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    <title>Brenner Cruvinel - cérebro</title>
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        <title>Brain energy: how the brain runs on about 20 watts</title>
        <published>2023-07-09T00:00:00+00:00</published>
        <updated>2023-07-09T00:00:00+00:00</updated>
        
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          <name>
            Brenner Cruvinel
          </name>
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        <content type="html" xml:base="https://brennercruvinel.blog/en/blog/energia-cerebral/">&lt;p&gt;I saved this so I would not have to look it up every time I need these numbers. The first version was a dump of hundreds of values without sources, and some were wrong. In this revision I kept only what I could check. Where a number is my own calculation, the calculation is shown.&lt;/p&gt;
&lt;h2 id=&quot;the-budget&quot;&gt;The budget&lt;/h2&gt;
&lt;p&gt;In the average adult, the brain is about 2% of body weight and accounts for about 20% of the oxygen, and therefore the calories, the body consumes.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-raichle-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-raichle&quot;&gt;[1]&lt;/a&gt;&lt;/sup&gt; Raichle and Gusnard point out something else: during most cognitive tasks, local changes in blood flow measured with PET are 5% or less. The lights are on all the time. The cost is baseline, not on demand.&lt;/p&gt;
&lt;p&gt;That is where the 20 watts come from. By definition, 1 MET, the resting expenditure, is 3.5 mL of O2 per kg per minute.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-met-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-met&quot;&gt;[2]&lt;/a&gt;&lt;/sup&gt; For 70 kg, that is about 245 mL/min for the whole body, and 20% of that is about 49 mL/min for the brain. Each litre of O2 burning glucose releases close to 21 kJ, so:&lt;/p&gt;
&lt;p&gt;$$49\ \text{mL/min} \times 21\ \text{kJ/L} \approx 1.03\ \text{kJ/min} \approx 17\ \text{W}$$&lt;/p&gt;
&lt;p&gt;About 20 watts, less than many light bulbs.&lt;/p&gt;
&lt;h2 id=&quot;how-much-atp-that-is-per-day&quot;&gt;How much ATP that is per day&lt;/h2&gt;
&lt;p&gt;The old version said the brain produces about 7.8 kg of ATP a day, &quot;close to 70% of the brain&#39;s own weight&quot;. The first number holds up. The second does not add up.&lt;/p&gt;
&lt;p&gt;The calculation: 49 mL/min of O2 times 1,440 minutes is about 70 litres a day, or about 3.15 mol of O2. Fully oxidizing one glucose uses 6 O2 and yields between 30 and 32 ATP, with today&#39;s measured P/O ratios.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-hinkle-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-hinkle&quot;&gt;[3]&lt;/a&gt;&lt;/sup&gt; That is about 5.3 ATP per O2:&lt;/p&gt;
&lt;p&gt;$$3.15\ \text{mol} \times 5.3 \approx 16.7\ \text{mol ATP} \times 507\ \text{g/mol} \approx 8.5\ \text{kg}$$&lt;/p&gt;
&lt;p&gt;About 8 kg of ATP recycled per day. With a brain of 1.3 to 1.4 kg, that is about six times its weight, not 70%. The molecule is remade all the time; the stock itself is small.&lt;/p&gt;
&lt;h2 id=&quot;where-the-energy-goes&quot;&gt;Where the energy goes&lt;/h2&gt;
&lt;p&gt;In 2001, Attwell and Laughlin built the first detailed signalling budget for rodent grey matter.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-attwell-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-attwell&quot;&gt;[4]&lt;/a&gt;&lt;/sup&gt; In their estimate, action potentials took 47%, the postsynaptic effects of glutamate 34%, the resting potential 13% and glutamate recycling 3%.&lt;/p&gt;
&lt;p&gt;In 2012, Howarth, Gleeson and Attwell redid the calculation after it turned out that action potentials in mammalian neurons are much more efficient than previously thought.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-howarth-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-howarth&quot;&gt;[5]&lt;/a&gt;&lt;/sup&gt; In the cortex, most signalling energy, 50%, goes to postsynaptic glutamate receptors, 21% to action potentials, 20% to the resting potential, 5% to transmitter release and 4% to recycling.&lt;/p&gt;
&lt;p&gt;What survives both versions: the synapse dominates. Keeping a neuron alive is relatively cheap; making it talk is what costs.&lt;/p&gt;
&lt;h2 id=&quot;the-thermodynamics-behind-it&quot;&gt;The thermodynamics behind it&lt;/h2&gt;
&lt;p&gt;Every reaction is governed by the Gibbs free energy:&lt;/p&gt;
&lt;p&gt;$$\Delta G = \Delta H - T\Delta S$$&lt;/p&gt;
&lt;p&gt;ATP hydrolysis releases −30.5 kJ/mol under standard conditions. Inside the cell, with the real concentrations of ATP, ADP and phosphate, the value is more negative. The old version of this post said −30.5 was the value under brain conditions, and it is not.&lt;/p&gt;
