Effect of a Ketogenic Diet on Hepatic Steatosis and Hepatic Mitochondrial Metabolism in Nonalcoholic Fatty Liver Disease
Effect of a ketogenic diet on hepatic steatosis and hepatic mitochondrial metabolism in nonalcoholic fatty liver disease Panu K. Luukkonena,b,c, Sylvie Dufoura,d, Kun Lyue, Xian-Man Zhanga,d, Antti Hakkarainenf,g, Tiina E. Lehtimäkif, Gary W. Clinea,d, Kitt Falk Petersena,d, Gerald I. Shulmana,d,e,1,2, and Hannele Yki-Järvinenb,c,1,2 aDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT 06520; bMinerva Foundation Institute for Medical Research, Helsinki 00290, Finland; cDepartment of Medicine, University of Helsinki and Helsinki University Hospital, Helsinki 00290, Finland; dYale Diabetes Research Center, Yale School of Medicine, New Haven, CT 06520; eDepartment of Cellular & Molecular Physiology, Yale School of Medicine, New Haven, CT 06520; fDepartment of Radiology, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki 00290, Finland; and gDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, 00076 Espoo, Finland Contributed by Gerald I. Shulman, January 31, 2020 (sent for review December 26, 2019; reviewed by Fredrik Karpe and Roy Taylor) Weight loss by ketogenic diet (KD) has gained popularity in after 48 h of caloric restriction (26). We previously showed that management of nonalcoholic fatty liver disease (NAFLD). KD rapidly a hypocaloric, KD induces an ∼30% reduction in IHTG content in reverses NAFLD and insulin resistance despite increasing circulating 6 d despite increasing circulating NEFA (27). nonesterified fatty acids (NEFA), the main substrate for synthesis of While the antisteatotic effect of KD is well-established, the intrahepatic triglycerides (IHTG). To explore the underlying mecha- underlying mechanisms by which it does so remain unclear.
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