Ketogenic Diet and Exercise Improve Peripheral Neuropathy in a Mouse Model of Metabolic Syndrome

Metabolic syndrome (MetS) increases risk for peripheral neuropathy (PN), a progressive nerve disorder with limited treatment options. We examined whether long-term ketogenic diet (KD) could maintain nerve health, and whether KD, exercise, or both could reverse established MetS PN. Maintenance KD preserved body composition, liver health, and nerve function, while all interventions improved metabolic and nerve outcomes to varying degrees. Transcriptomic profiling of sciatic nerve and gastrocnemius muscle revealed partial reversal of MetS-induced inflammatory, cytoskeletal, and metabolic gene alterations. These findings highlight KD and exercise for treating MetS PN.

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Publication Details

Journal
Diabetes
Published
2026-03-20
DOI
https://doi.org/10.2337/db25-1015
Primary Topic
Diet and metabolism studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Ketogenic Diet and Exercise Improve Peripheral Neuropathy in a Mouse Model of Metabolic Syndrome

Diana M Rigan, John M. Hayes, Adam Patterson, Stéphanie Eid et al.
Diabetes
Diet and metabolism studies
article

Ketogenic Diet and Exercise Improve Peripheral Neuropathy in a Mouse Model of Metabolic Syndrome

Diana M Rigan, John M. Hayes, Adam Patterson, Stéphanie Eid, Pongrat Jaisil, Samuel J. Teener, Emily J. Koubek, Junguk Hur, Crystal Pacut, Andrew Carter, Bhumsoo Kim, Kai Guo, Dae-Gyu Jang, Jacob Meyer, Haley McQuown, Chloe Kiriluk, Ian F. Webber-Davis, Dave Bridges, William Lentz, Eva L. Feldman, Cameron M. Miller
article en

Abstract

Metabolic syndrome (MetS) increases risk for peripheral neuropathy (PN), a progressive nerve disorder with limited treatment options. We examined whether long-term ketogenic diet (KD) could maintain nerve health, and whether KD, exercise, or both could reverse established MetS PN. Maintenance KD preserved body composition, liver health, and nerve function, while all interventions improved metabolic and nerve outcomes to varying degrees. Transcriptomic profiling of sciatic nerve and gastrocnemius muscle revealed partial reversal of MetS-induced inflammatory, cytoskeletal, and metabolic gene alterations. These findings highlight KD and exercise for treating MetS PN.

Diabetes
University of Wisconsin–Madison (US), Khon Kaen University (TH), University of North Dakota (US), University of Michigan (US)
Good health and well-being
Openalex Percentile: Top 14%
Diet and metabolism studies
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