&lt;p&gt;The membrane potential is an energy reservoir. The human brain has on average 86 billion neurons,&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-azevedo-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-azevedo&quot;&gt;[6]&lt;/a&gt;&lt;/sup&gt; each holding about −70 mV across a membrane about 7 nm thick. That gives a field of 10 million volts per metre:&lt;/p&gt;
&lt;p&gt;$$\frac{0.070\ \text{V}}{7 \times 10^{-9}\ \text{m}} = 10^{7}\ \text{V/m}$$&lt;/p&gt;
&lt;p&gt;The Nernst equation gives the equilibrium potential of each ion:&lt;/p&gt;
&lt;p&gt;$$E_{\text{ion}} = \frac{RT}{zF} \ln\frac{[\text{ion}]&lt;em&gt;{\text{out}}}{[\text{ion}]&lt;/em&gt;{\text{in}}}$$&lt;/p&gt;
&lt;p&gt;with R = 8.314 J/(mol·K), T = 310 K, z the valence and F = 96,485 C/mol. For potassium, with 5 mM outside and 140 mM inside, RT/F is 26.7 mV and the logarithm is −3.33, so the equilibrium potential is about −89 mV. Keeping these gradients against diffusion is exactly what the sodium-potassium pump does, and that is why it sits at the top of every energy budget.&lt;/p&gt;
&lt;p&gt;Processing information also costs. Landauer&#39;s principle says erasing one bit costs at least kT ln 2.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-landauer-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-landauer&quot;&gt;[7]&lt;/a&gt;&lt;/sup&gt; At 310 K, that is about 3 × 10⁻²¹ J per bit. If the brain did 10¹⁶ bit operations per second, a number that is my guess and not a measurement, the theoretical minimum would be:&lt;/p&gt;
&lt;p&gt;$$10^{16} \times 2.97 \times 10^{-21}\ \text{J} \approx 3 \times 10^{-5}\ \text{W}$$&lt;/p&gt;
&lt;p&gt;Several orders of magnitude below the real 20 watts. The brain runs far from the physical limit; it pays for speed and reliability.&lt;/p&gt;
&lt;h2 id=&quot;the-respiratory-chain-one-line-per-part&quot;&gt;The respiratory chain, one line per part&lt;/h2&gt;
&lt;p&gt;Mammalian complex I has 45 subunits: 14 core ones, conserved from bacteria to humans, and 31 specific to mammals.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-zhu-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-zhu&quot;&gt;[8]&lt;/a&gt;&lt;/sup&gt; It pumps 4 protons per NADH. Complex IV, cytochrome c oxidase, reduces O2 to water and pumps 4 protons per O2. Mammalian ATP synthase has a ring of 8 c subunits: each 360-degree turn makes 3 ATP and moves 8 protons, about 2.7 protons per ATP, and the shaft turns about 100 times per second.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-watt-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-watt&quot;&gt;[9]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;p&gt;When complex I fails, disease shows up. Schapira and colleagues compared the substantia nigra of nine people with Parkinson&#39;s disease and nine controls, and found a specific defect in complex I activity.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-schapira-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-schapira&quot;&gt;[10]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;h2 id=&quot;the-fuels&quot;&gt;The fuels&lt;/h2&gt;
&lt;p&gt;Glucose is the main substrate. But not the only one. Owen and colleagues catheterized cerebral vessels in three people fasting for 5 to 6 weeks and saw β-hydroxybutyrate and acetoacetate replace glucose as the brain&#39;s predominant fuel.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-owen-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-owen&quot;&gt;[11]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;p&gt;There is also lactate. Pellerin and Magistretti showed in 1994 that glutamate taken up by astrocytes stimulates glycolysis and lactate production in them,&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-pellerin-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-pellerin&quot;&gt;[12]&lt;/a&gt;&lt;/sup&gt; and that gave rise to the astrocyte-neuron lactate shuttle hypothesis. The real size of that flux is still debated, as the same group acknowledges in the model it published in 2015.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-jolivet-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-jolivet&quot;&gt;[13]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;h2 id=&quot;where-the-neurons-are&quot;&gt;Where the neurons are&lt;/h2&gt;
&lt;p&gt;Of the 86 billion neurons, only 19% are in the cerebral cortex, which is 82% of the brain&#39;s mass.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-azevedo-2&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-azevedo&quot;&gt;[6]&lt;/a&gt;&lt;/sup&gt; Most of the rest is in the cerebellum. The old version said the cerebellum held 50% of the neurons; it holds a lot more than that.&lt;/p&gt;
