Araştırma Makalesi
BibTex RIS Kaynak Göster

Comparison of the Effects of the Ketogenic Diet and Western Diet on the Retina in Rats with Diabetes

Yıl 2024, , 322 - 328, 25.12.2024
https://doi.org/10.26453/otjhs.1502084

Öz

Objective: This study aimed to investigate the effects of different diets on the retina in rats with diabetes mellitus (DM).
Materials and Methods: In our study, a total of 4 groups were formed: healthy and regular diet (Group 1), DM-induced and regular diet (Group 2), DM-induced and ketogenic diet (KD) (Group 3), DM-induced and western diet (WD) (Group 4). Tissue sections were histo-scored using Vascular endothelial growth factor (VEGF) and Caspase-3 immunohistochemical staining method. The thicknesses of the retinal layers stained with hematoxylin-eosin were compared.
Results: Retinal staining with VEGF revealed a greater incidence of low-intensity staining in Group 3 (p: 0.018). There was no notable disparity observed across the groups in the staining of the retinas with Caspase-3 (p: 0.65). When the thicknesses of the retinal layers were compared, it was observed that the inner-outer nuclear, inner plexiform and ganglion layers were significantly thicker in the WD group than the other groups (p values <0.001, 0.013, 0.006, 0.017, respectively). There was no significant difference between the groups regarding choroidal thickness (p: 0.118).
Conclusions: The KD can be considered advantageous or less detrimental compared to the WD. Nevertheless, while the ketogenic diet has shown beneficial outcomes in the short term, its long-term impact remains uncertain.

Etik Beyan

Our study was approved by Sakarya University (Date: 07/08/2019 Number: 26). Complies with Guide for the care and use of laboratory animals. The study was carried out following the international declaration, guidelines.

