Submission ID 93394

Poster Code HR-P-88
Title of Abstract Ketone ester therapy as a novel approach to reduce systemic and organ inflammation and dysfunction in sepsis
Abstract Submission Introduction: Sepsis is a dysregulated inflammatory response to an infection resulting in multi-organ injury. Currently, there are no effective treatments to reduce inflammation and prevent the inflammation-mediated damage during sepsis. Thus, new approaches are needed manage inflammation and improve patient outcomes. Herein, we tested the efficacy of a ketone therapy that increases circulating ketones via ketone esters. Ketones are small molecules produced by the liver in carbohydrate-deprived states, such as fasting. While ketones are classically known to be a metabolic source of energy, they also have non-metabolic effects, such as inhibiting inflammation. Thus, we hypothesized that ketones have anti-inflammatory effects which will protect against septic organ dysfunction and inflammation. Methods: 8-week-old mice orally received vehicle or ketone ester (KE) for 3 days. On day 3, mice received saline or lipopolysaccharide (LPS) to induce systemic inflammation and sepsis, and assessments were performed 24 hours post-injection. Results: LPS-treated mice had higher blood ketones compared to controls, suggesting that ketones may be an innate defense mechanism, and this response was further augmented in KE-treated septic mice. While LPS-treated mice had an induction of systemic pro-inflammatory cytokines (e.g., IL-1β, IL-6, interferon-γ) these cytokines were significantly lower in KE-treated septic mice. Similarly, LPS induced notable inflammation in the heart, kidney, and liver, most of which were reduced in KE-treated septic mice. LPS-induced cardiac dysfunction and renal fibrosis was also lower in KE-treated septic mice. Conclusion: Together, these data show that ketone therapy may be a novel approach to reducing inflammation and organ dysfunction in sepsis.
Please indicate who nominated you Dr. Alan Underhill
What Canadian Institutes of Health Research (CIHR) institute is your research most closely aligned? Circulatory and Respiratory Health
Infection and Immunity
What Canadian Institutes of Health Research (CIHR) pillar of health research does your research fall under? Biomedical
PDF of abstract No file
Presenter and Author(s) Shubham Soni
Matthew Martens
Shingo Takahara
Heidi Silver
Mourad Ferdaoussi
Jason Dyck
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