&lt;h2 id=&quot;sleep-as-cleaning&quot;&gt;Sleep as cleaning&lt;/h2&gt;
&lt;p&gt;Xie and colleagues measured in live mice that natural sleep, or anaesthesia, increases the brain&#39;s interstitial space by 60%, which speeds up the exchange between cerebrospinal fluid and interstitial fluid and the removal of β-amyloid.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-xie-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-xie&quot;&gt;[14]&lt;/a&gt;&lt;/sup&gt; It is in mice, but it is one of the most concrete explanations of why we need to sleep.&lt;/p&gt;
&lt;h2 id=&quot;what-changes-it&quot;&gt;What changes it&lt;/h2&gt;
&lt;p&gt;Ketogenic diet. In the randomized trial by Neal and colleagues, with 145 children with drug-resistant epilepsy, 38% of those on the diet had more than a 50% reduction in seizures, against 6% in the control group.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-neal-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-neal&quot;&gt;[15]&lt;/a&gt;&lt;/sup&gt; β-hydroxybutyrate, besides being a fuel, inhibits class I histone deacetylases.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-shimazu-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-shimazu&quot;&gt;[16]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;p&gt;Exercise. In a trial with 120 older adults, one year of aerobic training increased hippocampal volume by 2%, reversing about 1 to 2 years of age-related loss, with better spatial memory.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-erickson-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-erickson&quot;&gt;[17]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;h2 id=&quot;modelling-metabolism&quot;&gt;Modelling metabolism&lt;/h2&gt;
&lt;p&gt;Recon3D is the most complete reconstruction of human metabolism: 3,288 genes, 13,543 reactions and 4,140 unique metabolites.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-recon3d-1&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-recon3d&quot;&gt;[18]&lt;/a&gt;&lt;/sup&gt; The model by Jolivet and colleagues brings together neuron, astrocyte and vasculature, combining the Buxton-Wang vascular model, Hodgkin-Huxley membrane dynamics and the metabolic pathways.&lt;sup class=&quot;footnote-reference&quot; id=&quot;fr-jolivet-2&quot;&gt;&lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fn-jolivet&quot;&gt;[13]&lt;/a&gt;&lt;/sup&gt;&lt;/p&gt;
&lt;h2 id=&quot;the-question-that-interests-me-most&quot;&gt;The question that interests me most&lt;/h2&gt;
&lt;p&gt;If every thought is sustained by electrons crossing the respiratory chain and by ATP being broken down by the trillion, is there a metabolic signature of consciousness? I do not know, and I have not found anyone who does. But understanding how 20 watts do what a data centre cannot is, to me, the most beautiful computing question there is.&lt;/p&gt;
&lt;section class=&quot;footnotes&quot;&gt;
&lt;ol class=&quot;footnotes-list&quot;&gt;
&lt;li id=&quot;fn-raichle&quot;&gt;
&lt;p&gt;Raichle and Gusnard, &lt;a rel=&quot;external&quot; href=&quot;https://pmc.ncbi.nlm.nih.gov/articles/PMC124895/&quot;&gt;Appraising the brain&#39;s energy budget&lt;/a&gt;, PNAS, 2002. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-raichle-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-met&quot;&gt;
&lt;p&gt;Jetté, Sidney and Blümchen, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1002/clc.4960130809&quot;&gt;Metabolic equivalents (METs) in exercise testing, exercise prescription, and evaluation of functional capacity&lt;/a&gt;, Clinical Cardiology, 1990. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-met-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-hinkle&quot;&gt;
&lt;p&gt;Hinkle, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1016/j.bbabio.2004.09.004&quot;&gt;P/O ratios of mitochondrial oxidative phosphorylation&lt;/a&gt;, Biochimica et Biophysica Acta, 2005. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-hinkle-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-attwell&quot;&gt;
&lt;p&gt;Attwell and Laughlin, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1097/00004647-200110000-00001&quot;&gt;An energy budget for signaling in the grey matter of the brain&lt;/a&gt;, Journal of Cerebral Blood Flow and Metabolism, 2001. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-attwell-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-howarth&quot;&gt;
&lt;p&gt;Howarth, Gleeson and Attwell, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1038/jcbfm.2012.35&quot;&gt;Updated energy budgets for neural computation in the neocortex and cerebellum&lt;/a&gt;, Journal of Cerebral Blood Flow and Metabolism, 2012. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-howarth-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-azevedo&quot;&gt;