Kaynakça

  • Vujosevic S, Aldington SJ, Silva P, Hernández C, Scanlon P, Peto T, Simó R. Screening for diabetic retinopathy: New perspectives and challenges. Lancet Diabetes Endocrinol. 2020;4:337-347. doi: 10.1016/S2213-8587(19)30411-5.
  • Stitt AW, Curtis TM, Chen M, et al. The progress in understanding and treatment of diabetic retinopathy. Prog Retin Eye Res. 2016;51:156-186. doi:10.1016/j.preteyeres.2015.08.001
  • Bunch KL, Abdelrahman AA, Caldwell RB, Caldwell RW. Novel Therapeutics for Diabetic Retinopathy and Diabetic Macular Edema: A Pathophysiologic Perspective. Front Physiol. 2022;13:831616. doi:10.3389/fphys.2022.831616.
  • Rübsam A, Parikh S, Fort PE. Role of inflammation in diabetic retinopathy. Int J Mol Sci. 2018;19(4):942. doi:10.3390/ijms19040942
  • American Diabetes Association. 4. Lifestyle Management: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Suppl 1):38-50. doi:10.2337/dc18-S004
  • Sharma Y, Saxena S, Mishra A, Saxena A, Natu SM. Nutrition for diabetic retinopathy: Plummeting the inevitable threat of diabetic vision loss. Eur J Nutr. 2017;56(6):2013-2027. doi:10.1007/s00394-017-1406-2
  • D'Andrea Meira I, Romão TT, Pires do Prado HJ, Krüger LT, Pires MEP, da Conceição PO. Ketogenic Diet and Epilepsy: What We Know So Far. Frontiers in neuroscience. 2019;13:5. doi:10.3389/fnins.2019.00005
  • Dupuis N, Curatolo N, Benoist JF, Auvin S. Ketogenic diet exhibits anti‐inflammatory properties. Epilepsia. 2015;56(7):95-98. doi:10.1111/epi.13038
  • Zinöcker MK, Lindseth IA. The Western Diet-Microbiome-Host Interaction and Its Role in Metabolic Disease. Nutrients. 2018;10(3). doi:10.3390/nu10030365
  • Widowati W, Darsono L, Utomo HS, et al. Antidiabetic and hepatoprotection effect of butterfly pea flower (Clitoria ternatea L.) through antioxidant, anti-inflammatory, lower LDH, ACP, AST, and ALT on diabetes mellitus and dyslipidemia rat. Heliyon. 2024;10(8):29812. doi:10.1016/j.heliyon.2024.e29812
  • Crowe AR, Yue W. Semi-quantitative determination of protein expression using immunohistochemistry staining and analysis: An integrated protocol. Bio Protoc. 2019;9(24):3465-3465.  doi:10.21769/BioProtoc.3465
  • Kumar S, Behl T, Sachdeva M, et al. Implicating the effect of ketogenic diet as a preventive measure to obesity and diabetes mellitus. Life Sci. 2021;264:118661. doi:10.1016/j.lfs.2020.118661
  • Choi YJ, Jeon S-M, Shin S. Impact of a ketogenic diet on metabolic parameters in patients with obesity or overweight and with or without type 2 diabetes: A meta-analysis of randomized controlled trials. Nutrients. 2020;12(7):2005.  doi:10.3390/nu12072005
  • Zhang Q, Xu L, Xia J, Wang D, Qian M, Ding S. Treatment of diabetic mice with a combination of ketogenic diet and aerobic exercise via modulations of PPARs gene programs. PPAR Res. 2018;2018(1):4827643.  doi:10.1155/2018/4827643
  • Blagosklonny M. The mystery of the ketogenic diet: benevolent pseudo-diabetes. Cell Cycle.2019;18(18):2157-2163.  doi:10.1080/15384101.2019.1644765
  • Augustin K, Khabbush A, Williams S, et al. Mechanisms of action for the medium-chain triglyceride ketogenic diet in neurological and metabolic disorders. Lancet Neurol. 2018;17(1):84-93. doi:10.1016/S1474-4422(17)30408-8
  • Enders J, Swanson MT, Ryals J, Wright D. A ketogenic diet reduces mechanical allodynia and improves epidermal innervation in diabetic mice. Pain. 2022;163(4):682-689. doi: 10.1097/j.pain.0000000000002401
  • Al-Khalifa A, Mathew TC, Al-Zaid NS, Mathew E, Dashti H. Low carbohydrate ketogenic diet prevents the induction of diabetes using streptozotocin in rats. Exp Toxicol Pathol. 2011;63(7-8):663-9. doi:10.1016/j.etp.2010.05.008
  • Barakat A, Nakao S, Zandi S, et al. In contrast to Western diet, a plant-based, high-fat, low-sugar diet does not exacerbate retinal endothelial injury in streptozotocin-induced diabetes. FASEB journal : Official publication of the Federation of American Societies for Experimental Biology. 2019;33(9):10327-10338. doi:10.1096/fj.201900462R
  • Endo H, Kase S, Saito M, et al. Choroidal thickness in diabetic patients without diabetic retinopathy: A meta-analysis. American Journal of Ophthalmology. 2020;218:68-77. doi:10.1016/j.ajo.2020.05.036
  • Wang W, Liu S, Qiu Z, et al. Choroidal thickness in diabetes and diabetic retinopathy: A swept source OCT study. İnvest Ophthalmol Vis Sci. 2020;61(4):29-29. doi:10.1167/iovs.61.4.29

Diyabetik Ratlarda Ketojenik Diyet ve Western Diyetin Retina Üzerine Etkilerinin Karşılaştırılması

