to grade IV according to the rate of malignancy. Current treatments for gliomas use chemotherapy, radiotherapy, tyrosine kinase inhibitors, monoclonal antibodies and surgery, but each of the treatment strategies has several serious side effects. Therefore, to improve treatment efficacy, it is necessary to tailor therapies to patient and tumor characteristics, using appropriate molecular targets. An increasingly popular strategy is pharmaconutrition, which combines a tailored pharmacological treatment with a diet designed to synergize the effects of drugs. In this review we deal in the molecular mechanisms, the epigenetic effects and modulation of the oxidative stress pathway of ketogenic diets, that underlie its possible role, in the treatment of infantile gliomas, as a complementary approach to conventional cancer therapy.https://www.frontiersin.org/articles/10.3389/fnut.2023.1222908/fullbrain cancerketogenic dietpediatricsgliomaepigenetic
spellingShingle Nicola Cecchi
Roberta Romanelli
Flavia Ricevuti
Marianna Amitrano
Maria Grazia Carbone
Michele Dinardo
Ernesto Burgio
Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas
Frontiers in Nutrition
brain cancer
ketogenic diet
pediatrics
glioma
epigenetic
title Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas
title_full Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas
title_fullStr Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas
title_full_unstemmed Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas
title_short Current knowledges in pharmaconutrition: “Ketogenics” in pediatric gliomas
title_sort current knowledges in pharmaconutrition ketogenics in pediatric gliomas
topic brain cancer
ketogenic diet
pediatrics
glioma
epigenetic
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1222908/full
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