Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University (KMU), 100 Shiquan 1st Rd, Sanmin Dist., Kaohsiung City, 807, Taiwan.
Department of Neurology, KMU Hospital, KMU, Kaohsiung, Taiwan.
Sci Rep. 2021 Mar 16;11(1):6013. doi: 10.1038/s41598-021-85502-0.
Epidemiologic studies have indicated that dyslipidemia may facilitate the progression of cognitive dysfunction. We previously showed that patients with metabolic syndrome (MetS) had significantly higher plasma levels of electronegative very-low-density lipoprotein (VLDL) than did healthy controls. However, the effects of electronegative-VLDL on the brain and cognitive function remain unclear. In this study, VLDL isolated from healthy volunteers (nVLDL) or patients with MetS (metVLDL) was administered to mice by means of tail vein injection. Cognitive function was assessed by using the Y maze test, and plasma and brain tissues were analyzed. We found that mice injected with metVLDL but not nVLDL exhibited significant hippocampus CA3 neuronal cell loss and cognitive dysfunction. In mice injected with nVLDL, we observed mild glial cell activation in the medial prefrontal cortex (mPFC) and hippocampus CA3. However, in mice injected with metVLDL, plasma and brain TNF-α and Aβ-42 levels and glial cell activation in the mPFC and whole hippocampus were higher than those in control mice. In conclusion, long-term exposure to metVLDL induced levels of TNF-α, Aβ-42, and glial cells in the brain, contributing to the progression of cognitive dysfunction. Our findings suggest that electronegative-VLDL levels may represent a new therapeutic target for cognitive dysfunction.
流行病学研究表明,血脂异常可能促进认知功能障碍的进展。我们之前曾表明,代谢综合征(MetS)患者的血浆负电极低密度脂蛋白(VLDL)水平明显高于健康对照组。然而,负电-VLDL 对大脑和认知功能的影响仍不清楚。在这项研究中,通过尾静脉注射将来自健康志愿者(nVLDL)或代谢综合征患者(metVLDL)的 VLDL 分别施用于小鼠。通过 Y 迷宫测试评估认知功能,并分析血浆和脑组织。我们发现,注射 metVLDL 的小鼠而非 nVLDL 的小鼠表现出明显的海马 CA3 神经元细胞丢失和认知功能障碍。在注射 nVLDL 的小鼠中,我们观察到内侧前额叶皮层(mPFC)和海马 CA3 中的轻度神经胶质细胞活化。然而,在注射 metVLDL 的小鼠中,血浆和脑中 TNF-α和 Aβ-42 水平以及 mPFC 和整个海马中的神经胶质细胞活化均高于对照组小鼠。总之,长期暴露于 metVLDL 会导致大脑中 TNF-α、Aβ-42 和神经胶质细胞的水平升高,从而导致认知功能障碍的进展。我们的研究结果表明,负电-VLDL 水平可能是认知功能障碍的一个新的治疗靶点。