Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, OR 97239, USA.
Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR 97239, USA.
EBioMedicine. 2015 Dec 12;3:26-42. doi: 10.1016/j.ebiom.2015.12.008. eCollection 2016 Jan.
Obesity, metabolic syndrome (MetS) and type 2 diabetes (T2D) are associated with decreased cognitive function. While weight loss and T2D remission result in improvements in metabolism and vascular function, it is less clear if these benefits extend to cognitive performance. Here, we highlight the malleable nature of MetS-associated cognitive dysfunction using a mouse model of high fat diet (HFD)-induced MetS. While learning and memory was generally unaffected in mice with type 1 diabetes (T1D), multiple cognitive impairments were associated with MetS, including deficits in novel object recognition, cued fear memory, and spatial learning and memory. However, a brief reduction in dietary fat content in chronic HFD-fed mice led to a complete rescue of cognitive function. Cerebral blood volume (CBV), a measure of vascular perfusion, was decreased during MetS, was associated with long term memory, and recovered following the intervention. Finally, repeated infusion of plasma collected from age-matched, low fat diet-fed mice improved memory in HFD mice, and was associated with a distinct metabolic profile. Thus, the cognitive dysfunction accompanying MetS appears to be amenable to treatment, related to cerebrovascular function, and mitigated by systemic factors.
肥胖症、代谢综合征(MetS)和 2 型糖尿病(T2D)与认知功能下降有关。尽管体重减轻和 T2D 缓解会改善代谢和血管功能,但这些益处是否会扩展到认知表现尚不清楚。在这里,我们使用高脂肪饮食(HFD)诱导的 MetS 小鼠模型强调了 MetS 相关认知功能障碍的可变性。虽然 1 型糖尿病(T1D)小鼠的学习和记忆通常不受影响,但多种认知障碍与 MetS 相关,包括新颖物体识别、线索恐惧记忆、空间学习和记忆缺陷。然而,慢性 HFD 喂养小鼠的饮食脂肪含量短暂减少导致认知功能完全恢复。脑血容量(CBV),血管灌注的一种衡量标准,在 MetS 期间降低,与长期记忆有关,并在干预后恢复。最后,重复输注来自年龄匹配的低脂饮食喂养小鼠的血浆可改善 HFD 小鼠的记忆,并与独特的代谢特征相关。因此,代谢综合征伴随的认知功能障碍似乎可以通过治疗、与脑血管功能相关、并通过系统性因素来缓解。