Evidence map›Paper›PMID 32219096›Full record

ReviewFrontiers in nutrition2020

Consideration of Ketogenic Metabolic Therapy as a Complementary or Alternative Approach for Managing Breast Cancer.

Thomas N Seyfried, Purna Mukherjee, Mehmet S Iyikesici, Abdul Slocum, Miriam Kalamian, Jean-Pierre Spinosa, Christos Chinopoulos

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. What We Have Learned About Combining a Ketogenic Diet and Chemoimmunotherapy: a Case Report and Review of Literature.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  6. Article
  7. Alcohol and breast cancer.Pharmacological reports : PR · 2023
    Review
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  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Thomas N SeyfriedBiology Department, Boston College, Chestnut Hill, MA, United States.
Purna MukherjeeBiology Department, Boston College, Chestnut Hill, MA, United States.
Mehmet S IyikesiciMedical Oncology, Kemerburgaz University Bahcelievler Medical Park Hospital, Istanbul, Turkey.
Abdul SlocumMedical Oncology, Chemo Thermia Oncology Center, Istanbul, Turkey.
Miriam KalamianDietary Therapies LLc, Hamilton, MT, United States.
Jean-Pierre SpinosaGynecologic and Breast Oncology, Clinique Cecil, Lausanne, Switzerland.
Christos ChinopoulosDepartment of Medical Biochemistry, Semmelweis University, Budapest, Hungary.
Boston College · USAltınbaş University · TRHirslanden Clinique Cecil · CHSemmelweis University · HUVital Therapies (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer remains as a significant cause of morbidity and mortality in women. Ultrastructural and biochemical evidence from breast biopsy tissue and cancer cells shows mitochondrial abnormalities that are incompatible with energy production through oxidative phosphorylation (OxPhos). Consequently, breast cancer, like most cancers, will become more reliant on substrate level phosphorylation (fermentation) than on oxidative phosphorylation (OxPhos) for growth consistent with the mitochondrial metabolic theory of cancer. Glucose and glutamine are the prime fermentable fuels that underlie therapy resistance and drive breast cancer growth through substrate level phosphorylation (SLP) in both the cytoplasm (Warburg effect) and the mitochondria (Q-effect), respectively. Emerging evidence indicates that ketogenic metabolic therapy (KMT) can reduce glucose availability to tumor cells while simultaneously elevating ketone bodies, a non-fermentable metabolic fuel. It is suggested that KMT would be most effective when used together with glutamine targeting. Information is reviewed for suggesting how KMT could reduce systemic inflammation and target tumor cells without causing damage to normal cells. Implementation of KMT in the clinic could improve progression free and overall survival for patients with breast cancer.

Indexed as

fermentationglutaminolysisglycolysisinflammationmetastasisnon-toxicsurvival

Identifiers

PMID32219096
PMCPMC7078107
OpenAlexW3010746142

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.