May 6, 2026 · Journal of the American Society of Nephrology : JASN · DOI: 10.1681/ASN.0000001126

Gestational Ketosis Compromises Nephron Endowment and Long-Term Kidney Function in Offspring

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The authors investigate the impact of maternal ketosis, induced by a ketogenic diet or β-hydroxybutyrate supplementation, on fetal kidney development and long-term kidney function in offspring. Their findings reveal that maternal ketosis leads to a significant reduction in nephron number and impaired kidney function in offspring, attributed to disrupted nephrogenesis through the suppression of c-Myc signaling and activation of inflammatory pathways in nephron progenitor cells.

Athar Amleh, Yaniv Makayes, Eden Abergel, Dan Binyamin Varshavsky, Hadar Benyamini, Inbar Plaschkes, Morris Nechama, Oded Volovelsky

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