Transcript: Dominic D’Agostino on Starving Cancer at TEDxTampaBay

This is the transcript of Dominic D’Agostino, assistant professor at the University of South Florida, TEDx Talk: Starving Cancer at TEDxTampaBay.

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Dominic D’Agostino – Assistant professor at the University of South Florida

Navy SEAL divers are the best at what they do. But they have a problem that limits their ability to do their mission.

Our research focused on solving the problem and it led to an unexpected path of discovery for neurological diseases and cancer. The problem results from the specialized equipment that the Navy SEAL divers use, including the oxygen rebreather. The advantage of the rebreather is that there are no bubbles, so it’s very quiet and helps the SEAL evade detection from the enemy.

The disadvantage of the oxygen rebreather is that the high levels of oxygen and the pressure from the undersea environment causes a potential for a seizure. These seizures occur with little or no warning and there is no effective mitigation strategy to prevent them.

So the question we ask is: Why do the seizures occur and how can we prevent them? To answer this question required funding from the Office of Naval Research to develop a microscope that was installed inside a hyperbaric chamber, or a high-pressure chamber. This chamber could simulate the underwater environment and the pressure of the underwater environment. Using this technology we demonstrated that neurons in the brain, when subjected to high pressure and high oxygen, are overstimulated. The overstimulation of the brain from the high oxygen and pressure causes a decrease in brain energy metabolism.

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When this happens, it causes the potential for a seizure. These oxygen seizures occur with little or no warning and there is no effective way to prevent them. These drug resistant seizures are similar to epilepsy patients that have drug resistant seizures, and in the case of patients they can use a special diet to prevent these seizures.

One example of the patient who used diet is Mike Dancer. Mike used a variety of antiseizure medication, and the medication caused severe side effects and was not able to control his seizures. So, due to the severe side effects Mike stopped all the antiseizure medication and when he did, he saw an increase in his seizure frequency. At about this time Mike discovered there was a dietary intervention, that he could use to control his seizures. And when he did, he found a sharp decrease in his seizure frequency. I’m happy to say that Mike has been on the diet for 5 years now, and he’s been managing his epilepsy for 5 years without medication.

So what is the ketogenic diet? Compared to a normal diet, the ketogenic diet is very low in carbohydrates and it’s very high in fat. People have used the diet for years to help them regulate their body weight, reduce their body weight, and control or reduce their blood glucose levels.

But most importantly, the ketogenic diet is proven to control seizures, when drugs fail. No organization has done more to educate the public about therapeutic potential of the ketogenic diet than The Charlie Foundation started by Hollywood producer Jim Abrahams. Jim’s son Charlie was stricken with seizures. They were so severe and no amount of drugs could help him. So Jim looked into alternative approaches to manage his son’s seizures. And with his research he discovered that the ketogenic diet was being used at Johns Hopkins Hospital, so it was a treatment that was used specifically for pediatric epilepsy.

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So Jim took Charlie to Johns Hopkins Hospital and they worked pretty closely with a dietician there, and within a short amount of time Charlie’s seizures were under control. And Charlie was actually cured of his epilepsy at Johns Hopkins Hospital with the use of the ketogenic diet. So Charlie is actually off the diet completely today, and he remains seizure-free.

The ketogenic diet is effective for a variety of neurological disorders, including Glucose Transporter Type 1 Deficiency Syndrome. Children with this disorder lack the ability to transport glucose into the brain. So their brains are literally starved of glucose and this causes a potential for seizures.

So it’s known that, you know, the brain can use glucose as the primary fuel, but it can readily adapt to using ketones for energy. So in this way the brain is like a hybrid engine, right? So it uses glucose as the primary fuel but during periods of limited glucose availability the brain can readily adapt to using this alternative fuel source.