生酮饮食模型构建及行为学观察
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1.南京医科大学附属儿童医院;2.东南大学公共卫生学院;3.南京医科大学基础医学院

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江苏省卫生健康委重点医学科研项目


Establishment of a Ketogenic Diet Model and Behavioral Evaluation in Epileptic Mice
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1.Children'2.'3.s Hospital of Nanjing Medical University;4.School of Public Health, Southeast University;5.School of Basic Medical Sciences, Nanjing Medical University

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Key Medical Projects of Jiangsu Commission of Health

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    摘要:

    目的 采用腹腔注射匹罗卡品(pilocarpine,Pilo)建立颞叶癫痫小鼠模型,观察小鼠进食习惯,比较常规饮食和生酮饮食(Ketogenic Diet,KD)干预下小鼠的体重变化、毛发状态和血酮水平差异,建立规范的生酮喂养模型,进而探究生酮饮食对癫痫小鼠的癫痫样发作、抑郁和焦虑相关行为学的调控作用。方法 取31只4周龄20~22g雄性SPF级ICR小鼠,取11只小鼠随机分配至常规饮食对照组(CON+ND组,n=5)和生酮饮食喂养组(CON+KD组,n=6);取20只小鼠通过腹腔注射匹罗卡品诱导癫痫持续状态(status epilepsy,SE),根据Racine分级评估每只小鼠癫痫发作级别,癫痫造模成功的小鼠随机平均分配至癫痫模型组(SE+ND组)和癫痫模型生酮饮食干预组(SE+KD组)。实验周期设定为28天,CON+ND组与SE+ND组接受标准饲料喂养,CON+KD组与SE+KD组接受生酮饲料干预,构建规范的生酮饮食模型,监测小鼠体重及尾静脉血酮值,采用视频监控系统记录癫痫发作次数,并通过旷场实验(Open Field Test,OFT)、高架十字迷宫实验(Elevated Plus Maze,EPM)及强迫游泳实验(Forced Swimming Test,FST)比较不同组小鼠焦虑和抑郁样行为改变。结果 1.癫痫模型构建:20只小鼠进行造模,4只小鼠未达到Racine 4级,2只小鼠死亡,14只小鼠癫痫造模成功后随机平均分配至SE+KD组(n=7)和SE+ND组(n=7),SE+KD组在生酮饮食喂养过程中2只小鼠死亡,SE+ND组常规饲料喂养中无小鼠死亡;2.生酮饮食模型构建:癫痫小鼠体重低于正常小鼠,生酮饮食喂养和标准饲料喂养小鼠的体重变化没有显著差异(P>0.05);CON+KD组第1、7、14、28天血酮值均≥1.0mmol/l;CON+KD组和SE+KD组小鼠在生酮饲料喂养第2天即出现毛发污染、排泄物附着及腹泻症状(n=9),第3天腹泻严重的小鼠出现直肠脱垂(n=5);CON+ND组和SE+ND组小鼠在常规饲料喂养期间保持毛发光泽且大便成形。3.行为学实验:监测小鼠癫痫样行为发作频率,与SE+ND组比较,SE+KD组小鼠癫痫发作明显减少(P<0.05);强迫游泳实验中,与CON+ND组相比,CON+KD组不动时间明显减少(P<0.05)。结论 规范化生酮饮食干预可有效维持治疗性酮症水平(血酮≥1.0 mmol/L),且对小鼠体重未产生显著影响(P > 0.05)。值得注意的是,生酮饮食显著抑制癫痫模型动物的异常放电活动(P < 0.05)。

    Abstract:

    Objective A temporal lobe epilepsy mouse model was established via intraperitoneal injection of pilocarpine (Pilo). To observe the feeding habits of mice and compare differences in body weight, fur condition, and blood ketone levels between conventional and ketogenic diet(KD) interventions, thereby establishing a standardized ketogenic feeding model. Furthermore, this study aimed to investigate the regulatory effects of a ketogenic diet on epileptic seizures, depression-like, and anxiety-like behaviors in epileptic mice. Methods Thirty-one 4-week-old male SPF-grade ICR mice (20–22 g) underwent 1-week acclimatization. Eleven mice were randomly assigned to control groups: conventional diet (CON+ND, n=5) and ketogenic diet (CON+KD, n=6). The remaining 20 mice were subjected to pilocarpine-induced status epilepticus (SE). SE model validation was performed using Racine scale scoring (≥IV), with successfully modeled mice randomly and equally allocated to epileptic model groups: standard diet (SE+ND) and ketogenic diet (SE+KD). Seizure frequency was recorded via video monitoring, while anxiety- and depression-like behaviors were assessed using the Open Field Test (OFT), Elevated Plus Maze (EPM), and Forced Swimming Test (FST). Results 1. Epilepsy Model Establishment: Among 20 mice subjected to modeling, 4 failed to reach Racine stage IV and 2 died. The remaining 14 successfully modeled mice were randomly allocated to SE+KD (n=7) and SE+ND (n=7) groups. During intervention, 2 mice died in the SE+KD group (ketogenic diet), while no mortality occurred in the SE+ND group (standard diet). 2.Ketogenic Protocol Validation: Epileptic mice exhibited lower baseline body weight than controls. No significant weight change difference was observed between dietary interventions (P > 0.05). Blood ketone levels in CON+KD group consistently exceeded 1.0 mmol/L at days 1, 7, 14, and 28. By day 2 of ketogenic feeding, 9 mice developed fur soiling with fecal matter and diarrhea, progressing to rectal prolapse in 5 severe cases by day 3. CON+ND and SE+ND mice maintained glossy coats and formed stools throughout. 3.Behavioral Outcomes: SE+KD mice showed significantly reduced seizure frequency compared to SE+ND. In the FST, CON+KD exhibited shorter immobility times than CON+ND. Conclusion Standardized ketogenic diet intervention effectively maintained therapeutic ketosis (blood ketones≥1.0 mmol/L) without significant weight impact . Notably, the ketogenic diet suppressed epileptic discharges and ameliorated anxiety- and depression-like behaviors.

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  • 收稿日期:2025-03-26
  • 最后修改日期:2025-08-05
  • 录用日期:2025-11-17
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