Yıl 2024, , 322 - 328, 25.12.2024
https://doi.org/10.26453/otjhs.1502084

Öz

Amaç: Bu çalışmanın amacı, DM oluşturulmuş ratlarda farklı beslenme tarzlarının retina üzerindeki etkilerini araştırmak.
Materyal ve Metot: Çalışmamızda sağlıklı ve normal beslenme uygulanmış (Grup 1), DM oluşturularak normal beslenme uygulanmış (Grup 2), DM oluşturularak KD uygulanmış (Grup 3), DM oluşturularak WD uygulanmış (Grup 4) olmak üzere toplam 4 grup oluşturuldu. Doku kesitlerinden VEGF ve Caspase-3 immünohistokimyasal boyama yöntemi kullanılarak histoskorlama yapıldı. Hematoksilen-eozin ile boyanan retina tabakalarının kalınlıkları karşılaştırıldı.
Bulgular: Retinaların VEGF ile boyanmasında Grup 3’te az yoğun boyanma daha yüksek oranda bulundu (p: 0.018). Caspase-3 ile retinaların boyanmasında gruplar arasında anlamlı fark görülmedi (p: 0.65). Retina tabakalarının kalınlıkları karşılaştırıldığında; iç nükleer, iç pleksiform, dış nükleer ve ganglion tabakalarının Grup 4’te diğer gruplardan anlamlı olarak kalın olduğu görüldü (Sırasıyla p değerleri <0.001, 0.013, 0.006, 0.017). Koroid kalınlıkları açısından gruplar arasında anlamlı fark görülmedi (p: 0.118).
Sonuç: Ketojenik diyetin western tipi diyete göre faydalı veya daha az zararlı olduğu söylenebilir. Ancak ketojenik diyetle ilgili kısa vadede olumlu sonuçlar bildirilmesine karşın uzun vadede etkisi bilinmemektedir.

Etik Beyan

Our study was approved by Sakarya University (Date: 07/08/2019 Number: 26). Complies with Guide for the care and use of laboratory animals. The study was carried out following the international declaration, guidelines.

Kaynakça

  • Vujosevic S, Aldington SJ, Silva P, Hernández C, Scanlon P, Peto T, Simó R. Screening for diabetic retinopathy: New perspectives and challenges. Lancet Diabetes Endocrinol. 2020;4:337-347. doi: 10.1016/S2213-8587(19)30411-5.
  • Stitt AW, Curtis TM, Chen M, et al. The progress in understanding and treatment of diabetic retinopathy. Prog Retin Eye Res. 2016;51:156-186. doi:10.1016/j.preteyeres.2015.08.001
  • Bunch KL, Abdelrahman AA, Caldwell RB, Caldwell RW. Novel Therapeutics for Diabetic Retinopathy and Diabetic Macular Edema: A Pathophysiologic Perspective. Front Physiol. 2022;13:831616. doi:10.3389/fphys.2022.831616.
  • Rübsam A, Parikh S, Fort PE. Role of inflammation in diabetic retinopathy. Int J Mol Sci. 2018;19(4):942. doi:10.3390/ijms19040942
  • American Diabetes Association. 4. Lifestyle Management: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Suppl 1):38-50. doi:10.2337/dc18-S004
  • Sharma Y, Saxena S, Mishra A, Saxena A, Natu SM. Nutrition for diabetic retinopathy: Plummeting the inevitable threat of diabetic vision loss. Eur J Nutr. 2017;56(6):2013-2027. doi:10.1007/s00394-017-1406-2
  • D'Andrea Meira I, Romão TT, Pires do Prado HJ, Krüger LT, Pires MEP, da Conceição PO. Ketogenic Diet and Epilepsy: What We Know So Far. Frontiers in neuroscience. 2019;13:5. doi:10.3389/fnins.2019.00005
  • Dupuis N, Curatolo N, Benoist JF, Auvin S. Ketogenic diet exhibits anti‐inflammatory properties. Epilepsia. 2015;56(7):95-98. doi:10.1111/epi.13038
  • Zinöcker MK, Lindseth IA. The Western Diet-Microbiome-Host Interaction and Its Role in Metabolic Disease. Nutrients. 2018;10(3). doi:10.3390/nu10030365
  • Widowati W, Darsono L, Utomo HS, et al. Antidiabetic and hepatoprotection effect of butterfly pea flower (Clitoria ternatea L.) through antioxidant, anti-inflammatory, lower LDH, ACP, AST, and ALT on diabetes mellitus and dyslipidemia rat. Heliyon. 2024;10(8):29812. doi:10.1016/j.heliyon.2024.e29812
  • Crowe AR, Yue W. Semi-quantitative determination of protein expression using immunohistochemistry staining and analysis: An integrated protocol. Bio Protoc. 2019;9(24):3465-3465.  doi:10.21769/BioProtoc.3465
  • Kumar S, Behl T, Sachdeva M, et al. Implicating the effect of ketogenic diet as a preventive measure to obesity and diabetes mellitus. Life Sci. 2021;264:118661. doi:10.1016/j.lfs.2020.118661
  • Choi YJ, Jeon S-M, Shin S. Impact of a ketogenic diet on metabolic parameters in patients with obesity or overweight and with or without type 2 diabetes: A meta-analysis of randomized controlled trials. Nutrients. 2020;12(7):2005.  doi:10.3390/nu12072005
  • Zhang Q, Xu L, Xia J, Wang D, Qian M, Ding S. Treatment of diabetic mice with a combination of ketogenic diet and aerobic exercise via modulations of PPARs gene programs. PPAR Res. 2018;2018(1):4827643.  doi:10.1155/2018/4827643
  • Blagosklonny M. The mystery of the ketogenic diet: benevolent pseudo-diabetes. Cell Cycle.2019;18(18):2157-2163.  doi:10.1080/15384101.2019.1644765
  • Augustin K, Khabbush A, Williams S, et al. Mechanisms of action for the medium-chain triglyceride ketogenic diet in neurological and metabolic disorders. Lancet Neurol. 2018;17(1):84-93. doi:10.1016/S1474-4422(17)30408-8
  • Enders J, Swanson MT, Ryals J, Wright D. A ketogenic diet reduces mechanical allodynia and improves epidermal innervation in diabetic mice. Pain. 2022;163(4):682-689. doi: 10.1097/j.pain.0000000000002401
  • Al-Khalifa A, Mathew TC, Al-Zaid NS, Mathew E, Dashti H. Low carbohydrate ketogenic diet prevents the induction of diabetes using streptozotocin in rats. Exp Toxicol Pathol. 2011;63(7-8):663-9. doi:10.1016/j.etp.2010.05.008
  • Barakat A, Nakao S, Zandi S, et al. In contrast to Western diet, a plant-based, high-fat, low-sugar diet does not exacerbate retinal endothelial injury in streptozotocin-induced diabetes. FASEB journal : Official publication of the Federation of American Societies for Experimental Biology. 2019;33(9):10327-10338. doi:10.1096/fj.201900462R
  • Endo H, Kase S, Saito M, et al. Choroidal thickness in diabetic patients without diabetic retinopathy: A meta-analysis. American Journal of Ophthalmology. 2020;218:68-77. doi:10.1016/j.ajo.2020.05.036
  • Wang W, Liu S, Qiu Z, et al. Choroidal thickness in diabetes and diabetic retinopathy: A swept source OCT study. İnvest Ophthalmol Vis Sci. 2020;61(4):29-29. doi:10.1167/iovs.61.4.29
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Görme Bilimi
Bölüm Araştırma Makalesi
Yazarlar

