Lastly, this project has been 8+ years in the making, long before I joined the lab, so there is a really big team to thank, like @geriscidoc.bsky.social, but most are not on Bluesky. And thanks to our funding, especially to the NIA for my recently awarded F99/K00, which made this work possible!
03.02.2026 21:59
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There is a lot more really cool stuff in the paper - diet studies in Tau mice and flies, snRNA-seq, ex vivo hippocampal slice culture, MS-based Tau interactomics - please check it out, and let me know what you think! Excited to get some feedback.
03.02.2026 21:59
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One of the most exciting findings was that R- and S-BHB strengthened Tau interaction with OPTN, a Ub-dependent adaptor for LC3B, which has been shown to play a key role in Tau proteostasis. Long-story short, we found that BHB's action on Tau was dependent on OPTN: loss of OPTN, loss of benefit.
03.02.2026 21:59
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What's more, we found that ketolysis of BHB was dispensable in these effects, as the non-canonical enantiomer S-BHB, which cannot be oxidized by BDH1 for acetyl-CoA and ATP production, recapitulated or even improved upon the benefits of R-BHB.
03.02.2026 21:59
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Next, as neurons are center-stage in the early stages of AD brain metabolic dysfunction, we explored cell-autonomous effects of BHB on neurons. We found that BHB: 1. reduces Tau secretion, 2. improves Tau turnover, and 3. strengthened Tau-protein interactions in the endolysosomal system.
03.02.2026 21:59
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First, contributing to a growing body of work that shows BHB and precursors is a viable therapeutic for numerous neurological disorders, we found that a ketone ester diet reduces pathological Tau, including hyperphosphorylated, insoluble, and seed-forming species, in the PS19 mouse model.
03.02.2026 21:59
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Metabolic interventions that induce ketosis - KDs, CR, IF, exercise - show great promise in the treatment of AD and related dementia. R-BHB, the primary ketone body produced in ketosis, reproduces key features of these interventions, and we wanted to determine how BHB exerts its benefits on Tau.
03.02.2026 21:59
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Excited to share the first big paper from my PhD work, now out on BioRxiv! In this work, we report a novel, ketolysis-independent mechanism of action for beta-hydroxybutyrate (BHB) in AD: BHB improves neuronal Tau proteostasis via LC3B-OPTN-dependent autophagy.
www.biorxiv.org/content/10.6...
03.02.2026 21:59
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congrats!!!
12.08.2025 00:44
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excited to see this out! congrats to your team!
03.12.2024 19:14
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