Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Oncology Letters
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-1074 Online ISSN: 1792-1082
Journal Cover
January-2018 Volume 15 Issue 1

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
January-2018 Volume 15 Issue 1

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article

Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma

  • Authors:
    • Juliana Guimarães Santos
    • Wanise Maria Souza Da Cruz
    • Axel H. Schönthal
    • Marcela D'alincourt Salazar
    • Cristina Asvolinsque Pantaleão Fontes
    • Thereza Quirico‑Santos
    • Clovis Orlando Da Fonseca
  • View Affiliations / Copyright

    Affiliations: Graduate Program in Medical Sciences, Fluminense Federal University, Niteroi, Rio de Janeiro 24033‑900, Brazil, Department of Nutrition, Fluminense Federal University, Niteroi, Rio de Janeiro 24020‑150, Brazil, Department of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90089, USA, Department of Experimental Therapeutics, Beckman Research Institute of City of Hope, Duarte, CA 91010, USA, Service of Radiology, Department of Radiology, Antonio Pedro University Hospital, Fluminense Federal University, Niteroi, Rio de Janeiro 24033‑900, Brazil, Department of Cellular and Molecular Biology, Institute of Biology, Fluminense Federal University, Niteroi, Rio de Janeiro 24210‑130, Brazil, Service of Neurosurgery, Department of General and Specialized Surgery, Antonio Pedro University Hospital, Fluminense Federal University, Niteroi, Rio de Janeiro 24033‑900, Brazil
  • Pages: 1263-1270
    |
    Published online on: November 8, 2017
       https://doi.org/10.3892/ol.2017.7362
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

It has been hypothesized that persistent ketotic hypoglycemia represents a potential therapeutic strategy against high‑grade gliomas. Perillyl alcohol (POH) is a non‑toxic, naturally‑occurring, hydroxylated monoterpene that exhibits cytotoxicity against temozolomide‑resistant glioma cells, regardless of O6‑methylguanine‑methyltransferase promoter methylation status. The present study aimed to evaluate the toxicity and therapeutic efficacy of intranasal POH when administered in combination with a ketogenic diet (KD) program for the treatment of patients with recurrent glioblastoma. The 32 enrolled patients were divided into two groups, KD or standard diet, with intranasal POH treatment (n=17 and n=15, respectively). The nutritional status and anthropometric parameters of the patients were measured. Patients that adhered to the KD maintained a strict dietary regimen, in addition to receiving 55 mg POH four times daily, in an uninterrupted administration schedule for three months. Neurological examination and magnetic resonance imaging analysis were used to monitor disease progression. A total of 9/17 patients in the KD group survived and maintained compliance with the KD. After three months of well‑tolerated treatment, a partial response (PR) was observed for 77.8% (7/9) of the patients, stable disease (SD) in 11.1% (1/9) and 11.1% (1/9) presented with progressive disease (PD). Among the patients assigned to the standard diet group, the PR rate was 25% (2/8 patients), SD 25% (2/8) and PD 50% (4/8 patients). The patients assigned to the KD group presented with reduced serum lipid levels and decreased low‑density lipoprotein cholesterol levels. These results are encouraging and suggest that KD associated with intranasal POH may represent a viable option as an adjunct therapy for recurrent GBM.
View Figures

Figure 1

Figure 2

Figure 3

View References

1 

Stupp R, Mason WP, van der Bent MJ, Weller M, Fisher B, Taphoorn MJ, Belanger K, Brandes AA, Marosi C, Bogdahn U, et al: Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med. 352:987–996. 2005. View Article : Google Scholar : PubMed/NCBI

2 

Hegi ME, Diserens AC, Gorlia T, Hamou MF, De Tribolet N, Weller M, Kros JM, Hainfellner JA, Mason W, Mariani L, et al: MGMT gene silencing and benefit from temozolomide in glioblastoma. N Engl J Med. 352:997–1003. 2005. View Article : Google Scholar : PubMed/NCBI

3 

Hegi ME, Liu L, Herman JG, Stupp R, Wick W, Weller M, Mehta MP and Gilbert MR: Correlation of O6-methylguanine methyltransferase (MGMT) promoter methylation with clinical outcomes in glioblastoma and clinical strategies to modulate MGMT activity. J Clin Oncol. 26:4189–4199. 2008. View Article : Google Scholar : PubMed/NCBI

4 

Stupp R, Hegi ME, Mason WP, van den Bent MJ, Taphoorn MJ, Janzer RC, Ludwin SK, Allgeier A, Fisher B, Belanger K, et al: Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial. Lancet Oncol. 10:459–466. 2009. View Article : Google Scholar : PubMed/NCBI

