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Publication : Ketogenic diet induces p53-dependent cellular senescence in multiple organs.

First Author  Wei SJ Year  2024
Journal  Sci Adv Volume  10
Issue  20 Pages  eado1463
PubMed ID  38758782 Mgi Jnum  J:349425
Mgi Id  MGI:7642514 Doi  10.1126/sciadv.ado1463
Citation  Wei SJ, et al. (2024) Ketogenic diet induces p53-dependent cellular senescence in multiple organs. Sci Adv 10(20):eado1463
abstractText  A ketogenic diet (KD) is a high-fat, low-carbohydrate diet that leads to the generation of ketones. While KDs improve certain health conditions and are popular for weight loss, detrimental effects have also been reported. Here, we show mice on two different KDs and, at different ages, induce cellular senescence in multiple organs, including the heart and kidney. This effect is mediated through adenosine monophosphate-activated protein kinase (AMPK) and inactivation of mouse double minute 2 (MDM2) by caspase-2, leading to p53 accumulation and p21 induction. This was established using p53 and caspase-2 knockout mice and inhibitors to AMPK, p21, and caspase-2. In addition, senescence-associated secretory phenotype biomarkers were elevated in serum from mice on a KD and in plasma samples from patients on a KD clinical trial. Cellular senescence was eliminated by a senolytic and prevented by an intermittent KD. These results have important clinical implications, suggesting that the effects of a KD are contextual and likely require individual optimization.
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