&lt;p&gt;Azevedo and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1002/cne.21974&quot;&gt;Equal numbers of neuronal and nonneuronal cells make the human brain an isometrically scaled-up primate brain&lt;/a&gt;, Journal of Comparative Neurology, 2009. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-azevedo-1&quot;&gt;↩&lt;/a&gt; &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-azevedo-2&quot;&gt;↩2&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-landauer&quot;&gt;
&lt;p&gt;Landauer, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1147/rd.53.0183&quot;&gt;Irreversibility and heat generation in the computing process&lt;/a&gt;, IBM Journal of Research and Development, 1961. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-landauer-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-zhu&quot;&gt;
&lt;p&gt;Zhu, Vinothkumar and Hirst, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1038/nature19095&quot;&gt;Structure of mammalian respiratory complex I&lt;/a&gt;, Nature, 2016. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-zhu-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-watt&quot;&gt;
&lt;p&gt;Watt and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1073/pnas.1011099107&quot;&gt;Bioenergetic cost of making an adenosine triphosphate molecule in animal mitochondria&lt;/a&gt;, PNAS, 2010. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-watt-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-schapira&quot;&gt;
&lt;p&gt;Schapira and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1111/j.1471-4159.1990.tb02325.x&quot;&gt;Mitochondrial complex I deficiency in Parkinson&#39;s disease&lt;/a&gt;, Journal of Neurochemistry, 1990. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-schapira-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-owen&quot;&gt;
&lt;p&gt;Owen and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1172/JCI105650&quot;&gt;Brain metabolism during fasting&lt;/a&gt;, Journal of Clinical Investigation, 1967. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-owen-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-pellerin&quot;&gt;
&lt;p&gt;Pellerin and Magistretti, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1073/pnas.91.22.10625&quot;&gt;Glutamate uptake into astrocytes stimulates aerobic glycolysis&lt;/a&gt;, PNAS, 1994. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-pellerin-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-jolivet&quot;&gt;
&lt;p&gt;Jolivet and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1371/journal.pcbi.1004036&quot;&gt;Multi-timescale modeling of activity-dependent metabolic coupling in the neuron-glia-vasculature ensemble&lt;/a&gt;, PLOS Computational Biology, 2015. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-jolivet-1&quot;&gt;↩&lt;/a&gt; &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-jolivet-2&quot;&gt;↩2&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-xie&quot;&gt;
&lt;p&gt;Xie and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1126/science.1241224&quot;&gt;Sleep drives metabolite clearance from the adult brain&lt;/a&gt;, Science, 2013. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-xie-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-neal&quot;&gt;
&lt;p&gt;Neal and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://pubmed.ncbi.nlm.nih.gov/18456557/&quot;&gt;The ketogenic diet for the treatment of childhood epilepsy: a randomised controlled trial&lt;/a&gt;, Lancet Neurology, 2008. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-neal-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-shimazu&quot;&gt;
&lt;p&gt;Shimazu and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1126/science.1227166&quot;&gt;Suppression of oxidative stress by β-hydroxybutyrate, an endogenous histone deacetylase inhibitor&lt;/a&gt;, Science, 2013. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-shimazu-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-erickson&quot;&gt;
&lt;p&gt;Erickson and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1073/pnas.1015950108&quot;&gt;Exercise training increases size of hippocampus and improves memory&lt;/a&gt;, PNAS, 2011. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-erickson-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;li id=&quot;fn-recon3d&quot;&gt;
&lt;p&gt;Brunk and colleagues, &lt;a rel=&quot;external&quot; href=&quot;https://doi.org/10.1038/nbt.4072&quot;&gt;Recon3D enables a three-dimensional view of gene variation in human metabolism&lt;/a&gt;, Nature Biotechnology, 2018. &lt;a href=&quot;https://brennercruvinel.blog/en/blog/energia-cerebral/#fr-recon3d-1&quot;&gt;↩&lt;/a&gt;&lt;/p&gt;
&lt;/li&gt;
&lt;/ol&gt;
&lt;/section&gt;
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