5 

Schuster J, Lai RK, Recht LD, Reardon DA, Paleologos NA, Groves MD, Mrugala MM, Jensen R, Baehring JM, Sloan A, et al: A phase II, multicenter trial of rindopepimut (CDX-110) in newly diagnosed glioblastoma: The ACT III study. Neuro Oncol. 17:854–861. 2015. View Article : Google Scholar : PubMed/NCBI

6 

Narita Y: Bevacizumab for glioblastoma. Ther Clin Risk Manag. 11:1759–1765. 2015. View Article : Google Scholar : PubMed/NCBI

7 

Reardon DA, Herndon JE II, Peters KB, Desjardins A, Coan A, Lou E, Sumrall AL, Turner S, Lipp ES, Sathornsumetee S, et al: Bevacizumab continuation beyond initial bevacizumab progression among recurrent glioblastoma patients. Br J Cancer. 107:1481–1487. 2012. View Article : Google Scholar : PubMed/NCBI

8 

Abrams DA, Hanson JA, Brown JM, Hsu FP, Delashaw JB Jr and Bota DA: Timing of surgery and bevacizumab therapy in neurosurgical patients with recurrent high grade glioma. J Clin Neurosc. 22:35–39. 2015. View Article : Google Scholar

9 

Swanson KD, Lok E and Wong ET: An overview of alternating electric fields therapy (NovoTTF Therapy) for the treatment of malignant Glioma. Curr Neurol Neurosci Rep. 16:82016. View Article : Google Scholar : PubMed/NCBI

10 

Stupp R, Taillibert S, Kanner AA, Kesari S, Steinberg DM, Toms SA, Taylor LP, Lieberman F, Silvani A, Fink KL, et al: Maintenance therapy with tumor-treating fields plus temozolomide vs temozolomide alone for glioblastoma: A randomized clinical trial. JAMA. 314:2535–2543. 2015. View Article : Google Scholar : PubMed/NCBI

11 

Chen TC, Da Fonseca CO and Schönthal AH: Preclinical development and clinical use of perillyl alcohol for chemoprevention and cancer therapy. Am J Cancer Res. 5:1580–1593. 2015.PubMed/NCBI

12 

da Fonseca CO, Schwartsmann G, Fischer J, Nagel J, Futuro D, Quirico-Santos T and Gattass CR: Preliminary results from a phase I/II study of perillyl alcohol intranasal administration in adults with recurrent malignant gliomas. Surg Neurol. 70:259–267. 2008. View Article : Google Scholar : PubMed/NCBI

13 

da Fonseca CO, Simão M, Lins IR, Caetano RO, Futuro D and Quirico-Santos T: Efficacy of monoterpene perillyl alcohol upon survival rate of patients with recurrent glioblastoma. J Cancer Res Clin Oncol. 137:287–293. 2011. View Article : Google Scholar : PubMed/NCBI

14 

Da Fonseca CO, Teixeira RM, Silva JC, DE Saldanha DA, Fischer J Gama, Meirelles OC, Landeiro JA and Quirico-Santos T: Long-term outcome in patients with recurrent malignant glioma treated with Perillyl alcohol inhalation. Anticancer Res. 33:5625–5631. 2013.PubMed/NCBI

15 

Cross H: Epilepsy: Behavioural, psychological, and ketogenic diet treatments. BMJ Clin Evid. 2015:pii: 12142015.

16 

Rho JM: How does the ketogenic diet induce anti-seizure effects? Neurosci Lett. 637:4–10. 2017. View Article : Google Scholar : PubMed/NCBI

17 

Bruna J, Miró J and Velasco R: Epilepsy in glioblastoma patients: Basic mechanisms and current problems in treatment. Expert Rev Clin Pharmacol. 6:333–344. 2013. View Article : Google Scholar : PubMed/NCBI

18 

Kargiotis O, Markoula S and Kyritsis AP: Epilepsy in the cancer patient. Cancer Chemother Pharmacol. 67:489–501. 2011. View Article : Google Scholar : PubMed/NCBI

19 

Armstrong TS, Grant R, Gilbert MR, Lee JW and Norden AD: Epilepsy in glioma patients: Mechanisms, management, and impact of anticonvulsant therapy. Neuro Oncol. 18:779–789. 2016. View Article : Google Scholar : PubMed/NCBI

20 

Liberti MV and Locasale JW: The warburg effect: How does it benefit cancer cells? Trends Biochem Sci. 41:211–218. 2016. View Article : Google Scholar : PubMed/NCBI

21 

Kroemer G and Pouyssegur J: Tumor cell metabolism: Cancer's Achilles' heel. Cancer Cell. 13:472–482. 2008. View Article : Google Scholar : PubMed/NCBI

22 

Lu J, Tan M and Cai Q: The Warbu'rg effect in tumor progression: Mitochondrial oxidative metabolism as an anti-metastasis mechanism. Cancer Lett. 356:156–164. 2015. View Article : Google Scholar : PubMed/NCBI

