Ketones Influence on Glucose Metabolism in Brain. A Human Positron Emission Tomography (PET) Study
This project tend to investigate the affection of ketone bodies on brain metabolism. This will be done by measuring human cerebral uptake of energy substrates, together with functional parameters, using PET imaging and appropriate radiotracers under hyperketonemia in healthy subjects by ketone infusion.
Hypotheses
- Increased levels of ketone bodies in healthy subjects leads to decreased glucose uptake by brain cells contributing to hyperglycaemia.
- Increased levels of ketone bodies in healthy subjects leads to increased cerebral blood flow.
- Altered oxygen consumption during hyperketonemia in healthy subjects.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Aarhus, Denmark, 8000
- Aarhus University Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy
- BMI 20-30 kg/m2
Exclusion Criteria:
- smoking
- alcohol abuse
- severe comorbidity
- blood donation 6 month prior
- claustrophobia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Control
Saline infusion.
FDG-PET Scan.
O2-PET scan.
H2O-PET scan Muscle biopsy
|
Saline infusion.
|
|
Experimental: Hyperketonaemia
Ketone infusion.
FDG-PET Scan.
O2-PET scan.
H2O-PET scan Muscle biopsy
|
3-OHB is infused intravenously.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Glucose metabolism in brain, CMR
Time Frame: t=240-360 minutes
|
cerebral glucose metabolism measured by PET tracer during the above time frame
|
t=240-360 minutes
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stress metabolism
Time Frame: 0-360 minutes
|
growth hormone, cortisol, glucagon, adrenalin, ghrelin.
|
0-360 minutes
|
|
Oxygen use
Time Frame: T=150-200 minutes
|
cerebral oxygen consumption measured by PET tracer during the above time frame
|
T=150-200 minutes
|
|
cerebral blood flow
Time Frame: t=180-250 minutes
|
cerebral blood flow measured by PET tracer during the above time frame
|
t=180-250 minutes
|
|
Intramuscular signaling
Time Frame: t= 260 minutes
|
protein and insulin signaling in muscle
|
t= 260 minutes
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Mads Svart, MD, Aarhus University / Aarhus University Hospital
Publications and helpful links
General Publications
- Lauritzen ES, Svart MV, Voss T, Moller N, Bjerre M. Impact of Acutely Increased Endogenous- and Exogenous Ketone Bodies on FGF21 Levels in Humans. Endocr Res. 2021 Feb;46(1):20-27. doi: 10.1080/07435800.2020.1831015. Epub 2020 Oct 19.
- Lauritsen KM, Sondergaard E, Svart M, Moller N, Gormsen LC. Ketone Body Infusion Increases Circulating Erythropoietin and Bone Marrow Glucose Uptake. Diabetes Care. 2018 Dec;41(12):e152-e154. doi: 10.2337/dc18-1421. Epub 2018 Oct 16. No abstract available.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- RM-1-10-72-106-14
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