Fig. 6: A biochemical model of pathways supporting Synaptic Plasticity.

Glutamatergic receptors (AMPA and NMDA), intracellular Ca2+, and TrkB activity stimulate the phosphorylation of ERK and CaMKII, which subsequently enhance the phosphorylation of CREB. Activation of CREB regulates gene expression necessary for the formation of long-term memory, including BDNF. A ketogenic diet increases the phosphorylation of the ERK/CREB pathway, increasing BDNF production and synaptic plasticity.