Halil İbrahim Sönmezoğlu 0000-0001-6553-065X

İsa Yuvacı 0000-0003-0694-9009

Nureddin Cengiz 0000-0002-2486-5901

Büşra Güner Sönmezoğlu 0000-0002-2113-8450

Gökhan Oturak 0000-0003-1608-8433

Erkan Çelik 0000-0002-8681-7868

Erken Görünüm Tarihi 21 Aralık 2024
Yayımlanma Tarihi 25 Aralık 2024
Gönderilme Tarihi 18 Haziran 2024
Kabul Tarihi 6 Aralık 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

AMA Sönmezoğlu Hİ, Yuvacı İ, Cengiz N, Güner Sönmezoğlu B, Oturak G, Çelik E. Comparison of the Effects of the Ketogenic Diet and Western Diet on the Retina in Rats with Diabetes. OTSBD. Aralık 2024;9(4):322-328. doi:10.26453/otjhs.1502084

Creative Commons Lisansı

Online Türk Sağlık Bilimleri Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Bu, Creative Commons Atıf Lisansı (CC BY-NC 4.0) şartları altında dağıtılan açık erişimli bir dergidir. Orijinal yazar(lar) veya lisans verenin adı ve bu dergideki orijinal yayının kabul görmüş akademik uygulamaya uygun olarak atıfta bulunulması koşuluyla, diğer forumlarda kullanılması, dağıtılması veya çoğaltılmasına izin verilir. Bu şartlara uymayan hiçbir kullanım, dağıtım veya çoğaltmaya izin verilmez.

Makale gönderme süreçleri ve "Telif Hakkı Devir Formu" hakkında yardım almak için tıklayınız.