Loss of proteostasis is a hallmark of aging and Alzheimer disease (AD). We identify &#
x3b2;-hydroxybutyrate (&#
x3b2;HB), a ketone body, as a regulator of protein solubility. &#
x3b2;HB primarily provides ATP substrate during periods of reduced glucose availability, and regulates other cellular processes through protein interactions. We demonstrate &#
x3b2;HB-induced protein insolubility is not dependent on covalent protein modification, pH, or solute load, and is observable in mouse brain in&#
xa0;vivo after delivery of a ketone ester. This mechanism is selective for pathological proteins such as amyloid-&#
x3b2;, and exogenous &#
x3b2;HB ameliorates pathology in nematode models of amyloid-&#
x3b2; aggregation toxicity. We generate libraries of the &#
x3b2;HB-induced protein insolublome using mass spectrometry proteomics, and identify common protein domains and upstream regulators. We show enrichment of neurodegeneration-related proteins among &#
x3b2;HB targets and the clearance of these targets from mouse brain. These data indicate a metabolically regulated mechanism of proteostasis relevant to aging and AD.