Evidence map›Paper›PMID 40320941›Full record

ReviewThe Journal of physiology2026

The central benefit of physiologically induced ketogenic states.

Antonia Giacco, Giuseppe Petito, Rosalba Senese, Maria Moreno, Assunta Lombardi, Antonia Lanni, Pieter de Lange

Abstract readReview
In one paragraph

Review in The Journal of physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Antonia GiaccoDipartimento di Scienze e Tecnologie, Università Degli Studi del Sannio, Via De Sanctis, Benevento, Italy.
Giuseppe PetitoDipartimento di Scienze e Tecnologie Ambientali, Biologiche e Farmaceutiche, Università Degli Studi Della Campania 'Luigi Vanvitelli, Via Vivaldi, Caserta, Italy.
Rosalba SeneseDipartimento di Scienze e Tecnologie Ambientali, Biologiche e Farmaceutiche, Università Degli Studi Della Campania 'Luigi Vanvitelli, Via Vivaldi, Caserta, Italy.ORCID 0000-0003-1571-0980
Maria MorenoDipartimento di Scienze e Tecnologie, Università Degli Studi del Sannio, Via De Sanctis, Benevento, Italy.
Assunta LombardiDipartimento di Biologia, Università Degli Studi di Napoli 'Federico II,' Monte Sant'Angelo, Università degli Studi di Napoli 'Federico II,' Monte Sant'Angelo, Naples, Italy.
Antonia LanniDipartimento di Scienze e Tecnologie Ambientali, Biologiche e Farmaceutiche, Università Degli Studi Della Campania 'Luigi Vanvitelli, Via Vivaldi, Caserta, Italy.ORCID 0000-0001-5797-0348
Pieter de LangeDipartimento di Scienze e Tecnologie Ambientali, Biologiche e Farmaceutiche, Università Degli Studi Della Campania 'Luigi Vanvitelli, Via Vivaldi, Caserta, Italy.ORCID 0000-0002-5256-3599

Funding

Italian Ministry of University and Research, funded by the European Union CUP B53D23033340001Italian Ministry of University and Research, funded by the European Union CUP E53D23021790001
6 · The paper itself

Abstract

Ketones not only act as metabolic fuel for the brain in periods of carbohydrate shortage, but also serve as signalling molecules that improve cognition. Ketogenic states can be induced peripherally by physiological interventions such as fasting and exercise, or ketogenic diets/exogenous supplementation. These interventions beneficially act on the brain through partially overlapping peripheral metabolic pathways. We focus on the role of peripheral organs such as the intestine, liver and skeletal muscle in mediating cognitive benefits in response to these interventions and discuss the prominent roles of the nuclear receptor peroxisome proliferator-activated receptor δ, which serves as a nutrient sensor guiding ketones to the brain, where they stimulate the multifunctional cognition-improving factor, brain-derived neurotrophic factor.

Indexed as

BrainDiet, KetogenicAnimalsCognitionExerciseFastingHumansLiverMuscle, SkeletalBDNFcognitionexercisefastingketogenic dietketones

Identifiers

PMID40320941
PMCPMC12997021

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.