23 

Seyfried TN, Flores R, Poff AM, D'Agostino DP and Mukherjee P: Metabolic therapy: A new paradigm for managing malignant brain cancer. Cancer Lett. 356:289–300. 2015. View Article : Google Scholar : PubMed/NCBI

24 

Bhattacharya B, Omar MF Mohd and Soong R: The Warburg effect and drug resistance. Br J Pharmacol. 173:970–979. 2016. View Article : Google Scholar : PubMed/NCBI

25 

Woolf EC, Syed N and Scheck AC: Tumor metabolism, the ketogenic diet and -hydroxybutyrate: Novel approaches to adjuvant brain tumor therapy. Front Mol Neurosci. 9:1222016. View Article : Google Scholar : PubMed/NCBI

26 

Klement RJ, Champ CE, Otto C and Kämmerer U: Anti-tumor effects of ketogenic diets in mice: A meta-analyais. PLoS One. 11:e01550502016. View Article : Google Scholar : PubMed/NCBI

27 

Abdelwahab MG, Fenton KE, Preul MC, Rho JM, Lynch A, Stafford P and Scheck AC: The ketogenic diet is an effective adjuvant to radiation therapy for the treatment of malignant glioma. PLoS One. 7:e361972012. View Article : Google Scholar : PubMed/NCBI

28 

Maroon JC, Seyfried TN, Donohue JP and Bost J: The role of metabolic therapy in treating glioblastoma multiforme. Surg Neurol Int. 6:612015. View Article : Google Scholar : PubMed/NCBI

29 

Zuccoli G, Marcello N, Pisanello A, Servadei F, Vaccaro S, Mukherjee P and Seyfried TN: Metabolic management of glioblastoma multiforme using standard therapy together with a restricted ketogenic diet: Case report. Nutr Metab (Lond). 7:332010. View Article : Google Scholar : PubMed/NCBI

30 

Champ CE, Palmer JD, Volek JS, Werner-Wasik M, Andrews DW, Evans JJ, Glass J, Kim L and Shi W: Targeting metabolism with a ketogenic diet during the treatment of glioblastoma multiforme. J Neurooncol. 117:125–131. 2014. View Article : Google Scholar : PubMed/NCBI

31 

Schwartz K, Chang HT, Nikolai M, Pernicone J, Rhee S, Olson K, Kurniali PC, Hord NG and Noel M: Treatment of glioma patients with ketogenic diets: Report of two cases treated with an IRB-approved energy-restricted ketogenic diet protocol and review of the literature. Cancer Metab. 3:32015. View Article : Google Scholar : PubMed/NCBI

32 

Wagner M and Moore DD: Endoplasmic reticulum stress and glucose metabolism. Curr Opin Clin Nutr Metab Care. 14:367–373. 2011. View Article : Google Scholar : PubMed/NCBI

33 

Schönthal AH, Chen TC, Hofman FM, Louie SG and Petasis NA: Preclinical development of novel anti-glioma drugs targeting the endoplasmatic reticulum stress response. Curr Pharm Des. 17:2428–2438. 2011. View Article : Google Scholar : PubMed/NCBI

34 

Kato H and Nishitoh H: Stress responses from the endoplasmic reticulum in cancer. Front Oncol. 5:932015. View Article : Google Scholar : PubMed/NCBI

35 

Peñaranda Fajardo NM, Meijer C and Kruyt FA: The endoplasmatic reticulum stress/unfolded protein responde in gliomagenesis, tumor progression and as a therapeutic target in glioblastoma. Biochem Pharmacol. 118:1–8. 2016. View Article : Google Scholar : PubMed/NCBI

36 

Johnson GG, White MC and Grimaldi M: Stressed to death: Targeting endoplasmic reticulum stress response induced apoptosis in gliomas. Curr Pharm Des. 17:284–292. 2011. View Article : Google Scholar : PubMed/NCBI

37 

Cho HY, Wang W, Jhaveri N, Torres S, Tseng J, Leong MN, Lee DJ, Goldkorn A, Xu T, Petasis NA, et al: Perillyl alcohol for the treatment of temozolomide-resistant gliomas. Mol Cancer Ther. 11:2462–2472. 2012. View Article : Google Scholar : PubMed/NCBI

38 

Schonthal AH: Targeting endoplasmic reticulum stress for cancer therapy. Front Biosci (Schol Ed). 4:412–431. 2012. View Article : Google Scholar : PubMed/NCBI

39 

Strowd RE III and Grossman SA: The role of glucose modulation and dietary supplementation in patients with central nervous system tumors. Curr Treat Options Oncol. 16:362015. View Article : Google Scholar : PubMed/NCBI

