Beta-hydroxybutyrate alters GABA-transaminase activity in cultured astrocytes

Brain Res. 2009 May 1:1268:17-23. doi: 10.1016/j.brainres.2009.02.074. Epub 2009 Mar 11.

Abstract

The ketogenic diet has long been recognized as an effective treatment for medically refractory epilepsy. Despite nearly a century of use, the mechanisms underlying its clinical efficacy remain unknown. One of the proposed hypotheses for its anti-epileptic actions involves increased GABA concentration in the brain due to ketone bodies that become elevated with a ketogenic diet. In recent years, the notion that astrocytes could play a role in the evolution of abnormal cortical excitability in chronic neurological disorders, such as epilepsy, has received renewed attention. The present study examined the effects of beta-hydroxybutyrate, a ketone body, on GABA metabolism in rat primary cultured astrocytes. When beta-hydroxybutyrate was added to culture medium, GABA-transaminase (GABA-T) mRNA expression was significantly suppressed in time- and dose-dependent manners. GABA-T enzymatic activity in beta-hydroxybutyrate-treated astrocytes was also suppressed, in accordance with its gene expression. These effects were evident after 3 days of culture, which might coincide with depleted intracellular glycogen. GABA transporter, GAT-1, gene expression was strongly suppressed in cultured astrocytes after 5 days of culture with beta-hydroxybutyrate, although other type of GABA transporters did not display significant changes. These results suggest that beta-hydroxybutyrate induced by ketogenic diet may increase GABA concentration in the epileptic brain by suppressing astrocytic GABA degradation, leading to antiepileptic effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3-Hydroxybutyric Acid / metabolism*
  • 3-Hydroxybutyric Acid / pharmacology*
  • 4-Aminobutyrate Transaminase / metabolism*
  • Analysis of Variance
  • Animals
  • Astrocytes / drug effects
  • Astrocytes / enzymology*
  • Butyric Acid / metabolism
  • Cell Survival / physiology
  • Cells, Cultured
  • GABA Plasma Membrane Transport Proteins / metabolism
  • Gene Expression
  • Glucose / metabolism
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Wistar
  • Reverse Transcriptase Polymerase Chain Reaction
  • Time Factors
  • gamma-Aminobutyric Acid / metabolism

Substances

  • GABA Plasma Membrane Transport Proteins
  • RNA, Messenger
  • Slc6a1 protein, rat
  • Butyric Acid
  • gamma-Aminobutyric Acid
  • 4-Aminobutyrate Transaminase
  • Glucose
  • 3-Hydroxybutyric Acid