Can the kidneys utilize ketone bodies for energy? Ketone bodies are water-soluble and should pose no problem to the kidneys because of solubility. If the kidneys are able to utilize ketone bodies for energy, then they must express the enzyme 3-ketoacyl-CoA transferase, correct? **Do the kidneys express the enzyme 3-ketoacyl-CoA transferase?** **Can kidneys use ketone bodies as fuel?**

Alexandria's answer:

This article's abstract says that 3-ketoacid-CoA transferase was found in the kidney: nature.com/pr/journal/v42/n4/abs/pr19972518a.html