Figure 2
From: Non-ketogenic combination of nutritional strategies provides robust protection against seizures

CD treatment reduces excitatory synaptic transmission. (A) Hippocampal slices prepared from mice fed with KD or CD displayed reduced basal synaptic transmission compared to control SD fed animals (SD controls, n = 14; CD, n = 7; KD, n = 6; p < 0.001). Calibration bars: 10 ms, 0.5 mV. (B) Analysis of blood ketone bodies concentrations revealed a significant increase in both β-hydroxybutyrate (βHB; p < 0.001) and acetoacetate (ACA; p < 0.001) in the KD group only (n = 10). Markers of glycolysis (glucose, p < 0.01; lactate, p < 0.05; pyruvate, p < 0.05) were also significantly reduced in mice supplied with KD, indicating that this diet only induces high level of ketosis. The only change triggered by CD was a significant reduction in lactate (p < 0.05). (C) Analysis of the fibre volley amplitude as a function of stimulation intensity revealed a significant reduction in presynaptic excitability of CD and KD fed mice as compared to controls fed SD (CD: p < 0.001, KD: p < 0.01). (D) CD and KD dietary treatment also resulted in a clear enhancement of paired-pulse facilitation (SD, n = 5; KD, n = 6, p < 0.05; CD, n = 7, p < 0.001), which indicates a decreased probability of release. Example traces show facilitation at 50 ms ISI. Calibration bars: 10 ms, 0.5 mV. (E) The low-affinity competitive antagonist γ-d-glutamylglycine (γ-DGG), at a non-saturating concentration (0.5 mM) at which its potency depends on glutamate concentration decreased neurotransmission to a greater extent in CD and KD fed mice compared to SD controls (SD, n = 9; KD, n = 6, p < 0.001; CD, n = 7, p < 0.05), indicating lower glutamate synaptic concentrations in the KD and CD groups. Calibration bars: 10 ms, 0.5 mV. *p < 0.05, **p < 0.01, ***p < 0.001.