Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review

Migraine is a prevalent heterogeneous neurological disorder, enumerated as the eighth most disabling neurological disorder by the World Health Organization. The growing advancement in technology and investigation of various facets of cerebral metabolism in migraine has shed light to metabolic mechan...

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Main Authors: Panitda Huynh, Pasquale Calabrese
Format: Article
Language:English
Published: IMR Press 2022-10-01
Series:Journal of Integrative Neuroscience
Subjects:
Online Access:https://www.imrpress.com/journal/JIN/21/6/10.31083/j.jin2106167
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author Panitda Huynh
Pasquale Calabrese
author_facet Panitda Huynh
Pasquale Calabrese
author_sort Panitda Huynh
collection DOAJ
description Migraine is a prevalent heterogeneous neurological disorder, enumerated as the eighth most disabling neurological disorder by the World Health Organization. The growing advancement in technology and investigation of various facets of cerebral metabolism in migraine has shed light to metabolic mechanisms in migraine pathophysiology. A growing number of clinical research postulates migraine as a reaction to oxidative stress levels that go beyond antioxidant capacity or cerebral energy deficiency. This has become an extremely attractive subject area and over the past years there has also been a sustained research activity in using ketone bodies (KB) as a novel potential migraine prophylaxis. Not much epidemiological research has been conducted to exhibit the efficacy of ketone bodies in abnormal metabolism in migraine pathophysiology. Therefore, a better understanding of ketone bodies in metabolic migraine may provide novel therapeutic opportunities. The goal of this review is to assess present understanding on potential migraine triggers, as well as how ketogenic interventions support metabolic disability in migraines and address the therapeutic importance of ketones in migraine treatment, accenting clinical studies (including neuroimaging and therapeutic studies). This review is intended to demonstrate existing literature on the effects of ketone bodies on metabolic migraine traits to guide the readership through current concepts and foster a perspective for future research.
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spelling doaj.art-e5dd77519bfa46e38fb9ca5d4db721672022-12-22T02:54:46ZengIMR PressJournal of Integrative Neuroscience0219-63522022-10-0121616710.31083/j.jin2106167S0219-6352(22)00418-1Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept ReviewPanitda Huynh0Pasquale Calabrese1Neuropsychology and Behavioral Neurology Unit, Faculty of Psychology and Transfacultary Platform Psychiatry and Psychology, University of Basel, 4055 Basel, SwitzerlandNeuropsychology and Behavioral Neurology Unit, Faculty of Psychology and Transfacultary Platform Psychiatry and Psychology, University of Basel, 4055 Basel, SwitzerlandMigraine is a prevalent heterogeneous neurological disorder, enumerated as the eighth most disabling neurological disorder by the World Health Organization. The growing advancement in technology and investigation of various facets of cerebral metabolism in migraine has shed light to metabolic mechanisms in migraine pathophysiology. A growing number of clinical research postulates migraine as a reaction to oxidative stress levels that go beyond antioxidant capacity or cerebral energy deficiency. This has become an extremely attractive subject area and over the past years there has also been a sustained research activity in using ketone bodies (KB) as a novel potential migraine prophylaxis. Not much epidemiological research has been conducted to exhibit the efficacy of ketone bodies in abnormal metabolism in migraine pathophysiology. Therefore, a better understanding of ketone bodies in metabolic migraine may provide novel therapeutic opportunities. The goal of this review is to assess present understanding on potential migraine triggers, as well as how ketogenic interventions support metabolic disability in migraines and address the therapeutic importance of ketones in migraine treatment, accenting clinical studies (including neuroimaging and therapeutic studies). This review is intended to demonstrate existing literature on the effects of ketone bodies on metabolic migraine traits to guide the readership through current concepts and foster a perspective for future research.https://www.imrpress.com/journal/JIN/21/6/10.31083/j.jin2106167attacks frequencycerebral energy metabolismheadacheketosisketone bodiesmigrainemetabolism
spellingShingle Panitda Huynh
Pasquale Calabrese
Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review
Journal of Integrative Neuroscience
attacks frequency
cerebral energy metabolism
headache
ketosis
ketone bodies
migraine
metabolism
title Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review
title_full Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review
title_fullStr Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review
title_full_unstemmed Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review
title_short Pathophysiological Abnormalities in Migraine Ameliorated by Ketosis: A Proof-of-Concept Review
title_sort pathophysiological abnormalities in migraine ameliorated by ketosis a proof of concept review
topic attacks frequency
cerebral energy metabolism
headache
ketosis
ketone bodies
migraine
metabolism
url https://www.imrpress.com/journal/JIN/21/6/10.31083/j.jin2106167
work_keys_str_mv AT panitdahuynh pathophysiologicalabnormalitiesinmigraineamelioratedbyketosisaproofofconceptreview
AT pasqualecalabrese pathophysiologicalabnormalitiesinmigraineamelioratedbyketosisaproofofconceptreview