40 

Kambach DM, Halim AS, Cauer AG, Sun Q, Tristan CA, Celiku O, Kesarwala AH, Shankavaram U, Batchelor E and Stommel JM: Disabled cell density sensing leads to dysregulated cholesterol synthesis in glioblastoma. Oncotarget. 8:14860–14875. 2017.PubMed/NCBI

41 

Murai T, Maruyama Y, Mio K, Nishiyama H, Suga M and Sato C: Low cholesterol triggers membrane microdomain-dependent CD44 shedding and suppresses tumor cell migration. J Biol Chem. 286:1999–2007. 2011. View Article : Google Scholar : PubMed/NCBI

42 

Da Fonseca CO, Silva JT, Lins IR, Simão M, Arnobio A, Futuro D and Quirico-Santos T: Correlation of tumor topography and peritumoral edema of recurrent malignant gliomas with therapeutic response to intranasal administration of perillyl alcohol. Invest New Drugs. 27:557–564. 2009. View Article : Google Scholar : PubMed/NCBI

43 

Woolf EC, Curley KL, Liu Q, Turner GH, Charlton JA, Preul MC and Scheck AC: The ketogenic diet alters the hypoxic response and affects expression of proteins associated with angiogenesis, invasive potential and vascular permeability in a mouse glioma model. PLoS One. 10:e01303572015. View Article : Google Scholar : PubMed/NCBI

44 

Nygren C, von Holst H, Månsson JE and Fredman P: Increased levels of cholesterol esters in glioma tissue and surrounding areas of human brain. Br J Neurosurg. 11:216–220. 1997. View Article : Google Scholar : PubMed/NCBI

45 

Zhang X, Qin J, Zhao Y, Shi J, Lan R, Gan Y, Ren H, Zhu B, Qian M and Du B: Long-term ketogenic diet contributes to glycemic control but promotes lipid accumulation and hepatic steatosis in type 2 diabetic mice. Nutr Res. 36:349–358. 2016. View Article : Google Scholar : PubMed/NCBI

46 

Zamani GR, Mohammadi M, Ashrafi MR, Karimi P, Mahmoudi M, Badv RS, Tavassoli AR and Malamiri R Azizi: The effects of classic ketogenic diet on serum lipid profile in children with refractory seizures. Acta Neurol Belg. 116:529–534. 2016. View Article : Google Scholar : PubMed/NCBI

47 

Sharma S, Gulati S, Kalra V, Agarwala A and Kabra M: Seizure control and biochemical profile on the ketogenic diet in young children with refractory epilepsy-Indian experience. Seizure. 18:446–449. 2009. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Santos JG, Da Cruz WS, Schönthal AH, Salazar MD, Fontes CP, Quirico‑Santos T and Da Fonseca CO: Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma. Oncol Lett 15: 1263-1270, 2018.
APA
Santos, J.G., Da Cruz, W.S., Schönthal, A.H., Salazar, M.D., Fontes, C.P., Quirico‑Santos, T., & Da Fonseca, C.O. (2018). Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma. Oncology Letters, 15, 1263-1270. https://doi.org/10.3892/ol.2017.7362
MLA
Santos, J. G., Da Cruz, W. S., Schönthal, A. H., Salazar, M. D., Fontes, C. P., Quirico‑Santos, T., Da Fonseca, C. O."Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma". Oncology Letters 15.1 (2018): 1263-1270.
Chicago
Santos, J. G., Da Cruz, W. S., Schönthal, A. H., Salazar, M. D., Fontes, C. P., Quirico‑Santos, T., Da Fonseca, C. O."Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma". Oncology Letters 15, no. 1 (2018): 1263-1270. https://doi.org/10.3892/ol.2017.7362
Copy and paste a formatted citation
x
Spandidos Publications style
Santos JG, Da Cruz WS, Schönthal AH, Salazar MD, Fontes CP, Quirico‑Santos T and Da Fonseca CO: Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma. Oncol Lett 15: 1263-1270, 2018.
APA
Santos, J.G., Da Cruz, W.S., Schönthal, A.H., Salazar, M.D., Fontes, C.P., Quirico‑Santos, T., & Da Fonseca, C.O. (2018). Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma. Oncology Letters, 15, 1263-1270. https://doi.org/10.3892/ol.2017.7362
MLA
Santos, J. G., Da Cruz, W. S., Schönthal, A. H., Salazar, M. D., Fontes, C. P., Quirico‑Santos, T., Da Fonseca, C. O."Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma". Oncology Letters 15.1 (2018): 1263-1270.
Chicago
Santos, J. G., Da Cruz, W. S., Schönthal, A. H., Salazar, M. D., Fontes, C. P., Quirico‑Santos, T., Da Fonseca, C. O."Efficacy of a ketogenic diet with concomitant intranasal perillyl alcohol as a novel strategy for the therapy of recurrent glioblastoma". Oncology Letters 15, no. 1 (2018): 1263-1270. https://doi.org/10.3892/ol.2017.7362
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team